CBIM 2021 Form 19

Environmental and Social Safeguards Checklist

KALAHI-CIDSS National Community-Driven Development Program

Philippine Multi-Sectoral Nutrition Project (PMNP)

Environmental and Social Safeguards Checklist

Site Investigation

Barangay : MAY-ANAO
Municipality : TIGAON
Province : CAMARINES SUR
Region : V
Sub-Project Title: PROVISION OF AMENITES TO THREE(3)-UNITS CHILD DEVELOPMENT
CENTER

I. Preliminary Site Investigation

When conducting a site investigation to identify environmental and social factors that may affect subproject
design, implementation, and operations and maintenance, the following, among others, are to be checked.
Higher sensitivity or the presence of potential environmental and social impacts do not necessarily indicate
the unsuitability of the area, but instead mean that more substantial environmental and/or social planning
may be required to adequately avoid, mitigate or manage potential effects.

Site Sensitivity
Area of Concern Rating Remarks
Low Medium High
Natural Habitats No natural No critical natural Critical natural
habitats present habitats; habitats present; Low N/A
of any kind
Other natural habitats Within declared
occur protected areas Low N/A
Water quality and Water flow rate
water resource exceeds existing Low
availability and use demand; N/A
Low water Medium water Intensive water
utilization rate utilization rate; utilization; multiple Low N/A
multiple water users water users
Low potential for With medium potential With medium
water utilization- for water utilization- potential for water Low N/A
related conflicts; related conflicts; with utilization-related
no existing water existing water conflicts; with
utilization-related utilization-related existing water
conflict/s conflict/s utilization-related
conflict/s
No potential With medium potential With high potential
water quality for water quality for water quality Low N/A
issues; no issues; with existing issues; with existing
existing water water quality issues water quality issues
quality issues
Natural hazards Flat terrain; Medium slopes; Mountainous
vulnerability, floods, terrain; steep Low N/A
soil stability/erosion slopes
CBIM 2021 Form 19
Environmental and Social Safeguards Checklist

Site Sensitivity
Area of Concern Rating Remarks
Low Medium High
No potential Some erosion Unstable soil; high
stability/erosion potential; erosion/ landslide Low N/A
problems; potential;
erosion/landslide-
prone
No known Medium High
volcanic/seismic volcanic/seismic, volcanic/seismic, Low N/A
/flood risks flood, and/or typhoon flood and/or
risks typhoon risks
Physical Cultural No known or Suspected cultural Declared/known
Property suspected heritage sites; known heritage sites in Low N/A
heritage sites in subproject area
broader area of
influence
Involuntary Low population Medium population High population
Resettlement density; density density; major town Low N/A
dispersed and villages
population
Legal tenure is Mixed ownership and Low-income
well-defined land tenure families and/or Low N/A
illegal ownership of
land
Communal
properties Low N/A
Indigenous Peoples with indigenous Dispersed and mixed Indigenous
population indigenous territories (CADT),
populations; reserves and/or Low N/A
lands
Highly- acculturated Vulnerable
indigenous indigenous N/A N/A
populations populations
Other factors or
conditions distinct to N/A N/A N/A N/A N/A
the area

II. Areas for Potential Environmental and Social Impact

Yes No Remarks
A. Environment
If the answer to nay question from 1-10 is “Yes,” please include an Environmental and Social Management Plan (ESMP) with the
subproject application.
Will the sub-project:
1 Risk the contamination of drinking water? / N/A
2 Cause poor water drainage and increase the risk of water-related diseases such as malaria, / N/A
dengue and schistosomiasis?
3 Harvest or exploit a significant amount of natural resources such as trees, wood for fuel or / N/A
water?
4 Be located within or nearby environmentally sensitive areas, protected areas (e.g. intact / N/A
natural forests, mangroves, wetlands or threatened species)?
5 Create a risk of increased soil degradation or erosion? / N/A
6 Located in an erosion-/landslide-prone area? / N/A
7 Create a risk of increasing soil salinity? / N/A
CBIM 2021 Form 19
Environmental and Social Safeguards Checklist

Yes No Remarks
8 Produce, or increase the production of solid wastes (e.g. water, medical/healthcare, / Make sure to practice
domestic or construction wastes)? proper waste disposal
after the operation and
segregate the
recyclable and non-
recyclable materials
9 Affect the quantity or quality of surface waters (e.g. rivers, streams, wetlands) or / N/A
groundwater (e.g. wells)?
10 Result in the production of solid or liquid waste, or result in an increase in waste production, / Make sure to practice
during construction or operation? proper waste disposal
after the operation and
segregate the
recyclable and non-
recyclable materials
B. Land Acquisition and Access to Resources
If the answer to any of the questions from 11-16 is “Yes,” please inform the RPMO and prepare appropriate documents required under
the LARR Framework (see Annex G).

Will the sub-project:

11 Require that land (public or private) be acquired (temporarily or permanently) for its / Acquire Brgy.
development/sub-project implementation? Resolution allowing the
KALAHI sub-project
implementation
12 Use land that is currently occupied or regularly used for productive purposes (e.g. / N/A
gardening, farming, pasture, fishing, forests)?
13 Physically or economically displace1 individuals, families, businesses? / N/A
14 Have any individuals, families, businesses been displaced up to 2 years prior to sub-project / N/A
enrolment?
15 Result in the temporary or permanent, partial or total loss of crops, fruit trees, fixed assets, / N/A
and/or household infrastructure such as crop storage facilities, outside toilets and kitchens?
16 Result in the involuntary restriction of access by people to legally designated parks and / N/A
protected areas2?
C. Indigenous People
If the answer to any of questions 17 – 19 is “Yes,” please inform the RPMO and if needed, prepare an
Indigenous Peoples Plan (IPP)3

Are there:
17 Any indigenous groups living within the boundaries of the barangay where the subproject / N/A
will be located?
18 Resources (land, water, etc.) to be used for the sub-project, over which the Indigenous / N/A
People have prior claim?
19 Members of these indigenous groups who would be affected (i.e. benefit from, or be / N/A
adversely affected) by the sub-project?
D. Pesticides and Agricultural Chemicals
If the answer to Question 20 is “Yes,” please inform the RPMO and coordinate with the Municipal Agricultural Officer of the LGU.
Integrated Pest Management techniques should be promoted among the beneficiaries.

20 Will the subproject increase agricultural productivity? This may happen when the subproject / N/A
is an irrigation or water impounding activity.

3
CBIM 2021 Form 19
Environmental and Social Safeguards Checklist

III. Other Important Field Data/Information

E.g. the project will affect access to natural resources, communal facilities, and services; due to change in land use, project will
have an adverse impact on social and economic activities; access to land and resources owned communally or by the state will be
restricted due to the project.
If the screening and the SIA indicate that the proposed project will have impacts, positive and/or negative, on Indigenous
Peoples, the borrower/client will prepare the IPP in the context of the SIA and through meaningful consultation with the
affected Indigenous Peoples communities. However, for sub-projects where IPs are the sole or overwhelming majority of
direct project beneficiaries, and when only positive impacts are identified, a stand-alone IPP will not be required. Elements
of an IPP (meaningful consultations, information disclosure, and beneficial measures to IP communities) are included in
the overall project design documents (such as CMP) and a report of these sub-projects (including assessment of the
benefits accruing to IP communities) will be submitted as part of the periodic project progress reports submitted to the
DSWD

Noong nakaraang site validation, na dinaluhan ng ACT, MCT, ibang barangay officials at ibang napiling
volunteers ay nalaman kung ano ang maaaring environmental at social impacts kung saan itatayo ang sub-
project. Nakilahok din sila sa social planning upang agarang malaman kung ano ang maaring interbensyon
para mabawasan o maiwasan ang maaring maging epekto nito.

CERTIFICATION

We certify that we have thoroughly examined and discussed all the potential adverse effects of this sub-project. To the
best of our knowledge, the sub-project plan as described in the application and associated planning reports (e.g.
ESMP, RAP, IPP), if any, will be adequate to avoid or minimize all adverse environmental and social impacts.

PPT Representative : WILLIAM PANCHO

Name and Signature

CNSPMC Chairperson : MAGDALENA S. COBILLA

Name and Signature

BNC Chairperson : MARCELO N. VILLAFUERTE JR.

Name and Signature

ACT TF : JAYSON G. SALDIVAR

Name and Signature

MCT TF : No current staff for the implementation

Name and Signature

ACT CEF : HAZEL P. MALAGUEÑO

Name and Signature

MCT CEF : No current staff for the implementation

Name and Signature

CLUSTER In- Charged CDO : ALEX L. FAJARDO

Name and Signature
CBIM 2021 Form 19
Environmental and Social Safeguards Checklist

RPMO In- Charged CDO : JANETTE G. BELLEN

Name and Signature