Department of Education: (If Recipient Pls. Check)
Department of Education: (If Recipient Pls. Check)
A. INVENTORY
IT Equipment:
DCP Other Donors
Equipment Items Date Working Defective Items Date Working Defective Total
Received Received Units Units Received Received Units Units
LAPTOP
CPU
MONITOR
KEYBOARD
MOUSE
HEADSET
UPS
AVR
PRINTER
W-ROUTER
SPEAKER
RECOVERY CD
LAPTOP
PROJECTOR
WHITE
SCREEN
LCD/ LED TV
CHARGING/
STORAGE
CART
Remarks:
Equipment Qty Donor Remarks
NONE
Facilities:
Facilities Working Units Defective Units Total Remarks
Air-Condition Units
Computer Tables
Chairs
Electrical Outlets
Circuit Breaker
Telephone Line/s
Generator
LAN(Local Area Network)
Electric Fan
Fire Extinguisher
Internet Connection:
No. of
Internet Service Provider Speed CIR Type of Connection MSF
ISP’s
Instructional Resources:
Electrical Wiring:
Very Good Good Needs Improvement
Remarks:
Ventilation:
Very Good Good Needs Improvement
Remarks:
Lighting:
Very Good Good Needs Improvement
Remarks:
B. SECURITY ASSESSMENT
Security-related facilities
Type of Security
Name Schedule of Duty Source of Funds
(SEF, MOOE, Canteen, PTCA, Barangay)
Hired Security Personnel 1.____________________________ Day Night ______________
2.____________________________ Day Night ______________
3.____________________________ Day Night ______________
C. COMPUTER UTILIZATION
PURPOSE OF USAGE
Check if applicable:
For Technology and Livelihood Education (ICT Literacy)
Tool for teaching different subject areas (pls. check the applicable subject/s)
Math Science English Filipino AP MAPEH
Tool for performance task, measurement and assessment
To accomplish clerical and administrative tasks of teachers
To accomplish clerical and administrative tasks of non-teaching personnel
Tool for communication and information dissemination
To provide IT access of the community for professional development. Pls. specify the:
Purpose
IT Training
Seminars
Others (pls. specify) _________________________________________________________________
Type of User
LGU
Out-of-School Youth
Brgy. Official
PTCA
Others (pls. specify) _________________________________________________________________
FREQUENCY OF USAGE
All the time Twice a week Seldom
Thrice a week Once a week Never
TECHNICAL PERFORMANCE
Hardware
Very Good Average Below Average Poor
Software
Very Good Average Below Average Poor
Connectivity
Very Good Average Below Average Poor
Does the Computer Laboratory have a Class Schedule? Yes No (if yes, pls. attached)
D. OTHER DOCUMENTS (check if properly accomplished by the Property Custodian/ the Principal/ the School ICT Coordinator)
a. Delivery Receipt: Yes No
b. Training Acceptance Report: Yes No
c. Inspection and Acceptance Report: Yes No
d. Invoice-Receipt for Property: Yes No
NOTED BY: