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BE FORM 01

Republic of the Philippines


Department of Education
Region IX, Zamboanga Peninsula
Division of Zamboanga del Sur
(ZAMBOANGA DEL SUR SPORTS ACADEMY)
(PGC, DAO, PAGADIAN CITY)
School Year 2019-2020

BRIGADA ESKWELA
PHYSICAL FACILITIES REPAIR AND MAINTANANCE 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 Remarks Nature of improvement Material Resources Manpower Needed
(Check One) Needed Needed (Indicate quantity
FACILITIES
Satisfactory Unsatisfactory If unsatisfactory, (e.g. repair, repainting, (Indicate kind and & Nature of labor
describe the problem. replacement, etc.) quantity) services needed)
 Roofs/Gutters √ Facilities marked check
 Ceilings √ are very satisfactory in
 Walls √ condition since we will be
 Blackboards √ occupying the newly
constructed school
 Chairs/Desks/Tables √
building; unmarked
 Water Facilities/Drainage System
facilities are the facilities
 Signages that needs to work on as
 School Garden soon as we could
 Lighting √ transfer to the new
 Windows √ school building. Thus,
 Doors √ during Brigada Eskwela,
 Comfort rooms √ the teachers will have to
 School grounds √ packing up their things
 School Canteen/Clinic ready for transfer and the
 School Fences new school building
needs for general
 School Stage √
cleaning.
 Guard House
Prepared by: Noted:

_______________________________ _________________ _____MYRNA G. JALA________


School Physical Facilities Coordinator Date of Inspection School Head

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