BE Form 01

Republic of the Philippines

Department of Education
Region I
SCHOOLS DIVISION OF CAMARINES SUR
CABUGAO ELEMENTARY SCHOOL
CABUGAO ELEMENTARY SCHOOL
School Year 2022-2022

BRIGADA ESKWELA

PHYSICAL FACILITIES AND MAINTENANCE NEEDS ASSESSMENT FORM

CONDITION Nature of
Remarks Manpower
(Check One) improvement Needed Material Resources
Needed(Indicate
FACILITIES (e.g. repair, Needed (Indicate kind
If Unsatisfactory, quantity and nature of
Satisfactory Unsatisfactory repainting, and quality)
describe the problem labor services needed)
replacement, etc)
 Roofs/Gutters / DAMAGED Needs repair Carpenters
 Ceilings / DAMAGED repair and repainting plywood nails, and paint Carpenters
 Walls / needs repainting repainting paint, paintbrush lacquer Painter/laborers
 Blackboards / needs to be replaced repainting paint and paint brush Painter/laborers
 Chairs/desks/tables / Covered with dust repainting Wood Painters
preservatives/paint
 Water facilities/ / Clogged drainage Repair Plumbing materials Plumbers
Drainage System
 Signages / No signage’s Tarps for signages Tarps for signages
 Windows / Broken windows replacement Jealousy Fabricators/ laborers
 Doors / Repair Locks/ paint Carpenters
 Comfort Rooms /. Plumbing materials Plumbing materials Carpenters
 School Grounds /
 Alternative gate / No proper gate repair Fabricated metal/angle carpenters
bars and flat bars
 Reference Materials / Lacks modules for repair
school opening
 Laboratory equipment /
 Compost pit / Needs to be excavated Retouch Shovel/steel rod/hoe laborer
deeply
 Hand washing facilities
 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).

Prepared by: Noted:

DAMIANA G.BALABABA AUGUST 08 2022 MARIA VICTORIA B. FERRER

School Physical Facilities Coordinator Date of Inspection School Head