ANNEX A

INVENTORY OF FACILITIES/EQUIPMENTS OF
MURCIA NATIONAL HIGH SCHOOL
FOR USE AS TEMPORARY QUARANTINE OR ISOLATION FACILITY

(Modified School-Based Inventory Facilities/Equipments Template based on OM-OSEC-2020-003)

Designated Facilities for Use as Temporary Quarantine or Isolation Facility:

1. Room Number __10-SPA/DANCE ROOM__

2. Name of Building _Special Program in the Arts __

Facility Item Quantity Condition

(Gymnasium, (Furniture and
Room, etc.) Fixture,
Equipment,
etc)

Grade 10/Dance room steel arm chairs 20 pcs Rusty and broken
Not safe to use
Chairs plastic 7 Broken /missing
Students long table 1 Need repair
Teacher’s table 2 Need repair
Door (entrance) 1 Broken door knob
Door (Cr) 1 Broken

Other Remarks on Premises/Structures/Facilities

*Chairs, walls and tables need repaint

* Replacement of steel chairs

* Cr sink broken on the lower part

Prepared by:

__________________________
(Signature over Printed Name)
Teacher /Adviser
Date _____________________

Attested:
_________________________
Allan C. Martizano
Chair, Managing School Operations

Conforme:

__________________________
Lalaine N. Dairo
Principal IDate______________________