Appendix B BE Form 01

Republic of the philippines Department of Education Region: NCR Division: Paranaque

School: SAN ANTONIO-SILVERIO COMPOUND ELEMENTARY SCHOOL

SY 2012-2013

BRIGADA ESKWELA PHYSICAL FACILITIES REPAIR AND MAINTENANCE NEEDS ASSESSMENT FORM
(To be accomplish by the school Physical Facilities Coordinator) (based on recommendations of B.E. coordinator and principal) Instruction: Conduct occular inspection of the school physical facilities listed below. Then provide the needed information to the facilitate the improvement to be done on these identified facilities ( If needed you may use separate forms for each classroom or school facility.) Condition (Check One) Satisfactory
*Roofs/gutters *ceillings *walls *Blackboards *chairs/desks/tables *water facilities/Drainage System *Signage's *School garden *lightning *Windows *Doors *Comfort rooms *School grounds *School cnteen/clinic *School fence *Classroom walls Prepared by: JHONNA AFRICA April 24, 2012 / / / / / / / / / / / / / / / Dirty walls Repainting NOTED: Painter, Non-teaching lack of signage Rotten plants broken, busted Broken Broken Doorknobs Dirty walls Construct Replanting Replacement Replacement Replacement/ Repainting repainting Carpentry and painting materials seedling, plants fluorescent lamp, electrical tape window glass Doorknobs, painting nmaterials Painting materials Non-teaching, Volunteers Volunteers, Teachers Electrician Teachers, Volunteers Teachers, Volunteers Non-teaching with vandalism Broken Broken Repainting Repair/repainting Repair/repainting Painting materials Carpentry materials Carpentry and painting materials Painter Non-teaching , Teachers, Volunteers Volunteers

FACILITIES

Unsatisfactory
/

Remarks if Unsatisfactory, describe the problem

Leakage

Nature of Improvement Need (e.g. repair, repainting, replacement, etc.)

Repair

Material Resources Needed (indicate kind and quantity)

Vulcaseal, gutter

Manpower Needed (Indicate quantity and nature of labor services needed

PTA, Volunteers

LAWRENZ ALVEZ School Physical Facilities Coordinator

Date Prepared

Principal/District I Supervisor