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BE Form 01

Republic of the Philippines


Department of Education
REGION III – CENTRAL LUZON
SCHOOLS DIVISION OFFICE OF NUEVA ECIJA
SDO SANTA ROSA SOUTH ANNEX
MALACAÑANG NATIONAL HIGH SCHOOL
MALACAÑANG, SANTA ROSA, NUEVA ECIJA 3101

BRIGADA ESKWELA
SY 2023-2024
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
Material Resources Needed(Indicate
Needed
FACILITIES Needed (Indicate quantity and nature
If Unsatisfactory, (e.g. repair,
Satisfactory Unsatisfactory kind and quality) of labor services
describe the problem repainting,
needed)
replacement, etc)
 Roofs/Gutters ∕ Unclean and Paint Repaint Paint Brush 10 Volunteers
Faded
 Ceilings

 Walls ∕
 Blackboards ∕ Needs Repaint Repaint Paint Brush 5 Volunteers
 Chairs/desks/ ∕ Needs repair and Repair/repainting Paint, nail, brush 10 Volunteers
tables repaint
 Water facilities/ ∕ unclean drainage Cleaning Broom 5 Volunteers
Drainage
System
 School garden ∕ Needs landscaping, Needs landscaping, Shovel, garden 20 volunteers
weeding weeding tools,, gravel and
sand
 Lighting ∕ Needs replacement Replacement bulb 2 electrical
 Windows ∕ Unclean Cleaning Glass Cleaner 8 Volunteers
 Doors /
 Comfort Rooms ∕ Dirty cleaning Detergent powder 8 volunteers
 School Grounds ∕ Covered with grasses, Grass cutting, Grass cutter 5 volunteers
weeding
 School ∕ Unorderly cleaning Mop, rags, 6 volunteers
Canteen/Clinic
 School Fence/ ∕ Unclean cleaning Brooms, rags 6 volunteers
wall
 Electricity ∕ Needs inspection inspection Electrical wirings, 3 electrical
bulb
 Reference ∕ Unorderly Cleaning, arranging Rags, broom 3
Materials volunteers
 Laboratory ∕ Unorderly Cleaning, arranging Rags, broom 5 volunteers
equipment
 Hand washing / Unclean Cleaning Detergent Powder, 3 Volunteers
area Brush
 Fabrication of ∕ Needs Construction Construction and 6 volunteers
Faculty Room repair
 Demolition of ∕ Demolition Demolition Maso 15 volunteers
three
old/unused
classrooms

Prepared by: Noted:


JIM P. BUENSUCESO 8-07-2023 JOHNNY P. BACANI
School Physical Facilities Coordinator Date of Inspection School Head

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