BE Form 01

Schools Division Office

School District XI
FORT AGUINALDO ELEMENTARY SCHOOL
Road 6 Cor. Road 3 Camp Aguinaldo, Quezon City
fortaguinaldo.qc.elem@gmail.com
Contact No. 9116001 (Loc. 8590)

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 / repair GI sheet
 Ceilings / repair wood boards, paint
 Walls / repair, repainting cement, paint,
brushes, rollers
 Blackboards / repainting paint, brushes,
rollers
 Chairs/desks/tables / repair, repainting repainting, nails,
hammer
 Water facilities/ / repair pipes, adhesive
Drainage System
 Signages / repair paint, brushes
 School garden / landscaping plants, potting
medium
  Lighting / change lightbulbs lightbulbs

 Windows / repair glass panels

 Doors / repair, change doorknobs
doorknobs
 Comfort Rooms / cleaning, paint, brushes,
repainting soap, cleaning
brushes
 School Grounds / landscaping plants, potting
medium, broom,
dustpan
 School Canteen/Clinic / cleaning, broom, dustpan,
rearranging soap, pail,
washcloth
 School Fence/ wall / repainting paint, brushes,
rollers
 Electricity / replacing of wall sockets, wires,
electrical outlets pliers, electrical
tape
 Alternative gate / repainting paint, brushes
 Reference Materials / new supplies
 Laboratory equipment / new supplies

Prepared by: Noted:

SAMUEL T. ACENAS April 29, 2019 MRS. JAIDA C. MALONZO

School Physical Facilities Coordinator Date of Inspection School Head