Republic of the Philippines

Department of Education (DepEd)

Region VIII (Eastern Visayas)
Division of Leyte
Matag-ob District

Classroom Pre-Evaluation Checklist

S.Y. 2018 – 2019
Teacher: MARIA LIEZEL B. ROCABO Date: July 25, 2018
School: SAN SEBASTIAN PRIMARY SCHOOL Rating: __________
Indicators/Criteria Meet Meet Meet
all the only 2 only 1
criteria of the of the
criteria criteria
I PHYCICAL FACILITIES 3 2 1
1 General Appearance (Cleanliness, Orderliness and Neatness of the classroom)
2 Vision, Mission and Core Values (Readable, Framed/Painted and Properly Hanged)
3 President’s and Jose Rizal’s Picture (framed, Properly Mounted, Properly Displayed)
4 Perception Strips – Alphabets (Appropriate, New and Properly Mounted)
5 Pambansang Awit/Panunumpa sa Watawat Chart (Readable, Covered, Properly Displayed)
6 Charts Stand/Pocket Charts (Usable, Functional, Durable)
7 Attendance Chart/Supervisory Corner (Framed, Updated, Accessable)
Teacher’s Table (Presence of Classroom/Teacher’s Program, Code of Ethics, Duties and
8
Responsibilities, IPCRF)
9 Cabinets for IM’s (Well-Maintained, Labelled and Properly Indexed IM’s)
10 Bulletin Board/Unit Board of Subject Areas Taught (Updated, Readable, Teacher’s Creativity)
11 Display Area of Pupil/Students outputs (Updated, Readable, Outputs, properly displayed)
Health and Personality Corner (Presence of Glasses, Water Container, with portable water, Mirror &
12
Toothbrush Rack with Label)
13 Chalkboard/Whiteboard with curtain (Presence of marker, eraser and marker ledge)
14 Broom Pedestal (Closed, Painted, Properly Arranged)
15 Potted Plants (Growing with stand and at least 5)
16 Door Label (Presence of Teacher’s Classroom Program, National Hero, Grade level and Section)
17 First Aid Cabinet/Kit (with first Aid Paraphernalia, medicine and accessible to pupils)
18 Segregated Trash Cans outside the room (with cover, properly covered and properly placed)
Adequate Ventilation and Lightning Facility (Maintained Electrical Fixtures, suitable setting
19
arrangement, appropriate color and design of curtain)
Functional comfort Room & Washing Facility- if applicable (Presence of liquid soap with dispenser with
20
running water/dipper, trashcan)
21 Armchairs/Tablet Chairs (Free from vandals, scratches and breakage)
22 Demo Table (Painted, free from dust, without chair)
23 Library Corner (Presence of table, chairs, cabinet with books, dictionary and other reading materials)
24 Inventory of Books (Properly Arranged, Usable, Covered by acetate)
25 Classroom Evacuation Plan (Computerized, properly mounted, located near the door)
26 Paper Conservation Box (Functional, covered with label and presence of recyclable papers inside)
TOTAL (80%)
II SCHOOL FORMS
1 Lesson Plan (Complete, Covered with Label)
2 SF1 (Properly filled up, place in folder, with label)
3 SF2 (Properly filled up, place in folder, with label)
4 DTR (Properly filled up, Free from erasures, with label)
5 Curriculum Guide (Complete, Updated, Covered with acetate)
6 Form 137 (Complete with live birth, place in envelope with label)
7 Summative Test (Complete with TOS, place in folder with label)
TOTAL (20%)
III PLUS FACTOR
1 Teacher Initiative Improvement /Project (Financial Report with pictorials place in folder)
2 DAP ELLN IM’s
GRAND TOTAL (100%)

Ratee: MARIA LIEZEL B. ROCABO Rater: _______________________________________

(Printed Name & Signature) (Printed Name & Signature)