BE Form 01

Republic of the Philippines

Department of Education
Region VII
SCHOOLS DIVISION OF BAYAWAN CITY
BUGAY NATIONAL HIGH SCHOOL
BUGAY, BAYAWAN CITY
School Year: 2019 - 2020

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
Remarks Manpower
(Check One) improvement Needed Material Resources
Needed(Indicate
FACILITIES (e.g. repair, Needed (Indicate kind
If Unsatisfactory, quantity and nature of
Satisfactory Unsatisfactory repainting, and quality)
describe the problem labor services needed)
replacement, etc)
 Roofs/Gutters √
 Ceilings √
 Walls √
 Blackboards √
 Chairs/desks/tables √
 Water facilities/ √ Lack of water supply Need installation Water container/tank, Plumber
Drainage System water hose, faucet, water
 Signages √
 School garden √ Disarranged, no Repair of flower boxes Sand, cement, gravel, Mason/gardener
enough plants/flowers iron bars, water, plants,
etc.
 Lighting √ Busted bulbs replacement bulb electrician
 Windows √ damaged jalousie replacement Jalousie glass carpenter
 Doors √ Damaged doors/door Repair/replacement Wood, door knob, paint carpenter
knob
 Comfort Rooms √ Lack of water supply Need installation Water container, water Plumber, carpenter
dipper, faucet,
 School Grounds √
 School Canteen/Clinic √ Damaged school Repair Carpentry materials, Carpenter
canteen lumber, etc.
 School Fence/ wall √ Minor damages repair Post, nails, carpentry carpenter
 tools, etc.
 Electricity √ Faulty wirings/ repair Electrical wires, outlets, electrician
damaged outlets etc.
 Alternative gate √ Temporary Replacement Construction materials Mason/carpenter
 Reference Materials √
 Laboratory equipment √

Prepared by: Noted:

LOLIZA E. CAMEON
School Physical Facilities Coordinator Date of Inspection School Head