BE Form 01

Republic of the Philippines

Department of Education

PHYSICAL FACILITIES AND MAINTENANCE NEEDS ASSESSMENT FORM

CONDITION Nature of
Remarks Manpower
(Check One) improvement Needed Material Resources
Needed(Indicate
FACILITIES If Unsatisfactory, (e.g. repair, Needed (Indicate kind
quantity and nature of
Satisfactory Unsatisfactory describe the repainting, and quality)
labor services needed)
problem replacement, etc)
 Water facilities/ √ No enough supply Water catchment and Water tank; shovel for Ordinary Labor
Drainage System and clogged canal removal of clogs removal of clogs
 Signages √ Faded signages and Replace old signages Tarpaulins, woods, Ordinary Labor
damage signages nails, hammer
 School garden √ Not maintained Re-enhance Grass cutter, rake, bolo Ordinary Labor
 Classrooms √ Cleaning and Cleaning and Cleaning and disinfection Ordinary Labor
disinfection are needed. disinfection materials
 Windows √ Cleaning and Cleaning and Cleaning and disinfection Ordinary Labor
disinfection are needed. disinfection materials
 Doors ( Grade 7 to SHS ) √ Defective Knobs Replace/repair New Door Knobs Carpentry
 Comfort Rooms ( Besides canteen √ Dirty/defective Clean/Repair Cleaning Agents Ordinary Labor
and Grade 10 room )
 School Grounds √ Grass growing tall Weeding Mower Ordinary Labor
 School Canteen √ No yet painted Paint Paints, Brush Painting
 School Fence/ wall √ No fence Build a Fence Cyclone Wire, Nail, Labor
Wood
 Electricity (Grade 7 and Grade 8 √ No enough supply Install transformer Transformer Electrical
classrooms)
 Path walk √ There is no safe route Construct a path walk Construction materials labor
to use to get from the
flag pole location to
the SHS building.
 Painting the stairways and the √ In the assembly area, Paint and re-paint Paint, Paint brush labor
assembly area some of the paint has
faded, and the
stairways have yet to
be painted.
 Organized the SLM’s and √ Some of the SLMs Arrange and put the Ordinary Labor
textbooks and textbooks have textbooks and SLMs in
not yet been one location.
 organized
 Reference Materials √
 Laboratory equipment √

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:

AUGUST 2, 2021
School Physical Facilities Coordinator Date of Inspection School Head