BE Form 01

Republic of the Philippines

Department of Education
Region VI – Western Visayas
SCHOOLS DIVISION OF ILOILO
ADCADARAO INTEGRATED SCHOOL
Adcadarao, Ajuy, Iloilo
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
Satisfacto Unsatisfact Unsatisfactory, Needed (Indicate
repainting, nature of labor
ry ory describe the kind and quality)
replacement, services needed)
problem etc)
 Roofs/Gutters  Roofs/Gutters Repair Sealant, nails, extra 2 carpenters for
have holes and roofs and gutters carpentry services
cracks
 Ceilings  Sagging ceilings Repair/Replacemen Nails, plywood, 6 carpenters for
t woods carpentry services
 Walls  Scratched and Repaint paint 3 painter to do the
dirty walls painting services
 Blackboards 
 Chairs/desks/tables  Lack of chairs Needs new chairs 200 armchairs
and tables. and
Old and damaged tables/armchairs.
chairs and tables.
 Water facilities/  Leaking pipes Repair Sealant, pipes, 3 plumber for
Drainage System and damaged faucets plumbing services
faucets
  Signages  Old and worn-out Replacement Plywood, paint 1 painter to do the
signages signages
 School garden  Needs cleaning Replanting and
and replanting cleaning
 Lighting  Lights are burned Replacement
out
 Windows  Loose and dusty Repair, Cleaning
jalousies
 Doors 
 Comfort Rooms  Murky comfort Cleaning
rooms
 School Grounds  School grounds Cleaning
are filthy.
 School Canteen/Clinic  Dirty Cleaning
 School Fence/ wall  Scratched and Repainting Paint, brush, roller 3 painter
muddy wall fence
 Electricity 
 Alternative gate 
 Reference Materials 
 Laboratory equipment

Prepared by: Noted:

BRIGIDA V. BALBAGUIO May 9, 2019 MARLYN L. CALDE

MAR
School Physical Facilities Coordinator Date of Inspection School Head