CRITERIA FOR SCHOOL TO SCHOOL CLEAN AND GREEN EVALUATION

SCHOOL: ___________________________________________________ No. of Rooms: ______________________

No. of Teaching Personnel:___________ No. of Vaccinated :______ No. Building: ___________________
No. of Non-Teaching Personnel:_______ No. of Vaccinated:_______ Building needs Major Repair: _______
No. of Total Enrolment: ______________ No. of Vaccinated: _______ Building needs Minor Repair: _______
Need of School Classroom
20 19-15 14-10 9-5 4-1
I. CRITERIA Needs
Outstanding Very Satisfactory Satisfactory Poor
Improvement

A. MRF ( Material Recovery Facility) 20%

1. MRF with complete housing using door type

and with 4 segregation compartments.

2. MRF is functional.

B. WINS ( Wash in School) 20%

1. Presence of clean/organized handwashing

facilities
2. Functional (with regular supply of water, soap, and
handwashing is part of daily class routine/program).

C. Water Source 20%

1. Presence of potable water (with water test

result).
2. Source of water can suffice the needs of
school.

D. WOW (Waste Segregation, Compost Pit) 20%

1. Presence of labeled waste segregation boxes

in the classroom.
2. Garbages are properly disposed in the
segregation boxes.
3. Presence of compost pit for biodegradable
waste.

Total

15 14-10 9-7 6-4 3-1

II. CRITERIA Very Needs
Outstanding Satisfactory Improvement Poor
Satisfactory

A. Gulayan sa Paaralan 15%

1. Presence of at least 10 kinds of vegetables

and herbal plants

2. Usage of organic fertilizer

3. Utilization of recyclable materials/garbages

4. Stakeholders' participation and counterpart

B. Toilet 15%

1. Presence of toilet in every classroom with

soap/tissue paper.

2. Commonal male/female toilet

3. Toilet is clean and well-maintained.

C. Cleanliness/Orderliness in and 2m. outside
the school perimeter (15%)

1. Minimum health standard is implemented in

school

2. Hazard free environment

3. Absence of mosquito breeding sites

4. Classrooms are well ventilated, clean and
organized.

5. Cleanliness is observed within and 2 meters

outside the school premises.

6. Roofs and walls are clean.

D. Clean and Green Billboard, Health Corner/Clinic, NDEP/BKD Corner (15%)

1. Presence of clean and green billboards in
school premises.
2. Presence of functional health/clinic area in school
and NDEP/BKD/ARH corner in the classroom.

10 9-7 6-5 4-2 1

III. CRITERIA Very Needs
Outstanding Satisfactory Improvement Poor
Satisfactory

A. Trees

1. Presence of trees in the school, at least 5 trees

(10%)

B. School Canteen (10%) (Optional)

1. School canteen is compliant with the DO No. 13, S. 2017

( Healthy Food and Beverages Choices)

2. Updated sanitary permit and health certificate

of all food vendors/handlers.

3. Food vendors/handlers are compliant with the minimum

health standard.

4. Foods are properly packed and covered.

5. Updated daily financial income and statement of school

canteen (Notebook/Logbook).
Completely half fenced with front is fenced portion fence no fence
fenced w/ gate gate with gate only
C. Fence (10%)

D. Landscaping (10%)

1. Well-maintained ground with presence

ornamental plants.
E. Absence of stray Dog (10%) -5%

1. Absence of stray dogs within the school

premises.
F. Vaccination Status of school personnel and
learners (10%)

Total
 Grand Total Score/Rate

Evaluator: ________________________________
 CRITERIA FOR SCHOOL TO SCHOOL CLEAN AND GREEN EVALUATION

SCHOOL: ___________________________________________________ No. of Rooms: ______________________

No. of Teaching Personnel:___________ No. of Vaccinated :______ No. Building: ___________________
No. of Non-Teaching Personnel:_______ No. of Vaccinated:_______ Building with Major Repair: _______
No. of Total Enrolment: ______________ No. of Vaccinated: _______ Building with Minor Repair: _______

5 4 3 2 1
I. CRITERIA Very Needs
Outstanding Satisfactory Poor
Satisfactory Improvement

A. MRF ( Material Recovery Facility) 20%

1. MRF with complete housing using door type

and with 4 segregation compartments.

2. MRF is functional.
B. WINS ( Wash in School) 20%

1. Presence of clean/organized handwashing

facilities.

2. Functional (with regular supply of water, soap, and

handwashing/toothbrushing as part of daily class
routine/program).

C. Water Source 20%

1. Presence of potable water (with water test

result).
2. Source of water can suffice the needs of
school.
D. WOW (Waste Segregation, Compost Pit) 20%

1. Presence of labeled waste segregation boxes in

the classroom.

2. Garbages are properly disposed in the

segregation boxes.
3. Presence of compost pit for biodegradable
waste.

Total

A. Gulayan sa Paaralan 15%

1. Presence of at least 10 kinds of vegetables and

herbal plants

2. Usage of organic fertilizer

3. Utilization of recyclable materials/garbages

4. Stakeholders' participation and counterpart is
practiced.
B. Toilet 15%

1. Presence of toilet in every classroom with

soap/tissue paper.

2. Commonal toilet - male/female

3. Toilet is clean and well-maintained.

C. Cleanliness/Orderliness in and 2m. outside
the school perimeter (15%)

1. Minimum health standard is implemented in

school

2. Hazard free environment

3. Absence of mosquito-breeding sites

4. Classrooms are well ventilated, clean and

organized.
5. Cleanliness is observed within and 2 meters
outside the school premises.

6. Roofs are repainted and walls are clean.

D. Clean and Green Billboard, Health Corner/Clinic, NDEP/BKD Corner (15%)

1. Presence of clean and green billboards.

2. Presence of functional health/clinic area in school
and NDEP/BKD/ARH corner in the classroom.

Total

A. Trees (10%)

1. Presence of trees inside the school

premises, at least 5 trees.

B. School Canteen (10%)

1. School canteen is compliant with the DO No. 13, S. 2017

( Healthy Food and Beverages Choices)

2. Updated sanitary permit and health certificate

of all food vendors/handlers.
3. Updated daily financial income and statement
of canteen (Notebook/Logbook)

4. Foods are properly packed and covered

Completely half fenced with front is fenced portion fence only no fence
fenced w/ gate gate with gate
C. Fence (10%)

D. Landscaping (10%)

1. Well-maintained ground with presence

ornamental plants
E. Absence of stray Dog (10%)

1. Absence of stray dogs within the school

premises.
F. Vaccination Status of school personnel and
learners (10%)

Total

Grand Total Score/Rate

Evaluator:
________________________________