Brigada Eskwela Forms 2021

BRIGADA ESKWELA FORM 1
PHYSICAL FACILITIES REPAIR AND MAINTENANCE NEEDS FORM

(to be Accomplished by the School Facilities Coordinator, School DRR Coordinator & School Health Coordinator)
CONDITION (check one) REMARKS NATURE OF MANPOWER

MATERIAL
If IMPROVEMENT NEEDED (Indicate
RESOURCES
FACILITIES Unsatisfactory, NEEDED (Repair, quantity and nature
SATISFACTORY UNSATISFACTORY NEEDED (Indicate
describe the replacement, of labor services
kind and quantity)
problem provision, etc.) needed)
A. (to be filled in by School Property Custodian)
Roofs
Gutters
Ceilings
Walls
Windows
Doors
Blackboards
Tables
Chairs
Desks
Tables
Comfort Rooms
Pipes
School ground
School Landscaping
School signs
Drainage systems and
drainage canals
Learners’ kiosk
School Fence
MATERIAL
RESOURCES
kind and quantity)
B. School Disaster Risk Reduction Management (DRRM) Coordinator
School electrical system
Fire suppression
equipment (fire
extinguishers, water
source and other
indigenous materials)
Unobstructed corridors
& pathways
Cordon off and Safety
signage for on-going
construction
Below head level
Cabinets
Below head level drawers
Safety measures in
laboratories &
workshops
Evacuation/exit plans
and directional signage
on every floor of the
building
Evacuation areas and
classrooms as temporary
shelters
Trees
Directory of emergency
contact numbers
Early warning
mechanisms
First aid kits
Drinking water supply
Identification Cards of
MATERIAL
RESOURCES
kind and quantity)
learners and teachers
Database of student with
contact details of family
Storage of vital school
records
Pedestrian safety of
students
Documentation of
accidents experienced by
learners and personnel
Storage area of textbooks
Storage area of teaching
manuals/references
Storage area of
computers
Storage area of school
equipment
C. To be filled-in by School Health Coordinator
Water Supply
(connection to barangay
water networks,
construction of pumping
system, and/or
installation of rainwater
catchments)
Gender-segregated toilets
for boys and girls
Improvement of existing
toilets
Handwashing facilities
Concrete footpaths,
disability ramps
connecting to water
MATERIAL
RESOURCES
kind and quantity)
source, toilets and
handwashing facilities
Rest space for
menstruating girls that
are private, secure and
comfortable
Elimination of stagnant
water
Hygiene supplies (soap,
toothpaste, toothbrush,
sanitary pads, etc.)
Garbage bins for waste
segregation
Compost pits
Material recovery
facilities
Local garbage collection
services
Hygiene messages in
strategic places (toilets &
eating places)
SCHOOL WORK PLAN
(to be Accomplished by the Heads of Concerned BE Committee)
Instruction: List down all the specific activities that you will be undertaking in relation to the conduct of Brigada Eskwela in your school and fill in
the required information. Add another sheet if needed.
KRA ACTIVITIES TIMELINE PERSONS MATERIALS BUDGET

RESPONSIBLE NEEDED
Advocacy and Marketing
(to be filled in by the Advocacy &
Marketing Committee Head)
Resource Mobilization
(to be filled in by the Resource
Mobilization Committee Head)
Implementation (to be filled in by (all activities to address the
the Program Implementation gaps identified from form 1
Committee Head) should be written here)
Monitoring and Evaluation
(to be filled in by the
Administrative & Finance
Committee Head)
Reporting (to be filled in by
the Documentation Committee
Head)
Prepared by:
LIANE C. DE GRACIA Noted by:
School BE Coordinator REY N. DAHAN
Head Teacher II
RESOURCE MOBILIZATION FORM
(to be Accomplished by Resource Mobilization Committee)
Instruction: Using the completed Brigada Eskwela Form 1: Physical Facilities Needs Assessment Form as basis, list down all the resources
(material and manpower) needed and the potential partners to be tapped.
A. MATERIALS
MATERIALS QUANTITY KEY PERSONS/ STRATEGIES/PLAN OF PERSONS STATUS REMARKS

NEEDED ORGANIZATIONS TO ACTION RESPONSIBLE
BE TAPPED
B. MANPOWER
MATERIALS QUANTITY KEY PERSONS/ STRATEGIES/PLAN OF PERSONS STATUS REMARKS

NEEDED ORGANIZATIONS TO BE ACTION RESPONSIBLE
TAPPED
DAILY ATTENDANCE OF VOLUNTEERS
Date _______________________
A- National Government Agencies and other Government Organization and Public Corporations
A.1 Bureau of Fire Protection & Philippine National Police
Instructions: Volunteers themselves should personally fill in the details required by this form under the supervision of any of the committee
members.
TIME NO. OF NATURE OF
NO NAME POSITION/ ORGANIZATION/ CONTACT SIGNATURE HOURS VOLUNTEER
. DESIGNATION AFFILIATION NUMBER IN OUT SERVED SERVICES
RENDERED
Noted:
REY N. DAHAN
Head teacher II
Date _______________________
A- National Government Agencies and other Government Organization and Public Corporations
a.2 Armed Forces of the Philippines
members.
TIME NO. OF HOURS NATURE OF VOLUNTEER
NO NAME POSITION/ ORGANIZATION/ CONTACT SIGNATURE SERVED SERVICES RENDERED
. DESIGNATION AFFILIATION NUMBER IN OUT
Noted:
REY N. DAHAN
Head teacher II
Date _______________________
(A- National Government Agencies and other Government Organization and Public Corporations)
a.3 Other National Government Agencies and Government Organization and Public Corporation
members.
NO NAME POSITION/ ORGANIZATION/ CONTACT SIGNATURE HOURS VOLUNTEER SERVICES
. DESIGNATION AFFILIATION NUMBER IN OUT SERVED RENDERED
Noted:
REY N. DAHAN
Head teacher II
Date _______________________
B-Local Government Unit
b.1 Congressional Officials
members.
Noted:
REY N. DAHAN
Head teacher II
Date _______________________
b.2 Provincial Officials
members.
TIME NO. OF NATURE OF VOLUNTEER
NO NAME POSITION/ ORGANIZATION/ CONTACT SIGNATURE HOURS SERVICES RENDERED
. DESIGNATION AFFILIATION NUMBER IN OUT SERVED
Noted:
REY N. DAHAN
Head teacher II
Date _______________________
b.3 Municipal Officials
members.
RENDERED
Noted:
REY N. DAHAN
Head teacher II
Date _______________________
b.4 Barangay Officials
members.
Noted:
REY N. DAHAN
Head teacher II
Date _______________________
b.5 Sangguniang Kabataan Officials
members.
RENDERED
Noted:
REY N. DAHAN
Head teacher II

Date _______________________
b.6 Provincial and Municipal Employees
members.
Noted:
REY N. DAHAN
Head teacher II
Date _______________________
b.7 Barangay Employees/Workers
members.
Noted:
REY N. DAHAN
Head teacher II
Date _______________________
C. Community/NGO/Prof. Associations
c.1 Non-Government Organization
members.
Noted:
REY N. DAHAN
Head teacher II
Date _______________________
c.2 Religious Organization
members.
TIME NO. OF HOURS NATURE OF
NO NAME POSITION/ ORGANIZATION/ CONTACT SIGNATURE SERVED VOLUNTEER SERVICES
. DESIGNATION AFFILIATION NUMBER IN OUT RENDERED
Noted:
REY N. DAHAN
Head teacher II
Date _______________________
c.3 Other Community Members and Professional Associations
members.
Noted:
REY N. DAHAN
Head teacher II
Date _______________________
D-Private Sector Involvement Including Corporate Foundations and Private Schools
d. 1 Corporation
members.
Noted:
REY N. DAHAN
Head teacher II
Date _______________________
d. 2 Private Individual
members.
TIME NO. OF HOURS NATURE OF VOLUNTEER
NO NAME POSITION/ ORGANIZATION/ CONTACT SIGNATURE SERVED SERVICES RENDERED
. DESIGNATION AFFILIATION NUMBER IN OUT
Noted:
REY N. DAHAN
Head teacher II
Date _______________________
d. 3 Other Private Sector/Corporate Foundation/Private Schools
members.
Noted:
REY N. DAHAN
Head teacher II
Date _______________________
E-Pupil/Student Organizations (SSG/SPG) and Alumni Associations
E.1 Pupil/Student/Organizations SSG/SPG
members.
Noted:
REY N. DAHAN
Head teacher II
Date _______________________
E-Pupil/Student Organizations (SSG/SPG) and Alumni Associations
E.2 Alumni
members.
Noted:
REY N. DAHAN
Head teacher II
Date _______________________
F-Parents
members.
Noted:
REY N. DAHAN
Head teacher II
ATTENDANCE OF VOLUNTEERS
SUMMARY
TYPE DAY 1 DAY 2 DAY 3 DAY 4 DAY 5 DAY 6 DAY 7

A.NGAs and other Government Organization and Public Corporation
A.2 Armed Forces of the Philippines
A.3 Other National Government Agencies and Government

Organization and Public Corporation
TOTAL (A)
B. LGUs (Brgy./Municipal/Provincial)
B.1 Congressional Officials
B.2 Provincial Officials
B.3 Municipal Officials
B.4 Barangay Officials
B.5 Sangguniang Kabataan Officials
B.6 Provincial and Municipal Employees
B.7 Barangay Employees/Workers

TOTAL (B)
C. Community Involvement including NGOs and Professional Associations
C.1 Non-Government Organization
C.2 Religious Organization
C.3 Other Community Members and Professional

Associations
TOTAL (C)
D. Private Sector Involvement including Corporate Foundations and Private Schools
D. 1 Corporation
D. 2 Private Individual
D. 3 Other Private Sector/Corporate

Foundation/Private Schools
TOTAL (D)
E.Pupil/Student Organization (SSG/SPG) and Alumni Associations
E.2 Alumni
TOTAL (E)
F. Parents
TOTAL (A to F)
SUMMARY

A.3 Other National Government Agencies and Government

Organization and Public Corporation
TOTAL (A)
TOTAL (B)

Associations
TOTAL (C)
A. Private Sector Involvement including Corporate Foundations and Private Schools
D. 1 Corporation

TOTAL (D)

E.2 Alumni
TOTAL (E)
F. Parents
TOTAL (A to F)
SUMMARY

A.3 Other National Government Agencies and

Government Organization and Public Corporation
TOTAL (A)

TOTAL (B)


Associations
TOTAL (C)
A. Private Sector Involvement including Corporate Foundations and Private Schools
D. 1 Corporation

TOTAL (D)

E.2 Alumni
TOTAL (E)
F. Parents
TOTAL (A to F)
SUMMARY

A.1 Bureau of Fire Protection & Philippine National
Police

TOTAL (A)

TOTAL (B)

Associations
TOTAL (C)
Private Sector Involvement including Corporate Foundations and Private Schools
D. 1 Corporation

TOTAL (D)

E.2 Alumni
TOTAL (E)
F. Parents
TOTAL (A to F)
SUMMARY
TYPE DAY 29 DAY 30 DAY 31 DAY 32 DAY 33 DAY 34 DAY 35 Day 36


TOTAL (A)

TOTAL (B)

Associations
TOTAL (C)
D. 1 Corporation

TOTAL (D)

E.2 Alumni
TOTAL (E)
F. Parents
TOTAL (A to F)
SUMMARY
TYPE DAY 37 DAY 38 DAY 39 DAY 40 DAY 41 DAY 42 DAY 43 TOTAL

from
day 1-
43

TOTAL (A)
TOTAL (B)

Associations
TOTAL (C)

D. 1 Corporation

TOTAL (D)

E.2 Alumni
TOTAL (E)
F. Parents
TOTAL (A to F)
A. RECORDS OF DONATIONS RECEIVED
A.1 Hardware materials for Classroom Repair
NO ITEMS OR MATERIALS QUANTITY DATE NAME OF DONOR ASSUMED COST OF ITEMS

. RECEIVED PER UNIT TOTAL
Prepared by:
____________________________
Resource Mobilization Committee Head
A.2 Hardware materials for Toilet New Construction or Repair
NO ITEMS OR MATERIALS QUANTITY DATE RECEIVED NAME OF DONOR ASSUMED COST OF ITEMS
. PER UNIT TOTAL
Prepared by:
____________________________

A.3 Hardware materials for WASH Facilities Construction or Repair

Prepared by:
____________________________

A.4 Other Donations

Prepared by:
____________________________

B. SERVICES RENDERED
I-TYPE OF SERVICES II-TOTAL NUMBER OF III-TOTAL NUMBER OF IV-TOTAL ESTIMATED TOTAL LABOR COST
VOLUNTEERS HOURS RENDERED COST OF LABOR
(P62.50 per hour)
a. Masonry
Day1
Day2
Day3
Day4
Day5
Day6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
TOTAL
b. Carpentry
Day 1
Day 2
Day 3
Day 4
Day 5
Day 6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
TOTAL
c. Plumbing
Day 1
Day 2
Day 3
Day 4
Day 5
Day 6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
TOTAL
d. Electrical/Electronic
Day 1
Day 2
Day 3
Day 4
Day 5
Day 6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
TOTAL
e. Landscaping
Day 1
Day 2
Day 3
Day 4
Day 5
Day 6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
TOTAL
f. Painting
Day 1
Day 2
Day 3
Day 4
Day 5
Day 6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
TOTAL
g. Ordinary Labor
Day1
Day2
Day3
Day4
Day5
Day6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
TOTAL
h. Others
Day 1
Day 2
Day 3
Day 4
Day 5
Day 6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
TOTAL
TOTAL
TOTAL GENERATED RESOURCES

AMOUNT
B. SERVICES RENDERED
TOTAL

DAILY ACCOMPLISHMENT REPORT
(To be accomplished by the program Implementation Committee)
Day______
Date____________
Instruction: List down all the activities that needs to be undertaken for each day of the Brigada Eskwela week. At the end of each day, please
mark the appropriate column that corresponds to the status of each activity. Cite reason for non-completion.
ACTIVITIES STATUS REMARKS/RECOMMENDATION
COMPLETED STARTED BUT NOT NOT DONE
YET COMPLETED
Prepared by:__________________________________
Program Implementation Committee Chair

SCHOOL ACCOMPLISHMENT REPORT
DIVISION: DIVISION OF DAVAO ORIENTAL REGION: XI

SCHOOL: BANHAWAN ELEMENTARY SCHOOL SCHOOL ID: 129301
SCHOOL ADDRESS: BANHAWAN, MARAYAG, LUPON, DAVAO ORIENTAL
(Please check appropriate box)
Level: Type of School:
Elementary Central School
High School Non-Central School (complete)
Multigrade
Primary School/Incomplete
Integrated School
SCHOOL HEAD: REY N. DAHAN CONTACT NUMBER: 09395916626
PTA PRESIDENT: MARICOR QUILAT CONTACT NUMBER: 09468980763
A.1 SCOPE OF REPAIR AND MAINTENANCE WORK COMPLETED (Please check appropriate column)
WHAT WAS DONE?
Repair Maintenance Works Replacement OTHERS
(such as repainting, (New Improvement, beautification,
pruning, cleaning etc.) landscaping, installation, provision,
etc.)
Roofs
Gutters
Ceilings
Walls
Windows
Doors
Blackboards
Tables
Chairs
Desks
Tables
Comfort Rooms
Pipes
School ground
School Landscaping
School signs
Drainage systems and
drainage canals
Learners’ kiosk
School Fence
WHAT WAS DONE?
pruning, cleaning landscaping, installation, provision, etc.)
etc.)
School electrical system
Fire suppression
equipment (fire
extinguishers, water
source and other
indigenous materials)
Unobstructed corridors &
pathways
Cordon off and Safety
signage for on-going
construction
Below head level Cabinets
Below head level drawers
Safety measures in
laboratories & workshops
Evacuation/exit plans and
directional signage on
every floor of the building
Evacuation areas and
classrooms as temporary
shelters
Trees
Directory of emergency
contact numbers
Early warning
mechanisms
First aid kits
Drinking water supply
Identification Cards of
learners and teachers
Database of student with
contact details of family
Storage of vital school
records
Pedestrian safety of
students
Documentation of
accidents experienced by
learners and personnel
Storage area of textbooks
Storage area of teaching
manuals/references
Storage area of computers
Storage area of school
equipment
WHAT WAS DONE?
pruning, cleaning etc.) landscaping, installation, provision,
etc.)
Water Supply (connection
to barangay water
networks, construction of
pumping system, and/or
installation of rainwater
catchments)
Gender-segregated toilets
for boys and girls
Improvement of existing
toilets
Handwashing facilities
Concrete footpaths,
disability ramps connecting
to water source, toilets and
handwashing facilities
Rest space for
menstruating girls that are
private, secure and
comfortable
Elimination of stagnant
water
Hygiene supplies (soap,
toothpaste, toothbrush,
sanitary pads, etc.)
Garbage bins for waste
segregation
Compost pits
Material recovery facilities
Local garbage collection
services
Hygiene messages in
strategic places (toilets &
eating places)
B.SIGNIFICANT EVENTS/EXPERIENCES
(Use separate sheets, if needed)
What happened? Who were involved? When? What is/are its important contribution to the
operation of the school or to the existing
needs of the school?
C.ISSUES AND CONCERNS (Describe briefly problems encountered and how were these resolved)
D.LESSONS LEARNED/BEST PRACTICES
E. SUGGESTION TO STRENGTHEN BRIGADA ESKWELA PROJECT (include support needed from Central, Region and Division
Office that can increase the impact of Brigada Eskwela Project in your school.)
F.EVIDENCES/ATTACHMENTS
a. Photos (before, during and after)
b. Photocopy of BE forms 4 & 5 (check if attached):
______Form 4 (Summary)
______Form 5
Prepared by: Date:
Name and Designation

CONSOLIDATED LIST FOR SERVICE CREDITS
School:__________________
District:_________________
NAME OF TEACHER HOURS OF PARTICIPATION NO. OF SERVICE CREDITS

(based on DTR) (see box below)
Prepared by:
________________________
School BE Coordinator

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BRIGADA ESKWELA FORM 1

PHYSICAL FACILITIES REPAIR AND MAINTENANCE NEEDS FORM

CONDITION (check one) REMARKS NATURE OF MANPOWER

KRA ACTIVITIES TIMELINE PERSONS MATERIALS BUDGET

MATERIALS QUANTITY KEY PERSONS/ STRATEGIES/PLAN OF PERSONS STATUS REMARKS

MATERIALS QUANTITY KEY PERSONS/ STRATEGIES/PLAN OF PERSONS STATUS REMARKS

DAILY ATTENDANCE OF VOLUNTEERS

TYPE DAY 1 DAY 2 DAY 3 DAY 4 DAY 5 DAY 6 DAY 7

A.2 Armed Forces of the Philippines

A.3 Other National Government Agencies and Government

B.2 Provincial Officials

B.3 Municipal Officials

B.4 Barangay Officials

B.5 Sangguniang Kabataan Officials

B.6 Provincial and Municipal Employees

B.7 Barangay Employees/Workers

C.2 Religious Organization

C.3 Other Community Members and Professional

D. 3 Other Private Sector/Corporate

TYPE DAY 8 DAY 9 DAY 10 DAY 11 DAY 12 DAY 13 DAY 14

A.2 Armed Forces of the Philippines

A.3 Other National Government Agencies and Government

B.2 Provincial Officials

B.3 Municipal Officials

B.4 Barangay Officials

B.5 Sangguniang Kabataan Officials

B.6 Provincial and Municipal Employees

B.7 Barangay Employees/Workers

C.3 Other Community Members and Professional

D. 3 Other Private Sector/Corporate

E.Pupil/Student Organization (SSG/SPG) and Alumni Associations

TYPE DAY 15 DAY 16 DAY 17 DAY 18 DAY 19 DAY 20 DAY 21

A.2 Armed Forces of the Philippines

A.3 Other National Government Agencies and

B.2 Provincial Officials

B.3 Municipal Officials

B.4 Barangay Officials

B.5 Sangguniang Kabataan Officials

B.6 Provincial and Municipal Employees

C. Community Involvement including NGOs and Professional Associations

C.2 Religious Organization

C.3 Other Community Members and Professional

D. 3 Other Private Sector/Corporate

E.Pupil/Student Organization (SSG/SPG) and Alumni Associations

TYPE DAY 22 DAY 23 DAY 24 DAY 25 DAY 26 DAY 27 DAY 28

A.2 Armed Forces of the Philippines

A.3 Other National Government Agencies and

B.2 Provincial Officials

B.3 Municipal Officials

B.4 Barangay Officials

C.2 Religious Organization

C.3 Other Community Members and Professional

D. 3 Other Private Sector/Corporate

E.Pupil/Student Organization (SSG/SPG) and Alumni Associations

TYPE DAY 29 DAY 30 DAY 31 DAY 32 DAY 33 DAY 34 DAY 35 Day 36

A.2 Armed Forces of the Philippines

A.3 Other National Government Agencies and

B.2 Provincial Officials

B.3 Municipal Officials

B.5 Sangguniang Kabataan Officials

B.6 Provincial and Municipal Employees

B.7 Barangay Employees/Workers

C.3 Other Community Members and Professional

D. 3 Other Private Sector/Corporate