Department of Education Document Code:SDO-QF-SGOD-DRRM-001

Region III Revision: 00

DIVISION OF MABALACAT CITY Effectivity date: 07-28-2018
GENERAL QUALITY FORM -
Name of Office:
FIRE SAFETY INSPECTION REPORT
SGOD – DRRM
FORM
Control No.: ________
Date: ______________
Division: MABALACAT CITY

Schools: PILA ELEMENTARY SCHOOL Date:_________________

Name of School Heads: JEFFREY T. DE LEON Date of Inspection:________________________

NAME OF SCHOOL BFP INSPECTION FINDINGS ACTIONS TAKEN BY THE SCHOOL (if
(if any) any)
PILA ELEMENTARY The electrical wire in some should be The electrical wires were replaced
SCHOOL replaced. immediately.

Prepared by:

Name: WINSTON E. GAVILAGA

Designation: SDRRM Coordinator

Approved by:

Name: JEFFREY T. DE LEON

Designation: School Head___________________________________

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