Republic of the Philippines

Department of Education
Region IV – A CALABARZON
ANILAO ELEMENTARY SCHOOL

BRIGADA ESKWELA 2021

THEME: ARIBA BRIGADA, BAYANIHAN PARA SA PAARALAN

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 Manpower

Remarks Material Resources
(Check One) improvement Needed Needed(Indicate quantity
FACILITIES Needed (Indicate kind
If Unsatisfactory, (e.g. repair, repainting, and nature of labor
Satisfactory Unsatisfactory and quality)
describe the problem replacement, etc) services needed)
• Roofs/Gutters ✓
• Ceilings ✓
• Walls ✓
• Blackboards ✓
• Chairs/desks/tables ✓
• Water facilities/ ✓
Drainage System
• Signages ✓ Not updated signs replacements Tarpaulin/ Volunteers
Bondpaper
• Lighting ✓
• Windows ✓
• Doors ✓
• Comfort Rooms ✓
 • School Grounds ✓ Scattered Plants, Cleaning Cleaning Materials for Volunteers
growing weeds outdoors
• School Canteen/Clinic ✓
• School Fence/ wall ✓
• Electricity ✓
• Alternative gate ✓
• Reference Materials ✓
• Laboratory equipment ✓
• IATF Posters ✓ Missing posters, Replacements Bondpaper
incomplete directions Alcohol
and no posters in Facemasks
some visible areas
• Vegetable Garden ✓ Not used due to Replanting Seeds/ Young plants Plant Enthusiasts
pandemic.
• School Garden ✓ Dead plants, stolen. Recycling and Wheels Painters
Replanting Seeds/ Young plants Volunteers
• Grade posts for BALIK ✓ Kept inside of other Replacements Bondpaper Volunteers
ESKWELA rooms to give way Alcohol
with vacation. Facemasks

Prepared by: NOTED:

MARCELINO D. MANGILET MIRIAME M. SAMBAYAN ROLAND D. DIAZ EdD

BE 2021 SCHOOL PHYSICALS FACILITATOR DOCUMENTATION COMMITTEE OFFICER-IN-CHARGE/OVERALL CHAIRPERSON
Chairperson

Tel. No. (043) 741-6177

Email: 109671@deped.gov.ph
Facebook: Anilao Elementary School – Lipa City