BPOC Monitoring Form No.

Republic of the Philippines

DEPARTMENT OF THE INTERIOR AND LOCAL GOVERNMENT
DILG-NAPOLCOM Center, EDSA cor. Quezon Ave., Quezon City
Telephone Number (02) 925-1137

BPOC FUNCTIONALITY SELF-ASSESSMENT AND AUDIT FORM

for the Year 2021

Region: VI City: ILOILO CITY

Province: Barangay: Contact #

Instruction: Put a check ✓ on the box that corresponds to the given questions. FOR C/MLGOO / CD USE ONLY

A. STRUCTURE
YES NO MEANS OF VERIFICATION POINTS REMARKS
1. The BPOC Organized/Reorganized? Executive Order (Required)
Sangguniang Barangay Resolution (Required)
BPOC Organizational Structure
Others: (please specify)

YES NO MEANS OF VERIFICATION POINTS REMARKS

2. The BPOC Organized/Reorganized within 100 days upon Executive Order (Required)
assumption to office? Sangguniang Barangay Resolution (Required)
Oath of Office of the BPOC members
Others: (please specify)

B. PEOPLE
YES NO MEANS OF VERIFICATION POINTS REMARKS
3. BPOC membership is in accordance with E.O 366, Executive Order (Required)
dated September 5, 1996? Sangguniang Barangay Resolution (Required)
BPOC Organizational Structure
Others: (please specify)

YES NO MEANS OF VERIFICATION POINTS REMARKS

4. BPOC members attend any related orientation/training Copy of Cert. of Participation (Required)
at least once in the previous year? Copy of attendance sheet w/ the title of the
activity, date/time, and venue
Post-Activity Report of the training attended
Attestation from the lead organizer
Others: (please specify)

C. SYSTEM
YES NO MEANS OF VERIFICATION POINTS REMARKS
5. The BPOC conducts regular monthly meetings? Copies of BPOC monthly meeting minutes
Number of months in which meetings were conducted and attendance sheets (Required)
12 Months Photo documentation with date and time stamp
10-11 Others: (please specify)
8-9
6-7
4-5
1-3
0

YES NO MEANS OF VERIFICATION POINTS REMARKS

6. The BPOC attends meeting with higher-level POC and Copies of minutes and attendance of the meeting (Required)
law enforcement units Certficate of participation
Photo/video documentation with date and time stamp
Others: (please specify)

Bonus YES NO MEANS OF VERIFICATION POINTS REMARKS

*7. The BPOC conducts special meeting Copies of minutes and attendance
of the meetings (Required)
Photo/video documentation with date and time stamp
Others: (please specify)

YES NO MEANS OF VERIFICATION POINTS REMARKS

8. The BPOC formulates Barangay Peace and Order Copy of the approved BPOPS Plan (Required)
and Public Safety (BPOPS) Plan in accordance with Others: (please specify)
DILG MC 2017-142 dated October 24,2017

YES NO MEANS OF VERIFICATION POINTS REMARKS

9. The BPOC submits the BPOPS Plan to BDC for Copy of the Resolution of BPOC submitting the approved
inclusion in their BDP BPOPS Plan to BDC (Required)
Copy of the Resolution of BDC adopting the BPOPs Plan

YES NO MEANS OF VERIFICATION POINTS REMARKS

10.The BPOC submits the BPOPS Plan to the City/ Copy of BPOPS Plan with stamp received by the
Municipal level for inclusion in their POPS Plan POC Secretariat or higher POC (Required)
Others: (please specify)

Bonus YES NO MEANS OF VERIFICATION POINTS REMARKS

*11. Programs and activities of BPOC funded by Copy of the MOA between private institutions and barangay
private institutions providing fund for BPOC activities (Required)
Others: (please specify)

Bonus YES NO MEANS OF VERIFICATION POINTS REMARKS

*12. The BPOC reviewed/updated their BPOPs Plan Copy of the approved reviewed/updated BPOPs Plan
Others: (please specify)

Bonus YES NO MEANS OF VERIFICATION POINTS REMARKS

*13. Residents actively participate and engage in Copy of the Certificate of Appreciation/Recognition
peace and order PPAs Photo Documentation with date and time stamp
Terminal Report or Post-Activity Report
Attendance Sheet
Others: ______________
 YES NO MEANS OF VERIFICATION POINTS REMARKS
Implementation of Projects and Activities Accomplishment Report (Required)
14.. Percentage of accomplished PPAs vis-à-vis Project Status Reports
their target in the approved BPOPS Plan Annual Reports
100%-85% Terminal Reports `
84%-50% Others: ______________
49%-25%
24% and below

YES NO MEANS OF VERIFICATION POINTS REMARKS

15.. Percentage of utilization of allocated budget Accomplishment Report (Required)
their target in the approved BPOPS Plan Physical and Financial Accomplishment Report
100%-85% Certification of utilization rate by barangay treasurer
84%-50% Others: ______________
49%-25%
24% and below `

YES NO MEANS OF VERIFICATION POINTS REMARKS

16. The BPOC submits Semestral Accomplishment Accomplishment Report (Required)
Report in accordance with DILG MC No. 2017-142 Physical and Financial Accomplishment Report
dated October 24, 2017 Others: ______________

17. The BPOC issues a resolution recommending to enact any of the following related ordinance/s to improve the peace and order situation
in the barangay. POINTS REMARKS
Presence of the following ordinances:
YES NO MEANS OF VERIFICATION
17.1. Conduct of Road Clearing Operations Recommending BPOC Resolution (Required)
Others: (please specify)

Note: For barangay with existing barangay BPOC Resolution recommending on how to
ordinance on item 17.1. improve the implementation of the said
ordinance
Others: (please specify)

Note: For barangay with existing barangay BPOC Resolution for the purpose
ordinance on item 17.1. but sees no need Assessment Report/Evaluation on the
for further improvement for implementation POC-Related issuances
Accomplishment Report prepared by BPOC
with recommendation portion for POC Related
Ordinances
Others: (please specify)

17.2. Regulating the sale of cigarettes and YES NO MEANS OF VERIFICATION POINTS REMARKS
alcoholic beverages to minors Recommending BPOC Resolution (Required)
Others: (please specify)

Note: For barangay with existing barangay BPOC Resolution recommending on how to
ordinance on item 17.2. improve the implementation of the said
ordinance
Others: (please specify)

Note: For barangay with existing barangay BPOC Resolution for the purpose
ordinance on item 17.2. but sees no need Assessment Report/Evaluation on the
for further improvement for implementation POC-Related issuances
Accomplishment Report prepared by BPOC
with recommendation portion for POC Related
Ordinances
Others: (please specify)

BONUS POINTS:
YES NO MEANS OF VERIFICATION POINTS REMARKS
17.3. Curfew Hours Recommending BPOC Resolution (Required)
Others: (please specify)

Note: For barangay with existing barangay BPOC Resolution recommending on how to
ordinance on item 17.3. improve the implementation of the said
ordinance
Others: (please specify)

Note: For barangay with existing barangay BPOC Resolution for the purpose
ordinance on item 17.3. but sees no need Assessment Report/Evaluation on the
further improvement for implementation POC-Related issuances
Accomplishment Report prepared by BPOC
with recommendation portion for POC Related
Ordinances
Others: (please specify)

YES NO MEANS OF VERIFICATION POINTS REMARKS

17.4. Prohibition of all kinds of animals Recommending BPOC Resolution (Required)
to stray in public places Others: (please specify)

Note: For barangay with existing barangay BPOC Resolution recommending on how to
ordinance on item 17.4. improve the implementation of the said
ordinance
Others: (please specify)

Note: For barangay with existing barangay BPOC Resolution for the purpose
ordinance on item 17.4. but sees no need Assessment Report/Evaluation on the
for further improvement for implementation POC-Related issuances
Accomplishment Report prepared by BPOC
with recommendation portion for POC Related
Ordinances
Others: (please specify)
 YES NO MEANS OF VERIFICATION POINTS REMARKS
17.5. Regulating the use of videoke and Recommending BPOC Resolution (Required)
karaoke machines and other similar Others: (please specify)
amplified audio sound devices

Note: For barangay with existing barangay BPOC Resolution recommending on how to
ordinance on item 17.5. improve the implementation of the said
ordinance
Others: (please specify)

Note: For barangay with existing barangay
ordinance on item 17.5. but sees no need
for further improvement
BPOC Resolution for the purpose
Assessment Report/Evaluation on the
for implementation POC-Related issuances
Accomplishment Report prepared by BPOC
with recommendation portion for POC Related
Ordinances
Others: (please specify)

YES NO MEANS OF VERIFICATION POINTS REMARKS

17.6. Prohibiting residents from roaming Recommending BPOC Resolution (Required)
half-naked in public places Others: (please specify)

Note: For barangay with existing barangay BPOC Resolution recommending on how to
ordinance on item 17.6. improve the implementation of the said
ordinance
Others: (please specify)

Note: For barangay with existing barangay
ordinance on item 17.6. but sees no need
for further improvement
BPOC Resolution for the purpose
Assessment Report/Evaluation on the
for implementation POC-Related issuances
Accomplishment Report prepared by BPOC
with recommendation portion for POC Related
Ordinances
Others: (please specify)

YES NO MEANS OF VERIFICATION POINTS REMARKS

17.7. Designation of Smoking Area Recommending BPOC Resolution (Required)
Others: (please specify)

Note: For barangay with existing barangay BPOC Resolution recommending on how to
ordinance on item 17.7. improve the implementation of the said
ordinance
Others: (please specify)

Note: For barangay with existing barangay
ordinance on item 17.7. but sees no need
for further improvement
BPOC Resolution for the purpose
Assessment Report/Evaluation on the
for implementation POC-Related issuances
Accomplishment Report prepared by BPOC
with recommendation portion for POC Related
Ordinances
Others: (please specify)

YES NO MEANS OF VERIFICATION POINTS REMARKS

18. BPOC submits Barangay Peace and Order Information Certificate of submission from C/MPOC (Required)
Report to C/MPOC, Local PNP Unit and other Local PNP Unit and other law enforcement
law enforcement. office
Copy of received transmittal form
Others: _______________

YES NO MEANS OF VERIFICATION POINTS REMARKS

19. BPOC accomplishes and submits the previous BPOC Copy of the previous BPOC Self-Assessment
Self-Assessment Form to BPOC Evaluation Task Force Form certified by the ETF
(ETF) Copy of received transmittal form
Others: _______________

YES NO MEANS OF VERIFICATION POINTS REMARKS

20. The BPOC practices new methods and programs as Program briefer
innovation in the implementation of Peace and Order Resolution/Ordinance implementing the innovation
and Public Safety in the Community Photo Documentation with date and time stamp
Recognition and awards
Newspaper clips
Others: ______________

Audited by:

TOTAL POINTS
OSCAR T. LIM, JR., CESE
City Director, DILG Iloilo City
Date signed: _________________ LEVEL OF FUNCTIONALITY