Appendex B BE FORM 1 PHYSICAL ASSESSMENT FORM
Appendex B BE FORM 1 PHYSICAL ASSESSMENT FORM
Appendex B BE FORM 1 PHYSICAL ASSESSMENT FORM
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 school physical facilities 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.)
Condtion Nature of Improvement Material Resources Manpower Needed
Remarks
(Check One) Needed Needed (indicate quantity and
FACILITIES
If Unsatisfactory, (e.g. repair, repainting, (Indicate kind and nature of labor services
Satisfactory Unsatisfactory
describe the problem. replacement, etc.) quantity) needed)
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
Others, please
specify:
Prepared by: Noted:
_____________________________ _________________________________
School Physical Facilities Coordinator Date of Inspection TIC/Head Teacher/Principal