Physical Facilities and Maintenance Needs Assessment Form: Prepared By: Noted

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BE FORM 1

Sangay ng Paaralang Lungsod


Paaralang Elementaryang ng Bia-o
DISTRITO NG SOUTH FATIMA
Lungsod ng Heneral Santos
______________________________________________________________________________________________________________________
BRIGADA ESKWELA
SY. 2022-2023
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 each classroom or school facility).
CONDITION
Remarks Nature of improvement Needed
(Check One) Material Resources Needed Manpower Needed(Indicate quantity
FACILITIES
(e.g. repair, repainting, (Indicate kind and quality) and nature of labor services needed)
If Unsatisfactory, describe the replacement, etc)
Satisfactory Unsatisfactory
problem

Roofs/Gutters

Ceilings

Walls

Blackboards

Chairs/desks/tables

Water facilities/ Drainage System

Signages

School garden

Lighting

Windows

Doors

Comfort Rooms

School Grounds

School Canteen/Clinic

School Fence/ wall

Electricity

Alternative gate

Reference Materials

Laboratory equipment

Prepared by: Noted:


IYVE V. LUY BIBBS S. LANDIS
_______________________________ _________________ ____________________________________

School Physical Facilities Coordinator Date of Inspection School Head

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