TITLE: SUBCONTRACTOR EVALUATION SHEET FORM

(SCORE SHEET)

1.0 PRODUCTIVITY – To be based on adherence to plans (25%)

Points Earned Remarks

1.1 Meeting Schedule

a. On time/Ahead of Schedule 25% ____________

b. < 5% Delay 20% ____________

c. 5% ≤ Delay < 10% 10% ____________

d. 10% ≤ Delay ≤ 15% 7% ____________

e. > 15% Delay 0% ____________

2. WORKMANSHIP/QUALITY – To be based on QC report on OPQR (25%)

Points Earned Remarks

2.1 Quality personnel availability 1% ______________

0% - EXCEEDS TWO DAYS ABSENT PER

MONTH
0.5% EXCEEDS ONE DAY ABSENT PER
MONTH
1% IF DOES NOT EXCEED ONE DAY
ABSENT PER MONTH
0% IF THERE IS ONE WEEK WITHOUT
QC PERSONNEL

2.2 Attend Inspections on time 1% ______________

0% - IF EXCEEDS 5% rescheduled IWR

0.5% - IF EXCEEDS 2% rescheduled IWR
1% - IF DOES NOT EXCEEDS 2% rescheduled
IWR

2.3 NO or minimal rejection on inspection/testing 3% ____________

0% - IF EXCEEDS 5 NOS. IWR rejected.

1% - IF EXCEEDS 2 NOS. IWR rejected.
3% - IF NOT EXCEEDS 2 NOS. IWR rejected.

DPI-FR-OPN-038 rev.00 / 6.11.18

 TITLE: SUBCONTRACTOR EVALUATION SHEET FORM
(SCORE SHEET)

Points Earned Remarks

2.4 Minimal Punchlist 5% ____________

0% - IF AVERAGE PUNCHLIST EXCEEDS 10

2% - IF AVERAGE PUNCHLIST EXCEEDS 05

5% - IF AVERAGE PUNCHLIST DOES NOT
EXCEEDS 5

2.5 Non-Compliance Report 5% ____________

0% - IF NCR EXCEEDS 4 NOS.

2% - IF NCR EXCEEDS 2 NOS.

5% - IF NCR DOES NOT EXCEED 2 NOS.

3.0 SAFETY, ENVIRONMENT & HEALTH (25%) Points Earned

3.1 Safety Performance (Incident rate) 15% ______________

15% - NO LOST TIME INCIDENT (LTI) W/IN GIVEN

PERIOD
10% - WITH NON-LTI INCIDENT OF 3 OR LESS

5% - WITH NON-LTI INCIDENT OF 5 (MAX)

0% - WITH LTI OR EXCEEDING NON-LTI LIMIT

3.2 Availability of PPE 5% ______________

5% - ALL WORKERS HAVE PPE (NO SVT/SDNR)

0% - WITH NOTED SVT/SDNR (NO PPE ISSUANCE)

3.3 Housekeeping 5% ______________

5% - NO REPORTED VIOLATION (SVT/SDNR)

2% - WITH NOTED VIOLATION OF 1-3 (MAX)

0% - NOTED VIOLATIONS EXCEEDED THE LIMIT

DPI-FR-OPN-038 rev.00 / 6.11.18

 TITLE: SUBCONTRACTOR EVALUATION SHEET FORM
(SCORE SHEET)

4.0 RESOURCES (25%)

Manpower – To be based on Manpower loading schedule and Supervisor/FM report.

4.1.1 Availability (10%)

Points Earned Remarks

 All required qualified personnel were ____________________

Supplied
 Not complete, but all critical personnel
Were supplied ____________________
 Partially complete critical personnel ____________________
 Personnel not enough ____________________

4.1.2 Skills – To be based on percent acceptance of work per QC report. (5%)

Points Earned Remarks

 All works accepted ____________________

 Accepted with very minimal defect ____________________
 With major repair needed ____________________

4.2 TOOLS & EQUIPMENT – To be based on Equipment Loading Schedule and the record of equipment
dept. (5%)

4.2.1 Availability

Points Earned Remarks

 All required tools and equipment are available ____________________

 No available major/critical equipment ____________________

4.3 DOCUMENTATION & COORDINATION – To be based on the attendance of personnel and conform to
coordination within meetings by Operations group. (5%)

Points Earned Remarks

4.3.1 Weekly report _____________________

4.3.2 Other requirements such as IWR _____________________

4.3.3 Regular Attendance during field coordination _____________________

Meetings

DPI-FR-OPN-038 rev.00 / 6.11.18

 TITLE: SUBCONTRACTOR EVALUATION SHEET FORM
(SCORE SHEET)

Maximum Percentage Weight 100%

COMMENTS ON EVALUATION RESULT (To be accomplished by PM/PIC and Site QC based on
evaluation by the committee)

Computation Scheme:
Other Grounds / Offenses:
= weight X point earned
☐ Abandonment Recommendation
☐ Supplied product doesn’t meet standard and 3.0 – 4.0 Recommended for future
project specifications requirement project
1.0 – 2.99 Recommended for future
project but with specific
☐ Delays and failure to meet completion conditions
schedule/delivery requirement
0 – 0.99 Not recommended for future
project
☐ Inability to cooperate or initiate correction /
OTHER REMARKS:
corrective action noted by DPI
☐ Failure to mobilize equipment and/or
manpower & other resources
☐ Subcontracting the whole works or any part
thereof without DPI approval
☐ Failure to pay their supplier/workers

Jointly Evaluated by:

_________________
PM/PIC, QC, PCCD

Acknowledged by:

_____________________________

Contractor’s Representative

DPI-FR-OPN-038 rev.00 / 6.11.18