BE Form 01

Republic of the Philippines

Department of Education
Region IV-A CALABARZON
SCHOOLS DIVISION OF BATANGAS
PAARALANG ELEMENTARYA NG CALUBCUB 1
CALUBCUB 1 SAN JUAN BATANGAS
School Year 2022-2022

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 MATERIAL MANPOWER NEEDED
(Check One) IMPROVEMENT
RESOURCES NEEDED (Indicate quantity and
FACILITIES NEEDED
If Unsatisfactory, (Indicate kind and nature of labor services
Satisfactory Unsatisfactory (Repair, Repainting,
describe the problem quality) needed)
Replacement, etc.)
 Roofs/Gutters  Leaking roofs repair Roofs Carpentry
 Ceilings  Leaking ceiling repair Plywood. nails Carpentry
 Walls  Dirty and dusty wall repainting Paints, brush Painting
 Blackboards  loose repair boards Carpentry
 Chairs/desks/tables  broken parts, faded nails, screw, woods,
repair, and repainting Carpentry
paints and loose screw paint
 Water facilities/ 
leaking faucets repair faucets Plumbing
Drainage System
 Signages  insufficient Adding signages tarpaulin/tarpaper Ordinary labor
 School garden  Planting of
Repainting/landscaping planting Gardening
flowerpots/replanting
 Lighting  busted light bulbs Replacement bulbs electrical
 Windows  Faded paints repainted paints Painting
 Doors  Faded paints repainted paints Painting
 Comfort Rooms  Dusty walls repainted paints Painting
 School Grounds  Faded paints/grassy Repainted/ trimmed Paints, grass cutter Painting/Gardening
 School Canteen/Clinic 
 School Fence/ wall 
 Electricity  loose wirings Repair and replacement Electrical wirings Electrical
 Alternative gate 
  Reference Materials  Insufficient
 Laboratory equipment  Insufficient/no
laboratory room

Prepared by: Noted by:

IREC L. BERNARTE August 20, 2022 MA. SHEJANIE S. MATOCINOS

School Physical Facilities Coordinator Date of Inspection School Head