PRIME-HRM ASSESSMENT CHECKLIST with KEY INDICATORS

GENERAL INSTRUCTION: Please check or click "Yes" or "No" if the following item/s under each aspect of the assessment is/are existing. If the said item/concern cannot be directly responded by either Yes or No, please note im
column. If there are more than 10 employees in the sampling, please copy this worksheet to another tab, enter the next set of employee names and repeat the process.
I. Human Resource Records Management
A. Human Resource Records
1. 201 Files
Name and Position of a. b. c. d. e. f. g. h. i. j. k. l.
Employees (Use Appointment Assumption to Oath of Office Personal Data Position Certificate of Designation Statement of Notices of Medical NBI Clearance School
additional sheets if (CSC Form 33) Duty Sheet (CSC Description Eligibilities/ Orders, if Assets, Salary Certificate Diplomas and
necessary) Form 212) Form licenses applicable Liabilities and Adjustments / (CSC Form Transcript of
Networth Step 211) records
Increments Neuro-
Psychiatric
test if
applicable
Drug Test, if
applicable

Check if the Certificate of Oath of office Check if all Check if filled Original copy Check if Updated Notices of Original copy ; Original copy ; Original copy
appointment assumption not earlier items are out and or duly reflected in SALN; may be Salary required for required for duly
details counterchecke than date of completely consistent authenticated the PDS and filed Adjustments / original original authenticated
conform to d with date of issuance of and properly with the by CSC, PRC, IPCR separately Step appointments appointments ; required for
the plantilla of issuance of appointment filled out. position as SC or other from 201 Increments and re- and re- original
Item personnel and appointment appearing on agencies must be employment employment appointments
Descriptions employees' the face of which issued recorded in ,reemploymen
/ Specific service the the licenses. employees' t, or
Instructions records and if appointment records promotion
/ erasures are
Assessment authenticated
Guide

Appointment Certificate of Oath of Office, Personal Data Position Certificate of Office Order, SALN NOSI/NOSA, Medical NBI Clearance Diplomas,
Form, Assumption, Appointment Sheet Description Eligibility, PRC PDS, IPCR Service Cards certificates TOR
Document/ Plantilla, Appointment Form, ID, licences and results of
Evidence Service Card Appointment required tests
Requiremen
ts

1
2
3
 4
5
6
7
8
9
10
11
12
13
14
15
16
17
esponded by either Yes or No, please note important details relative to the item on the Remarks

m. n. o. p q.
Marriage Certificate of Clearance Commendatio Contract of
Contract Leave from Property ns/Awards or Service (if
/certificate Balances (for and Money Copies of applicable)
transferees) Accountabiliti Disciplinary
es (for Actions (if
transferees) any)

For change of Cross check Required for

civil status, with the transfer
application for employee
paternity leave card if
leave last entry is
updated

Certificate of Certificate/ Contract of

Leave Decision Service
Balances (for
transferees)
PRIME-HRM ASSESSMENT CHECKLIST with KEY INDICATORS
GENERAL INSTRUCTION: Please check or click "Yes" or "No" if the following item/s under each aspect of the assessment is/are existing. If the said item/concern cannot be directly responded by either Yes or No, please note
column. If there are more than 10 employees in the sampling, please copy this worksheet to another tab, enter the next set of employee names and repeat the process.
I. Human Resource Records Management
A. Human Resource Records
1. 201 Files
a. b. c. d. e. f. g. h. i. j. k. l.
Appointment Assumption to Oath of Office Personal Data Position Certificate of Designation Statement of Notices of Salary Medical NBI Clearance School Diplomas
(CSC Form 33) Duty Sheet (CSC Form Description Form Eligibilities/ Orders, if Assets, Liabilities Adjustments / Certificate (CSC and Transcript of
212) licenses applicable and Networth Step Increments Form 211) records
Neuro-
Name and Position of Psychiatric test if
Employees (Use additional applicable
Drug Test, if
sheets if necessary) applicable

Check if the Certificate of Oath of office Check if all items Check if filled out Original copy or Check if reflected Updated SALN; Notices of Salary Original copy ; Original copy ; Original copy
appointment assumption not earlier than are completely and consistent duly in the PDS and may be filed Adjustments / required for required for duly
details conform counterchecked date of issuance and properly with the position authenticated by IPCR separately from Step Increments original original authenticated ;
to the plantilla of with date of of appointment filled out. as appearing on CSC, PRC, SC or 201 must be appointments appointments required for
personnel and issuance of the face of the other agencies recorded in and re- and re- original
employees' appointment appointment which issued the employees' employment employment appointments
Item service records licenses. records ,reemployment,
Descriptions/ and if erasures or promotion
Specific are
Instructions/ authenticated
Assessment Guide

Appointment Certificate of Oath of Office, Personal Data Position Certificate of Office Order, SALN NOSI/NOSA, Medical NBI Clearance Diplomas, TOR
Form, Plantilla, Assumption, Appointment Sheet Description Eligibility, PRC ID, PDS, IPCR Service Cards certificates and
Document/ Service Card Appointment Form, licences results of
Evidence Appointment required tests
Requirements

1
2
3
4
5
6
7
8
9
 10
11
12
13
14
15
16
17
Employees request for copies
Document/ Evidence Entries in the records are Location of files is accessible
Other Records and Indicators Specific
NGA-duly Instructions
approved by DBM, Updated as of audit period of documents granted
2. Plantilla of Personnel Plantilla; Requirements
Appointments; accurate and complete promptly and secured
LGU-duly approved by the Service Card NOSA/NOSI;
Appointments;
3. Service Records Sanggunian
Cross-check with appointments
and Plantilla
4 Reports on Appointments CrossNOSA/NOSI if personnel
reference wth ACEC, validated/ invalidated with
Issued (for accredited agencies) Appointments, Plantilla, Check reasons RAI, Appointment,
tly responded by either Yes or No, please note important details relative to the item on the Remarks

m. n. o. p q.
Marriage Certificate of Clearance from Commendations/ Contract of
Contract Leave Balances Property and Awards or Copies Service (if
/certificate (for transferees) Money of Disciplinary applicable)
Accountabilities Actions (if any)
(for transferees)

For change of Cross check with Required for

civil status, the employee transfer
application for leave card if last
paternity leave entry is updated

Certificate of Certificate/ Contract of

Leave Balances Decision Service
(for transferees)
Evidence Requirements Remarks
 Employees request
Document/ Entries in the Location of files is
Updated as of audit records for copies of Evidence
Other Records and Indicators Specific Instructions Evidence are accurate accessible and Remarks
period documents granted Requirements
Requirements and complete secured
promptly

NGA-duly approved Plantilla;

by DBM, LGU-duly Appointments;
2. Plantilla of Personnel approved by the Service Card
Sanggunian

Cross-check with
appointments and
NOSA/NOSI if Appointments;
3. Service Records personnel NOSA/NOSI; Plantilla
movements and
salary adjustments
were posted

Cross reference wth Monthly reports

ACEC, Appointments, issued, validated/
4 Reports on Appointments Issued invalidated with
Plantilla, Check
(for accredited agencies) notice of validation reasons RAI,
Appointment,
or invalidation Plantilla