BE Form 01

Republic of the Philippines

Department of Education
Region III
SCHOOLS DIVISION OF BATAAN
Mariveles National High School (Annex) Alion
Alion Mariveles Bataan
School Year 2020 -2021

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 quantity
FACILITIES (e.g. repair, Needed (Indicate kind
If Unsatisfactory, and nature of labor
Satisfactory Unsatisfactory repainting, and quality)
describe the problem services needed)
replacement, etc)
 Roofs/Gutters √
 Ceilings √
 Walls √ Faded walls Repainting Paints
 Blackboards √
 Chairs/desks/tables √ Broken armchairs Repairs Pieces of woods/ nails
 Water facilities/ √
Drainage System
 Signages √
 School garden √
 Lighting √
 Windows √ Broken jalouse replace jalouse
 Doors √
 Comfort Rooms √ Broken toilet bowl / repairs Toilet bowl/ paints/
faded paint / Broken Doorknobs
 door
 School Grounds √
 School Canteen/Clinic √
 School Fence/ wall √
 Electricity √ Busted plugs Replace Outlets
 Alternative gate √
 Reference Materials √
 Laboratory equipment √

Prepared by: Noted:

________JARVEN T. SAGUIN__________ __ AUGUST 2, 2019___ ______THELMA O. ZULUETA_________

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School Physical Facilities Coordinator Date of Inspection School Head