BE Form 01

Republic of the Philippines

Department of Education
Region I
SCHOOLS DIVISION OF PANGASINAN II
ESPERANZA ELEMENTARY SCHOOL
Esperanza, Umingan, Pangasinan
School Year 2019 - 2020

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
Material Resources Needed(Indicate
Needed
FACILITIES If Unsatisfactory, Needed (Indicate quantity and nature of
(e.g. repair,
Satisfactory Unsatisfactory describe the kind and quality) labor services
repainting,
problem needed)
replacement, etc)
 Roofs/Gutters √
 Ceilings √
 Walls √
 Blackboards √
 Chairs/desks/tables √
 Water facilities/ √
Drainage System
 Signages √ Paint is wearing off Repainting Paint Ordinary labor
  School garden √ Fence is Replacement of Bamboo, hog wire Carpentry, ordinary
dilapidated, full of fence, weeding labor
weeds
 Lighting √
 Windows √
 Doors √
 Comfort Rooms √ Clogged Needed Repair
 School Grounds √ Full of weeds Weeding Ordinary labor,
landscaping
 School Canteen/Clinic √ Needs extension Repair GI sheets, wood, nail Carpentry
 School Fence/ wall √ Paint wearing off, Repainting Paint, paint brush Ordinary labor
Smudge with dirt
 Electricity √
 Alternative gate √
 Reference Materials
 Laboratory equipment √

Prepared by: Noted:

MARIA ELISA A. SALVADOR Feb. 28 ,2019 JULIUS C. CABADING

School Physical Facilities Coordinator Date of Inspection Teacher In-charge