BE Form 01

Republic of the Philippines

Department of Education
Negros Island Region
SCHOOLS DIVISION OF__SAN CARLOS CITY_
TUBURAN ELEMENTARY SCHOOL
Crossing Ulay, Setio Tuburan, Brgy Prosperidad,Negros Occidental
School Year ___2017-2018_

BRIGADA ESKWELA
PHYSICAL FACILITIES AND MAINTENANCE NEEDS ASSESSMENT FORM

Instruction: Conduct an ocular inspection of the school physical listed below. Then provide the needed information to facilitate the
improvement to be done on these identified facilities. (If needed you may use separate forms for each classroom or school facility).
CONDITION Nature of
Remarks improvement Manpower
(Check One) Material
Needed Needed(Indicate
If Resources
FACILITIES (e.g. repair, quantity and
Satisfacto Unsatisfact Unsatisfactory, Needed (Indicate
repainting, nature of labor
ry ory describe the kind and quality)
replacement, services needed)
problem etc)
Roofs/Gutters cleaning brooms Ord. labor
Ceilings Minor repair Nails & hammer 1 carpenter
Walls repainting paints 2 painters
Blackboards repainting Green paint 2 painters
Chairs/desks/tables replacement
Water facilities/ No water Water connection
Drainage System connection
Signages Additional signages Paint, plywoods 1 Painter/artists
School garden Needs landscaping,&
cleaning, destroyed by
Repair, Mower/ cleaning tools Ord..labor/volunteer
animals landscaping
Lighting No electricity Electricity
connection
Windows Minor repair, paints 2 painter
repainting
Doors Padlocks(gr.5) padlock 1 carpenter
Comfort Rooms cleaning Cleaning tools Ordinary worker
School Grounds Mowering, Mower/cleaning tools Volunteer/ordinary worker
 landscaping
School Canteen/Clinic
School Fence/ wall repair paints 2 painters
Electricity No electricity
Alternative gate
Reference Materials Inadequate(gr.5) References TGs & LMs
Laboratory equipment

Prepared by: Noted:

____SHEILA SORIBA PASILAN____ _________________ TEODUCIA VILLEGAS LIMOT

School Physical Facilities Coordinator Date of Inspection School Head