BE Form 1

Republic of the Philippines

Department of Education
Region IV- A CALABARZON
DIVISION OF GENERAL TRIAS CITY
SANTIAGO NATIONAL HIGH SCHOOL
BRGY. SANTIAGO CITY OF GENERAL TRIAS, CAVITE
School Year 2019 -2020

BRIGADA ESKWELA
PHYSICAL FACILITIES AND MAINTENANCE NEEDS ASSESSMENT FORM

Instruction: Conduct an ocular inspection of the school physical facilities 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).

Building Name / No. 01 Principal Led

Condition Remarks Nature of Materials/ Manpower

improvement Resources needed
Facilities If unsatisfactory, (e.g. repair, Needed (indicate quantity
Satisfactory Unsatisfactory repainting, (indicate kind and and labor services
describe the problem
replacement, etc.) quality) needed)
 Roofs/Gutters / Roof Leak Repair Adhesive 1 labor
Vulcaseal 1 Carpenter
 Ceilings / Leak Repair Ply wood, Nail 1 Labor
1 Carpenter
 Walls /
 Blackboards /
 Chairs/desks/tables /
 Water facilities/ /
Drainage System
 Signages /
 School garden
 Lighting /
BE Form 1

 Windows / Broken Frames Repair Window Frames 2 Laborers

 Doors / Broken Frame Repair Door Frame 2 Laborers
 Comfort Rooms /
 School Grounds
 School
Canteen/Clinic
 School Fence/ wall
 Electricity /
 Alternative gate
 Reference
Materials
 Laboratory
equipment

Prepared by: Noted by:

NOEL G. DE JESUS CORAZON L. NOVELO JOCELYN L. FORTUNO

School Physical Facilities Coordinator School Head/ TIC/ OIC PSDS, Cluster VI

Date of Inspection: April 10, 2019 Date Received: April 12, 2019 Date Received: