BE Form 01

Republic of the Philippines

Department of Education
Region III
SCHOOLS DIVISION OF BULACAN
Masagana High School
Masagana, Pandi, Bulacan
School Year 2017-2018

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 improvement Manpower
(Check One) Material
Needed Needed(Indicate
If Resources
FACILITIES (e.g. repair, quantity and
Satisfacto Unsatisfact Unsatisfactory, Needed (Indicate
repainting, nature of labor
ry ory describe the kind and quality)
replacement, services needed)
problem etc)
Roofs/Gutters X Faded roofs Repainting 5 tins of paint 10 Carpentry
Ceilings X Damaged ceilings Renovation paint, lights, 30 Masonry/
plywood Carpentry
Walls X Vandal Repainting 5 tins of paint; 5 Carpentry
rollers
Blackboards X Damaged Repair 4 pcs plywoods; 5 Painting
blackboards 2 L paint
Chairs/desks/tables
Water facilities/ X Broken faucets Replacement 5 faucets; 5 Plumbing
Drainage System 1 PVC pipe
Signages X Lack of school Replacement 2 pcs plywoods; 10 Painting/
signages 1 L paint Carpentry
School garden
 Lighting
Windows
Doors
Comfort Rooms X Faded Repair/ 4 L paints; 10 Painting/
walls/broken Repainting 3 faucets Plumbing
faucets
School Grounds X 200 Ordinary Labor
School Canteen/Clinic X Walls Repainting 4 L paints 10 Painting
School Fence/ wall X Building Steel, cement, 25 Masonry/
paint Carpentry/
Painting
Electricity
Alternative gate
Reference Materials
Laboratory equipment

Prepared by: Noted:

_______________________________ _________________ ____________________________________

RICHARD O. DELA CRUZ Date of Inspection IRENE S. VELASCO
School Physical Facilities Coordinator School Head