BE Form 01

Republic of the Philippines

Department of Education
Region III
SCHOOLS DIVISION OF ZAMBALES
STA. FE NATIONAL HIGH SCHOOL
San Marcelino, Zambales
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 √ Cleaning Cleaning Ordinary laborer
material
 Ceilings √ N/A
 Walls √ Painting Paints, Brush Painter
/Roller
 Blackboards √ Repair Nails Carpenter
 Chairs/desks/tables √ Repair Welding/rods Welder
 Water facilities/ √ Cleaning Cleaning Ordinary laborer
Drainage System Materials
  Signages √ Repair/Replacin Tarpaulin Ordinary laborer
g
 School garden √ Cleaning Cleaning Tools Ordinary laborer
 Lighting √ Repair/Replacin Bulbs and Electrician
g switches
 Windows √ Painting Paint and Brush Painter
 Doors √ Painting Paint and Brush Painter
 Comfort Rooms √ Repair Wood and Carpenter
cement
 School Grounds √ Cleaning Cleaning tool Ordinary laborer
 School Canteen/Clinic Cleaning Cleaning Ordinary laborer
materials
 School Fence/ wall √ Repainting Paint and brush Painter
 Electricity √ Repair Wiring Electrician
 Alternative gate √ Repainting Paint and brush Painter
 Reference Materials √ Repair plastic cover Ordinary laborer
 Laboratory √ Cleaning Cleaning Ordinary laborer
equipment materials

Prepared by: Noted:

AHSIR C. BALESTEROS May 8, 2019 RIZAL M. ANDRADE

School Physical Facilities Coordinator Date of Inspection School Head