Republic of the Philippines

Department of Education
Region VII, Central Visayas
DIVISION OF TALISAY CITY
J.P. Rizal St., Poblacion, City of Talisay, Cebu
Email: talisaycity.division@deped.gov.ph
Facebook Page: DepedTalisay
JACLUPAN NATIONAL HIGH SCHOOL
Jaclupan, Talisay City, Cebu
BE Form 01

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
 Ceilings
 Walls
 Blackboards
 Chairs/desks/tables
 Water facilities/
Drainage System
 Signages
 School garden
 Lighting
 Windows
 Doors
 Comfort Rooms
 School Grounds
 School Canteen/Clinic
 School Fence/ wall
 Electricity
 Alternative gate
 Reference Materials
 Laboratory equipment
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 terms for each classroom or school facility).
 Republic of the Philippines
Department of Education
Region VII, Central Visayas
DIVISION OF TALISAY CITY
J.P. Rizal St., Poblacion, City of Talisay, Cebu
Email: talisaycity.division@deped.gov.ph
Facebook Page: DepedTalisay
JACLUPAN NATIONAL HIGH SCHOOL
Jaclupan, Talisay City, Cebu

Prepared by: Noted:

_______________________________ _________________ ANTONIO C. RAMIREZ, JR., Ed.D.,

RGC
School Physical Facilities Coordinator Date of Inspection School Head