BE Form 01

Republic of the Philippines

Department of Education
Region VIII

Division of Southern Leyte

NAVA NATIONAL HIGH SCHOOL

Hinunangan District 2
Nava, Hinunangan, Southern Leyte

S.Y. 2022-2023

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 improvement Needed Material Resources Needed (Indicate Manpower Needed(Indicate quantity and
FACILITIES Remarks
(Check One) (e.g. repair, repainting, replacement, etc) kind and quality) nature of labor services needed)

If Unsatisfactory, describe the

Satisfactory Unsatisfactory
problem
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Roofs/Gutters √ SHS Grade 12 classroom need replacement of 100 sheets 10 ft. GI Sheets, 20 Ridge, 1 carpenter and helper.

detached roofing liter Sureseal and 11 kilo umbrella nails.

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Ceilings √ Ceiling of Grade 7 Aquino and Grade 10 120 pcs of plywood, carpenter and helper.

Aguinaldo room/ makeshift

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Walls √
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Blackboards √
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Chairs/desks/tables √ Grade 12 need Teacher’s Table Plywood, and good lumber carpenter and helper.
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Water facilities/ √ Rehabilitation of water system to classrooms. PE hose, Tee,Coupling, PVC Solvent and Plumber and helper
Drainage System faucet
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Signages √
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School garden √ Tap 4Ps members for cleaning.
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Lighting √ Room Grade 7 Aquino and Grade 10 Aguinaldo Lightbulbs and socket. School Maintenance Utility

needs replacement of lightbulb.

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Windows √ Room Grade 10 Aguinaldo needs replacement of Window glass School Maintenance Utility

window glass
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Doors √ Grade 9 Mabini and Grade 8 Bonifacio needs Plywood and common nails carpenter and helper.

repair
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Comfort Rooms √ School needs New Con of CR that accessible to GI Sheets, Cement, Hollow Block, Steel Mason, Carpenter and helper.

water. Bars, Sand and Gravel

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School Grounds √
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School Canteen/Clinic √
 ●
School Fence/ wall √ School Fence repair bamboo PTA Members for Voluntaryo
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Electricity √
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Alternative gate √ No alternative gate
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Reference Materials √
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Laboratory equipment √

Prepared by: Noted:

______DIOSDADO B. BALINGCOS________ _________________ ___RYAN O. PLACA___
School Physical Facilities Coordinator Date of Inspection School Head