Republic of the Philippines

Department of Education
Region x
Division of Cagayan de Oro City

CLASSROOM EVALUATION CHECKLIST

Teacher: _____________________________________ Date: ______________________
Grade & Section: ______________________________

Forms Evident Not Evident Remarks

1 SF 1 (Class Register)
2 SF 2 (Daily Attendance Record)
3 SF 3 (Books Issued and Returned)
4 SF 4 (Monthly Learner’s Movement and Attendance
5 SF 9 (Report Card)
6 SF 10 (Permanent Record)
7 Class Record
8 Teacher’s Daily Schedule
9 Learners’ Learning Plan
10 Monitoring plan of teachers
11 Learners Information System (LIS)
12 Self-Learning Modules (SLMs)
13 Distribution List of SLMs
14 Retrieval List of SLMs
15 Copy of MELCs per learning area
16 Performance Task Bank
17 SLM guide

Classroom Structuring and Facility

A signboard posted showing the Grade/Year and
1 Section and the name of teacher handling the class)
Class Program & List of Learners displayed on the
2
door at adult-eye-level.
Classroom chalkboards, properly framed and
3
provided with chalk ledge and curtains.
Above the chalkboard, a framed copy of the National
Anthem displayed at the upper left hand comer and
4
on the other side, a framed copy of the Pledge of
Allegiance to the Philippine Flag
5 Tables and/or chairs are properly arranged
6 Adequate ventilation and lighting
7 Storage for retrieved modules
8 Handwashing facility
Classroom Safety, Preparedness and
Maintenance
1 Health Protocol Signages
2 Floor Markers
3 Footbath
4 Alcohol
5 Face Mask
6 Face Shield
7 Hand Gloves
8 Neat and orderly arrangement of materials and
teaching devices

_______________________ ____________________________
Signature of the Teacher Monitor