Document Code 

DEPARTMENT OF THE INTERIOR AND LOCAL LOCAL GOVERNMENT

FM-SP-DILG-07-03
CSS Summary Log Sheet
 
Rev. No.  Eff. Date  Page 
  00  06.15.21   of 1 1
Office:
Procedure Title/Service Provided:
Covered Period:
ORIGINATING OFFICE
(Put the name of Office OBJECTIVE RESULT
where the CSS
DATE Monitoring/Summary Log
MONITORING/ Sheet/s originates - From
AVERAGE
NO. SUMMARY LOG City/Municipality; From PO; RATING
SUGGESTIONS FOR IMPROVEMENT REMARKS NOTES
SHEET and From RO) MET UNMET (Indicate
RECEIVED (Put 1, if Ave. (Put 1, if Ave. Reason if
Rating=3,4,5) Rating=1,2) Target is
unmet)

1
2
3
4
5
6
nth
Average Rating of Office
TOTAL
RESULT (%)

Prepared By  Noted By 

   

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