BE Form 01

Republic of the Philippines

Department of Education
Region IVA-CALABARZON
DIVISION OF QUEZON
BUENAVISTA WEST ELEMENTARY SCHOOL
BRGY. BUENAVISTA WEST CANDELARIA, QUEZON
School Year 2019-2020

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 improvement Material Manpower
(Check One)
Needed Resources Needed(Indicate
FACILITIES If (e.g. repair, Needed quantity and
Satisfacto Unsatisfact Unsatisfactory, repainting, (Indicate kind nature of labor
ry ory describe the replacement, and quality) services needed)
problem etc)
 Roofs/Gutters / Needs Repair and Repair and Roof pane Two persons ,
replacement replacement carpentry
 Ceilings / Repainting Repainting White enamel Two persons,
paint Painting
 Walls / Repainting Repainting Yellow, cream, 30 persons,
white latex repainting
paint
 Blackboards /
 Chairs/desks/tables / Repainting and Repainting and Nails, hammer 20 persons,
repair of chairs repair of chairs wood, and carpentry and
and tables. and tables. enamel paint painting
 Water facilities/Drainage / Clogged water Rehabilitation of Cement, sand 2 persons,
System drainage water drainage pvc pipe plumbing and
carpentry
 Signages /
 School garden / Tall grasses Cutting, Grass cutter 50 persons,
 crowded weeds trimming, garden tools, gardening weeding
and un-pruned mowering and gasoline mowering,
trees weeding landscaping
 Lighting /
 Windows / Need replacement Replacement Jalousie/ glass 3 persons,
of window pane blade carpentry
and glass
 Doors / Need Replacement Replacement Door Frame, 1 person, Carpentry
door
 Comfort Rooms /
 School Grounds / Cleaning Cleaning Broom, dust Ordinary labor
pan and other
cleaning
materials
 School Canteen/Clinic / Needs Repainting Repaint Latex paint 2 persons, painting
 School Fence/ wall / Needs Repainting Repaint Latex paint 2 persons, painting
 Electricity /
 Alternative gate /
 Reference Materials /
 Laboratory equipment /

Prepared by: Noted:

ARNEL D. SOMIDO MAY 10, 2019 RICARDO A. VILLAMIEL

School Physical Facilities Coordinator Date of Inspection School Head