Republic of the Philippines

Department of the Interior and Local Government

BUREAU OF FIRE PROTECTION

NATIONWIDE ACCOMPLISHMENT REPORT ON FIRE SAFETY EVALUATION/INSPECTION ACTIVITIES AND SUMMARY ACCOMPLISHMENT ON FIRE CODE FEES CO

Apr-20
FORM 1/5
NEWLY CONSTRUCTED BUILDING, (RENOVATION, REPAIR, MODIFIED)

FSEC
1st INSPECTION FOR FSIC (OCCUPANCY PERMIT)
Residential

Number of Issued Notice of

Residential Board & Care

Detention & Correctional

Number of Issued FSEC

Single and Two Family

Lodging and Rooming
Apartment Building
Disapproval (NOD)

Dwelling Unit
Health Care
Educational

Dormitories
Total Number Application Received within the Month

Mercantile
Assembly

Day Care

Industrial
Business
house
Hotel
City/
For Current Month (Within the Month)

For Current Month (Within the Month)

Municipality
From Previous Month(s)

From Previous Month(s)

NC RN NC RN NC RN NC RN NC RN NC RN NC RN NC RN NC RN NC RN NC RN NC RN NC RN NC RN
Total Issued FSEC

A B
A.1 A.2 A.3 A.4 A.5 A.6 B.1 B.2 B.3 B.4 B.5 B.6 B.7 B.8 B.9 B.10 B.11 B.12 B.13 B.14 B.15 B.16 B.17 B.18 B.19 B.20 B.21 B.22 B.23 B.24 B.25 B.26 B.27 B.28
for New Establishments/Buildings

IBAAN FIRE STATION

Sub-Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
(Past year,same month)
Variance
for New Government
Buildings

IBAAN FIRE STATION

Sub-Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
(Past year,same month)
Variance
Establishments/
for New PEZA

Buildings

IBAAN FIRE STATION

Sub-Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
(Past year,same month)
Variance

Grand Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Note: 1. Data under column (B) of form 1/5 pertains only to first inspection conducted on the building/establishment applying for FORMULA(s): (E.4)= Non-compliant for curren
occupancy permit. For subsequent inspections, the data shall no longer be entered in (B) but it should be reflected instead in (E) (A.4) = A.2 + A.3 (E.5)= Non-compliant fom previo
2. Data under (D) pertains to all inspections conducted during construction phase, after the issuance of Fire Safety Evaluation (B) = SUM (B1 to B.32), ( C)= (B) (E.6)= (E.4)+(E.5)
Clearance. (C.1) = SUM of all (NC's) (E.7)= Non-compliant for curren
(C.2) = SUM of all (RN's) (E.8)= Non-compliant fom previo
**Issued FSIC for Occupancy from Previous Months (E.2) is equal to the number of re-inspections. (C.3) = (C.1 + C.2) (E.9)= (E.7)+(E.8)
Number of 1st Inspection is equal to number of Inspection Order Issued. (E.1)=Compliant for the current month
(E.2)=Becomes compliant from previous month(s)
Legend: NC: Newly Constructed Building (E.3)=(E.1) + (E.2)
RN: Renovation, Repair, Modified

BFP-QSF-FSED-XXX Rev. ØØ (06.01.18) Page 1 of 5

RE CODE FEES COLLECTION

Issuances

Inspection during
TOTAL
Under Construction Issued With NOD for NOT Issued With NTC for
Special Structures

Issued FSIC for

Occupancy OCCUPIED OCCUPIED
buildings/establishments buildings/establishments
Storage

For Current Month (Within the Month)

For Current Month (Within the Month)

For Current Month (Within the Month)

OVERALL

**From Previous Month

NC RN NC RN NC RN NC RN

From Previous Month

From Previous Month

Total
Total

Total
C D E
B.29 B.30 B.31 B.32 C.1 C.2 C.3 D.1 D.2 E.1 E.2 E.3 E.4 E.5 E.6 E.7 E.8 E.9

0 0 0 0 10 0

0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0

Non-compliant for current month for NOT OCCUPIED buildings/establishments

Non-compliant fom previous month(s) for NOT OCCUPIED buildings/establishments
(E.4)+(E.5)
Non-compliant for current month for OCCUPIED buildings/establishments
Non-compliant fom previous month(s) for OCCUPIED buildings/establishments
(E.7)+(E.8)
FORM 2/5
for BUSINESS OPERATIONS
1st Inspection Re- Inspection
NOTICE TO
NOTICE TO
Structural CORRECT ABATEMENT
FSIC Issued COMPLY
INSPECTED VIOLATION
Closure Order

Compliant

Compliant

Compliant

Compliant

Compliant
Conpliant
New Renewal

Non-

Non-

Non-

OVERALL NO. OF BUSINESS ESTABLISHMENTS INSPECTED

TOTAL NO. OF NON-COMPLIANT AFTER RE-INSPECTIONS

Closure Order for Failure to Comply the Abatement order
Non-Structural (ex. Vehicle used as Rolling Store & etc.)
City/Municipality

FSIC Issued NOT WITHIN Prescribed Period

FSIC Issued NOT WITHIN Prescribed Period

Total Number of Compliant from Re-Inspection

Total Number of Inspected from 1st Inspection

***FSIC Issued WITHIN Prescribed Period

***FSIC Issued WITHIN Prescribed Period

Total Issued FSIC for Business/ Operation

Issued FSIC for Business Operation

Issued FSIC for Business Operation

Single & Two Family Dwelling Unit

OVERALL NO. OF COMPLIANT

BUSINESS ESTABLISHMENTS
Closure For Failure To Pay Fine
Residential Board and Care

Total Issued Closure Order

Lodging & Rooming House

Issued Abatement Order

Detention & Correctional

TOTAL FSIC Issued

Apartment Buildings

(Total FSIC Issued)

(Total FSIC Issued)

Special Structures

Issued NTCV
Health Care

Issued NTC
Educational

Dormitories

Mercantile
Assembly

Day Care

Business

Industrial

Storage
Hote l

A B C D E F G H I J K L
A.1 A.2 A.3 A.4 A.5 A.6 A.7 A.8 A.9 A.10 A.11 A.12 A.13 A.14 A.15 A.16 D.1 D.2 D.3 D.4 D.5 E.1 E.2 F.1 F.2 G.1 G.2 I.1 I.2 I.3
IBAAN FS 0 0
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
(Past year same month)
Variance

Note: (1) All data under Column (A) pertains only to first inspection, wherein there was an actual inspection conducted. All data for re-inspections shall be Formula(s):
reflected in (2nd) Re-Inspection Column. Likewise, first inspection with violations shall be reflected in (E.1) Those establishment that C=A+B
applied for FSIC for Business Permit during renewal process or B.O.S.S, they shall be reflected in Column (A) if there is actual inspection H = E.2 + F.2 + G.2
conducted, usually prior to expiration of FSIC. Example: E.1 = ( C - D ) I.3 = I.1 + I.2
(2) Data under (D) pertains to those establishment without violations during first inspection. J = C + E.2 + F.1 + F.2 + G.1 + G.2 + I.1 + I.2
(3) Data under (E.2) ,(F.1), (F.2), (G.1), (G.2), (I.1)and (I.2) pertains only to re-inspections. D.5 = D.1 + D.2 + D.3 + D.4
(4) Data under (I.1) pertains to establishments recommended for stoppage/closure for failure to comply the Abatement Order. K = D.5 + H
(5) Data under (I.2) pertains to establishment that is recommended for stoppage of operation/closure for failure to pay fine. L = F.1 + G.1 + I.1 + I.2
**In Case of Mixed Occupancy, the dominant Occupancy will prevail. Where: Column (J) = 1st Inspection + 2nd Inspection
***FSIC Issued within Prescribed Period: (CITIZEN CHARTER) Column (K) = Issued FSIC from 1st Inspectio + Issued FSIC from 2nd Inspection
a. FSIC Issued within (1) one day after inspection
b. FSIC Issued within (3) three day3 after inspection
c. FSIC Issued beyond (3) three day3 after inspection

BFP-QSF-FSED-XXX Rev. ØØ (06.01.18) Page 2 of 5

 FORM 3/5
for PEZA Establishments
1st Inspection

Structural
FSIC Issued
INSPECTED

New Renewal

for Certificate of for Certificate of

for BPLO for BPLO
Annual Inspection Annual Inspection
City/Municipality

FSIC Issued NOT WITHIN Prescribed Period

FSIC Issued NOT WITHIN Prescribed Period

FSIC Issued NOT WITHIN Prescribed Period

FSIC Issued NOT WITHIN Prescribed Period

Total Number of Inspected from 1st Inspection

***FSIC Issued WITHIN Prescribed Period

***FSIC Issued WITHIN Prescribed Period

***FSIC Issued WITHIN Prescribed Period

***FSIC Issued WITHIN Prescribed Period

Single & Two Family Dwelling Unit
Residential Board and Care

Lodging & Rooming House

Detention & Correctional

Apartment Buildings

Special Structures
Day Care (A.3)

Health Care
Educational

Dormitories

Mercantile
Assembly

Business

Industrial

Storage
Hote l

A C
B
A.1 A.2 A.3 A.4 A.5 A.6 A.7 A.8 A.9 A.10 A.11 A.12 A.13 A.14 A.15 A.16 C.1 C.2 C.3 C.4 C.5 C.6 C.7 C.8
Name of FS
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

(Past year same

month)

Variance

Note: (1) All data under Column (A) pertains only to first inspection, wherein there was an actual inspection conducted. All data for re-inspections shall be Formula(s):
reflected in (2nd) Re-Inspection Column. Likewise, first inspection with violations shall be reflected in (D.1) Those establishment that B = sum of all items unde
applied for FSIC for Business Permit during renewal process or B.O.S.S, they shall be reflected in Column (A) if there is actual inspection G = D.2 + E.2 + F.2
conducted, usually prior to expiration of FSIC. Example: D.1 = ( B - C ) H.3 = H.1 + H.2
(2) Data under (D) pertains to those establishment without violations during first inspection. I = B + D.2 + E.1 + E.2 + F.
(3) Data under (D.2) ,(E.1), (E.2), (F.1), (F.2), (H.1)and (H.2) pertains only to re-inspections. C.9 = C.1 + C.2 + C.3 + C.4
(4) Data under (H.1) pertains to establishments recommended for stoppage/closure for failure to comply the Abatement Order. J = C.5 + G
(5) Data under (H.2) pertains to establishment that is recommended for stoppage of operation/closure for failure to pay fine. K = E.1 + F.1 + H.1 + H.2
***FSIC Issued within Prescribed Period: (CITIZEN CHARTER) Where: Column (I) = 1st Inspection + 2nd
a. FSIC Issued within (1) one day after inspection Column (J) = Issued FSIC from 1st
b. FSIC Issued within (3) three day3 after inspection
c. FSIC Issued beyond (3) three day3 after inspection

BFP-QSF-FSED-XXX Rev. ØØ (06.01.18) Page 3 of 5

 .2 + F.2
0
TOTAL FSIC Issued

C.9

1 + H.1 + H.2
Issued NTC Non-

0
D.1
Compliant

st Inspection + 2nd Inspection

D

FSIC from 2nd Inspection

Issued FSIC for Business Operation COMPLY

0
NOTICE TO

all items under column (A)

Compliant

D.2

ssued FSIC from 1st Inspectio + Issued

+ E.1 + E.2 + F.1 + F.2 + H.1 + H.2
Issued NTCV

0
Non-Conpliant

E.1

C.2 + C.3 + C.4 + C.5 + C.6 + C.7 + C.8

E
Issued FSIC for Business Operation
CORRECT
VIOLATION
NOTICE TO

0
Compliant

E.2
Issued Abatement Order

0
Non-Compliant

F.1
F
Total Issued FSIC for Business/ Operation

0
ABATEMENT

Compliant

F.2
Re- Inspection

Total Number of Compliant from Re- Inspection

0
G
(Total FSIC Issued)

Closure Order for Failure to Comply the Abatement order

0
H.1
Closure For Failure To Pay Fine

0
H
H.2
Closure Order

H.3 Total Issued Closure Order

OVERALL NO. OF PEZA ESTABLISHMENTS INSPECTED

I

OVERALL NO. OF COMPLIANT

PEZA ESTABLISHMENTS
J

(Total FSIC Issued)

TOTAL NO. OF NON-COMPLIANT AFTER RE-INSPECTIONS

0
K
FORM 4/5
for GOVERNMENT BUILDINGS
1st Inspection

NOTICE TO
Structural
COMPLY
INSPECTED Total No. Compliant from 1st Inspection (Total FSIC
Issued for Permit to Operate,PHILHEALTH
ACCREDITATION for Hospital,DOH License to

Non- Compliant
Operate and Other Permits or licenses being issued
by other Government agencies.)
City/Municipality

Total Number of Inspected from 1st Inspection

New Renewal

Single & Two Family Dwelling Unit

FSIC Issued NOT WITHIN

FSIC Issued NOT WITHIN
Residential Board and Care

Lodging & Rooming House

***FSIC Issued WITHIN

***FSIC Issued WITHIN

Detention & Correctional
Total

Apartment Buildings

Special Structures

Prescribed Period
Prescribed Period

Prescribed Period

Prescribed Period
Health Care

Issued NTC
Educational

Dormitories

Mercantile
Assembly

Day Care

Business

Industrial

Storage
Hote l

A B C D
A.1 A.2 A.3 A.4 A.5 A.6 A.7 A.8 A.9 A.10 A.11 A.12 A.13 A.14 A.15 A.16 C.1 C.2 C.3 C.4 C.5 D.1
IBAAN FS 6
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0
(Past year same month) - - -
Variance

Note: (1) All data under Column (A) pertains only to first inspection, wherein there was an actual inspection conducted. All data for re-inspections shall be
reflected in (2nd) Re-Inspection Column. Likewise, first inspection with violations shall be reflected in (D.1) Those establishment that
applied for FSIC for Permit to Operate, PHILHEALTH ACCREDITATION for Hospital and Other Permits,they shall be reflected in Column (A)
if there is actual inspection conducted, usually prior to expiration of FSIC. Example: D.1 = (B - C)
(2) Data under (C) pertains to those establishment/building without violations during first inspection.
(3) Data under (D.2) ,(E.1), (E.2), (F.1), (F.2), (H.1)and (H.2) pertains only to re-inspections.
(4) Data under (H.1) pertains to establishments recommended for stoppage/closure for failure to comply the Abatement Order.
(5) Data under (H.2) pertains to establishment that is recommended for stoppage of operation/closure for failure to pay fine.
**In Case of Mixed Occupancy, the dominant Occupancy will prevail.

BFP-QSF-FSED-XXX Rev. ØØ (06.01.18) Page 4 of 5

 D
COMPLY
Issued FSIC for Business Operation

NOTICE TO

0
Compliant

D.2
Issued NTCV

0
Non-Conpliant

E.1

Where:
E
Issued FSIC for Business Operation
CORRECT
VIOLATION
NOTICE TO

0
Compliant

E.2

Formula(s):

J = C.5 + G
Issued Abatement Order

0
Non-Compliant

F.1

H.3 = H.1 + H.2

F

G = D.2 + E.2 + F.2

Total Issued FSIC for Business/

0
ABATEMENT

Operation Compliant

F.2

K = E.1 + F.1 + H.1 + H.2

C.5 = C.1 + C.2 + C.3 + C.4
Re- Inspection

Total Number of Compliant from Re -Inspection

0
G
(Total FSIC Issued)

Column (I) = 1st Inspection + 2nd Inspection

Closure Order for Failure to Comply the

0
H.1

B = sum of all items under column (A's)

Abatement order

I = B + D.2 + E.1 + E.2 + F.1 + F.2 + H.1 + H.2

Closure For Failure To Pay Fine

0
H
H.2
Closure Order

Total Issued Closure Order

H.3

Column (J) = Issued FSIC from 1st Inspectio + Issued FSIC from 2nd Inspection
OVERALL NO. OF GOVERNMENT BUILDINGS INSPECTED
I

0
OVERALL NO.OF COMPLIANT GOVERNEMENT BUILDINGS
0
J

(Total FSIC Issued)

TOTAL NO. OF NON-COMPLIANT AFTER RE-INSPECTIONS

0
K
 SUMMARY ACCOMPLISHMENT REPORT ON FIRE CODE FEES COLLECTION
For the March 2020
FORM 5/5

Fire Safety Inspection

Installation Clearance Fee
Fee

Installation of Building Service

Fire Code Fees for Occupancy

Installation of Flammable and

Installation of LPGAS System

Combustible Liquids Storage

Other Installation Clearances

Fire Code Fees for Business

Conveyance Cleance Fee

Fire Code Administrative

Fire Code Proceeds Tax
Fire Code Construction
City/Municipality

Storage Clearance Fee

Electrical Installation
Installation of KHSS
Installation of FDAS
Installation of AFSS
Fire Code Premuim

Fireworks Display
Fire Code Realty

Fire Code Sales

Equipment

Tanks

Fines
Tax
Tax

Tax
Tax

628-BFP- 628-BFP- 628-BFP- 628-BFP- 628-BFP- 628-BFP- 628-BFP-

628-BFP-01 628-BFP-06 628-BFP-09
02 03 04 05 07 08 10
Establishments
Business

IBAAN FS

TOTAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
(Past year same month) 15,821.40 11,852.85
Variance
Government
Buildings

IBAAN FS

TOTAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
(Past year same month)
Variance
PEZA Establishments

IBAAN FS

TOTAL 15821.40 0.00 0.00 0.00 0.00 0.00 11852.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
(Past year same month)
Variance
Grand Total 15821.40 0.00 0.00 0.00 0.00 0.00 11852.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Prepared by: Certified Correct by:

FSED, Staff Chief, FSED

BFP-QSF-FSED-XXX Rev. ØØ (06.01.18) Page 5 of 5

 ION
Filing Fees for FSEC

0.00
0.00
0.00
0.00
Certified True Copy of

0.00
0.00
0.00
0.00
FSEC/FSIC/ Other Clearances

PFM
Fumigation/Fogging

0.00
0.00
0.00
0.00

Noted by:
Fire Incident Clearance

0.00
0.00
0.00
0.00
Protest Fee

0.00
0.00
0.00
0.00
Fire Drill
Other Fees

0.00
0.00
0.00
0.00
628-BFP-11-a

Appeal Fee

0.00
0.00
0.00
0.00
Open Flame

0.00
0.00
0.00
0.00

Fire Prevention and Safety

0.00
0.00
0.00
0.00

Seminar

Soundstage and Approved

Production Facilities and

0.00
0.00
0.00
0.00

Locations

Welding, Cutting and Other

0.00
0.00
0.00
0.00

Hotworks

Others
0.00
0.00

900.00
900.00
900

Certificate of Competency (COC) Fees

0.00
0.00
0.00
0.00
11-b
628-BFP-

0.00
0.00
Total

28574.25

28574.25
28,574.25