BE Form 01

Republic of the Philippines

Department of Education
Region IV-A CALABARZON
SCHOOLS DIVISION OF LAGUNA
Minayutan Elementary School
Brgy. Minayutan Famy Laguna
School Year 2022-2023

BRIGADA ESKWELA
CONDITION Nature of Manpower Needed
Remarks Material Resources
(Check One) improvement 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  Clog gutters Repair Gutter Carpenter
 Ceilings 
 Walls 
 Blackboards 
 Chairs/desks/tables 
 Water facilities/  Water supply Repair of rain collector Tubes/hose Plumber
Drainage System
 Signages 
 School garden  Full of grass Trimming of grasses Bolos and haras Volunteers
 Lighting 
 Windows  Broken Jalousie Replacement Jalousies Glazier
windows
 Doors 
 Comfort Rooms  Broken Doors Replacement CR Doors Volunteer
 School Grounds  Grassy Cementing the floor 4 bags Cement, sand and Volunteer
grava
 School Canteen/Clinic 
 School Fence/ wall  Dirty wall Repainting paint Volunteer
 Electricity 
 Alternative gate 
 Reference Materials 
 Laboratory equipment 
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).

Prepared by: Noted:

ANGELINE V. LLAMADO JULY 29, 2022 NOEL R. FULGERAS, EdD

V School Physical Facilities Coordinator Date of Inspection Head Teacher III