DATE: DATE: 

               
PHASES TO BE MONITORED/INSPECTED/CHECKED School:                    School:                   
Evident Incom Not Evident Incom Not
plete evident plete evident
1.Instructional Supervisory Plan
2.Annual Instructional Supervisory Calendar
3. Instructional Supervisory Accomplishment
Report
4. FM-CID 004/FM-CID 005
5. Instructional Supervisory Tool for SH
6. Enhanced SIP/AIP/APP/SRC and
implementation
7. Financial Status Report MOOE
(Transparency Board) PTA
Canteen
Proceeds
SEF
8. Gather and analyze data on strengths and
competency development needs of teachers
9. Reading Intervention Plan
10. Presence of SMEA
11. Updated SBM Level of Practice
12. Implementation & Utilization of
contextualized/localized IMS
13. Analyze and interpret Periodic Assessment
Result per Learning Area with Least Mastered
Competencies and Innovations made to
address the gaps
14. Presence of School Technical Assistance
Plan, Report and Feedback
15. Cleanliness and Orderliness of Classrooms
and Surroundings
16. Functionality of Comforts Rooms
17. Presence of Gulayan sa Paaralan
18. Monitor and asses ALS Learning Center
19. FM-CID 15
20. FM-CID 22
21. FM-CID 23
22. FM-CID 24
23. FM-CID 25

Prepared by:

MERLY C. TOLENTINO, PhD.

Public Schools District Supervisor