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Brigada-Eskwela-Form-1-Needs-Assessment-Form

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BE FORM 01
Republic of the Philippines
Department of Education
Region IX, Zamboanga Peninsula
Division of Zamboanga del Sur
STO.ROSARIO ELEMENTARY SCHOOL
Sto.Rosario Molave Zambo.del Sur
School Year 2022-2023
BRIGADA ESKWELA
PHYSICAL FACILITIES REPAIR AND MAINTANANCE 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).
Nature of
improvement
Material
Resources
Needed
Needed
If unsatisfactory,
(e.g. repair,
repainting,
(Indicate kind
and
& Nature of labor
describe the
problem.
replacement, etc.)
quantity)
services
needed)
Remarks
Condition
(Check One)
FACILITIES
Satisfactory






Roofs/Gutters
Ceilings
Walls
Blackboards
Chairs/Desks/Tables
Water Facilities/Drainage
System


Signages
School Garden
Unsatisfactory
Manpower
Needed
(Indicate
quantity
/
/
/
Repainting
Repaint
5 gallons
2Painters
/
Brgy.water
shortage system
Fetcher
4 big gallons
/
/
Damage
Tall grasses
/fences
Repair
Replanting
vegetables and
Paint
Bamboo
20pcs Nails
Brgy.Water
Maintenance
officer
1 Painter
3
/
/
BE FORM 01



Lighting
Windows
Doors

Comfort rooms
/
Need
replacement of
new door
No water

School grounds
/
No rip rap

School Canteen/Clinic
/

School Fences
/
No school
canteen/clinic
because of few
enrollments the
school is not
qualified.
The school needs
only one phase
because it is
located at the top
of the hill.


School Stage
Guard House
replacement of
fence
#½ 4 kls #34kls
Replacement
6 Doors
/
/
/
2 carpenters
Need water
Water
facilities
Concreting of the Cement
school grounds
,sand and
gravel
Fetcher
New
construction of
phase 1
3 carpenters
Bamboo20pcs lenght
3 carpenters
/
/
No guardhouse
because of few
enrollments the
school is not
qualified.
Prepared by:
Noted:
___PHOEBE T. LANZADO_________
School Physical Facilities Coordinator
,
Date of Inspection
GIEZLE D.DELA PEN
School Head
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