Republic of the Philippines

Department of Education
REGION I
SCHOOLS DIVISION OFFICE I PANGASINAN

UNIFIED MONITORING TOOL ON INSTRUCTIONAL SUPERVISION

School : NALSIAN-TOMLING ES School Head : MARGIE S. LOPEZ
Date and Time: ____________ Position : _Principal I_______
No. of Teachers: _25_______ Number of Learners: _806______
Objective 1. To provide guidance and instructional supervision to School Heads by observing and
gathering data on their strengths and development needs and then coaching them towards improved
instructional leadership practices.

Indicators Evident Not Evident REMARKS

1. PPSSH
2. Copy of Technical
Assistance Plan of
School Heads on
Instructional
Supervision
3. Monthly
Accomplishment Report
on Technical Assistance
of School Heads on
Instructional
Supervision
4. Copy of SHs Annual
Supervisory Plan
5. Copy of SHs Monthly
Supervisory Plan
6. Monthly Supervisory
Accomplishment report.

Address: Alvear St. east, Capitol Grounds, Lingayen, Pangasinan

Telephone No.: (075)-522-2202
Email:pangasinan1@deped.gov.ph

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 Republic of the Philippines
Department of Education
REGION I
SCHOOLS DIVISION OFFICE I PANGASINAN

Objective 2. To observe and gather data on the strengths and competency development needs (KSA) of
teachers and coach School Heads on how to improve teachers’ KSA in Teaching-Learning (TL) Delivery

Indicators Evident Not Evident REMARKS

1. Summary Result on
ESAT
2. Summary of Individual
Development Plan
(Teachers)
3. Copy of LAC Sessions
Conducted on
Instructional
Supervision
4. Identified Learners per
Modality/SF4
5. SH’s Checklist on
WHLP
6. SHs report on
Classroom Observation
conducted in the New
Normal

Objective 3. To assess the situations of the schools and learning centers and identify actions needed to
put in place an enabling environment for SHs and teachers to deliver basic education

Indicators Evident Not Evident REMARKS

SLCP- School’s Readiness
1. IATF Safety/health
Protocols:
a. School Ground
b. Classroom/Office
c. School Site
Development Plan
d. Info Board
e. Transparency board
f. School’s
Website/FB page
g. Handwashing
h. Signages
i. PPE and Covid
Health Essentials
SLCP- Teachers’ Readiness
1. Trainings Attended
relative to Distance
Learning

Address: Alvear St. east, Capitol Grounds, Lingayen, Pangasinan

Telephone No.: (075)-522-2202
Email:pangasinan1@deped.gov.ph

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 Republic of the Philippines
Department of Education
REGION I
SCHOOLS DIVISION OFFICE I PANGASINAN

2. Alternative Work
Arrangement
3. Teachers Class
Program
4. Learners Profile/
Anecdotal Record
5. List of Learners per
Learning Modality
6. Weekly Home Learners
Monitoring Plan
7. Individual Learners
Monitoring Plan
8. Copy of
MELC/Unpacked MELC
SLCP- Learning Resources
Readiness
1. SLMs
2. Instructional/ Recorded
videos
3. Internet
Connectivity
4. Tablets/Gadgets

Other Observation/s:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

Monitored by: ________________________ Conforme: _________________________

PSDS Name of School Head and
Signature
Date and Time of Monitoring: _____________
Mode of Monitoring: Virtual or face to face
 

Address: Alvear St. east, Capitol Grounds, Lingayen, Pangasinan

Telephone No.: (075)-522-2202
Email:pangasinan1@deped.gov.ph

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