BE Form 01

Republic of the Philippines

Department of Education
Region III
SCHOOLS DIVISION OF TARLAC CITY
Burot Integrated School
Burot, Tarlac City
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 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 / Roofs and gutters Cleaning the roof Ladder and stick 3 cleaners / 8 hours of
with dried leaves brooms cleaning
and other debris
 Ceilings / Ceilings have cob Cleaning the ceiling Cobwebber and 3 cleaners/8 hours of
webs with cobwebbier ladder cleaning
 Walls / Walls with marks Painting, brushing or Brush, sponges, 10 cleaners / 8 hours of
and old paint sponging the walls detergents, cleaning
pails and water
 Blackboards /
 Chairs/desks/tables / Loss of corners, Repair and Woods, nail, brush 2 carpenters and 8
handles or arms, repainting and paint painters/ 8 hours of
with vandal and old carpentry and painting
paints
 Water facilities/ / Leaking faucets Replacement of Cuffing and solvent 1 maintenance/8 hours
Drainage System and clog drainage cuffing and cleaning and stick brooms
 due to dried leaves the drainage
and others debris
 Signages / Minimal signages Reproduction of Printed Materials/ 1 teacher/ 2 hours
are available signages Tarpaulin
 School garden / Needs grassing and Grassing and Grass cutter, shovel, 2 grass cutters and 10
planting of new planting new plants garden tools, plants gardeners /8 hours of
plants cutting and gardening
 Lighting /
 Windows / Windows have Windows need to be Feather duster, rugs, 12 cleaners/ 8 hours of
many dusts cleaned detergents pails and cleaning
water
 Doors /
 Comfort Rooms /
 School Grounds / Dried leaves, Ground needs to Stick brooms, 12 cleaners / 8 hours
broken glasses and clean dustpan, cleaning
other debris
scattered
everywhere
 School Canteen/Clinic /
 School Fence/ wall /
 Electricity / Some fluorescent Replacement of Fluorescent lamp, 2 Electrician/ 8 hours of
lamp are not fluorescent lamp wire, electrical tape, electrical works
working plier
 Alternative gate /
 Reference Materials / Lack of reference Request and ask Reference materials Teachers /48 hours
materials donations like books and
learners’ materials
 Laboratory equipment /

Prepared by: Noted:

JOEL C. OLINARES 05/10/19 NEPTUNE C. MANALESE

School Physical Facilities Coordinator Date of Inspection School Head