BS Form 1
BS Form 1
BS Form 1
School Logo
Sangay ng Paaralang Lungsod
Paaralang Elementaryang Sentral ng
DISTRITO NG
Lungsod ng
BRIGADA ESKWELA
SY. 2021-2022
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 Nature of
Remarks improvement
(Check One) Manpower
Needed Material Resources
Needed(Indicate
FACILITIES Needed (Indicate
If Unsatisfactory, (e.g. repair, quantity and nature of
kind and quality)
Satisfactory Unsatisfactory describe the repainting, labor services needed)
problem replacement, etc)
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
Electricity
Alternative gate
Reference Materials
Laboratory equipment