BE Form 01

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 Needed Material Resources
Needed(Indicate
FACILITIES If Unsatisfactory, (e.g. repair, Needed (Indicate kind
quantity and nature of
Satisfactory Unsatisfactory describe the repainting, and quality)
labor services needed)
problem replacement, etc)
 Roofs/Gutters / replacement Gutters 2 carpenter
 Ceilings / repair 20 pcs. ¼ plywood 5 carpenter
 Walls / repainting 10 pails Paint 5 painter
(Latex/Enamel)
 Blackboards / Repainting 4 gals. Chalkboard 5 painter
paint
 Chairs/desks/tables / Repair/repainting 4 gals. Chocolate 2 carpenters / 3 painters
brown
 Water facilities/ / Replacement of water 5 plimber
Drainage System hose
 Signages /
 School garden / landscaping plants 3 gardeners
 Lighting / Replacement of 10 pcs. 2 electrician
flourescent
 Windows / Repair / repainting paint 5 carpenters
repair/repainting
 Doors / Minor repair/repainting paint 5 carpenters
 Comfort Rooms / Needs repainting paint 2 carpenters
 School Grounds /
 School Canteen/Clinic / Minor repair/repainting paint 2 carpenters
 School Fence/ wall /
  Electricity /
 Alternative gate
 Reference Materials
 Laboratory equipment / Needs room 3 carpenters

Prepared by: Noted:

JAYSON O. TUDTUD _________________ JENEZA A. ESMERO

School Physical Facilities Coordinator Date of Inspection School Head