Vessel Name: GENCO AUVERGNE

Name of the Appraisee: SOURAV SHUKLA

Purpose of Appraisal:

A Sign Off B Mid Term C Completion of Probation peri

D Followed by a training – to verify the effect of training E Special Request - As required by the office for p

Period of appraisal: From: 09/02/2024

Name of the Appraiser: VAIBHAV

Section 1 ( Chief Officer)

aa) Notes for filling Performance Levels:

Outstanding performer in his job , Almost always exceeds expected
1 Exceptional
others develop their competency.
2 Exceeds expectations Performs over and above his job description, takes initiative in next ra
3 Meets expectations Performs as per job description described in SMM.
4 Needs improvement Needs further development, guidance ,to strengthen his competency
5 Unsatisfactory Regularly fails to achieve results, Does not follow through on feedbac
Notes for filling Remarks :
- When performance level is mentioned as “Exceptional , Needs Improvement , Unsatisfactory", the Remarks column
evidence or situation.
- When performance level is marked “ Needs Improvement , Unsatisfactory”, suggest Improvement / training need to

S.No Job Requirement: Performance Level

Watch keeping duties as designated by Chief Officer
1 Meets expectations
and under supervision of OOW

1a Navigation – Steering / Lookout Meets expectations

1b Anchorage –Lookout / Safety + Security Rounds Meets expectations

During Cargo Ops – Safety + Security Rounds / Tending

1c Meets expectations
Mooring + Gangway + Cargo Hose

Maintenance duties as designated by Chief Officer

2 Meets expectations
under instructions from Bosun
 Deck work carried out in a controlled manner keeping
3 Meets expectations
in mind safe working practices

Familiar with all work-related deck equipment –

4 Meets expectations
Routine, Safety, and Emergency

Familiar with all deck work related products (paints,

5 Meets expectations
grease, chemicals, etc.) – Safe handling

6 Receiving and stowing – Stores / Spares Meets expectations

7 Mooring station duties (Arrival / Departure / Anchoring) Meets expectations

8 SMM – Check lists, procedures, PTW – Familiar Meets expectations

9 Safety and Environmental Consciousness Meets expectations

Takes interest & prepares for the next role of a Able

10 Meets expectations
Seaman

Compliance with regulatory requirements - MARPOL,

11 Meets expectations
STCW guidelines, SOLAS, etc.

12 Inter Departmental Co-operation and relations Meets expectations

13 Sobriety, Compliance with D&A policy Meets expectations

Section 2 - Behavioural Competency Assessment ( Chief Offi

Behaviour - The way in which a person acts or conducts themselves and interacts with other people, systems and equipment, procedures
Competency - The combination of skills, knowledge and behaviours that a person brings to a position that enables them to perform their
Behavioural competency - Competency related to observable behaviour.

Competency Assessment

• Recognised within the company as outstanding in this competenc

Exceptional (consistently exceeds
A • Almost always exceeds expected results.
expectations)
• Is a clear role model or mentor and helps others develop this com

• Exceeds the expectations of the position.

Exceeds expectations (meets all and often
B • Frequently exceeds expected results.
exceeds expectations)
• May be viewed as a role model or mentor and helps others develo
 • Demonstrates this competency at a level appropriate for the positi
Meets expectations (consistently meets
C • Meets and sometimes exceeds expected results.
expectations)
• Is reliably and consistently successful.

• Needs further development, guidance or evaluation to consistentl

Needs improvement (sometimes meets appropriate for the position.
D
expectations) • Needs to strengthen this competency to achieve results.
• Does not always learn from feedback, coaching or training.

• Regularly fails to achieve results.

E Unsatisfactory (does not meet expectations) • Regularly demonstrates behaviours inconsistent with this compet
• Does not follow through on feedback, coaching or training.

Notes for filling Remarks :

- If BCA has been marked as “Exceptional , Needs Improvement , Unsatisfactory" – Provide a detailed remark with evidence /
- When performance level is marked “ Needs Improvement , Unsatisfactory”, suggest Improvement / training need to be prov
- Refer the guidelines as required for the +/- for each behaviour

Operational Areas
Behavioural Competency Assessment
Navigation Mooring

Team Working
Participation , Helpful , Comradeship inclusiveness and consideration of others Supporting
Meetsothers ,Conflict resolution Dependa
Meets expectations
expectations

Communication and Influencing

Shared understanding Style of communication Feedback Persuasion Meets
Meets expectations
expectations

Situation Awareness
Meets
Awareness of vessel systems and crew Awareness of external environment Awareness of time Meets expectations
expectations

Decision Making
MeetsOutcome review Ability to perform u
Problem definition and diagnosis Option generation Risk assessment and option selection Meets expectations
expectations

Results Focus
Initiative Determination Flexibility Emotional toughness Accountability and dependability
Meets, Discipline
Meets expectations
expectations

Leadership and Managerial Skills

Setting direction Empowerment, Authority and assertiveness, Providing and maintaining
Meetsstandards, Planning and coordination
Meets expectations
expectations

Section 3 - Additional Training ( Chief Officer)

Suggested Improvement / Training needs identified basis above input:
 1. Risk Assessment: 3. MARPOL - VECP:

2. Incident Investigation: 4. Safety Officer Course:

7. Any of following Training through Self Learning (Specify): (STS Operation / Ice 8. Others (Specify):
Navigation / Hazmat / Permit to Work / MLC 2006 / ISPS / Best Practice /
Supervision Presentation / Marine Insurance and Claims / Food Safety
Training/Cyber security training)

Section 4 ( Feedback)
Appraisee ( Ordinary Seaman)
Appraisee comments:

Name: SOURAV SHUKLA Rank : Ordinary Seaman

Appraiser ( Chief Officer)
Appraiser comments: PERFORMING WELL, HARDWORKING AND SHOWING GOOD SEAMANSHIP

Suitable for Promotion

Name VAIBHAV Rank : Chief Officer

Master
Master comments:

Needs to Debriefed prior to his next assignment Reason for Debrief

Name Rank : Master

Office Remarks (Manning Manager)

Needs to Debriefed prior his next assignment Needs to attend additional training Prior Ne

Reason for Debrief

Office comments:

Name: Designation :

For Seafarer employed by foreign crewing agency - Report forwarded to Crewing agency on: Date -
 Date: _29/10/2024_________________________

Crew ID: IN-005602

Rank: Ordinary Seaman / Trainee OS

letion of Probation period

quired by the office for purpose other than (A-D) :

To: 29/10/2024

Rank: C/O

r)

ways exceeds expected results. Is a clear role model or mentor and helps
takes initiative in next rank job description.
MM.
engthen his competency to achieve results.
low through on feedback, coaching or training.

y", the Remarks column should include more detailed remark with

ement / training need to be provided in the space provided in Section 3).

Remarks
sment ( Chief Officer)

nd equipment, procedures and the environment, especially in terms of safety.

bles them to perform their tasks efficiently, safely and effectively.

ent

nding in this competency.

others develop this competency.

and helps others develop this competency.

ppropriate for the position.
esults.

valuation to consistently demonstrate this competency at a level

chieve results.
ching or training.

istent with this competency.

ching or training.

remark with evidence / situation /Strength & Weakness

training need to be provided in the space provided in Section 3).

Operational Areas
Remarks
Engineering/
Mooring Cargo
Maintenance

Meets Meets
ts expectations
expectations expectations

Meets Meets
ts expectations
expectations expectations

Meets Meets
ts expectations
expectations expectations

Meets Meets
ts expectations
expectations expectations

Meets Meets
ts expectations
expectations expectations

Meets Meets
ts expectations
expectations expectations

Chief Officer)
 5. Officers Safety Training:

6. Bridge Team Management:

cify):

)
man)

n Signature :
er)

Signature :
 Signature :

anager)

ditional training Prior Next Assignment

Signature :
 PERFORMANCE APPRAISAL FORM

Vessel Name: __________________________________ Date: __________________________

Name of the Appraisee: Crew ID:

Purpose of Appraisal: Rank: Ordinary Seaman / Trainee OS

A Sign Off B Mid Term C Completion of Probation period

D Followed by a training – to verify the effect of training E Special Request - As required by the office for purpose other than (A-D) :

Period of appraisal: From: To:

Name of the Appraiser: Rank:

Section 1 ( Chief Officer)

aa) Notes for filling Performance Levels:

Outstanding performer in his job , Almost always exceeds expected results. Is a clear role model or mentor and helps
1 Exceptional
others develop their competency.
2 Exceeds expectations Performs over and above his job description, takes initiative in next rank job description.
3 Meets expectations Performs as per job description described in SMM.
4 Needs improvement Needs further development, guidance ,to strengthen his competency to achieve results.
5 Unsatisfactory Regularly fails to achieve results, Does not follow through on feedback, coaching or training.
Notes for filling Remarks :
- When performance level is mentioned as “Exceptional , Needs Improvement , Unsatisfactory", the Remarks column should include more detailed remark with
evidence or situation.
- When performance level is marked “ Needs Improvement , Unsatisfactory”, suggest Improvement / training need to be provided in the space provided in Section 3).

S.No Job Requirement: Performance Level Remarks

Watch keeping duties as designated by Chief Officer
1
and under supervision of OOW

1a Navigation – Steering / Lookout

1b Anchorage –Lookout / Safety + Security Rounds

During Cargo Ops – Safety + Security Rounds / Tending

1c
Mooring + Gangway + Cargo Hose

Maintenance duties as designated by Chief Officer

2
under instructions from Bosun

Deck work carried out in a controlled manner keeping

3
in mind safe working practices

Familiar with all work-related deck equipment –

4
Routine, Safety, and Emergency

Familiar with all deck work related products (paints,

5
grease, chemicals, etc.) – Safe handling

6 Receiving and stowing – Stores / Spares

7 Mooring station duties (Arrival / Departure / Anchoring)

8 SMM – Check lists, procedures, PTW – Familiar

9 Safety and Environmental Consciousness

Takes interest & prepares for the next role of a Able

10
Seaman

Compliance with regulatory requirements - MARPOL,

11
STCW guidelines, SOLAS, etc.

12 Inter Departmental Co-operation and relations

13 Sobriety, Compliance with D&A policy

Section 2 - Behavioural Competency Assessment ( Chief Officer)

Behaviour - The way in which a person acts or conducts themselves and interacts with other people, systems and equipment, procedures and the environment, especially in terms of safety.
Competency - The combination of skills, knowledge and behaviours that a person brings to a position that enables them to perform their tasks efficiently, safely and effectively.
Behavioural competency - Competency related to observable behaviour.

P a g e | 11 PF -02U
Original: Synergy Edition No.1/ Rev. No.00
Date: 15-May-22
 PERFORMANCE APPRAISAL FORM

Competency Assessment

• Recognised within the company as outstanding in this competency.

Exceptional (consistently exceeds
A • Almost always exceeds expected results.
expectations)
• Is a clear role model or mentor and helps others develop this competency.

• Exceeds the expectations of the position.

Exceeds expectations (meets all and often
B • Frequently exceeds expected results.
exceeds expectations)
• May be viewed as a role model or mentor and helps others develop this competency.

• Demonstrates this competency at a level appropriate for the position.

Meets expectations (consistently meets
C • Meets and sometimes exceeds expected results.
expectations)
• Is reliably and consistently successful.

• Needs further development, guidance or evaluation to consistently demonstrate this competency at a level
Needs improvement (sometimes meets appropriate for the position.
D
expectations) • Needs to strengthen this competency to achieve results.
• Does not always learn from feedback, coaching or training.

• Regularly fails to achieve results.

E Unsatisfactory (does not meet expectations) • Regularly demonstrates behaviours inconsistent with this competency.
• Does not follow through on feedback, coaching or training.

Notes for filling Remarks :

- If BCA has been marked as “Exceptional , Needs Improvement , Unsatisfactory" – Provide a detailed remark with evidence / situation /Strength & Weakness
- When performance level is marked “ Needs Improvement , Unsatisfactory”, suggest Improvement / training need to be provided in the space provided in Section 3).
- Refer the guidelines as required for the +/- for each behaviour

Operational Areas
Behavioural Competency Assessment Remarks
Engineering/
Navigation Mooring Cargo
Maintenance
Team Working
Participation , Helpful , Comradeship inclusiveness and consideration of others Supporting others ,Conflict resolution Dependability

Communication and Influencing

Shared understanding Style of communication Feedback Persuasion

Situation Awareness
Awareness of vessel systems and crew Awareness of external environment Awareness of time

Decision Making
Problem definition and diagnosis Option generation Risk assessment and option selection Outcome review Ability to perform under pressure

Results Focus
Initiative Determination Flexibility Emotional toughness Accountability and dependability , Discipline

Leadership and Managerial Skills

Setting direction Empowerment, Authority and assertiveness, Providing and maintaining standards, Planning and coordination, Workload management, Resilience

Section 3 - Additional Training ( Chief Officer)

Suggested Improvement / Training needs identified basis above input:

1. Risk Assessment: 3. MARPOL - VECP: 5. Officers Safety Training:

2. Incident Investigation: 4. Safety Officer Course: 6. Bridge Team Management:

7. Any of following Training through Self Learning (Specify): (STS Operation / Ice 8. Others (Specify):
Navigation / Hazmat / Permit to Work / MLC 2006 / ISPS / Best Practice /
Supervision Presentation / Marine Insurance and Claims / Food Safety
Training/Cyber security training)

Section 4 ( Feedback)
Appraisee ( Ordinary Seaman)
Appraisee comments:

Name: Rank : Ordinary Seaman Signature :

Appraiser ( Chief Officer)
P a g e | 12 PF -02U
Original: Synergy Edition No.1/ Rev. No.00
Date: 15-May-22
 PERFORMANCE APPRAISAL FORM

Appraiser comments:

Suitable for Promotion

Name Rank : Chief Officer Signature :

Master
Master comments:

Needs to Debriefed prior to his next assignment Reason for Debrief

Name Rank : Master Signature :

Office Remarks (Manning Manager)

Needs to Debriefed prior his next assignment Needs to attend additional training Prior Next Assignment

Reason for Debrief

Office comments:

Name: Designation : Signature :

For Seafarer employed by foreign crewing agency - Report forwarded to Crewing agency on: Date -

P a g e | 13 PF -02U
Original: Synergy Edition No.1/ Rev. No.00
Date: 15-May-22