Republic of the Philippines

Department of Education
Office of the Undersecretary for Infrastructure and Facilities

ANNEX A
INSPECTION CHECKLIST
Proponent: Region: III
Name of School: Bliss Elementary School Building Type: PPP
School ID: 159012 Sub-project ID:
Division: Nueva Ecija

Component 1 Room Condition

Classroom Buildings
Room Number Good For Major For Minor For
Condition Repair Repair Condemnation

2/F Rizal Building, DepEd Complex, Meralco Avenue, Pasig City

Telephone No.: (02) 9687-2922; 8637-2407 Fax No.: (02) 8636-4876; 8637-6209; Website: www.deped.gov.ph
 Republic of the Philippines
Department of Education
Office of the Undersecretary for Infrastructure and Facilities

Component 1 - Classroom Buildings

Visual Inspection of Structural Concrete and Steel Building Components
Findings and Observation
I. Present Condition of Structures
A. Ground Floor
Floors need a major repair.
_____________________________________________________________________

B. Second Floor
_________N/A___________________________________________________________
_____________________________________________________________________
_____________________________________________________________________

C. Roof/Ceiling
Roof and Ceiling needs a major repair. There is a leak in the ceiling
specially during rainy season.
_____________________________________________________________________
_____________________________________________________________________

II. Other Issues

Broken door hinge and broken doorknob.
Fluorescent lights are not function.

The comfort room is not functional, the water line is leaking.

III. Recommendation
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________

2/F Rizal Building, DepEd Complex, Meralco Avenue, Pasig City

Telephone No.: (02) 9687-2922; 8637-2407 Fax No.: (02) 8636-4876; 8637-6209; Website: www.deped.gov.ph
 Republic of the Philippines
Department of Education
Office of the Undersecretary for Infrastructure and Facilities

Condition
Component III Functional Not Functional Remarks

Furniture Some of chairs

are damaged
because plastic
chair is easily
fragile

Condition
Component II Functional Not Functional Remarks

Toilet
water line
leaking

Validated:

ENGR. ENER C. FUERTEZ

DepEd Engineer/Representative

Certified True and Correct by:

JOJI M. TECSON
School Head

2/F Rizal Building, DepEd Complex, Meralco Avenue, Pasig City

Telephone No.: (02) 9687-2922; 8637-2407 Fax No.: (02) 8636-4876; 8637-6209; Website: www.deped.gov.ph
 Republic of the Philippines
Department of Education
Office of the Undersecretary for Infrastructure and Facilities

PHOTO DOCUMENTATIONS

COMPONENT I – CLASSROOM BUILDING

2/F Rizal Building, DepEd Complex, Meralco Avenue, Pasig City

Telephone No.: (02) 9687-2922; 8637-2407 Fax No.: (02) 8636-4876; 8637-6209; Website: www.deped.gov.ph
 Republic of the Philippines
Department of Education
Office of the Undersecretary for Infrastructure and Facilities

PHOTO DOCUMENTATIONS

COMPONENT II – TOILET

2/F Rizal Building, DepEd Complex, Meralco Avenue, Pasig City

Telephone No.: (02) 9687-2922; 8637-2407 Fax No.: (02) 8636-4876; 8637-6209; Website: www.deped.gov.ph
 Republic of the Philippines
Department of Education
Office of the Undersecretary for Infrastructure and Facilities

PHOTO DOCUMENTATIONS

COMPONENT III – CLASSROOM FURNITURE

2/F Rizal Building, DepEd Complex, Meralco Avenue, Pasig City

Telephone No.: (02) 9687-2922; 8637-2407 Fax No.: (02) 8636-4876; 8637-6209; Website: www.deped.gov.ph
 Republic of the Philippines
Department of Education
Office of the Undersecretary for Infrastructure and Facilities

2/F Rizal Building, DepEd Complex, Meralco Avenue, Pasig City

Telephone No.: (02) 9687-2922; 8637-2407 Fax No.: (02) 8636-4876; 8637-6209; Website: www.deped.gov.ph