Republic of the Philippines

Department of the Interior and Local Governme

BUREAU OF FIRE PROTECTION

INDIVIDUAL PERFORMANCE COMMITMENT AND RE

I, ________________________, commit to deliver and agree to be rated on the attainment of the following targets in accordance with the

APPROVED BY:
Rater's Signature
Name:
Position:
Date:

SUCCESS INDICATOR
(TARGETS + MEASURES)
OUTPUTs
(NOTE: Please add rows for success indicators if necessary)

GENERAL ADMINISTRATION AND SUPERVISION

A.I.a General Management and Supervision
1.
2.
3.
4.
A.II Operations
A.II.a Fire Prevention Management Program

BFP-QSF-ADMN-003 Rev. ØØ (05.23.18) Page 1 of 6

 SUCCESS INDICATOR
(TARGETS + MEASURES)
OUTPUTs
(NOTE: Please add rows for success indicators if necessary)

A.II.a.1 Enforcement of Fire Safety Laws, Rules,

Regulations and other
1.
2.
3.
4.
A.II.a.2 Information, Education, and Communication
(IEC) Activities
1.
2.
3.
4.
A.II.b Fire and Emergency Management Program
A.II.b.1 Fire Operations Activities
1.
2.
3.
4.
A.II.b.2 Fire Investigation Activities
1.
2.
3.
4.
A.II.b.3 Non-Fire Response Activities
1.
2.
3.
4.

BFP-QSF-ADMN-003 Rev. ØØ (05.23.18) Page 2 of 6

 SUCCESS INDICATOR
(TARGETS + MEASURES)
OUTPUTs
(NOTE: Please add rows for success indicators if necessary)

(use additional sheet/s, if necessary)

Rater's Comments and Recommendation for Development Purposes or Rewards/Promotion

The above targets has been discussed and agreed by my immediate Supervisor/Team Leader
Start of Rating Period Start of Rating Period
Signature: Signature:
Name of Ratee: Name of Rater:
Position: Position:
Date: Date:

Assessed by PMT Secretariat:

Start of Rating Period End of Rating Period
Name: Name:
Position: Position:

Date: Date:

BFP-QSF-ADMN-003 Rev. ØØ (05.23.18) Page 3 of 6

 Republic of the Philippines
Department of the Interior and Local Government
BUREAU OF FIRE PROTECTION

AL PERFORMANCE COMMITMENT AND REVIEW (IPCR)

f the following targets in accordance with the indicated measures for the period _____________________________.

_______________________________
Ratee's Signature
Date: ________________________________
Designation: __________________________
Effective Date of Designation: ____________
Bureau Order No: ______________________
R 5 - Outstanding
a 4 - Very Satisfactory
t
i 3 - Satisfactory
n 2 - Unsatisfactory
g 1- Poor

RATING
Actual Accomplishments REMARKS
Q E T Average

BFP-QSF-ADMN-003 Rev. ØØ (05.23.18) Page 4 of 6

 RATING
Actual Accomplishments REMARKS
Q E T Average

TOTAL RATING
FINAL AVERAGE RATING

BFP-QSF-ADMN-003 Rev. ØØ (05.23.18) Page 5 of 6

 RATING
Actual Accomplishments REMARKS
Q E T Average
ADJECTIVAL RATING
(use additional sheet/s, if necessary)

The above rating has been discussed with me by my immediate Supervisor / Team Leader
End of Rating Period End of Rating Period
Signature: Signature:
Name of Ratee: Name of Rater:
Position: Position:
Date: Date:

Reviewed by PMT Chairman: Final Rating by Head of Office:

Start of Rating Period End of Rating Period
Name: Name: Name:
Position: Position: Position:

Date: Date: Date:

BFP-QSF-ADMN-003 Rev. ØØ (05.23.18) Page 6 of 6