BE Form 01

Republic of the Philippines

Department of Education
Region I
SCHOOLS DIVISION OF ILOCOS NORTE
DUMALNEG NATIONAL HIGH SCHOOL
Dumalneg, Ilocos Norte
School Year 2024-2025
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 Nature of
Remarks Manpower
(Check One) improvement Needed Material Resources
Needed(Indicate quantity
FACILITIES (e.g. repair, Needed (Indicate kind
If Unsatisfactory, and nature of labor
Satisfactory Unsatisfactory repainting, and quality)
describe the problem services needed)
replacement, etc)
 WALLS /
 BLACKBOARDS / repaint paint
 CHAIRS / Varnish, repair
 LIGHTING / Defective replacement 2 Fluorescent lamps
 WINDOWS / Broken replacement 4 windowpanes
 Drawers of handwashing / Broken replacement Plywood
area ½ nails
 CR / No door in Male and Replacement 2 doors
Female CR
 Electric fan / 2 fan have defective Need additional 2 Stand Fan
rotating gears electric fan

Prepared by: YVONE MAE BELTRAN APON/DARELL JAMES B. CARIAGA, 10-WANGGI ADVISER
Noted:

_______________________________ _________________ ____________________________________

School Physical Facilities Coordinator Date of Inspection School Head