Republic of the Philippines

Department of Education
Region IV-CALABARZON
Division of Batangas
Provincial Sports Complex Compound, Bolbok, Batangas City
District of Balete
PALIGAWAN ELEMENTARY SCHOOL

Appendix B
BE Form 01
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 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
(Check One)
Remarks Nature of Improvement
Needed(e.g. repair,
repainting, replacement,
etc.)
Material Resources Needed
(Indicate kind and quantity.)
Manpower Needed
( Indicate quantity and
nature of labor services
needed.)
Satisfactory Unsatisfactory If Unsatisfactory
describe the problem.
Roofs / Repainting Paint Painter
Water Facilities / Repair Pipe Plumbing
Fencing / Repair Steel, Cement, Hollow Blocks,
Plywood, Nail,
Carpentry
School Grounds
(Pathways
Landscaping)
/
Trimming grass
Concreting Pathways
Variety of Plants, Stones,
Cement, Sand
Ordinary Labor
Furnitures / Repainting Paint Painter
Walls / -do- -do- Painter
Stage / -do- -do- Painter
Sound System / Repairing Wire,Speakers Electrician
ICT Equipment / Acquisition Projector
Washing Facility / Acquisition Faucet , Pipe Plumbing
Compost Pit / Acquisition Cement, Hollow Blocks, Sand Carpentry

Prepared by:
PATRICIA V. SALUDO MARIA LUISA D. VALENCIA April 27-28, 2014 EVANGELINE L. OCAMPO
School Physical Facilities Coordinator Date of Inspection Teacher In-Charge