Appendix B

BE Form 01

Republic of the Philippines

Department of Education
REGION VII
SCHOOLS DIVISION OFFICE OF DANAO CITY

GUINSAY ELEMENTARY SCHOOL

Guinsay, Danao City

BRIGADA ESKWELA 2020

PHYSICAL FACILITIES REPAIR AND MAINTENANCE NEEDS ASSESSMENT FORM
Instruction: Conduct an ocular inspection of the school facilities listed below. Then provide the needed information to facilitate the improvement to be done on these identified facilities.
Condition Remarks Nature of Improvement Needed Manpower Needed
( Check One) Material Resources Needed
FACILITIES If unsatisfactory, describe the
(e.g. repair, repainting, replacement,
( indicate kind and quantity)
(Indicate quantity & nature of
Satisfactory Unsatisfactory problem etc.) labor services needed)
Principal’s Office /
Classrooms
 Ceiling / Needs replacement Replacement 2 Sheets & ¼ X4X8 Marine Plywood Carpenter
 Window / Needs Grills Metal Grills Fabrication 10X * 9mm Square tube Welder
 Walls / Needs Repainting Repainting 3 gallons flat wall Painter
Comfort Rooms / Needs Minor Repair
 Doors / Door knobs needs replacement Replacement 3 pcs. Quick Set Door Knobs Carpenter
 Toilet Bowl / Needs cleaning Cleaning Cleaning Paraphernalia Parents
 Lighting / Needs Additional Bulb Replacement of Bulbs 2 pcs.LED Bulb Parents
School Canteen / Needs Minor Repair Repair
 Lighting / Needs Additional Light Outside Needs Replacement of Bulb 2 pcs. LED Bulb, Sockets Parents / Teachers
 Ceiling / Needs Repair for Old Ceiling Needs Minor Repair 5 Sheets Marine Plywood Carpenter
Water Facilities / Replacement 5 PVC Pipe Plumber
Needs Water Supply and Faucets, No Installation of Faucets and Pipes, 20 sack of cement
Water and Sanitation / water tank based Construction of water tank base 30 pcs 2x2x10
School Fence / Front Fence, Needs Repair Replacement 1 X 2 Square Tube 20 Lenghts Welder
Armchairs / Need Extra Screws and Bolts Repair 100 Pieces # 1 Wood Screw Parents / Teachers
Desks / Need Extra Screws and Bolts Repair 100 Pieces # 1 Wood Screw Parents / Teachers
School Stage / Ceiling Needs Repair Repair 2 Sheets, Marine Plywood (1/2) Carpenter
COVID – 19 Signages / Need to be printed on tarpaulin Replacemant Tarpaulin
 Electical Wiring / Adjustments 2 pcs. Porcelain Holder
ICT Classroom Lighting / Need Additional Bulb and Sockets Replacement / Installation 5 led bulb, 5 sockets, 5 switches
ICT Classroom Extra
Outlets / Need Extra Outlets for Installation 60 ampere safety switch, 5 outlets
Home Economics Building
Ceiling / Ceiling Needs Repair Repair 5 Sheets marine Plywood (1/2)
Home Economics Building
Toilet / Toilet Needs Cleaning Cleaning Cleaning Paraphernalia
Lunch Counter Lights / Need Additional Bulb and Socket Installation 2 Led Bulb, 2 switches

Prepared by:

Noted:
REY M. MANGAS ___________________ JOVER M. SERENOVES
School Physical Facilities Coordinator Date of Inspection School Principal

Address: Sitio Upland, National Road, Danao City, Cebu

Telephone No: (032) 262-6211
E-mail: danao.city@deped.gov.ph | Website: depeddanaocity.com