BE Form 01

Republic of the Philippines

Department of Education
Region: IX-Zamboanga Peninsula
Division: Zamboanga del Norte
School: Dumalogdog Elementary School
School Year: 2017-2018

BRIGADA ESKWELA

PHYSICAL FACILITIES REPAIR AND MAINTENANCE NEEDS ASSESSMENT FORM

(To be accomplished by the Physical Facilities Coordinator)

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)

FACILITIES Condition Remarks Nature of Improvement Material Resources Manpower Needed

( Check One ) Needed Needed ( Indicate quantity
Satisfactory Unsatisfactory If Unsatisfactory, describe ( e.g. repair, repainting, ( Indicate kind and and nature of labor
the problem. replacement, etc.) quantity ) services needed)
6 galons paint 2 persons / day/
* Roofs / gutters X Destroyed with rust Repaint Carpentry

Provision of ceiling Marine plywood 2 persons / day/

* Ceilings X Rotten /replacement (5shts ) Carpentry
Latex and Enamel
Paints ( 12 gals. 2 persons / day /
Tinting colors Painter
* Walls X Needs repainting Repainting ( 48 cans )
1 person/ day
* Blackboards X Infested by termites Replacement (2 sht.) Lawanit Carpentry
Latex and Enamel
Paints (4 gals.
Tinting colors 2 persons/ day
* Chairs /Desks /Tables X Needs repainting Repainting ( 16 cans ) Painter

3 persons / day /
* Water Facilities X Need installation of water Construction Set of Water Pump Plumber/ ordinary
pump/ drilling Materials Labor
Latex White (1 gal.)
* Signages X Reprinting Repainting/Reprinting Tinting colors ( 3 ¼ 2 persons / day /
cans) Painter

*School garden / Rehabilitation of the school Weeding/ Replanting (25) bolos, (5) shovel 30 persons /day/
X garden ordinary labor
 FACILITIES Condition Remarks Nature of Improvement Material Resources Manpower Needed
( Check One ) Needed Needed ( Indicate quantity
Satisfactory Unsatisfactory If Unsatisfactory, describe ( e.g. repair, repainting, ( Indicate kind and and nature of labor
the problem. replacement, etc.) quantity ) services needed)
* Lighting X
1 person/ day
* Windows X Destroyed wooden jalousie Replacement (10)Wooden Carpentry
Jalousie
* Doors X Some of its parts were Replacement/ Repainting Enamel Paint 1 painter per day
destroyed (1 gal-White and 4 1 carpenter per day
cans tinting)
2 sheets ¼
plywood
* Comfort rooms X

Improvement of the school Weeding/landscaping/ (15) bolos/ (20) 35 persons / day/

*School grounds X grounds Sweeping brooms ordinary labor

Prepared by: Noted:

JANICE B. VILLALON January 31, 2017 ALBERT D. HISOLER

School Physical Facilities Coordinator Date of Inspection School Principal I