Self – Assessment Form 2017

Name / Number of Barangay: ___________________________________ Date filed: ______________

Name of Barangay Chairperson: __________________________Municipality / City: ____________________
Province: _____________________________ Region: _________________________________

Instructions:
1. Highest Rating is 100 points, there are (4) four main items which have corresponding points. Each main
item has several criteria with differing value.
2. Every nominated barangay shall honestly evaluate its rate of compliance for R.A. 9003, Ecological Solid
Waste Management Act of 2000
3. The Self-Evaluation form together with the entry form will be submitted to the EMB - Solid Waste
Management Division, Central Office through email. (nswmc2004@yahoo.com)

Maximum Barangay
Points Points
A. SEGREGATION AT SOURCE (25 POINTS)
a1. Presence of Ordinance
 More than 2 years of existence 8
a2. Presence of Segregation Bins in the whole Barangay (Sacks, Eco-Bags,
5
Drums, etc.)
a3. Proper use of Segregation Bins in the whole Barangay (Sacks, Eco-
5
Bags, Drums, etc.)
a4. IEC for Households (random survey)
 Informed on the SAS ordinance 3
 Attendance to Barangay training / IEC on ESWM 2
 Informed on 4R’s 2

B. SEGREGATED COLLECTION (20 POINTS)

b1. Presence of Ordinance
 More than 2 years of existence 6
b2. Schedule of Collection
 Signage, Charts and any form of documentation 4
b3. Implementation of segregated collection
 Presence of Managed Pick-up points / system 7
b4. IEC for Households (random survey)
 Informed on the Segregated Collection ordinance 3

C. MATERIALS RECOVERY FACILITY (33 POINTS)

c1. Fully Operational
 Presence of Composting process (Windrows, Vermi, Tire,
10
Mechanical)
 Proper use of recyclables / storage 10
c2. Recording system
 More than 1 year data 8
c3. Presence of In-charge MRF operation
 Contract of Service or Designation Document 5

D. BARANGAY COMMITTEE FOR ESWM (22 POINTS)

d1. Presence of Resolution for the creation of BSWMC
 3 years of existence 5
d2. Activities done by the Committee (as of April 2016-April 2017)
 4 or more activities 10
d3. Conduct of BSWMC meetings (12 meetings) 7

GRAND TOTAL 100