BE Form 01

Republic of the Philippines

Department of Education
Region IV-A CALABARZON
SCHOOLS DIVISION OF QUEZON
KINAGUNAN ELEMENTARY SCHOOL
KINAGUNAN IBABA PADRE BURGOS QUEZON
School Year 2018-2019

BRIGADA ESKWELA

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 Manpower
(Check One) improvement Needed Material Resources
Needed(Indicate
FACILITIES (e.g. repair, Needed (Indicate
If Unsatisfactory, quantity and nature of
Satisfactory Unsatisfactory repainting, kind and quality)
describe the problem labor services needed)
replacement, etc)
 Roofs/Gutters  dismembered roofs, old- replacement, repaint paint, paintbrush, G.I. carpentry
rusty G.I. sheet sheet, nails, hammer
 Walls  faded paint, outdated, repaint paint, paintbrush, 3 painter
uneven walls roller, roller plate
 Blackboards  dilapidated, damaged by replacement, repaint, new blackboards, Carpenter/painter
storm repair paint, paintbrush
  damage by termites, replacement new 167
Chairs/desks/tables dilapidated
 Water facilities/ 
Drainage System
 School signs/signages  lack of proper signages construct paper, printer, ordinary labor
laminator, laminating
film
 School garden  Grassy/full of weeds gardening ordinary gardener
 Lighting 
 Windows  broken, condemned replacement Jalousie (glass) glass installer
 Doors  door knobs need to be replacement door knobs carpentry
replaced
 Comfort Rooms  Faded paint/no doors Construction, repaint plywood, hamba, carpentry
hinges, knobs
  School  Full of weeds/grassy gardening ordinary gardener
Grounds/landscaping
 School wall/fence  outdated repaint paint, paintbrush, painter
roller, roller plate
 Electricity  short circuit realignment and duplex wire #6, outlet electrician
rehabilitation of 1 gang, switch 2 gang,
electrical wirings electric tape
 Alternative gate  old-rusty gate repaint paint, paintbrush Ordinary labor
 Electric fan  dusty/malfunction/lack of Repair brush, new electric fan electrician
electric fan
 Directory of Identified  lack of directory construct paper, printer ordinary labor
Classroom for Evacuation
 School equip with first aid 
kits
 Waste depository  loaded waste area unload Ordinary labor
 Gulayan sa Paaralan  Full of weeds/grassy gardening Ordinary gardener

Prepared by: Noted:

KRIZZIA E. DESEO TERESA V. NADURA

School BE Coordinator School Head