BE Form 1

PHYSICAL FACILITIES REPAIR AND MAINTENANCE NEEDS ASSESSMENT FORM

Republic of the Philippines

Department of Education
Region IV-B MIMAROPA
DIVISION OF ORIENTAL MINDORO
JOSE D. UDASCO MANGANGAN I NATIONAL HIGH SCHOOL
Baco, Oriental Mindoro 5201

BRIGADA ESKWELA
PHYSICAL FACILITIES REPAIR AND MAINTENANCE NEEDS ASSESSMENT FORM
(To be accomplished by the School Physical Facilities Coordinator)

Instruction: Conduct an ocular inspection of the school physical facilities 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.)

FACILITIES Condition Remarks Nature of Material Manpower Needed

(Check One) Improvement Resources (Indicate quantity
Satisfactory Unsatisfact If Unsatisfactory, Needed Needed and nature of labor
ory describe the (e.g. repair, (Indicate kind services needed)
problem. repainting, and quantity)
replacement,
etc.)
6 pcs. Gutter
20 pcs. Corrugated
 Roofs/gutters Damage, needs 5 painters
√ sheets
repair Replacement 6 carpenters
1 tin baguio green
Paint brush
10 gallons white
Repair,
 Ceilings paint 5 painters
√ damage replacement,
9 plywoods 7 carpenters
repainting
nail
 Walls 20 gallons variety
√ Faded paint repainting
of paint
3 lawanet
 Blackboard Replacement,
√ Damage, need repair 2 liters blackboard
repainting
paint
 Chairs/desks/tables
√ damage repair 5 kls. nails
 Water facilities/ Drainage System Repair, 90 meters hose
√ Needs improvement
replacement 5 pcs. faucet
 Signages Damage, needs
√ replacement Tarpaulin printing
replacement

Brigada Eskwela 2018: “Pagkakaisa Para sa Handa, Ligtas at Matatag na Paaralan Tungo sa Magandang
Kinabukasan”.
BE Form 1
PHYSICAL FACILITIES REPAIR AND MAINTENANCE NEEDS ASSESSMENT FORM

 School garden Replanting/ 30 packs variety of

√ Needs improvement 10 Gardeners
transplanting seeds
 Lighting Repair,
√ damage Electricl materials 1 electrician
replacement
 Windows
√
7 pcs. Plywood
Repair,
 Doors √ damage Assorted nails 8 carpenters
replacement
bisagra
8 pcs. Corrugated
Damage roof and
 Comfort rooms √ replacement sheet 9 carpenters
ceiling
4 pcs. plywood
 School grounds 15 liters gasoline 3 gardeners
√ Needs improvement grasscutting
mower
 School canteen/clinic
√ Faded paint repainting 2 gallons paint 2 painters
 School fence Dilapidated Repair,
√ bamboo 10 carpenters
replacement
 Window grills
√ Faded paint repainting 2 gallons paint 4 painters

Prepared by: Noted:

ANGEL D. FLORES SARLEN V. CASTILLO, Ph.D

School Physical Facilities Coordinator Date of Inspection: May 18, 2018
Principal II

Brigada Eskwela 2018: “Pagkakaisa Para sa Handa, Ligtas at Matatag na Paaralan Tungo sa Magandang
Kinabukasan”.