Republic of the Philippines

Department of Education
Region IV- A CALABARZON
SCHOOLS DIVISION OF LIPA CITY
FERNANDO AIR BASE INTEGRATED NATIONAL HIGH SCHOOL
Fernando Air Base, Lipa City
School Year 2019-2020

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
Satisfactor Unsatisfact Unsatisfactory, Needed (Indicate
repainting, nature of labor
y ory describe the kind and quality)
replacement, services needed)
problem etc)
 Roofs/Gutters G.I. Sheets # 10
Damaged Replacement G.I. Sheets # 8 Skilled Carpenter
Leaking Repair QDE Baguio Green Skilled Painter
 Rusty Repainting Umbrella Nail # 3 Laborer
Clogged Cleaning Roller # 4 Volunteers
Paint Brush # 3 Parents
Steel Brush
 Ceilings Plywood (¼) Skilled Painter
 Repair CWN #1 Volunteers
Repaint QDE (Flat) Carpenter
(Gloss)
 Walls Latex Paint (Flat) Painter
 Repaint Latex Paint (Gloss) Volunteers
Cleaning Cleaning Materials Students
Parents
 Blackboards Decayed Repaint Blackboard Paint Painter / Carpenter
 Defaced Replacement Blackboard Volunteers
Cleaning Cleaning Materials Students
Parents
 Chairs/desks/tables Repair CWN #1 & #2 Students
 Repaint QDE (Choco Volunteers
Cleaning Brown) Parents
Sanding Paper
Paint Brush
 Water facilities/  Cleaning Cleaning Materials Volunteers
Drainage System Students

 School garden  Cleaning Cleaning Materials Students

Volunteers
 Lighting  Replacement Bulb Volunteers
Students
 Windows  Broken Window Replacement Clear Glass Volunteers
Panes, Jalousies Cleaning Cleaning Materials Parents
 Doors Broken Door/Lock Replacement Door Knobs/Lock Volunteers
 Knobs Repair QDE Paint Parents
Students
 Comfort Rooms QDE Paint
Repaint Cleaning Materials Students
 Cleaning Powder Soap Parents
Muriatic Acid Volunteers
Brush
 School Grounds Cleaning Cleaning Materials Students
 Beautification Decorative Stones Volunteers
Latex Paint Teachers
Parents
  School Canteen Plywood (¼)
No Ceiling Ceiling Lumber (2x2x10) Skilled Carpenter
 Rough Floor Installation of floor CWN #2 & #1 Mason
tiles Cement Laborer
Adhesive
Tiles
 School Fence/ wall Repaint Roller Volunteers
 Cleaning Brush Students
Latex Paint Parents
Cleaning Materials
 Electricity Repair / Electrician
 Replacement of Outlet Utility
damaged outlet Bulb Volunteers
and busted bulb
 Alternative gate
Rough Pathway Concreting of Cement Mason
 Rusty Gate pathway Sand Labor
Repaint Gravel Volunteers
QDE Paint Parents

 Laboratory equipment Microscope

 Damaged Replacement Test Tube Volunteers
Broken Test Tube Rack Alumini
Alcohol Lamp NGO
Beaker LGU
Thermometer
Graduated Cylinder

Prepared by: Noted:

EDMUNDO F. FETALVERO March 18, 2019 JOE I. TITULAR

School Physical Facilities Coordinator Date of Inspection Principal III