Annex F.

Individual Performance Commitment and Review Form

DEPARTMENT OF SOCIAL WELFARE AND DEVELOPMENT

Individual Performance Commitment and Review Form (IPCRF)

___ Semester, CY ______

VILMA W. LIPUSIN
NAME OF EMPLOYEE
HP I / Admin Support Staff
Date:

PART I. INDIVIDUAL COMMITMENTS AND ACCOMPLISHMENTS

PERFORMANCE COMMITMENT PERFORMANCE EVALUATION
KEY RESULT AREA Success Indicator RATING
Accomplishment REMARKS
(KRA) (Target+Measure) E/Qn Q T A
Core Functions
Properly monitored &
supervised 6 utility and 3
Monitor Utility Workers maintenance workers and
related to their tasks Supervises 6 Utility Workers and 2 Maintenance Workers in the ensured tasks were
accomplishment on the performance of their functions properly done for the
upkeep of the buildings maintenance of clean office
surroundings daily during
office hours.

Prepared and monitored

properly 396 checklist on
Monitor maintenance of Daily Overall Cleanliness of
Prepares checklist on Daily Overall Cleanliness of building maintenance
building and other building maintenance and
and Janitorial Services Spot-check inspection
office facilities Janitorial inspection form CR
396 and 43 Janitorial
Services Spot-check
inspection during office hours
from January - June 2024
Performed clerical works as
directed by the supervisor
Assist in performing within the period.
some clerical works as Assists in some clerical works like Travel Requests and other Administrative
required by the Communications Received 18 request for T.A,
Supervisor 15 request for RP vehicles,
delivered 5 out going
communications
Strategic Functions

Support Functions
 Submitted 1 complete
Individual Performance Individual Performance
Submit 1 complete Individual Performance Contract Review
Contract Review Contract Review during
scheduled submission

Cleans appropriately daily

Maintains Cleanliness The workplace occupied by the worker is free of clutter and files are neatly
within the period of January -
in the Workplace aranged
June 2024

Attendance to Monthly
Attends Monthly Meeting
Meeting Attended 6 Monthly Meeting
from January - June 2024
Duly prepared & submitted
the required reports as
enumerated:
Prepares & submits Prepares & submits the following required reports: Monthly
required reports Accomplishment Reports, etc.
54 Request for Janitorial
Assistance
54 Client Satisfactory Form
during the semester

FINAL NUMERICAL RATING #DIV/0!

ADJECTIVAL
We hereby certify that the above targets, measures, and performance ratings for the rating period _________________________ were discussed and agreed upon #DIV/0!
RATING with the Ratee.

______________________________________________________ _____________ ______________________________________________________ _____________

Name Date Name Date
Immediate Supervisor Approving Authority
Legend: E- Efficiency Q- Quality T- Timeliness A- Average Rating Scale: 5-Outstanding 4- Very Satisfactory 3-Satisfactory 2-Unsatisfactory 1-Poor

PART II. PERFORMANCE FEEDBACK

STRENGTHS
AREAS FOR
IMPROVEMENTS
RATER'S
COMMENTS,
RECOMMENDATION
S, &
COMMENDATIONS
Feedback were discussed by the undersigned to the Ratee.
_____________________________________________________ _____________ _____________________________________________________ _____________
Name of Ratee Date Name of Immediate Supervisor Date