BE Form 01

Republic of the Philippines

Department of Education

Region I
SCHOOLS DIVISION OF BATANGAS
DALIPIT ELEMENTARY SCHOOL
(Name of School)

DALIPIT WEST, ALITAGTAG, BATANGAS

School Year 2020-2021

BRIGADA ESKWELA 2020

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

●
Roofs/Gutters / Rusty, faded paintings/unpainted/patching of Patching of holes/repainting 1 vulcazeal, Paint brush 8 Painters
holes/repainting repair 10 tin cans paint 1 laborer
leaking Rebit, nail

●
Ceilings / Dilapidated/unpainted Replacement/painting 28 Plywood, nail, paint 2 Carpenter
●
Walls / Faded paint Repainting Paint, paint brush Painter

●
Blackboards / Faded paint without line Repaint, putting line Paint/brush, meter stick Painter
●
Classrooms / Dusty /unclean / empty bulletins Cleaning / decorating Cleaning materials Cleaners/decorator

●
Chairs/desks/tables / Faded paint Repainting Paint Painter
●
Water facilities/ / Leaking Repair, replacement pipe Pipe pitter
Drainage System
●
Signages / unserviceable repainting Paint, paint brush painter
●
School garden / Tall grasses Grass cutting Grass cutter Utility man
●
Lighting / unserviceable Reinstallation, replacement 2 bulb, electrical materials electrician

●
Windows / Broken blades/rusty Replacement / cleaning Glass jalousies/rugs Carpenter/cleaners
 ●
Doors / dilapidated Repair, replacement plywood carpenter
●
Comfort Rooms / Unclean, leaking pipes Cleaning, repair Cleaning materials Pipe fitter/ cleaners
●
School Grounds Tall grasses, dirty Grass cutting Grass cutter Laborer

●
School Canteen/ Faded paint repainting paint painter
Clinic

Prepared by: Noted:

MARICRIS I. ASI 01-20-2020 ZENAIDA G. GUTIERREZ

School Physical Facilities Coordinator Date of Inspection School Head