BE Form 01

Republic of the Philippines

Department of Education
CARAGA REGION
SCHOOLS DIVISION OF BUTUAN CITY

PINAMANCULAN NATIONAL HIGH SCHOOL

BRGY PINAMANCULAN, BITUAN CITY
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
Remarks Nature of improvement Needed
(Check One) Material Resources Needed (Indicate Manpower Needed(Indicate quantity and
FACILITIES
(e.g. repair, repainting, replacement, kind and quality) nature of labor services needed)
If Unsatisfactory, describe the etc)
Satisfactory Unsatisfactory
problem

● Roofs/Gutters / clogged, damaged De-clogging, replacement, repainting 1. 0.027 gauge aluminum – 20 Meters 6 manpower (carpenter)

● Ceilings / Cracked edge of hardiflex, opened 1. Plywood (10 plies)

ceiling due to repeated heavy rain Fix proper mounting of ceiling 2. lumber sticks (1x2x8) – 20
6 manpower (carpenter)
sticks

3. nails - #1 (2 kg)

#2 (2 kg)

4. Paint (enamel ) – 5 gallons

color white

● Walls / Vandalism, dirt, stains repainting 1. Latex paint (ivory) 10 gallons 5 manpower

2. Roller – 10 pcs
(painter)

● Blackboards /

● Chairs/desks/tables / Wobbling chairs and tables Fix chairs and repaint tables 1. Plywood (5 plies)

2. Paint (brown – enamel) 5 gallons 6 manpower (carpenter

3. Paint brush – 10 pcs

4. Varnish – 10 bottles

5. Nails #1 – 2 kg

● Water facilities/ / limited plastic drum for water storage/ Tap connection from water source 1. PE Tube – 50 meters

no connection of water from the main 2. Fittings/couplings 5 plumbers

Drainage System
 source 3. Plastic drums – 10 drums

● Signages /

● School garden /

● Lighting / Loose mounting of fluorescent 1. Bulbs (9 watts) – 10 bulbs

assembly, nonfunctional bulbs and 2. Stranded wire #14 – 10

replacement 5 manpower
fluorescent meters

● Windows / Broken jalousies, broken window jams Replacement, for repair 1. Wire screen #4 – 20 meters

2. Lumber stick – (1x1x8) – 5 bundles

5 manpower
3. Nails (#1) 1 kg

● Doors / Broken doors, broken door jams and Repairing, replacement 1. Door jam (4 sets)

broken door knobs 2. Nails (#2) 1 kg 1 manpower

3. Door knobs – 4 pcs

● Comfort Rooms / Other comfort rooms have no water Access from the main water source 1. Plastic drums – 10 drums

supply 2. (other materials needed are

5 manpower
indicated in the water facility

section)

● School Grounds / Needs grass cutting Grass cutting 1. Gasoline for grass cutting (10 2 grasscutters

liters)

● School Canteen/Clinic /

● School Fence/ wall / Bamboo perimeter fence/perimeter Construction of concrete perimeter fence 1. Cement – 50 sacks

fence needs to be concreted 2. Sand – 5 cubic

10 manpower
3. Cyclone wire – 10 rolls

● Electricity /

● Alternative gate /

● Reference Materials /

● Laboratory equipment /
Prepared by: Noted:
QUENNIE BUQUE June 27, 2022 MERLINDA L. BOLLOZOS
School Physical Facilities Coordinator Date of Inspection School Head