Republic of the Philippines

Department of Education
Cordillera Administrative Region
DIVISION OF APAYAO
GUINAMGAMMAN ELEMENTARY SCHOOL
Guinamgamman, Conner, Apayao
BRIGADA ESKWELA
BE FORM 01
PHYSICAL FACILITIES AND MAINTENANCE NEEDS ASSESSMENT FORM
(To be accomplished by the School Facilities Coordinator)
CONDITION (Check one) Material Resources Manpower Needed (Indicate
FACILITIES Nature of improvement Needed Needed (Indicate kind quantity and nature of labor
Satisfactory Unsatisfactory If Unsatisfactory, describe the problem (e.g. repair, repainting, replacement, etc)
and quality) services needed)
Roofs/Gutters x 4 rooms need to repair Replacement 4 pcs GI sheets 1 skilled and 2 laborers
Ceilings/Walls x 2 rooms need to repair Repair and Replacement Plywood, nails, lumber 5 carpenters
Windows and Doors x Jalousies are broken Replacement
Blackboards/tables x
Chairs/desks/tables x Some chairs need repair Repair Nails and lumber 3 carpenters
Comfort Rooms x
Liking pipes x Some pipes need replacement Repair and replacement PVC pipes and joints
School ground/landscaping x Still not cleaned Cleaning
School signs/signage’s x Incomplete signage’s Complete the signage’s
Electrical x Some rooms need to repair florescent bulb Replacement
Fire suppression/extinguisher x
School free from sharp objects x
Prepare directory of emergency contact x Printed directory of emergency contact were torn. Make wooden and painted directory of Lumber and paints
emergency contact.
Establish early warning devices in case of x
emergency
School equip with 1st aid kit
Others Specify
School garden x Still not cleaned and unplanted Cleaning
School Fence x Wooden post are now rotten Build concrete fence Cement, hollow blocks, gravel 2 skilled and 5 laborers
and sand, rod
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).

Prepared by: Noted:

SABINA G. GANOTICE June 9, 2022 LENNIE G. ABLAO

School Physical Facilities Coordinator Date of Inspection Teacher-in-Charge