BE FORM 1

Republic of the Philippines

Department of Education
REGION IV-A CALABARZON
SCHOOLS DIVISION OF BATANGAS
AGONCILLO NATIONAL HIGH SCHOOL
SUBIC ILAYA, AGONCILLO, BATANGAS

BRIGADA ESKWELA SY. 2021-2022

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 improvement
(Check One) Manpower
Needed Material Resources
Needed(Indicate
FACILITIES Needed (Indicate
If Unsatisfactory, (e.g. repair, quantity and nature of
kind and quality)
Satisfactory Unsatisfactory describe the repainting, labor services needed)
problem replacement, etc)

Roofs/Gutters

Ceilings

Walls

Blackboards

Chairs/desks/tables

___________________________________________________________________________________________________________________
Agoncillo National High School
Subic Ilaya, Agoncillo, Batangas
0915 847 2616
agoncillonhs@yahoo.com
 BE FORM 1

Republic of the Philippines

Department of Education
REGION IV-A CALABARZON
SCHOOLS DIVISION OF BATANGAS
AGONCILLO NATIONAL HIGH SCHOOL
SUBIC ILAYA, AGONCILLO, BATANGAS

Water facilities/ Drainage

System
Signages

School garden

Lighting

Prepared by: Noted:

School Physical Facilities Coordinator Date of Inspection School

Head

___________________________________________________________________________________________________________________
Agoncillo National High School
Subic Ilaya, Agoncillo, Batangas
0915 847 2616
agoncillonhs@yahoo.com