INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCR)

I, _____________________ Adm. Aide I (Utility Worker I) of the Local Government Unit of Cuyapo, Nueva Ecija commits to deliver and agree to be rated on the
attainment of the following targets in accordance with the indicated measures for the period of January to June, 2019.

Ratee
Date: 01/8/2019
Reviewed by: Date: Goals Approved: Date:

CHARLIE J.RIVERA 1/8/2019

Municipal Administrator

Success Indicators Rating

OUTPUT Actual Accomplishment Remaks
(Target + Measure) Q 1
E2 T3 A4
- Maintain cleanliness and orderliness of the Sweep, segragate, and dispose garbage 30
premises in front of the Municipal Hall minutes before, during,and after office hours E: 92
Q: No lapses 5 3 3 3.667
for 90 days
T: done on time
- Maintain cleanliness and orderliness of the Sweep, segragate, and dispose garbage 30
premises at the Freedom Park minutes before, during,and after office hours E: 91
Q: No lapses 5 3 3 3.667
for 90 days
T: done on time
- Maintain cleanliness and orderliness of the Sweep, segragate, and dispose garbage 30
premises at the Municipal Trial Court/Rizal minutes before, during,and after office hours E: 17
Q: No lapses 5 3 3 3.667
Park/Library/Gym for 12 days
T: done on time
- Maintain cleanliness and orderliness of the Sweep, segragate, and dispose garbage 30
premises of the Municipal Auditorium minutes before, during,and after office hours E: 19
Q: No lapses 5 3 3 3.667
for 12 days
T: done on time
- Prepare Incident Reports 102 incident reports prepared in 1 hour each
with 3 minor corrections E: 107
Q: No lapses 5 3 3 3.667
T: done on time
Total Average Rating 3.667
Final Performance Average Rating x 60% 2.20
Adjectival Rating
Comments and Recommendations for Development Purposes
You have significantly improved your performance this quarter. Keep it up.
Discussed with Date Assessed by: Date Final Rating Approved by: Date
BENDITHA D. BABAC 1/31/2022 CHARLIE J. RIVERA 7/25/2019
Employee Municipal Administrator
20
21
19
60 54 114
PART II: BEHAVIORAL FACTORS
CRITICAL FACTORS RATING
SUPERVISO EMPLOYE
R E
1. COURTESY Polite, kind and thoughtful behavior toward the 5
public/clientele in manner of speech and actuation.
2. GOOD RELATIONS Integrates concern for people at work, clientele, and 5
supervisor-subordinate relationship into work situations.

3. PUNCTUALITY & Observed behavior of coming to office on time or to be 4

ATTENDANCE present at work to complete assigned responsibilities.
4. INITIATIVE Starts action, projects and performs assigned tasks without 5
being told and under minimal supervision.
5. CONSISTENCY Stability of performance under pressure or opposition. 5
6. LEADERSHIP The manner of guiding, influencing, motivating and 5
(For supervisors only) developing confidence of subordinates to work as a team to
accomplish assigned task leading to achieve its goals and
7. ADJUSTMENT Ability to develop alternative solutions to problems, to 5
DECISION MAKING evaluate focus of courses of actions, and reach sound decision
(For supervisors only) and readiness to take action or commit oneself.

8. OTHERS (Specify)
Total Point Score 34
Divide by Number of Entries 7
Average Point Scores 4.8571429
Mutliply by Part II Weight (40%) 4.9x40%
Final Behavioral Average Rating 1.9428571
COMMENTS AND RECOMMENDATIONS:
You have done well returning the lost wallet with important documents of Mr. Federico Cabbab
last January 15, 2018. Keep up the good work.
Rating Scale
SUMMARY OF RATINGS Point Score Adjectival Rating
CRITERIA AVERAGE SCORES 4.5 5 Outstanding (O)
Performance Factors 2.34 3.5 4.49 Very Satisfactory (VS)
Behavioral Factors 1.943 2.5 3.49 Satisfactory (S)
FINAL NUMERICAL 1.5 2.49 Unsatisfactory (US)
RATING 4.283
ADJECTIVAL Very Satisfactory (VS) 0 1.49 Poor (P)
RATING