BUREAU OF FIRE PROTECTION

DAILY IPCR MONITORING FORM

EMPLOYEE: FO3 Froilan C Potingan Attendance Present Absent Leave

POSITION: DPO/FAI/Rescuer/Lecturer/FSI AM Time In: Time Out:
PM Time In: Time Out:
I. PERFORMANCE
50% based on actual observation ________________

QUALITY TIME

Work/Activity QUANTITY No. of REMARKS

Correction Rating Target Started Finished Result Rating
s

OTHER ACTIVITIES:

II. CRITICAL FACTORS OBJECTIVITY RATING REMARKS

HUMAN RELATIONS
COURTESY
INITIATIVE
STRESS TOLERANCE
(For Supervisor Only)
LEADERSHIP
(For Supervisor
Only)
RATED/CERTIFIED BY: ACKNOWLEDGED BY: CONFIRMED BY:

SUPERVISOR/S EMPLOYEE DATE HEAD OF OFFICE

 BUREAU OF FIRE PROTECTION

DAILY IPCR MONITORING FORM

EMPLOYEE: FO3 Froilan C Potingan Attendance Present Absent Leave

POSITION: DPO/FAI/Rescuer/Lecturer/FSI AM Time In: 010745HFeb 2014 Time Out: 020840H Feb 2014
PM Time In: Time Out:
I. PERFORMANCE
50% based on actual observation ________________

QUALITY TIME

Work/Activity QUANTITY No. of REMARKS

Correction Rating Target Started Finished Result Rating
s

Ensures serviceability of fire

engine, firefighting apparatus & 1 F/T NC 5 60 min 0800H 0900H 0 5 O
appliances.

Ensures completeness &

availability of supplies & 1 F/T NC 5 60 min 0900H 1000H 0 5 O
apparatus.

Cleans rescue appliances, rescue

tools & firetruck. 1 F/T NC 5 60 min 1000H 1100H 0 5 O

Warming of Firetruck. 1 F/T NC 5 10min 1800H 1810H 5min 5 O

Warming of Firetruck. 1 F/T NC 5 10min 020600HFeb14 020610HFeb14 5min 5 O
Cleaning of Firetruck. 1 F/T NC 5 60min 020600HFeb14 020700HFeb14 0 5 O

OTHER ACTIVITIES:
Cleaning of fire station premises. NC 5 60min 020600HFeb14 020700HFeb14 0 5 O
Acts as duty guard. NC 5 120min 1800H 2000H 0 5 O
Performs office works (encoding,
filing, blotter, etc) NC 5 4Hrs. 1300H 1700H 0 5 O
I. Average Rating 5.00 O

II. CRITICAL FACTORS OBJECTIVITY RATING REMARKS

HUMAN RELATIONS Accomodating 4
COURTESY Usually helps even occupied 4
INITIATIVE Minimal Supervision 4
STRESS TOLERANCE
(For Supervisor Only)
LEADERSHIP
(For Supervisor
Only)
II. Average Rating 4 VS
RATED/CERTIFIED BY: ACKNOWLEDGED BY: CONFIRMED BY:

SFO3 Noel M Chan FO3 Froilan C Potingan 2-Feb-14

SUPERVISOR/S EMPLOYEE DATE HEAD OF OFFICE
 BUREAU OF FIRE PROTECTION

DAILY IPCR MONITORING FORM

EMPLOYEE: FO3 Froilan C Potingan Attendance Present Absent Leave

POSITION:DPO/Finance/SAO/IIU/Rescuer/Lecturer/FAI/FSI AM Time In: 010650HMar 2014 Time Out: 020830H Mar 2014
PM Time In: Time Out:
I. PERFORMANCE
50% based on actual observation ________________

QUALITY TIME

Work/Activity QUANTITY No. of REMARKS

Correction Rating Target Started Finished Result Rating
s

Participates in the Fire Prev. NC 5 3 hrs 0800H 1100H 0 5 O

Month 2014 Kick off ceremony.

Ensures completeness &

availability of supplies & 1 F/T NC 5 60 min 1500H 1600H 0 5 O
apparatus.

Cleans rescue appliances, rescue

tools & firetruck. 1 F/T NC 5 60 min 1600H 1700H 0 5 O

Ensures serviceability of fire

engine, firefighting apparatus & 1 F/T NC 5 60 min 1700H 1800H 0 5 O
appliances.

Warming of Firetruck. 1 F/T NC 5 10min 1800H 1810H 5min 5 O

Warming of Firetruck. 1 F/T NC 5 10min 020600HMar14 020610HMar14 5min 5 O
Cleaning of Firetruck. 1 F/T NC 5 120 min 020600HMar14 020800HMar14 0 5 O

OTHER ACTIVITIES:
Cleaning of fire station premises. NC 5 60min 020600HMar14 020700HMar14 0 5 O
Acts as duty guard. NC 5 120min 1600H 1800H 0 5 O
Performs office works (encoding,
filing, blotter, etc) NC 5 4Hrs. 1100H 1500H 0 5 O
I. Average Rating 5.00 O

II. CRITICAL FACTORS OBJECTIVITY RATING REMARKS

HUMAN RELATIONS Accomodating 4
COURTESY Usually helps even occupied 4
INITIATIVE Minimal Supervision 4
STRESS TOLERANCE
(For Supervisor Only)
LEADERSHIP
(For Supervisor
Only)
II. Average Rating 4 VS
RATED/CERTIFIED BY: ACKNOWLEDGED BY: CONFIRMED BY:

SFO3 Noel M Chan FO3 Froilan C Potingan 2-Mar-14 SINSP LANY B CARBONELL
SUPERVISOR/S EMPLOYEE DATE HEAD OF OFFICE
 BUREAU OF FIRE PROTECTION

DAILY IPCR MONITORING FORM

EMPLOYEE: FO3 Froilan C Potingan Attendance Present Absent Leave

POSITION:DPO/Finance/SAO/IIU/Rescuer/Lecturer/FAI/FSI AM Time In: 020740HApr 2014 Time Out: 030850H Apr 2014
PM Time In: Time Out:
I. PERFORMANCE
50% based on actual observation ________________

QUALITY TIME

Work/Activity QUANTITY No. of REMARKS

Correction Rating Target Started Finished Result Rating
s

Ensures serviceability of fire

engine, firefighting apparatus & 1 F/T NC 5 60 min 0800H 0900H 0 5 O
appliances.

Ensures completeness &

availability of supplies & 1 F/T NC 5 60 min 0900H 1000H 0 5 O
apparatus.

Cleans rescue appliances, rescue

tools & firetruck. 1 F/T NC 5 60 min 1000H 1100H 0 5 O

Conducts fire safety inspection of

business establishments applying 3 NC 5 60 min 1100H 1200H 0 5 O
for FSIC.

Prepares fire safety inspection report

checklist/FSIC/NTC. 3 NC 5 30 min 1200H 1230H O 5 O

Warming of Firetruck. 1 F/T NC 5 10min 1800H 1810H 5min 5 O

Warming of Firetruck. 1 F/T NC 5 10min 030600HApr14 030610HApr14 5min 5 O
Cleaning of Firetruck. 1 F/T NC 5 120 min 030600HApr14 030800HApr14 0 5 O

OTHER ACTIVITIES:
Cleaning of fire station premises. NC 5 60min 030600HApr14 030700HApr14 0 5 O
Acts as duty guard. NC 5 120min 030600HApr14 030800HApr14 0 5 O
Performs office works (encoding,
filing, blotter, etc) NC 5 4Hrs. 1300H 1700H 0 5 O
I. Average Rating 5.00 O

II. CRITICAL FACTORS OBJECTIVITY RATING REMARKS

HUMAN RELATIONS Accomodating 4
COURTESY Usually helps even occupied 4
INITIATIVE Minimal Supervision 4
STRESS TOLERANCE
(For Supervisor Only)
LEADERSHIP
(For Supervisor
Only)
II. Average Rating 4 VS
RATED/CERTIFIED BY: ACKNOWLEDGED BY: CONFIRMED BY:

SFO3 Noel M Chan FO3 Froilan C Potingan 3-Apr-14 SINSP LANY B CARBONELL
SUPERVISOR/S EMPLOYEE DATE HEAD OF OFFICE
 BUREAU OF FIRE PROTECTION

DAILY IPCR MONITORING FORM

EMPLOYEE: FO3 Froilan C Potingan Attendance Present Absent Leave

POSITION:DPO/Rescuer/Lecturer/FAI/FSI AM Time In: 010730H July 2014 Time Out: 020850H July 2014
PM Time In: Time Out:
I. PERFORMANCE
50% based on actual observation ________________

QUALITY TIME

Work/Activity QUANTITY REMARKS

No. of
Correction Rating Target Started Finished Result Rating
s

Ensures serviceability of fire

engine, firefighting apparatus & 1 F/T NC 5 120 min 0800H 1000H 0 5 O
appliances.

Ensures completeness &

availability of supplies & 1 F/T NC 5 60 min 1000H 1100H 0 5 O
apparatus.

Cleans rescue appliances, rescue

tools & firetruck. 1 F/T NC 5 120 min 1300H 1500H 0 5 O

Warming of Firetruck. 1 F/T NC 5 10min 1800H 1810H 5min 5 O

020610H
Warming of Firetruck. 1 F/T NC 5 10min 020600H July14 July14 5min 5
O
020800H
Cleaning of Firetruck. 2 F/T NC 5 120 min 020600H July14 July14 0 5
O

OTHER ACTIVITIES:
Cleaning of fire station and fire 020600H
5 60min 020500H July14 5
station premises. NC July14 0 O
020800H
Acts as duty guard. 5 120min 020600H July14 July14 5
NC 0 O
Performs office works (encoding,
filing, blotter, etc)
NC 5 5Hrs 1300H 1700H 0 5 O

II. CRITICAL FACTORS OBJECTIVITY RATING REMARKS

HUMAN RELATIONS Accomodating 4

COURTESY Usually helps even occupied 4
INITIATIVE Minimal Supervision 4
STRESS TOLERANCE
(For Supervisor Only)
LEADERSHIP
(For Supervisor
Only)
II. Average Rating 4 VS
RATED/CERTIFIED BY: ACKNOWLEDGED BY: CONFIRMED BY:

SFO3 Noel M Chan FO3 Froilan C Potingan 2-Jul-14 SINSP LANY B CARBONELL
SUPERVISOR/S EMPLOYEE DATE HEAD OF OFFICE
 BUREAU OF FIRE PROTECTION

DAILY IPCR MONITORING FORM

EMPLOYEE: FO3 Froilan C Potingan Attendance Present Absent Leave

POSITION:DPO/Rescuer/Lecturer/FAI/FSI AM Time In: 020730H August 2014 Time Out: 030850H Aug 2014
PM Time In: Time Out:
I. PERFORMANCE
50% based on actual observation ________________

QUALITY TIME

Work/Activity QUANTITY REMARKS

No. of
Correction Rating Target Started Finished Result Rating
s

Ensures serviceability of fire

engine, firefighting apparatus & 1 F/T NC 5 120 min 0800H 1000H 0 5 O
appliances.

Ensures completeness &

availability of supplies & 1 F/T NC 5 60 min 1000H 1100H 0 5 O
apparatus.

Cleans rescue appliances, rescue

tools & firetruck. 1 F/T NC 5 120 min 1300H 1500H 0 5 O

Warming of Firetruck. 1 F/T NC 5 10min 1800H 1810H 5min 5 O

030600H 030610H
Warming of Firetruck. 1 F/T NC 5 10min August14 August14 5min 5
O
030600H 030800H
Cleaning of Firetruck. 2 F/T NC 5 120 min August14 August14 0 5
O

OTHER ACTIVITIES:
Cleaning of fire station and fire 030500H 030600H
5 60min 5
station premises. NC August14 August14 0 O
030400H August 030600H
Acts as duty guard. 5 120min 14 Aug14 5
NC 0 O
Performs office works (encoding,
filing, blotter, etc) NC 5 5Hrs 1500H 1700H 0 5 O

II. CRITICAL FACTORS OBJECTIVITY RATING REMARKS

HUMAN RELATIONS Accomodating 4

COURTESY Usually helps even occupied 4
INITIATIVE Minimal Supervision 4
STRESS TOLERANCE
(For Supervisor Only)
LEADERSHIP
(For Supervisor
Only)
II. Average Rating 4 VS
RATED/CERTIFIED BY: ACKNOWLEDGED BY: CONFIRMED BY:

SFO3 Noel M Chan FO3 Froilan C Potingan 3-Aug-14 SINSP LANY B CARBONELL
SUPERVISOR/S EMPLOYEE DATE HEAD OF OFFICE
 BUREAU OF FIRE PROTECTION

DAILY IPCR MONITORING FORM

EMPLOYEE: FO3 Froilan C Potingan Attendance Present Absent Leave

POSITION:DPO/Rescuer/Lecturer/FAI/FSI AM Time In: 010742H Sept 2014 Time Out: 020903H Sept2014
PM Time In: Time Out:
I. PERFORMANCE
50% based on actual observation ________________

QUALITY TIME
Work/Activity QUANTITY No. of REMARKS
Correction Rating Target Started Finished Result Rating
s
Ensures serviceability of fire
engine, firefighting apparatus & 1 F/T NC 5 120 min 0800H 1000H 0 5 O
appliances.

Ensures completeness &

availability of supplies & 1 F/T NC 5 60 min 1000H 1100H 0 5 O
apparatus.

Cleans rescue appliances, rescue

tools & firetruck. 1 F/T NC 5 120 min 1300H 1400H 0 5 O

Warming of Firetruck. 1 F/T NC 5 10min 1800H 1810H 5min 5 O

020600H 020610H
Warming of Firetruck. 1 F/T NC 5 10min September14 Sept14 5min 5
O
020600H 020800H
Cleaning of Firetruck. 2 F/T NC 5 120 min September14 Sept 14 0 5
O

OTHER ACTIVITIES:

Cleaning of fire station and fire 020500H 020600H

station premises. 5 60min September14 Sept 14 5
NC 0 O
020400H 020600H
Acts as duty guard. 5 120min September 14 Sept14 5
NC 0 O
NC 5 5Hrs 1400H 1700H 0 5 O
II. CRITICAL FACTORS OBJECTIVITY RATING REMARKS

HUMAN RELATIONS Accomodating 4

COURTESY Usually helps even occupied 4
INITIATIVE
Minimal Supervision 4
STRESS TOLERANCE
(For Supervisor Only)
LEADERSHIP
(For Supervisor
Only)
II. Average Rating 4 VS
RATED/CERTIFIED BY: ACKNOWLEDGED BY: CONFIRMED BY:

SF03 Noel M Chan FO3 Froilan C Potingan 2-Sep-14 SINSP LANY B CARBONELL
SUPERVISOR/S EMPLOYEE DATE HEAD OF OFFICE

Page 1 of 15
 BUREAU OF FIRE PROTECTION

DAILY IPCR MONITORING FORM

EMPLOYEE: FO3 Froilan C Potingan Attendance Present Absent Leave
POSITION:DPO/Rescuer/Lecturer/FAI/FSI AM Time In: Time Out: 040908H Sept2014
030746H Sept 2014

PM Time In: Time Out:

I. PERFORMANCE
50% based on actual observation ________________

QUALITY TIME
Work/Activity QUANTITY REMARKS
No. of
Correction Rating Target Started Finished Result Rating
s

Ensures serviceability of fire

engine, firefighting apparatus & 1 F/T NC 5 120 min 0800H 1000H 0 5 O
appliances.

Cleans rescue appliances, rescue

tools & firetruck. 1 F/T NC 5 60 min 1000H 1100H 0 5 O

Ensures completeness &

availability of supplies & 1 F/T NC 5 60 min 1100H 1200H 0 5 O
apparatus.

Warming of Firetruck. 1 F/T NC 5 10min 1800H 1810H 5min 5 O

040600H 040610H
Warming of Firetruck. 1 F/T NC 5 10min September 14 Sept 14 5min 5
O
040600H 040800H
Cleaning of Firetruck. 2 F/T NC 5 120 min September 14 Sept 14 0 5
O

OTHER ACTIVITIES:
Cleaning of fire station and fire 040500H 040600H
station premises. NC 5 60min September 14 Sept 14 0 5 O
040400H 040600H
Acts as duty guard.
NC 5 180min September 14 Sept 14 0 5 O
Performs office works (encoding,
filing, blotter, etc) NC 5 4Hrs 1300H 1700H 0 5 O

I. Average Rating 5.00 O

II. CRITICAL FACTORS OBJECTIVITY RATING REMARKS

HUMAN RELATIONS
Accomodating 4
COURTESY
Usually helps even occupied 4
INITIATIVE Minimal Supervision 4
STRESS TOLERANCE
LEADERSHIP(For Supervisor Only)
(For Supervisor
Only)
II. Average Rating 4 VS
RATED/CERTIFIED BY: ACKNOWLEDGED BY: CONFIRMED BY:

SF03 Noel M Chan FO3 Froilan C Potingan 4-Sep-14 SINSP LANY B CARBONELL
SUPERVISOR/S EMPLOYEE DATE HEAD OF OFFICE
 Page 2 of 15

BUREAU OF FIRE PROTECTION

DAILY IPCR MONITORING FORM
EMPLOYEE: FO3 Froilan C Potingan Attendance Present Absent Leave
POSITION:DPO/Rescuer/Lecturer/FAI/FSI AM Time In: Time Out: 060855H Sept14
050530HSept2014

PM Time In: Time Out:

I. PERFORMANCE
50% based on actual observation ________________

QUALITY TIME
Work/Activity QUANTITY REMARKS
No. of
Correction Rating Target Started Finished Result Rating
s

Ensures serviceability of fire

engine, firefighting apparatus & 1 F/T NC 5 120 min 0800H 0900H 0 5 O
appliances.

Ensures completeness &

availability of supplies & 1 F/T NC 5 60 min 0900H 1000H 0 5 O
apparatus.

Cleans rescue appliances, rescue

tools & firetruck. 1 F/T NC 5 120 min 1000H 1100H 0 5 O

Warming of Firetruck. 1 F/T NC 5 10min 1800H 1810H 5min 5 O

060600H 060610H
Warming of Firetruck. 1 F/T NC 5 10min September14 Sept14 5min 5
O
060800H
Cleaning of Firetruck. 1 F/T NC 5 120 min 060600H Sept14 Sept14 0 5
O

OTHER ACTIVITIES:
Cleaning of fire station and fire 060600H
station premises. NC 5 60min 060500H Sept14 Sept14 0 5 O
060600H
Acts as duty guard. NC 5 120min 060400H Sept14 Sept14 0 5 O
Performs office works (encoding,
filing, blotter, etc) NC 5 4Hrs. 1300H 1700H 0 5 O

I. Average Rating 5.00 O

II. CRITICAL FACTORS OBJECTIVITY RATING REMARKS

HUMAN RELATIONS Accomodating 4

COURTESY Usually helps even occupied 4
INITIATIVE Minimal Supervision 4
STRESS TOLERANCE
LEADERSHIP(For Supervisor Only)
(For Supervisor
Only)
II. Average Rating 4 VS
RATED/CERTIFIED BY: ACKNOWLEDGED BY: CONFIRMED BY:

SF03 Noel M Chan FO3 Froilan C Potingan 6-Sep-14 SINSP LANY B CARBONELL

SUPERVISOR/S EMPLOYEE DATE

HEAD OF OFFICE
 Page 3 of 15

BUREAU OF FIRE PROTECTION

DAILY IPCR MONITORING FORM

EMPLOYEE: FO3 Froilan C Potingan Attendance Present Absent Leave

POSITION:DPO/Rescuer/Lecturer/FAI/FSI AM Time In: Time Out: 080856H Sept 14
070733HSept 2014

PM Time In: Time Out:

I. PERFORMANCE
50% based on actual observation ________________

QUALITY TIME
Work/Activity QUANTITY REMARKS
No. of
Correction Rating Target Started Finished Result Rating
s

Ensures serviceability of fire

engine, firefighting apparatus & 1 F/T NC 5 120 min 0800H 1000H 0 5 O
appliances.

Ensures completeness &

availability of supplies & 1 F/T NC 5 60 min 1000H 1100H 0 5 O
apparatus.

Cleans rescue appliances, rescue

tools & firetruck. 1 F/T NC 5 120 min 1300H 1500H 0 5 O

Warming of Firetruck. 1 F/T NC 5 10min 1800H 1810H 5min 5

O
080610H
Warming of Firetruck. 1 F/T NC 5 10min 080600H Sept 14
Sept 14 5min 5
O
080800H
Cleaning of Firetruck. 1 F/T NC 5 120 min 080600H Sept14 Sept14 0 5
O

OTHER ACTIVITIES:
Cleaning of fire station and fire 080600H
station premises. NC 5 60min 080500H Sept14 Sept14 0 5 O
080600H
Acts as duty guard. NC 5 2Hrs. 080400H Sept14 Sept 14 0 5 O
Performs office works (encoding,
filing, blotter, etc) NC 5 2Hrs. 1500H 1700H 0 5 O

II. CRITICAL FACTORS OBJECTIVITY RATING REMARKS

HUMAN RELATIONS Accomodating 4

COURTESY Usually helps even occupied 4
INITIATIVE Minimal Supervision 4
STRESS TOLERANCE
LEADERSHIP(For Supervisor Only)
(For Supervisor
Only)

II. Average Rating 4 VS

RATED/CERTIFIED BY: ACKNOWLEDGED BY: CONFIRMED BY:

SF03 Noel M Chan FO3 Froilan C Potingan 8-Sep-14 SINSP LANY B CARBONELL
SUPERVISOR/S EMPLOYEE DATE HEAD OF OFFICE
 Page 4 of 15

BUREAU OF FIRE PROTECTION

DAILY IPCR MONITORING FORM
EMPLOYEE: FO3 Froilan C Potingan Attendance Present Absent Leave
POSITION:DPO/Rescuer/Lecturer/FAI/FSI AM Time In: Time Out: 100855H Sept14
090725H Sept 2014

PM Time In: Time Out:

I. PERFORMANCE
50% based on actual observation ________________

QUALITY TIME
Work/Activity QUANTITY REMARKS
No. of
Correction Rating Target Started Finished Result Rating
s

Ensures serviceability of fire

engine, firefighting apparatus & 1 F/T NC 5 120 min 0800H 1000H 0 5 O
appliances.

Ensures completeness &

availability of supplies & 1 F/T NC 5 60 min 1000H 1100H 0 5 O
apparatus.

Cleans rescue appliances, rescue

tools & firetruck. 1 F/T NC 5 120 min 1300H 1500H 0 5 O

Warming of Firetruck. 1 F/T NC 5 10min 1800H 1810H 5min 5 O

100610H
Warming of Firetruck. 1 F/T NC 5 10min 100600H Sept14 Sept14 5min 5
O
100800H
Cleaning of Firetruck. 1 F/T NC 5 120 min 100600H Sept14 Sept14 0 5
O

OTHER ACTIVITIES:
Cleaning of fire station and fire 100600H
station premises. NC 5 60min 100500H Sept14 Sept14 0 5 O
100600H
Acts as duty guard. NC 5 4Hrs. 100400H Sept14 Sept14 0 5 O
Performs office works (encoding,
filing, blotter, etc)
NC 5 120min 1500H 1700H 0 5 O

I. Average Rating 5 0
II. CRITICAL FACTORS OBJECTIVITY RATING REMARKS

HUMAN RELATIONS Accomodating 4

COURTESY Usually helps even occupied 4
INITIATIVE
Minimal Supervision 4
STRESS TOLERANCE
LEADERSHIP(For Supervisor Only)
(For Supervisor
Only)
II. Average Rating 4 VS
RATED/CERTIFIED BY: ACKNOWLEDGED BY: CONFIRMED BY:

SF03 Noel M Chan

 SF03 Noel M Chan FO3 Froilan C Potingan 10-Sep-14 SINSP LANY B CARBONELL

SUPERVISOR/S EMPLOYEE DATE

HEAD OF OFFICE

Page 5 of 15

BUREAU OF FIRE PROTECTION

DAILY IPCR MONITORING FORM
EMPLOYEE: FO3 Froilan C Potingan Attendance Present Absent Leave

POSITION:DPO/Rescuer/Lecturer/FAI/FSI 110733H Sept14 Time Out: 120915H Sept 2014

AM Time In:
Time Out:
I. PERFORMANCE PM Time In:
50% based on actual observation ________________

QUALITY TIME
Work/Activity QUANTITY REMARKS
No. of
Correction Rating Target Started Finished Result Rating
s

Ensures serviceability of fire

engine, firefighting apparatus & 1 F/T NC 5 120 min 0800H 1000H 0 5 O
appliances.

Ensures completeness &

availability of supplies & 1 F/T NC 5 60 min 1000H 1100H 0 5 O
apparatus.

Cleans rescue appliances, rescue

tools & firetruck. 1 F/T NC 5 180 min 1300H 1500H 0 5 O

Warming of Firetruck. 1 F/T NC 5 10min 1800H 1810H 5min 5

O
120610H
Warming of Firetruck. 1 F/T NC 5 10min 120600H Sept14 Sept 14 5min 5
O
120800H
Cleaning of Firetruck. 1 F/T NC 5 120 min 120600H Sept14 Sept14 0 5
O

OTHER ACTIVITIES:
120600H
Cleaning of fire station premises. NC 5 60min 120500H Sept14 Sept14 0 5 O
120600H
Acts as duty guard. NC 5 180min 120400H Sept14 Sept14 0 5 O
Performs office works (encoding,
filing, blotter, etc) NC 5 120min 1500H 1700H 0 5 O

I. Average Rating 5.00 O

II. CRITICAL FACTORS OBJECTIVITY RATING REMARKS

HUMAN RELATIONS Accomodating 4

COURTESY Usually helps even occupied 4
INITIATIVE Minimal Supervision 4
STRESS TOLERANCE
(For Supervisor Only)
LEADERSHIP
(For Supervisor
Only)
II. Average Rating 4 VS
RATED/CERTIFIED BY: ACKNOWLEDGED BY: CONFIRMED BY:

SF03 Noel M Chan FO3 Froilan C Potingan 12-Sep-14 SINSP LANY B CARBONELL
SUPERVISOR/S EMPLOYEE DATE HEAD OF OFFICE

Page 6 of 15

BUREAU OF FIRE PROTECTION

DAILY IPCR MONITORING FORM
EMPLOYEE: FO3 Froilan C Potingan Attendance Present Absent Leave
POSITION:DPO/Rescuer/Lecturer/FAI/FSI AM Time In: Time Out: 141100HSept14
130721HSept 2014

PM Time In: 141500H Sept 14 Time Out:

I. PERFORMANCE
50% based on actual observation ________________

QUALITY TIME
Work/Activity QUANTITY REMARKS
No. of
Correction Rating Target Started Finished Result Rating
s
Ensures serviceability of fire
engine, firefighting apparatus & 1 F/T NC 5 60 min 0800H 0900H 0 5 O
appliances.

Ensures completeness &

availability of supplies & 1 F/T NC 5 60 min 0900H 1000H 0 5 O
apparatus.

Cleans rescue appliances, rescue

tools & firetruck. 1 F/T NC 5 60 min 1300H 1500H 0 5 O

Warming of Firetruck. 1 F/T NC 5 10min 1800H 1810H 5min 5 O

140610H
Warming of Firetruck. 1 F/T NC 5 10min 140600H Sept14 Sept14 5min 5
O
140800H
Cleaning of Firetruck. 1 F/T NC 5 120 min 140600H Sept14 Sept14 0 5
O

OTHER ACTIVITIES:
Cleaning of fire station and fire 140600H
station premises. NC 5 60min 140500H Sept14 Sept14 0 5 O
140400H Sept 140600H
Acts as duty guard. NC 5 180min 2014 Sept14 0 5 O
Performs office works (encoding,
filing, blotter, etc) NC 5 90 min 1500H 1700H 0 5 O

I. Average Rating 5.00 O

II. CRITICAL FACTORS OBJECTIVITY RATING REMARKS

HUMAN RELATIONS
Accomodating 4
COURTESY Usually helps even occupied 4
INITIATIVE Minimal Supervision 4
STRESS TOLERANCE
LEADERSHIP(For Supervisor Only)
(For Supervisor
Only)
II. Average Rating 4 VS
RATED/CERTIFIED BY: ACKNOWLEDGED BY: CONFIRMED BY:

SF03 Noel M Chan FO3 Froilan C Potingan 14-Sep-14 SINSP LANY B CARBONELL
SUPERVISOR/S EMPLOYEE DATE HEAD OF OFFICE

Page 7 of 15

BUREAU OF FIRE PROTECTION

DAILY IPCR MONITORING FORM
EMPLOYEE: FO3 Froilan C Potingan Attendance Present Absent Leave
POSITION:DPO/Rescuer/Lecturer/FAI/FSI AM Time In: Time Out: 160935H Sept2014
PM Time In: Time Out:
I. PERFORMANCE
50% based on actual observation ________________

QUALITY TIME
Work/Activity QUANTITY REMARKS
No. of
Correction Rating Target Started Finished Result Rating
s

Ensures serviceability of fire

engine, firefighting apparatus & 1 F/T NC 5 60 min 0800H 0830H 0 5 O
appliances.

Ensures completeness &

availability of supplies & 1 F/T NC 5 90 min 0830H 0900H 0 5 O
apparatus.

Cleans rescue appliances, rescue

tools & firetruck. 1 F/T NC 5 120 min 0900H 0930H 0 5 O

Warming of Firetruck. 1 F/T NC 5 10min 1800H 1810H 5min 5 O

170610H
Warming of Firetruck. 1 F/T NC 5 10min 170600H Sept14 Sept14 5min 5
O
170800H
Cleaning of Firetruck. 1 F/T NC 5 120 min 170600H Sept14 Sept14 0 5
O

OTHER ACTIVITIES:
Conducted clearing operation NC 5 0930H 1110H 0 5 0
within AOR
Conducted Investigation at NFNL, NC 5 1120H 1330H 0 5
Brgy. Poro, CSFLU
0
Cleaning of fire station and fire 160600H
station premises. NC 5 60min 160500H Sept14 Sept14 0 5 O
Performs office works (encoding,
filing, blotter, etc) 2Hrs.
NC 5 30Mins. 1500H 1600H 0 5 O

II. CRITICAL FACTORS OBJECTIVITY RATING REMARKS

II. CRITICAL FACTORS OBJECTIVITY RATING REMARKS

HUMAN RELATIONS Accomodating 4

COURTESY Usually helps even occupied 4
INITIATIVE Minimal Supervision 4
STRESS TOLERANCE
LEADERSHIP(For Supervisor Only)
(For Supervisor
Only)
II. Average Rating 4 VS
RATED/CERTIFIED BY: ACKNOWLEDGED BY: CONFIRMED BY:

SF03 Noel M Chan FO3 Froilan C Potingan 16-Sep-14 SINSP LANY B CARBONELL
SUPERVISOR/S EMPLOYEE DATE HEAD OF OFFICE

Page 8 of 15

BUREAU OF FIRE PROTECTION

DAILY IPCR MONITORING FORM
EMPLOYEE: FO3 Froilan C Potingan Attendance Present Absent Leave
POSITION:DPO/Rescuer/Lecturer/FAI/FSI AM Time In: 170715H Sept 2014 Time Out: 180920H Sept 2014
PM Time In: Time Out:
I. PERFORMANCE
50% based on actual observation ________________

QUALITY TIME
Work/Activity QUANTITY REMARKS
No. of
Correction Rating Target Started Finished Result Rating
s

Ensures serviceability of fire

engine, firefighting apparatus & 1 F/T NC 5 120 min 1000H 1100H 0 5 O
appliances.

Ensures completeness &

availability of supplies & 1 F/T NC 5 60 min 1100H 1200H 0 5 O
apparatus.

Cleans rescue appliances, rescue

tools & firetruck. 1 F/T NC 5 120 min 1300H 1500H 0 5 O

Warming of Firetruck. 1 F/T NC 5 10min 1800H 1810H 5min 5 O

180610H
Warming of Firetruck. 1 F/T NC 5 10min 180600H Sept14 Sept14 5min 5
O
180800H
Cleaning of Firetruck. 1 F/T NC 5 120 min 180600H Sept14 Sept14 0 5
O

OTHER ACTIVITIES:
Attended "ISO" Meeting at CHO NC 5 0900H 1000H 0 5 0
Cleaning of fire station and fire 180600H
station premises. NC 5 60min 180500H Sept14 Sept14 0 5 O
180600H
Acts as duty guard. NC 5 120min 180400H Sept14 Sept14 0 5 O
Performs office works (encoding,
filing, blotter, etc)
NC 5 2Hrs. 1500H 1700H 0 5 O

I. Average Rating 5.00 O

II. CRITICAL FACTORS OBJECTIVITY RATING REMARKS

HUMAN RELATIONS Accomodating 4

COURTESY Usually helps even occupied 4
INITIATIVE
Minimal Supervision 4
STRESS TOLERANCE
(For Supervisor Only)
LEADERSHIP
(For Supervisor
Only)
II. Average Rating 4 VS
RATED/CERTIFIED BY: ACKNOWLEDGED BY: CONFIRMED BY:

SF01 Adonis A Alambra FO3 Froilan C Potingan 18-Sep-14 SINSP LANY B CARBONELL
SUPERVISOR/S EMPLOYEE DATE HEAD OF OFFICE

Page 9 of 15

BUREAU OF FIRE PROTECTION

DAILY IPCR MONITORING FORM
EMPLOYEE: FO3 Froilan C Potingan Attendance Present Absent Leave
POSITION:DPO/Rescuer/Lecturer/FAI/FSI AM Time In: Time Out: 201050H Sept14
190720HSept 2014

PM Time In: Time Out:

I. PERFORMANCE
50% based on actual observation ________________

QUALITY TIME
Work/Activity QUANTITY REMARKS
No. of
Correction Rating Target Started Finished Result Rating
s

Ensures serviceability of fire

engine, firefighting apparatus & 1 F/T NC 5 60 min 0800H 0830H 0 5 O
appliances.

Ensures completeness &

availability of supplies & 1 F/T NC 5 120 min 0830H 0900H 0 5 O
apparatus.

Cleans rescue appliances, rescue

tools & firetruck. 1 F/T NC 5 120 min 0900H 0930H 0 5 O

Warming of Firetruck. 1 F/T NC 5 10min 1800H 1810H 5min 5 O

200610H
Warming of Firetruck. 1 F/T NC 5 10min 200600H Sept14
Sept14 5min 5 O
200800H
Cleaning of Firetruck. 1 F/T NC 5 120min 200600H Sept14 Sept14 0 5
O

OTHER ACTIVITIES:
Conducted Clearing Operation NC 5 1000H 1200H 0 5
within AOR 0
Conducted Rescue Operation at 200200H
NC 5 2200H 0 5
Brgy. Biday Sept 2014 0
Cleaning of fire station and fire 200700H
station premises. NC 5 60min 200600H Sept14 Sept14 0 5 O

200600H
Acts as duty guard. NC 5 120min 200400H Sept14 Sept14 0 5 O
Performs office works (encoding,
filing, blotter, etc)
NC 5 2Hrs. 1500H 1700H 0 5 O
 I. Average Rating 5 0

II. CRITICAL FACTORS OBJECTIVITY RATING REMARKS

HUMAN RELATIONS Accomodating 4

COURTESY Usually helps even occupied 4
INITIATIVE Minimal Supervision 4
STRESS TOLERANCE
LEADERSHIP(For Supervisor Only)
(For Supervisor
Only)
II. Average Rating 4 VS
RATED/CERTIFIED BY: ACKNOWLEDGED BY: CONFIRMED BY:

SF01 Adonis A Alambra FO3 Froilan C Potingan 20-Sep-14 SINSP LANY B CARBONELL
SUPERVISOR/S EMPLOYEE DATE HEAD OF OFFICE

Page 10 of 15

BUREAU OF FIRE PROTECTION

DAILY IPCR MONITORING FORM
EMPLOYEE: FO3 Froilan C Potingan Attendance Present Absent Leave
POSITION:DPO/Rescuer/Lecturer/FAI/FSI AM Time In: Time Out: 220920H Sept14
210715HSept 2014

PM Time In: Time Out:

I. PERFORMANCE
50% based on actual observation ________________

QUALITY TIME
Work/Activity QUANTITY REMARKS
No. of
Correction Rating Target Started Finished Result Rating
s

Ensures serviceability of fire

engine, firefighting apparatus & 1 F/T NC 5 120 min 0800H 0900H 0 5 O
appliances.

Ensures completeness &

availability of supplies & 1 F/T NC 5 60 min 0900H 1000H 0 5 O
apparatus.

Cleans rescue appliances, rescue

tools & firetruck. 1 F/T NC 5 60 min 1000H 1100H 0 5 O

Warming of Firetruck. 1 F/T NC 5 10min 1800H 1810H 5min 5

O
220600H Sept 220610H
Warming of Firetruck. 1 F/T NC 5 10min 2014 Sept 2014 5min 5
O
220600H Sept 220800H
Cleaning of Firetruck. 1 F/T NC 5 120min 2014 Sept 2014 0 5
O

OTHER ACTIVITIES:
Cleaning of fire station and fire 220600H
station premises. NC 5 60min 220500H Sept14 Sept14 0 5 O
 220600H Sept 220800H
Acts as duty guard. NC 5 120min 2014 Sept14 0 5 O
Performs office works (encoding,
filing, blotter, etc) NC 5 60min 1300H 1600H 0 5 O

I. Average Rating 5.00 O

II. CRITICAL FACTORS OBJECTIVITY RATING REMARKS

HUMAN RELATIONS Accomodating 4

COURTESY Usually helps even occupied 4
INITIATIVE Minimal Supervision 4
STRESS TOLERANCE
LEADERSHIP(For Supervisor Only)
(For Supervisor
Only)
II. Average Rating 4 VS
RATED/CERTIFIED BY: ACKNOWLEDGED BY: CONFIRMED BY:

SF01 Adonis A Alambra FO3 Froilan C Potingan 22-Sep-14 SINSP LANY B CARBONELL
SUPERVISOR/S EMPLOYEE DATE HEAD OF OFFICE

Page 11 of 15

BUREAU OF FIRE PROTECTION

DAILY IPCR MONITORING FORM
EMPLOYEE: FO3 Froilan C Potingan Attendance Present Absent Leave
POSITION:DPO/Rescuer/Lecturer/FAI/FSI AM Time In: 230716H Sept2014 Time Out: 240933HSept 2014
PM Time In: Time Out:
I. PERFORMANCE
50% based on actual observation ________________

QUALITY TIME
Work/Activity QUANTITY REMARKS
No. of
Correction Rating Target Started Finished Result Rating
s

Ensures serviceability of fire

engine, firefighting apparatus & 1 F/T NC 5 60 min 0800H 0900H 0 5 O
appliances.

Ensures completeness &

availability of supplies & 1 F/T NC 5 60 min 0900H 1000H 0 5 O
apparatus.

Cleans rescue appliances, rescue

tools & firetruck. 1 F/T NC 5 60 min 1000H 1100H 0 5 O

Warming of Firetruck. 1 F/T NC 5 10min 1800H 1810H 5min 5 O

240610H
Warming of Firetruck. 1 F/T NC 5 10min 240600H Sept14 Sept14 5min 5
O
240800H
Cleaning of Firetruck. 1 F/T NC 5 120min 240600H Sept14 Sept14 0 5
O

OTHER ACTIVITIES:
Cleaning of fire station and fire 240600H
station premises. NC 5 60min 240500H Sept14 Sept14 0 5 O
240600H
Acts as duty guard. NC 5 120min 240400H Sept14 Sept14 0 5 O
Finalization and Passing of FIR re;
241300H Sept 241600H
Fire Incident Brgy. Dalumpinas NC 5 3Hrs 2014 Sept2014 0 5 O
Oeste, SFCLU
Performs office works (encoding,
filing, blotter, etc) NC 5 60 Mins 1600H 1700H 0 5 O

0
I. Average Rating 5.00

II. CRITICAL FACTORS OBJECTIVITY RATING REMARKS

HUMAN RELATIONS Accomodating 4

COURTESY
Usually helps even occupied 4
INITIATIVE Minimal Supervision 4
STRESS TOLERANCE
LEADERSHIP(For Supervisor Only)
(For Supervisor
Only)
II. Average Rating 4 VS
RATED/CERTIFIED BY: ACKNOWLEDGED BY: CONFIRMED BY:

SF01 Adonis A Alambra FO3 Froilan C Potingan 24-Sep-14 SINSP LANY B CARBONELL
SUPERVISOR/S EMPLOYEE DATE HEAD OF OFFICE

Page 12 of 15

BUREAU OF FIRE PROTECTION

DAILY IPCR MONITORING FORM
EMPLOYEE: FO3 Froilan C Potingan Attendance Present Absent Leave
POSITION:DPO/Rescuer/Lecturer/FAI/FSI AM Time In: 250730H Sept 2014 Time Out: 260945HSept2014
PM Time In: Time Out:
I. PERFORMANCE
50% based on actual observation ________________

QUALITY TIME
Work/Activity QUANTITY REMARKS
No. of
Correction Rating Target Started Finished Result Rating
s

Ensures serviceability of fire

engine, firefighting apparatus & 1 F/T NC 5 60 min 0800H 0900H 0 5 O
appliances.

Ensures completeness &

availability of supplies & 1 F/T NC 5 60 min 0900H 1000H 0 5 O
apparatus.

Cleans rescue appliances, rescue

tools & Equipments. 1 F/T NC 5 60 min 1000H 1100H 0 5 O

Warming of Firetruck. 1 F/T NC 5 10min 1800H 1810H 5min 5 O

260610H
Warming of Firetruck. 1 F/T NC 5 10min 260600H Sept14 Sept14 5min 5
O
260800H
Cleaning of Firetruck. 1 F/T NC 5 120min 260600H Sept14 Sept14 0 5
O
OTHER ACTIVITIES:

Cleaning of fire station and fire 260600H

station premises. NC 5 60min 260500H Sept14 Sept14 0 5 O
260600H
Acts as duty guard. NC 5 120min 260400H Sept14 Sept14 0 5 O
Performs office works (encoding,
filing, blotter, etc)
NC 5 4Hrs. 1300H 1700H 0 5 O

I. Average Rating O

II. CRITICAL FACTORS OBJECTIVITY RATING REMARKS

HUMAN RELATIONS Accomodating 4

COURTESY Usually helps even occupied 4
INITIATIVE Minimal Supervision 4
STRESS TOLERANCE
LEADERSHIP(For Supervisor Only)
(For Supervisor
Only)
II. Average Rating VS
RATED/CERTIFIED BY: ACKNOWLEDGED BY: CONFIRMED BY:

SF01 Adonis A Alambra FO3 Froilan C Potingan 26-Sep-14 SINSP LANY B CARBONELL
SUPERVISOR/S EMPLOYEE DATE HEAD OF OFFICE

Page 13 of 15

BUREAU OF FIRE PROTECTION

DAILY IPCR MONITORING FORM
EMPLOYEE: FO3 Froilan C Potingan Attendance Present Absent Leave
POSITION:DPO/Rescuer/Lecturer/FAI/FSI AM Time In: 270723HSept 2014 Time Out: 280910H Sept2014

PM Time In: Time Out:

I. PERFORMANCE
50% based on actual observation ________________

QUALITY TIME
Work/Activity QUANTITY REMARKS
No. of
Correction Rating Target Started Finished Result Rating
s

Ensures serviceability of fire

engine, firefighting apparatus & 1 F/T NC 5 120 min 0900H 1000H 0 5 O
appliances.

Ensures completeness &

availability of supplies & 1 F/T NC 5 60 min 1000H 1100H 0 5 O
apparatus.

Cleans rescue appliances, rescue

tools & firetruck. 1 F/T NC 5 120 min 1300H 1400H 0 5 O

Warming of Firetruck. 1 F/T NC 5 10min 1800H 1810H 5min 5 O

280610H
Warming of Firetruck. 1 F/T NC 5 10min 280600H Sept14 Sept14 5min 5
O
280800H
Cleaning of Firetruck. 1 F/T NC 5 120 min 280600H Sept14 Sept14 0 5
O
OTHER ACTIVITIES:

Cleaning of fire station and fire 280600H

station premises. NC 5 60min 280500H Sept14 Sept14 0 5 O
280600H
Acts as duty guard. NC 5 120min 280400H Sept14 Sept14 0 5 O
Performs office works (encoding, NC 5 3Hrs 1400H 1700H O 5 O
filing, blotter, etc)

I. Average Rating 5.00 O

II. CRITICAL FACTORS OBJECTIVITY RATING REMARKS

HUMAN RELATIONS Accomodating 4

COURTESY Usually helps even occupied 4
INITIATIVE Minimal Supervision 4
STRESS TOLERANCE
LEADERSHIP(For Supervisor Only)
(For Supervisor
Only)
II. Average Rating 4 VS
RATED/CERTIFIED BY: ACKNOWLEDGED BY: CONFIRMED BY:

SF01 Adonis A Alambra FO3 Froilan C Potingan 28-Sep-14 SINSP LANY B CARBONELL
SUPERVISOR/S EMPLOYEE DATE HEAD OF OFFICE

Page 14 of 15

BUREAU OF FIRE PROTECTION

DAILY IPCR MONITORING FORM
EMPLOYEE: FO3 Froilan C Potingan Attendance Present Absent Leave
POSITION:DPO/Rescuer/Lecturer/FAI/FSI AM Time In: 290555H Sept 2014 Time Out: 300920H Sept2014
PM Time In: Time Out:
I. PERFORMANCE
50% based on actual observation ________________
QUALITY TIME
Work/Activity QUANTITY
No. of
REMARKS
Correction Rating Target Started Finished Result Rating
s

Ensures serviceability of fire

engine, firefighting apparatus & 1 F/T NC 5 120 min 0800H 0900H 0 5 O
appliances.

Ensures completeness &

availability of supplies & 1 F/T NC 5 60 min 0900H 1000H 0 5 O
apparatus.

Cleans rescue appliances, rescue

tools & firetruck. 1 F/T NC 5 120 min 1000H 1100H 0 5 O

Warming of Firetruck. 1 F/T NC 5 10min 1800H 1810H 5min 5 O

300610H
Warming of Firetruck. 1 F/T NC 5 10min 300600H Sept14 Sept14 5min 5
O
300800H
Cleaning of Firetruck. 1 F/T NC 5 120 min 30600H Sept14 Sept14 0 5
O
OTHER ACTIVITIES:

Finalization and passing of PIR, NC 5 1300H 1500H 0 5

Fire Incident NFNL 0
Conducted Investigation at a NC 5 1507H 1600H 0 5
vehicular fire, Brgy. III
0
Cleaning of fire station and fire 300500H Sept 300600H
station premises. NC 5 60min 2014 Sept14 0 5 O
300800H
Acts as duty guard. NC 5 120min 300600H Sept14 Sept14 0 5 O
Performs office works (encoding, NC 5 2Hrs 1600H 1700H O 5 O
filing, blotter, etc)

II. CRITICAL FACTORS OBJECTIVITY RATING REMARKS

HUMAN RELATIONS Accomodating 4

COURTESY Usually helps even occupied 4
INITIATIVE Minimal Supervision 4
STRESS TOLERANCE
LEADERSHIP(For Supervisor Only)
(For Supervisor
Only)
II. Average Rating 4 VS
RATED/CERTIFIED BY: ACKNOWLEDGED BY: CONFIRMED BY:

SF01 Adonis A Alambra FO3 Froilan C Potingan 30-Sep-14 SINSP LANY B CARBONELL
SUPERVISOR/S EMPLOYEE DATE HEAD OF OFFICE

Page 15 of 15

BUREAU OF FIRE PROTECTION

DAILY IPCR MONITORING FORM
EMPLOYEE: FO3 Froilan C Potingan Attendance Present Absent Leave
POSITION:DPO/Rescuer/Lecturer/FAI/FSI AM Time In: 310756HJuly 2014 Time Out: 010910HAug 2014
PM Time In: Time Out:
I. PERFORMANCE
50% based on actual observation ________________

QUALITY TIME
Work/Activity QUANTITY REMARKS
No. of
Correction Rating Target Started Finished Result Rating
s

Ensures serviceability of fire

engine, firefighting apparatus & 1 F/T NC 5 120 min 0800H 1000H 0 5 O
appliances.
Ensures serviceability of fire
engine, firefighting apparatus & 1 F/T NC 5 120 min 0800H 1000H 0 5 O
appliances.

Ensures completeness &

availability of supplies & 1 F/T NC 5 60 min 1000H 1100H 0 5 O
apparatus.

Cleans rescue appliances, rescue

tools & firetruck. 1 F/T NC 5 120 min 1300H 1500H 0 5 O

Warming of Firetruck. 1 F/T NC 5 10min 1800H 1810H 5min 5 O

010610H
Warming of Firetruck. 1 F/T NC 5 10min 010600H Aug14 Aug14 5min 5
O
010800H
Cleaning of Firetruck. 1 F/T NC 5 120 min 010600H Aug14 Aug14 0 5
O

OTHER ACTIVITIES:
Cleaning of fire station and fire 300600H
station premises. NC 5 60min 300500H July14 July14 0 5 O
010600H
Acts as duty guard. NC 5 120min 010400H Aug14 Aug14 0 5 O
Performs office works (encoding, NC 5 2Hrs 1500H 1700H O 5 O
filing, blotter, etc)

II. CRITICAL FACTORS OBJECTIVITY RATING REMARKS

HUMAN RELATIONS Accomodating 4

COURTESY
Usually helps even occupied 4
INITIATIVE Minimal Supervision 4
STRESS TOLERANCE
(For Supervisor Only)
LEADERSHIP
(For Supervisor
Only)

II. Average Rating 4 VS

RATED/CERTIFIED BY: ACKNOWLEDGED BY: CONFIRMED BY:
SF01 Adonis A Alambra FO3 Froilan C Potingan 1-Aug-14 SINSP LANY B CARBONELL
SUPERVISOR/S EMPLOYEE DATE HEAD OF OFFICE
2014
2014