BE Form 01 Republic of the Philippines

Region I
DIVISION OF CITY SCHOOLS
Urdaneta City
DON ALIPIO FERNANDEZ, SR. INTEGRATED SCHOOL
(Formerly Don Alipio Fernandez, Sr. Memorial School)
-oOo-

PHYSICAL FACILITIES AND MAINTENANCE NEEDS ASSESSMENT FORM

S.Y. 2013-2014

Facilities Condition Remarks

Nature of Material Manpower
Satisfactorily Unsatisfactorily If unsatisfactorily, Improvement Resources Needed Needed
Describe the
problem

 Social Hall X Additional span Completion Steel bars, sand 5 Welders

and gravel, 5 Carpenters
cements, steel 10 Mason
truss, 10 Ordinary
laborer
 School frontage/arc X
Washed out paints Repainting Cements, sand and 2 painters
gravel, CHB, tiles,
steel

 Roofs/gutters Old/damaged by Replacement/ G.I. sheet, 10 gal. 5 carpenters

X typhoon Painting paints, brush,
thinner, nails

X
 Benches Additional benches Construction CHB, cements, 6 mason
sand, gravel, steel 4 ordinary
bars 4 laborers

 Walls X Washed out paints Repainting 10 gal. paint 5 painters

 Blackboards X Washed out paints Repainting 4 L paint 3 painters

 Chairs/Desks X Very Old/wrecked Repair/ 1 kl. Nail (#2) 3 carpenters

Tables/Cabinets Painting 10 pcs 2x2 lumber
paint

 Water X Broken PVC Replacement PVC, Faucets, Tee, 3 Plumbers

Facilities/Drainage faucets Elbow, Gate valve, 5 ordinary
System jetmatics PVC solvent, 2 laborers
Angle valve

 Signage’s X Faded Paints. Repainting Paints, paintbrush, 2 painter

Lettering Thinner Ordinary laborers

 School Garden
X No plants and with Replanting/ 20 pcs brooms 5 Landscapers/
tall grasses Weeding Plants Gardeners
 Decorated 10 ordinary
stones/rocks./ workers
Pebbles
Pots
 Lightings
X - Additional Electrical wires 3 electricians
lighting fixtures Switch 3helpers
Electrical tape
Fluorescents/
bulbs

 Windows X Old, damaged Replacement/ Good lumber 5 carpenters

repainting Nails 5 ordinary labors
Plywood 5 painters
paint

 School Fence X Faded Paints/ Painting Paints, brush, Welder

Unfinished fence thinner, cements, mason
sand & gravel

 Wash Area X
Additional benches Construction CHB, cements, 6 mason
sand, gravel, steel 4 ordinary
bars 4 laborers

Prepared by:

ALFREDO D. GUTIERREZ, JR.

School Physical Facilities Coordinator
Date of Inspection: March 4, 2014

Noted:
GERALDINE C. ORBETA
Principal II
 Republic of the Philippines

Region I
DIVISION OF CITY SCHOOLS
Urdaneta City
DON ALIPIO FERNANDEZ, SR. INTEGRATED SCHOOL
(Formerly Don Alipio Fernandez, Sr. Memorial School)
-oOo-
BRIGADA ESKWELA
SCHOOL WORK PLAN

Instruction: List down all the specific activities that you will be undertaking in relation to the
conduct of Brigada Eskwela in your school and fill in the required information. Add another sheet
if needed. Once completed, submit a copy to the Adopt-A-School Program coordinator or Brigada
Eskwela coordinator of your division of or before January 31.
KRA Activities Person/s Materials
Responsible
1. Advocacy and a. Conduct an assessment of school School Head, Brgy. Record book
Marketing facilities needing repair/identify Officials, PTCA Bond Papers
school activities in relation to Officers, Teachers Folder
Brigada Eskwela 2012. Ocular Pupils
inspection.
b. Identified priorities
c. Listing down of resources needed
and stakeholders to be tapped

2. Resource a. Determine target resources and Brigada Eskwela Steamer

Mobilization volunteers Steering Committee
b. Meeting with potential partners to & School Head/Staff
engage support/pledges

a. Preparation of Program of Activities Chairman on Bond Papers

3. Implementation
b. Giving of work assignment Program Folders
Implementation Pen
Committee

a. Guide and direct work team Record Book

4. Monitoring and Work team BESC
Evaluation
b. Ensure the accomplishment of asked
plan
c. Clear-up of actual accomplishment

a. Conduct/record activity and or daily Bond Paper

5. Reporting inventory Chair-Committee on Folders
b. Take photo/pictures of daily Documentation Pentel Pen
accomplishment Manila Paper

Prepared by:
GERALDINE C. ORBETA
Principal II