R epublic of the P hilippines

D epartment of E ducation
Region XII-SOCCSKSARGEN
Schools Division of South Cotabato
PALO 19 NATIONAL HIGH SCHOOL

PROGRESSIVE FACE-TO-FACE CLASSROOM PRE-EVALUATION

CHECKLIST

CLASS
Grade 7 Grade 8 Grade 9 Grade 10

OUTSIDE THE
CLASSROOM
 Class list
 School Map
 Classroom Traffic
Management Flow
 Health & Safety
Protocol
 Hotline
 Class Schedule/
Program
HAND WASHING AREA
& TOILET
 Bar Soap
 Tissue Paper
 Proper Hand
Washing & Tooth
brushing
 Tooth brush & Tooth
paste
 Schedule of
Supervised Hand
washing and Tooth
brushing
ENTRANCE
 Alcohol Spray
 Tissue
 Face Mask
 Disinfectant Spray
BLACK BOARD
 Health & Safety
Protocol
 Classroom Traffic
Management Flow
 School Map
 Schedule of
 Sanitation
TEACHER’S TABLE
 Budget of Work
 Class Program
 Parent’s Consent
 Learner’s Profile
 Health Declaration
Sheets
o Teacher
o Students
OTHERS
 4 TRASHBINS
 Seats with Learners’
Name
 Presence of markers
on the floor
 Open Windows &
Doors
 Sterilization box
 Designation of
entrance & Exit
 Electric Fans
TOTAL
RANK

Prepared by:

JUNIER R. ENTRINA
Head Teacher 1