Station Level Individual Performance Commitment and Review (IPCR) Form

BFP form for station level individual performance commitment and review

Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: Republic of the Philippines
Department of the Interior and Local Government
BUREAU OF FIRE PROTECTION
INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW (IPCR)
I, ________________________, commit to deliver and agree to be rated on the attainment of the following targets in accordance with the indicated measures for the period _____________________________.
_______________________________
Ratee's Signature

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

R
a
ti
n
g

Date: ________________________________
Designation: __________________________
Effective Date of Designation: ____________
Bureau Order No: ______________________
5 - Outstanding
4 - Very Satisfactory
3 - Satisfactory
2 - Unsatisfactory
1- Poor

SUCCESS INDICATOR
OUTPUTs
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
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.

BFP-QSF-CDD-07 Rev 00 (2.1.18) Page 1 of 2

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

RATING

Actual Accomplishments
Q

E

T

REMARKS
Average

SUCCESS INDICATOR
OUTPUTs

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

RATING

Actual Accomplishments
Q

E

T

REMARKS
Average

2.
3.
4.
TOTAL RATING
FINAL AVERAGE RATING
(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
End of Rating Period
Signature:
Signature:
Name of Ratee:
Name of Ratee:
Position:
Position:
Date:
Date:

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

Assessed by PMT Secretariat:
Start of Rating Period
Name:
Position:

End of Rating Period
Name:
Position:

Reviewed by PMT Chairman:
Start of Rating Period
Name:
Position:

End of Rating Period
Name:
Position:

Name:
Position:

Date:

Date:

Date:

Date:

Date:

BFP-QSF-CDD-07 Rev 00 (2.1.18) Page 2 of 2

Final Rating by Head of Office: