BE Form 01

Republic of the Philippines

Department of Education
REGION IV-A CALABARZON
SCHOOLS DIVISION OF RIZAL
Sub-Office of Cainta
JANSSENVILLE ELEMENTARY SCHOOL
School Year 2023-2024

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/
Drainage System
 Signages
 School garden
 Lighting
 Windows
 Doors
 Comfort Rooms
 School Grounds
 School Canteen/Clinic
 School Fence/ wall
 Electricity
 Alternative gate
  Reference Materials
 Laboratory equipment

Prepared by: Noted:

RODNEY M. AREVALO _________________ MAYDE C. CRUZ

School Physical Facilities Coordinator Date of Inspection Principal

Address: Janssen Ave. Janssenville Subd. Brgy. San Juan Cainta, Rizal 1900
Telephone: 8661-8486
Email Address: www.janssenvilleESCAINTAII@gmail.com/
www.janssenvillees109401@deped.gov.ph
FB Page: https://www.facebook.com/ Janssenville-ES-461557561311447