Republic of the Philippines

Department of Education
REGION I
SCHOOLS DIVISION OFFICE I PANGASINAN
BUENO ELEMENTARY SCHOOL
BUENO, MANGATAREM, PANGASINAN

CLASSROOM EVALUATION CHECKLIST

Teacher: _______________________________________________ Date: ____________________
Grade and Section: _______________________

Not
FORMS (30%) Evident Eviden Remarks
t
1 SF 1
2 SF 2
3 SF 3
4 SF 4
5 SF 9
6 SF 10
7 Class Record
8 Teacher’s Daily Schedule
9 Daily Lesson Plan
CLASSROOM STRUCTURING AND FACILITY (30%)
1 A signboard showing the grade Level and Section and
the name of teacher handling the class
2 Class Program and List of Learners displayed on the
door at adult eye level.
3 Classroom Chalkboards, properly framed and provided
with chalk ledge and curtains
4 Above the chalkboard, a framed copy of the National
Anthem displayed at the upper left hand corner and on
the other side, a framed of the Pledge of Allegiance to the
Philippine Flag
5 Tables and/or chairs are properly arranged.
6 Adequate ventilation and lighting
7 Storage for the retrieved modules
8 Handwashing facility
CLASSROOM SAFETY, PREPAREDNESS, AND MAINTENANCE (30%)
1 Health Protocol Signage
2 Alcohol / Hand soap
3 Face mask/Face Shield
4 Thermal Scanner
5 First Aid Kit
6 Medicine Cabinet
7 Neat and orderly arrangement of materials and teaching
devices
8 Trash bins with Labels
MODULE STORAGE (10%)

_________________________________________
Evaluator