BE Form 01

Republic of the Philippines

Department of Education
Caraga Region
SCHOOLS DIVISION OF SURIGAO DEL SUR
Kinabigtasan Elementary School
Prk. Bombils, Brgy. Kinabigtasan, Tago, Surigao del Sur
School Year 2022-2023

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 Needed
(Check One) improvement Needed Material Resources
(Indicate quantity and
FACILITIES If Unsatisfactory, (e.g. repair, Needed (Indicate
nature of labor
Satisfactory Unsatisfactory describe the repainting, kind and quality)
services needed)
problem replacement, etc)
 Roofs/Gutters / repainting Paints and paint brush 2-Job Order

 Ceilings /
 Walls /
 Blackboards /
 Chairs/desks/tables / repainting Paints and paint brush 3

 Water facilities/
/
Drainage System
 Signages /
 School garden / Replanting seeds 5
 Lighting /
  Windows /
 Doors /
 Comfort Rooms /
 School Grounds /
 School Canteen/Clinic / repair Woods, nails,
corrugated galvanized 5
roof

 School Fence/ wall / repainting Paints and paint brush 3

 Electricity /
 Alternative gate / No alternative gate
 Reference Materials /
 Laboratory equipment / No laboratory
Classroom

Prepared by: Noted:

PINGCY P. URIARTE August 1, 2022 AGNES P. VERMOY

School Physical Facilities Coordinator Date of Inspection School Head
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