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BE Form 01

Republic of the Philippines


Department of Education
Region XI
SCHOOLS DIVISION OF THE CITY OF MATI
DELA PEÑA NARISMA RECAÑO ELEMENTARY SCHOOL
Bajada, La Union, San Isidro, Davao Oriental
School Year 2022 - 2023

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 improvement Material Resources Manpower Needed
Remarks
( Check One ) Needed Needed ( Indicate quantity and
FACILITIES
If Unsatisfactory, ( e.g. repair, repainting, ( Indicate kind and nature of labor services
Satisfactory Unsatisfactory replacement, etc ) quality ) needed )
describe the problem
 Roofs/Gutters / Presence of rusts were Replacement and painting 20 gal. Roof guard paint 3 Painters
manifested and some and 5 pcs. Paint brush
gutters were detached
 Ceilings / Some classroom’s ceiling Replacement and painting 20 pcs. Plywood 2 Carpenters
was damaged
 Walls / Dirty walls Needs painting 10 gal. Gloss Latex Paint 2 Painters
 Blackboards / Damaged and faded Needs replacement and paint 10 pcs. Plywood 2 Carpenters
paints 3 gal. Enamel Paint 2 Painters
 Chairs/desks/tables / Lack of armchairs for Additional supply of ready to 50 Armchairs
Intermediate level and use armchairs and Kinder 50 Kinder Chairs
Kinder chairs chairs
CONDITION Nature of improvement Material Resources Manpower Needed
FACILITIES Remarks
( Check One ) Needed Needed ( Indicate quantity and
If Unsatisfactory, ( e.g. repair, repainting, ( Indicate kind and nature of labor services
Satisfactory Unsatisfactory
describe the problem replacement, etc ) quality ) needed )
 Water facilities/ /
Drainage System
 Signages /
 School garden / Uncultivated soil and Cultivation and replanting Bolos and seedlings 20 Gardeners
withered plants
• Lighting /
• Windows /
• Doors /
• Comfort Rooms / Unfunctional CR in some Repair 5 sacks cement 1 Masson
classrooms
• School Grounds / Need to be cleaned Cleaning Broomsticks and bolos 10 Ordinary laborers
• School Canteen / Need to be painted Painting 3 gal. Enamel paint, 3 gal. 5 Painters
Flat latex paint, 2 gal. Gloss
latex paint, 6 cans Tinting
colors, 2 pcs. Roller brush,
2 pcs. Paint brush and 2
bot. Paint thinner
• School Fence / Need to be painted Painting 10 gal. Gloss latex paint, 5 5 Painters
pcs. Paint brush and 20
cans Tinting colors
• Electricity /
• Alternative gate /
• Reference Materials /
• Laboratory /
equipment
CONDITION Nature of improvement Material Resources Manpower Needed
Remarks
( Check One ) Needed Needed ( Indicate quantity and
FACILITIES
If Unsatisfactory, ( e.g. repair, repainting, ( Indicate kind and nature of labor services
Satisfactory Unsatisfactory replacement, etc ) quality ) needed )
describe the problem
• School rip rap / Need to be painted Painting 6 gal. Gloss latex paint, 5 5 Painters
pcs. Paint brush and 18
cans Tinting colors
• Science garden / Need to be renovated Repair 6 sacks Cement, 2 gal. 2 Ordinary Laborers
Gloss latex paint, 8 cans
Tinting colors and 2 pcs.
Paint brush

Prepared by : Noted :

ESMERIA A. CADIAO July 29, 2022 ALMA A. BALOLOT


School Physical Facilities Coordinator Date of Inspection School Head

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