CREW DEBRIEFING QUESTIONNAIRE (other then Master and Chief Engineer)

Date: 29 Oct. 2020 Rate

Name of interviewer: 1 Poor
Name of seafarer: Ramie Marin 2 Fair
Rank: 3rd Officer 3 Good
Vessel: Sidari 4 Excellent
Service period: 10months and 3days

Rate
QUESTION or REMARKS
Y/N

1 How would you rate the cooperation with your Head of department Rate 3

2 How would you rate the cooperation with the crewmembers of your department Rate 3

3 How would you rate the teamwork at your workplace aboard Rate 3

4 Do you have any complaint regarding the Master Y/N N

5 Do you have any complaint regarding the Chief Engineer Y/N N

6 Have you experienced, or witnessed, any moral harassment, discrimination or bullying Y/N N

7 Was there adequate recreational facilities on board Y/N Y

8 Was the air-conditioning of the accommodation adequate Y/N Y

9 Was there adequate laundry facilities Y/N Y

10 How would you rate the ability to contact your family Rate 3

11 How would you rate the cleanliness of the accommodation spaces Rate 3

12 How would you rate the cleanliness of the galley and store/refer rooms Rate 3

13 How would you rate the quality of the meals Rate 3

14 How would you rate the quantity of the food portions Rate 3

15 Was there any food available in the pantry after 18:00 hrs Y/N Y

16 Was there sufficient bottled water available Y/N Y

17 Was there any operational difficulties Y/N N

18 Was there any safety equipment inoperable and was not promptly repaired Y/N N

19 Do you have any comments about the condition of ship's safety equipment Y/N N

20 Was there any water or oil leakages from ship's piping systems Y/N N

21 Was there any abnormal accumulation of bilge water or oil sludge Y/N N

22 Did you notice any violation of MARPOL and/or Company's Environmental Policy Y/N N

23 How would you rate the cleanliness of the engine room spaces Rate 3

24 How would you rate the cleanliness of the engine room bilges Rate 3

25 How would you rate the cosmetic appearance of the vessel (coating condition) Rate 3

26 Did you have sufficient and in good condition PPEs available on board Y/N Y

How would you rate the Drills execution e.g. preparation, briefing, debriefing,
27 Rate 3
organization and command.

28 Was the Permit to Work system followed Y/N Y

29 Were toolbox meetings conducted before starting work Y/N Y

30 Were the safety harnesses, staging, ropes, etc in good condition for working aloft Y/N Y

31 How would you rate the safety culture on board Rate 3

32 Was there a safety meeting held every month Y/N Y

33 Did you complete Videotel (CBT) training whilst on board Y/N Y every crew complete each training course

34 How would you rate the training/coaching offered by your Head of dept Rate 3

35 Did you find the training received prior to joining useful whilst on board Y/N Y

36 Were there any near misses during your service on board Y/N Y

Did you notice any kind of acts or incidents that happened onboard which may have
37 affected your safety, your colleagues safety, the ship, the cargo, the environment or Y/N Y
the reputation of the Company?

38 Did you have sufficient rest periods during your service on board Y/N Y

How would you rate your familiarization as regards Life Saving Equipment/Fire
39 Rate 3
Fighting Equipment and emergency duties on board

40 Do you have any suggestions for improvement Y/N N

ADDITIONAL REMARKS