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BE Form 01
Republic of the Philippines
Department of Education Region XIII Caraga DIVISION OF BUTUAN CITY Butuan City Special Education Center A.D. Curato St., Butuan City School Year 2023-2024 BRIGADA ESKWELA 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 Manpower (Check One) Material Needed Needed(Indicate If Resources FACILITIES (e.g. repair, quantity and Satisfacto Unsatisfact Unsatisfactory, Needed (Indicate repainting, nature of labor ry ory describe the kind and quality) replacement, services needed) problem 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 School Fence/ wall Electricity Alternative gate Reference Materials Laboratory equipment Prepared by: Noted: