BE Form 01

Republic of the Philippines

Department of Education
Region II
SCHOOLS DIVISION OF ISABELA
DIADI REGION HIGH SCHOOL
Villamarzo, Cordon, Isabela
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 improvement Manpower Needed
Remarks Material Resources
(Check One) Needed (Indicate quantity and
FACILITIES Needed (Indicate kind
If Unsatisfactory, (repair, repainting, nature of labor services
Satisfactory Unsatisfactory and quality)
describe the problem replacement, etc) needed)
 Roofs/Gutters
 Ceilings
 Walls
 Blackboards
 Chairs/desks/tables Lack of chairs
 Water facilities/ Non-functional water Repair of water system
Drainage System system on Senior High
building
 Signages Faded/shabby
 School garden
 Lighting
 Windows Broken Glasses
 Doors
 Comfort Rooms Broken doors/partially
shabby ceiling on façade
area
 School Grounds
 School Canteen/Clinic
 School Fence/ wall Unfinish PF at the back Construction of PF Construction Materials
of grade 8 building
 Electricity
 Alternative gate
 Reference Materials
 Laboratory equipment Insufficient shelves for Provide enough shelves
the laboratory
equipment

Prepared by: Noted:

_JUDY S. FERNANDEZ, T-III _________________ VILMA L. VILLADOR, PhD.
School Physical Facilities Coordinator Date of Inspection School Head