C.Y.

Q1 Q2 Q3 Q4 OVERALL
Target
Indicators JAN FEB MAR TOTAL APR MAY JUN TOTAL JUL AUG SEP TOTAL OCT NOV DEC TOTAL TOTAL

Projected No. of
HHs

1. No. of HHs with access to basic

safe water supply - Total

a. No. of HHs with Level I - Total

b. No. of HHs with Level II - Total
c. No. of HHs with Level III - Total

2. No. of HHs using safely managed

drinking-water services - Total

3. No of HHs with basic sanitation

facility - Total

a. No. of HH with pour/flush toilet

connected to septic tank - Total

b. No. of HHs with pour/flush toilet

connected to community sewer/
sewerage system or any other
approved treatment system-Total

c. No. of HHs with ventilated

improved pit latrine (VIP) - Total

4. No. of HHs using safely managed

sanitation services - Total

Total No. of
Establishments

5. No. of industrial establishments

issued with sanitary permit - Total

6. No. of food establishments

issued with sanitary permit - Total

Total No. of
Barangays

7. No. of Barangays Declared ZOD-

Total
 Brgy 1 Brgy 2 Brgy 3 Brgy 4 Brgy 5 Brgy 6 Brgy 7 Brgy 8 Brgy 9 Brgy 10 Brgy 11 Brgy 12 Brgy 13 Brgy 14 Brgy 15 Brgy n
Month: CY: OVERALL
Target
Indicators TOTAL

Projected No. of
HHs

1. No. of HHs with access to basic

safe water supply - Total

a. No. of HHs with Level I - Total

b. No. of HHs with Level II - Total
c. No. of HHs with Level III - Total

2. No. of HHs using safely managed

drinking-water services - Total

3. No of HHs with basic sanitation

facility - Total

a. No. of HH with pour/flush toilet

connected to septic tank - Total

b. No. of HHs with pour/flush toilet

connected to community sewer/
sewerage system or any other
approved treatment system-Total

c. No. of HHs with ventilated

improved pit latrine (VIP) - Total

4. No. of HHs using safely managed

sanitation services - Total

Total No. of
Establishments

5. No. of industrial establishments

issued with sanitary permit - Total

6. No. of food establishments

issued with sanitary permit - Total

Total No. of
Barangays

7. No. of Barangays Declared ZOD-

Total