BE Form 01

Republic of the Philippines

Department of Education
Region III
SCHOOLS DIVISION OF ZAMBALES
PAMATAWAN INTEGRATED SCHOOL
Pamatawan, Subic Zambales
School Year 2019-2020

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
(Check One) improvement Needed Material Resources Manpower Needed(Indicate
FACILITIES If Unsatisfactory, (e.g. repair, Needed (Indicate kind quantity and nature of
Satisfactory Unsatisfactory describe the repainting, and quality) labor services needed)
problem replacement, etc)
 Roofs/Gutters /

 Ceilings /

 Walls /

 Blackboards /

 Chairs/desks/tables / Broken Chairs Needs repair/repainting Nail, paint 6 persons/carpentry works

 Water facilities/
/
Drainage System
 Signages / Faded paint Needs repair/repainting Paint

 School garden / Dry, grassy Replanting/trimming plants 5 persons/planting

 Lighting /

 Windows / Damaged Doors Needs repair/repainting Nail, paint 2 persons/carpentry works

 Doors /

 Comfort Rooms /

 School Grounds / / Grassy Needs trimming/cleaning Grass cutter/bolo

 School Canteen/Clinic / Faded Paint Needs repainting Paint 3 persons/carpentry works

 School Fence/ wall /

 Electricity /

 Alternative gate / Faded Paint Needs repainting Paint 3 persons/carpentry works

 Reference Materials / Damaged Needs repair/repainting paint/Repair/ 6 persons/ works

 Laboratory equipment / Faded Paint Needs repainting Paint 10 persons/carpentry works

Prepared by: Noted:

VICTORIANO E. EDNAVE May 2, 2019 EDUARDO C. JUMADIAO

School Physical Facilities Coordinator Date of Inspection School Head