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
(Check One) Improvement Material Resources Manpower
Needed Needed Needed(Indicate
FACILITIES
If Unsatisfactory, (e.g. repair, (Indicate kind and quantity and nature of
Satisfactory Unsatisfactory repainting, quality) labor services needed)
describe the problem
replacement, etc)

 Roofs/Gutters / dilapidated repair Galvanized roof/sheets common laborer,

parents

 Ceilings /

 Walls / dirty/vandal repaint Paint, cleaning materials common laborer,

parents
 Blackboards /

 Chairs/desks/tables / damaged/destroyed repair lumber/ nails/plywood common laborer,

parents
 Water facilities/ /
Drainage System

 Signages /

 School garden / abandoned Visit, clean and plant Trowels, shovels, teachers/parents/
bolos/seedlings selected students
 Lighting /

 Windows / damaged/broken replace Glass window/blade Parents

 Doors / damaged replace doorknob Parents

 Comfort Rooms /

 School Grounds /
  School Canteen/Clinic / no canteen/clinic makeshift/put -up lumber/nails/plywood construction workers
construction materials
 School Fence/ wall /

 Electricity /

 Alternative gate / damaged/destroyed repair/replace Galvanized steel/iron common laborer,

parents

 Reference Materials /

 Laboratory equipment /

Prepared by: Noted:

ARIEL B. RUIZ Aug. 3, 2021 JOCELYN G. SELISANA

_______________________________ _________________ ____________________________________
School Physical Facilities Coordinator Date of Inspection School Head