EVALUATION FORM FOR ORGANIZATIONAL UNIT AWARD

Direction: Specify the necessary information requested on the opposite portion of the table.

B. DISTRICT AND PROVINCIAL OFFICE

Station's Name: City of Ilagan Fire Station Region: 02

Station's Address: San Vicente, City of Ilagan, Isabela
Station's Head: CINSP MANUEL LUIS S GONZALES JR.
Total No. of Personnel: 35
Total No. of Officer Rank: 1
Total No. of Non-officer Rank: 34
Total No. of Non-Uniformed Personnel: 0
Total No. of Fire Stations within Area of Responsibility 2

AOR Profile
Total No. of Population 180,000
Total No. of Brgy within Area of Responsibility 91
Total no. of Establishments:
A. Private Business Establishments: 3,423
B. Government Establishments: 253
C. Schools: 113
D. Hospitals: 8

IMPLEMENTATION OF FIRE PROTECTION PROGRAM (50PTS)

Percentage
(to be filled-up by BFP NHQ
2020 2021 PRAISE Committee)
1. Total Number of BPLO-Registered Business Establishments 3423 3423
2. Total Number of BPLO Business Establishments Inspected 3212 3147
3. Total Number of Establishment with FSIC 3212 3147
4. Total number of business establishmnet with FSIC where the
fire incident started 1
5. Total number of business establishmnet inspected within
prescribed time frame 3212 3147
6. Total Amount of Fire Code Fees:
A. Collected 2,949,318.00 3,017,389.50
B. Deposited 3,002,694.00 3,017,389.50
7. Total Number of Fire Drills Conducted
A. In Private Establishment 2 3
B. In Barangays 0 0
C. In Schools 0 0
D. In Hospitals 1 0
E. In Government Establishment 1 0
8. Total Number of Barangay Ugnayan 0 0
9. Total Number of Fire Incidents 21 24
10. Total Number of Fire Calls 21 24
11. Total Number of Calls Responded
A. In Structural Fires 8 15
B. In Non-Structural Fires 9
b.1 Grass 1 6
b.2 Rubbish 1
b.3 Forest 1
b.4 Electrical Post 2
12. Total Number of Fire Calls Responded within 7mins 18 7
13. Total No. of Conducted Pre-Fire Planning:
A. In Private Establishment 2 6
B. In Barangays
C. In Schools
D. In Hospitals 1 1
E. In Government Establishment
14. Total Number of Non-Fire Response/Conducted Activity:

A. Number of Emergency Calls Responded

B. Number of Emergency Calls Responded within 7mins
C. Number of Oplan Lakbay Alalay (SUMVAC Activities) 1 1
D. Number of Oplan Kaluluwa Conducted 1 1
E. Number of Assistance to LGU during Disaster/Rescue
Operations
15. Total No. of Fire Investigation Activities

A. Number of Fire Incidents Investigated 16 24

B. Number of Arson Cases 2
C. Number of Arson Cases Filed in court 2
D. Number of resolved cases
(Undetermined Cause not included/counted) 16 22

OVERALL APPEARANCE OF THE FIRE STATION (30PTS)

POOR-----------EXCELLENT
0 1 2
1. Tidiness (seiri) 2
2. Orderliness (Seiton) 2
3. Cleanliness (Seiso) 2
4. Standardization (Seiketsu) 2
5. Discipline (Shitsuke) 2

2020 2021 Percentage

(to be filled-up by BFP NHQ
PRAISE Committee)

For Repair/Not For Repair/Not

TOTAL Functional functioning TOTAL Functional functioning

6. No. of Fire Stations 2 2 2 2

7. No. of Fire Trucks 5 5 5 5
8. No. of Tanker
9. No. of Fire Hydrant 27 27 27 27
10. No. of Ambulance
11. No. of Rescue Vechile
12. No. of Personal Protective Equipmets:
A. Helmets 22 22
B. Boots 24 24
C. Gloves 23 23
D. Bunker Coats 21 21
E. SCBA 10 10
13. No. of Hoses:
A. 1 1/2 26 26
b. 2 1/2 6 6
14. Total Number of Non-Fire Response/Conducted Activity:
A. Number of Emergency Calls Responded
B. Number of Emergency Calls Responded within 7mins
C. Number of Oplan Lakbay Alalay (SUMVAC Activities) 1 1
D. Number of Oplan Kaluluwa Conducted 1 1
E. Number of Assistance to LGU during Disaster/Rescue
Operations 2
15. Total No. of Fire Investigation Activities
A. Number of Fire Incidents Investigated 16 24
B. Number of Arson Cases 2
C. Number of Arson Cases Filed in court 2
D. Number of resolved cases
(Undetermined Cause not included/counted) 16 22

OVERALL APPEARANCE OF THE FIRE STATION (30PTS)

POOR-----------EXCELLENT
0 1 2
1. Tidiness (seiri) 2
2. Orderliness (Seiton) 2
3. Cleanliness (Seiso) 2
4. Standardization (Seiketsu) 2
5. Discipline (Shitsuke) 2

2020 2021 Percentage

(to be filled-up by BFP NHQ
PRAISE Committee)
For Repair/Not For Repair/Not
TOTAL Functional functioning TOTAL Functional functioning

6. No. of Fire Trucks 5 5

7. No. of Water Tanker
8. No. of Fire Hydrant 27 27
9. No. of Ambulance
10. No. of Rescue Vechile
11. No. of Personal Protective Equipmets:
A. Helmets 22 22
B. Boots 24 24
C. Gloves 23 23
D. Bunker Coats 21 21
E. SCBA 10 10
12. No. of Hoses:
A. 1 1/2 26 26
B. 2 1/2 6 6
13. No. of Nozzles:
A. 1 1/2 6 4 2 6 4 2
B. 2 1/2 6 3 3 6 3 3
14. No. of Computers 5 4 1 5 4 1
15. No. of radio (Communication Device) 5 3 2 5 3 2

PERSONNEL PREPAREDNESS (20PTS)

POOR-----------EXCELLENT
1 2 3 4
1. Wearing of Proper Uniform 4
2. Attendance of Flag Raising/ Flag Retreat 4
3. Posting of Information and comppliances relative to Anti-
Corruption Law (RA 3.19) 4
4. Presence of Citizens Charter and infomration and complaince
relative to Anti-Red Tape Law (RA 9485) 4
5. Courtesy and professionalism relative to the Code of conduct and
Ethical Standards (RA 6713) 4

Rater:
Signature:
Date:
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