BE Form 01 Republic of the Philippines

Department of Education
Region III
SCHOOLS DIVISION OF BULACAN
MARILAO NORTH DISTRICT
FSS Patulo Elementary School
Loma de Gato, Marilao, Bulacan
School Year 2017 - 2018

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 eac h 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
Ceilings
Walls Dirty and faded repainting Paints, paint brush, 2 painters
paint rollers, thinner
Blackboards Faded paint and Repaint Paint (QDE) green 1 painter
lines
Chairs/desks/tables

Water facilities/
Drainage System
Signages
School garden
Lighting
Windows
Doors
 Comfort Rooms Dirty walls repaint Paints, paint brush, 2 painters
rollers
School Grounds
School Canteen/Clinic
School Fence/ wall
Electricity Damage outlets Replacement outlets 1 electrician
Alternative gate
Reference Materials
Laboratory equipment

Prepared by: Noted:

MARVIN D. ADRIANO MAY 8-12, 2017 REBECCA M. BULAONG

School Physical Facilities Coordinator Date of Inspection School Head