BE Form 1

Republic of the Philippines

Department of Education
Region IV- A CALABARZON
DIVISION OF GENERAL TRIAS CITY
SANTIAGO NATIONAL HIGH SCHOOL
BRGY. SANTIAGO CITY OF GENERAL TRIAS, CAVITE
School Year 2019 -2020

BRIGADA ESKWELA
PHYSICAL FACILITIES AND MAINTENANCE NEEDS ASSESSMENT FORM

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).

Building Name / No. 05 FACULTY

Condition Remarks Nature of Materials/ Manpower

improvement Resources needed
Facilities If unsatisfactory, (e.g. repair, Needed (indicate quantity
Satisfactory Unsatisfactory repainting, (indicate kind and and labor services
describe the problem
replacement, etc.) quality) needed)
 Roofs/Gutters /
 Ceilings / No Ceiling Installment Ply wood, Nails, 2 Laborers
Good Lumber 1 Carpenter
 Walls /
 Blackboards
 Chairs/desks/tables /
 Water facilities/
Drainage System
 Signages /
 School garden
 Lighting /
 Windows / No Window
BE Form 1

 Doors /
 Comfort Rooms No Comfort
Room
 School Grounds
 School
Canteen/Clinic
 School Fence/ wall
 Electricity /
 Alternative gate
 Reference
Materials
 Laboratory
equipment

Prepared by: Noted by:

NOEL G. DE JESUS CORAZON L. NOVELO JOCELYN L. FORTUNO

School Physical Facilities Coordinator School Head/ TIC/ OIC PSDS, Cluster VI

Date of Inspection: April 10, 2019 Date Received: April 12, 2019 Date Received: