BE Form 01

BASAY CENTRAL SCHOOL

Poblacion, Basay, Negros Oriental
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 Manpower
(Check One) improvement
Material Resources Needed(Indicate
Needed
FACILITIES If Unsatisfactory, Needed (Indicate quantity and nature of
(e.g. repair,
Satisfactory Unsatisfactory describe the kind and quality) labor services
repainting,
problem needed)
replacement, etc)
 Roofs/Gutters  
 Ceilings   Needs minor repair
 Walls   Needs repainting
 Blackboards  
 Chairs/desks/tables  
 Water facilities/   No water supply
Drainage System available
 Signages  
 School garden   Needs weeding
  Lighting   Needs replacement
of busted bub
 Windows  
 Doors  
 Comfort Rooms  
 School Grounds  
 School Canteen/Clinic  
 School Fence/ wall  
 Electricity  
 Alternative gate  
 Reference Materials  
 Laboratory equipment  

Prepared by: Noted:
JAN CHRISTOPHER B. ARRO ________________ JOHNYRIE B. EMPEYNADO
School Physical Facilities Coordinator Date of Inspection School Head