brigada eskwela form 1

1. Republic of the Philippines
Department of Education
Address: Poblacion East, Science City of Muñoz, Nueva Ecija, 3119
Telephone No.: (044) 940-5932; Email Address: depedmcs16@gmail.com
School ID: 105552
BRIGADA ESKWELA 2021
August 3-September 30, 2021
PHYSICAL FACILITIES AND MAINTENANCE NEEDS ASSESSMENT FORM
FACILITIES
CONDITION
(Check One)
Remarks
Nature of
improvement
Needed
(e.g. repair,
repainting,
replacement, etc)
Material
Resources
Needed
(Indicate kind
and quality)
Manpower
Needed(Indi
cate
quantity
and nature
of labor
services
needed)
Satisfactor
y
Unsatisfactor
y
If
Unsatisfactor
y, describe
the problem
• Roofs/Gutters / Lot of Leaves/
dilapidated
Cleaning/repainting
/ replacing
60 Stick
brooms, roof
sealant paint,
paint brush,
thinner
60 laborer
5 painter
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).

2. Republic of the Philippines
Department of Education
Address: Poblacion East, Science City of Muñoz, Nueva Ecija, 3119
Telephone No.: (044) 940-5932; Email Address: depedmcs16@gmail.com
School ID: 105552
• Ceilings/walls / Faded
paint/distorte
d
Cleaning/repainting
/replacement
15 Plywood,
2kg nails,
paints, paint
brush, thinner
10 carpenter
10 painter
• Gate/ fence / Need to be
replaced/
Faded paint
Replacement/Repairi
ng
Iron bars, paint 2 welder
/painter
• Blackboards/ins
tructional
boards
/ Need to be
repainted/upd
ate
Repainting
/updating
15 litters
Slating paint.
Tarpaulin,
printed
materials
3 painters
• Chairs/desks/ta
bles
/ Faded
paint/varnish,
unstable
Painting/ repairing 10 gallons of
paint, nails,
screw
10 painters
10 laborer
• Water facilities/
Leaking pipes
/ Need to
replace / need
to
repair/needs
additional
water facilities
Replacement/
repairing/needs
additional water
facilities
Pipes, elbows 7 plumbers

3. Republic of the Philippines
Department of Education
Address: Poblacion East, Science City of Muñoz, Nueva Ecija, 3119
Telephone No.: (044) 940-5932; Email Address: depedmcs16@gmail.com
School ID: 105552
• School
signs/signage’s
/ Need to put
signage’s in
accident prone
areas
Preparing and
putting signage’s
Tarpaulin,
printable
10 helper
• School
ground/landsca
ping
/ Weedy/scatter
ed leaves/ tall
trees / plants
Uprooting/sweeping
/trimming
50 Stick broom,
grass cutter,
bolo
100 laborer
• Windows/jalousi
es
/ Broken/rusty
frame
Replacement/
repainting
Window’s
mirror,
jalousies, paint,
nail, screw
15 painters
• Doors / Faded
paint/broken
Replacement/repain
ting
8 gallons of
paint, nails,
screw
5 laborer
5 painters
• Comfort Rooms / Dirty Cleaning/disinfectin
g
Disinfectant,
brush, powder
soap
20 helper
• School Garden / Weedy/scatter
ed leaves/ tall
trees / plants
Uprooting/sweeping
/trimming
20 Stick broom,
grass cutter,
bolo
50 laborer

4. Republic of the Philippines
Department of Education
Address: Poblacion East, Science City of Muñoz, Nueva Ecija, 3119
Telephone No.: (044) 940-5932; Email Address: depedmcs16@gmail.com
School ID: 105552
• School
Canteen/Clinic
/ Broken
ceiling/faded
paint
Replacement 8 gallons of
paint, nails,
screw
5 laborer
5 painters
• School Fence/
wall
/ Faded
paint/broken
Replacement/repain
ting
8 gallons of
paint, nails,
screw
5 laborer
5 painters
• Electricity / Busted bulb,
open wires
Replacement/repairi
ng
10 electrical
bulb, electrical
tape
7 electrician
• Fire
suppression/exti
nguisher
/
• School equip
with first aid kit
/
• School directory / Need to be
repainted
• Post directory of
emergency
contact number
/ Faded
emergency
contact
number
Replacing/printing Tarpaulin 5 helper
• Gymnasium /

5. Republic of the Philippines
Department of Education
Address: Poblacion East, Science City of Muñoz, Nueva Ecija, 3119
Telephone No.: (044) 940-5932; Email Address: depedmcs16@gmail.com
School ID: 105552
Prepared by: Noted:
ELYSSA MARIE T. PRADO July 16, 2021 EMILY I. FERNANDEZ, PhD
Brigada Eskwela Coordinator Date of Inspection Principal IV
• School Stage / Renovation/Re
paint
Renovation/Repaint Round bar,tire
wire,pbc pipe,
pbc elbow,
welding rod
1 Welder
2 helper
• Emergence Light /

6. Republic of the Philippines
Department of Education
Address: Poblacion East, Science City of Muñoz, Nueva Ecija, 3119
Telephone No.: (044) 940-5932; Email Address: depedmcs16@gmail.com
School ID: 105552
BRIGADA ESKWELA RESOURCE MOBILIZATION FORM
S.Y. 2019-2020
Instruction: Using the completed BE Form 01: Physical Facilities Needs Assessment as basis, summarize the
resources (materials and manpower) needed and list down the potential source or partners to be tapped. Add additional
sheet if needed. The Status and Remarks columns should be updated regularly to determine progress in acquiring
resources needed.
Materials
Needed
Quantity
Key
Persons/Organization
to
be Tapped
Strategies/Plan
of
Action
Person Responsible Status Remarks
Paint 180
Gallons
HPTA Members,
Teachers, Stakeholders,
Donors
Repainting,
Repairing,
Replacement
School Principal,
School Brigada
Eskwela Coordinator,
HPTA Members,
Teachers,
Stakeholders, Donors
Finished
Paint Brush 60 pcs HPTA Members,
Teachers, Stakeholders,
Donors
Finished
Roller Brush 60 pcs HPTA Members,
Teachers, Stakeholders,
Donors
Finished

7. Republic of the Philippines
Department of Education
Address: Poblacion East, Science City of Muñoz, Nueva Ecija, 3119
Telephone No.: (044) 940-5932; Email Address: depedmcs16@gmail.com
School ID: 105552
Thinner 60 pcs HPTA Members,
Teachers, Stakeholders,
Donors
Finished
Broom Stick 200 pcs HPTA Members,
Teachers, Stakeholders,
Donors
Finished
Pipes 20 pcs HPTA Members,
Teachers, Stakeholders,
Donors
Finished
Elbow 20 pcs HPTA Members,
Teachers, Stakeholders,
Donors
Finished
Disinfectant 60 pcs HPTA Members,
Teachers, Stakeholders,
Donors
Finished
Cleaning
Brush
60 pcs HPTA Members,
Teachers, Stakeholders,
Donors
Finished
Powder Soap 60 pcs HPTA Members,
Teachers, Stakeholders,
Donors
Finished

8. Republic of the Philippines
Department of Education
Address: Poblacion East, Science City of Muñoz, Nueva Ecija, 3119
Telephone No.: (044) 940-5932; Email Address: depedmcs16@gmail.com
School ID: 105552
Electrical
Bulb
20 pcs HPTA Members,
Teachers, Stakeholders,
Donors
Finished
Emergency
Light
2 pcs HPTA Members,
Teachers, Stakeholders,
Donors
Finished
Flat Bar 2 pcs HPTA Members,
Teachers, Stakeholders,
Donors
Finished
Angle Bar 1 pc. HPTA Members,
Teachers, Stakeholders,
Donors
Finished
Nails 5 Kls. HPTA Members,
Teachers, Stakeholders,
Donors
Finished
Tarpaulin 2 pcs. HPTA Members,
Teachers, Stakeholders,
Donors
Finished
Labor
Skills/Voluntee
rs
Quantit
y
Key
Persons/Organizatio
n to
Strategies/Plan
of
Action
Person Responsible
Statu
s
Remark
s

9. Republic of the Philippines
Department of Education
Address: Poblacion East, Science City of Muñoz, Nueva Ecija, 3119
Telephone No.: (044) 940-5932; Email Address: depedmcs16@gmail.com
School ID: 105552
Needed be Tapped
Laborer 525 HPTA Members,
Teachers,
Stakeholders, Donors
Repainting,
Repairing,
Replacement
School Principal, School
Brigada Eskwela
Coordinator, HPTA
Members, Teachers,
Stakeholders, Donors
Finish
ed
Helper 340 Finish
ed
Painter 504 Finish
ed
Welder 2 Finish
ed
Plumber 10 Finish
ed
Mason 10 Finish
ed
Electrician 10 Finish
ed
Prepared by: Noted:
ELYSSA MARIE T. PRADO EMILY I. FERNANDEZ, PhD
Brigada Eskwela Coordinator Principal IV