BE Form 01

Republic of the Philippines

Department of Education
Negros Island Region
SCHOOLS DIVISION OF San Carlos City
(Tuburan Elementary School)
(So. Tuburan,Crossing Ulay, Brgy. Properidad)
School Year 2016

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)
Nature of
CONDITION
Remarks
improvement
Manpower
(Check One)
Material
Needed
Needed(Indicate
Resources
If
FACILITIES
(e.g. repair,
quantity and
Needed
(Indicate
Satisfacto Unsatisfact
Unsatisfactory,
repainting,
nature of labor
kind and quality)
ry
ory
describe the
replacement,
services needed)
problem
etc)
Roofs/Gutters
Ceilings
Walls
Blackboards
Chairs/desks/tables
Water facilities/
Drainage System
Signages
School garden
Lighting
Windows
Doors
Comfort Rooms
School Grounds

School Canteen/Clinic

School Fence/ wall

Electricity
Alternative gate
Reference Materials
Laboratory equipment

Prepared by:
SHIELA SOLIVA. PASILAN
School Physical Facilities Coordinator
Head

Noted:
JANUARY 30, 2016
Date of Inspection

TEODUCIA VILLEGAS LIMOT

School