Republic of the Philippines

Department of Education
Cordillera Administrative Region
Schools Division of Apayao

BRIGADA ESKWELA FORM 01

PHYSICAL FACILITIES REPAIR AND MAINTENANCE NEEDS ASSESSMENT FORM
(To be accomplished by the School 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 certified facilities. (If needed, you may use separate forms for each classroom
and facilities)
CONDITION REMARKS NATURE OF MATERIAL RESOURCES MANPOWER
FACILITIES (Check one) IMPROVEMENT NEEDED NEEDED
If NEEDED: ( Indicate kind and quantity) (Indicate quantity
Satisfac- Unsatis- unsatisfactory (ex. Repair, and Nature of
tory factory
, describe the repainting, labor and services
problem replacement needed)
etc.)

ROOFS/GUTTERS

2 gallons baguio green paint 5 painters

 Facade
/ No paint Repainting

Clogged Replacement 1 pc gutter 1 Carpenter

 Gutter / Removing of 1/4 kl revits
implements
/ Cobb webs Removing of Stick Brooms, rags 20 Housekeepers
CEILINGS Birds wastes dirts
/ Unnecessary Repainting of 2 gallons white paint 1 Painters
3 STOREY
marks tainted walls 1 L yellow tinting color
WALLS
1 rawsienna
CHAIRS/DESKS
 Wooden / Needs repair repairing Plastic cover carpenter
chairs/teache and Common nails
rs tables for replacement Wooden stick
triage/cabine
ts
/ No safe place Procuring of 1 set of triage
TRIAGE to receive Ready made
visitors triage
/ Lack of Water Transferring of 2 rain catcher 1 Plumber
/ Supply in the 3 Rain Catcher 100 m 3/4 rolled host 1 Welder
WATER
storey building from lower part 100 pcs 1/2 3 Laborers
FACILITIES Cr’s to higher part 80 pcs T joint
No Faucets of the building 100 pcs 1/2x3m pvc pipes
Installing of 80 pcs elbow
pipes, faucets 50 pcs faucet
to : 10 cans solvent
A. Principals 10 pcs tapelon

Brigada Eskwela 2021 Bayanihan Para

Sa Paaralan
 Republic of the Philippines
Department of Education
Cordillera Administrative Region
Schools Division of Apayao

Kitchen and 100 pcs pvc clam

CR 7 pcs faucet
B. Wash Area 1 tapelon
of JHS 1 solvent
C. WASH 15 pcs elbow
area of SHS 6 pvc clam
D. CR’s of
SHS
E. Kitchen/Sch
ool Canteen
F. WASH
Area at Gate
F. JHS CR
water supply
SIGNAGES
 Earthquate / Faded paints Repainting 1 gallon white 1 Painter
and flood 1 can red paint
signages 1 can green paint
 CR Signages / Faded paints Repainting 1 liter white
(Gender 1 can red paint tinting color
Sensitive) 1 can green paint tinting color
 Classroom / New Sections Painting 1 Painter
and Offices created
Signages
 Health / Incomplete Layouting and 12 pcs health signages tarp 1 Lay out artist
Protocol printing of 1x2 m
Signages tarpauline

School garden
 Gulayan sa / Robust weeds Weeding/Cultiv Bolo 50+ Gardeners
Paaralan/ ating Shovel
Tahanan Plants
Robust weeds Weeding Bolo 20+ Gardeners
 YES-O park Landscaping Shovel
planting Plants
 ECOLOGICAL / Robust Waste Shovel 55 laborers
PARK weeds/trees Removal/Disp Bolos
osing, Sacks
Weeding, Woods
Landscaping 1 kl Common nails 4”
Developing an 1 kl common nail 23 “
eco park 1 kilo common nail 2“
hammer
 Plant Boxes Robust Weeding Bolo 20+ Gardeners
weeds/trees Landscaping Shovel

Brigada Eskwela 2021 Bayanihan Para

Sa Paaralan
 Republic of the Philippines
Department of Education
Cordillera Administrative Region
Schools Division of Apayao

Faded paints Repainting Ornamental plants

1 gallon white
1 can red paint
1 can green paint
1 can black paint
/ Wild plants Weeding Bolo 10+ Gardeners
Faded paints Landscaping Shovel
Repainting Ornamental plants
 Landmark
1 gallon white
Garden 1 can red paint
1 can green paint
1 can black paint
LIGHTING

/ No Available Installation of 12 pcs bulb 1 Electrician

 12 JHS Lights at Lights Receptacles
Rooms Corridor Electricazl tape
/ No Available Installation of 2 pcs bulb 1 Electrician
 2 Faculty
Lights at Lights
Office Corridor

WINDOWS
/ Change Changing of 16 pcs carpenter
 Jalousies broken
jalousies
 Principals / Not safe Installing of 4 window grills welder
office window grills
windows
DOORS
/ Destroyed Repairing of 4 padlocks 1 carpenter
 Door knobs door knobs doorknobs

School Grounds
/ Flooded Area Construction of 150 bags cement 50 mason
 School
concrete 6 loads gravel and sand volunteers
Pavement
pavement
/ Rogh and Construction of 30 bags cement 10 mason
muddy path pathway 1 load gravel and sand volunteers
 Pathway beside
principals
office-down
School Fence/ wall
/ Carabao can Constructing Reuse GI Sheets for Carpenters
 Temporary
enter and temporary constructing temporary fence
Fence
destroy plants fence

Brigada Eskwela 2021 Bayanihan Para

Sa Paaralan
 Republic of the Philippines
Department of Education
Cordillera Administrative Region
Schools Division of Apayao

 25 concrete / Unwanted Repainting if 2 pale of white paint Painters

fence marks fence Rawsienna paint laborers

ELECTRICITY
/ No Installing of Male plugs Electrician
 Administrati
electrification electricity Female plugs
ve office 10 m wire
/ Not Checking the Electrician
 3 JHS rooms functioning connections
electricity
LABORATORY EQUIPMENT

 TVL / Uncleaned Securing the 2 rooms Laborers

tools TVL Equipment
Repairing of Laborers
Laboratory
tools

Prepared by: Noted by:

RODOLFO M. FABIAN JR. JOSEPHINE C. FERNANDEZ

School Physical Facilities Coordinator Secondary School Principal I

Brigada Eskwela 2021 Bayanihan Para

Sa Paaralan