Cdcnhs Brigada 2017 - Draft1

BE Form 01
Republic of the Philippines

DEPARTMENT OF EDUCATION
REGION I
SCHOOLS DIVISION OFFICE I OF PANGASINAN
Lingayen
CATALINO D. CEREZO NATIONAL HIGH SCHOOL

Malimpec, Malasiqui, Pangasinan
SY 2017-2018
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 Manpower

Remarks
(Check One) improvement Needed Material Resources Needed(Indicate
FACILITIES (e.g. repair, Needed (Indicate kind quantity and nature
Satisfactor Unsatisfacto If Unsatisfactory, repainting, and quality) of labor services
y ry describe the problem replacement, etc) needed)
- School Grounds - Presence of weeds/grasses - Uprooting of grasses and - Grass cutting devices and At least 20 workers
weeds gasoline
- Presence of stones, debris - Removal of debris, stones - Rake, shovel, bolo, wheel At least 10 workers
and sands and sands barrow, brooms
- Needs more potted plants - Planting of ornamental - Pots, plants, planting tools At least 10 planters
(ornamental, herbs, plants
flowering)
- No landscapes/ plant box - Construct concrete plant - 5-6 bags Cement At least 20 workers
box parallel to schools - 1 load Sand and Gravel
front fence - 160 pcs Hollow Blocks
- 10 pcs Reinforced Steel
Bars 9mm
- Soil
- Faded paints in concrete
Remarks
benches and tables
- Repaint benches and - 1 gallon of latex paint At least 5 workers
tables
- Roof / gutters Clogged gutters Removal of leaves on gutters Ladders, stalls and brooms At least 3 workers
- Ceiling Damaged ceiling Repair damaged ceiling Carpentry tools At least 5 workers
Nails, plywood
- Walls Faded interior and exterior wall Repainting of interior and 3 gallons of latex paints At least 10 workers
paints in SHS bldg. exterior walls of SHS bldg. Brushes and rollers
- Blackboards
- Chairs/desks/tables Damaged armchairs, tables Repair/ repainting of chairs and Wood, nails and paints At least 20 workers
and cabinets tables
- Water facilities - Unpainted hand washing - Painting of hand washing - Paints, brushes, rollers At least 10 workers
area area
- Unsafe drinking water - Installation of water filter - Water filter At least 3 workers
- Signage - Broken and faded - Repainting and fixing of - Paints, brushes, welding At least 10 workers
direction street signage direction street signage machine and rods
- Faded wall signage - Repainting wall signage - Paints and brushes At least 3 workers
letterings Letterings
- School Garden - Presence of weeds - Deweeding and removal of - Cleaning and clearing tools At least 20 workers
(Gulayan sa Paaralan) dead plants
- One to vegetables only - Planting vegetable - Vegetable seedling and At least 10 workers
seedling/seeds seeds, planting tools
- No trellis and fence - Construct trellis for vines - Bamboos, nails, strings, tie At least 10 workers
and fence wires, bolo
- Eroded and Flooded - Reconstruct compost pit - Shovel, pail, wheel barrow At least 10 workers
compost pit
- Lightings, switches and - Busted bulbs and lamps - Replacement of bulbs and - Ladder, lamps and bulbs, At least 2 worker,
outlets, ceiling and wall lamps electrical tape
Remarks
fans - Busted switches and wall - Replacement of switches - 19 pcs of switches, 10 pcs of 2 electrician
outlets and outlets outlets, electrical tape, tie
wires
-
- Ceiling and wall fans are - Repair of electric fans - Electric fan accessories and
not functioning parts
- Windows
- Doors - Damaged door - Repair of damaged door Plywood, hammer and saw, nails At least 3 workers
And door knobs and screw drives
- Loosed door knobs
- Comfort rooms Stinky odor Cleaning and sanitation Soap, water bleach and cleaning Ordinary labor
tools
- School canteen - Dirty and dusty area due - Cleaning of school canteen - Cleaning materials Ordinary labor
to construction works
- Unpainted walls and - Painting of walls and - Paints, brushes and rollers At least 10 workers
ceiling ceiling
- School Fence
- Pavement
School gate and arc
- Nipa Hut/ Students Damaged floors and roof of 3 Repair of floor and Bamboos, nails, lumber, tie wires, Atleast 10 workers
Shed nipa huts replacement of anahaw roofs anahaw roofings, varnish, 2 carpenters
brushes
- Disaster Risk - Presence of tall mango - Pruning/cutting of - Bolo axe At least 5 workers
Reduction tree branches
Management
- no evacuation plan and - Posting of evacuation plan - Coupon, card board, plastic Atleast 1 worker
guide posted and guide in every area covers, , adhesives
- fire extinguishers are not - Installation of fire - Fire extinguishers, metals Atleast 2 laborer, 1 welder
installed extinguishers plate, screw, drill gun
Remarks
- no emergency kit for - Purchase emergency kit - Teachers Emergency kit
teachers for teachers
- no teachers kit - Purchase teachers kit - Teachers kit
- no students kit - Purchase students kit - Students kit
- no school alarm system - Purchase and installation - Fire alarm 1 electrician

of alarm system
- no safety measures - Post safety measures in - Safety measures poster,
posted in laboratories laboratories plastic covers, adhesives
Prepared by: Noted:
ALTMAN L. CABARDO ____________________ JOVITA C. GARAN

School Physical Facilities Coordinator Date of Inspection OIC, Office of the Head Teacher
School Head
BE Form 02

REGION I
Lingayen

SY 2017-2018
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 on or before January 31.
KRA Activities Timeline Persons Materials Budget

Responsible Needed
1.Advocacy and Invite parents, teachers, students, May 1- 12, 2017 School Head BE Invitation 1,000.00
Marketing Brgy. Officials and other BE Coordinator letters
stakeholders to join the Brigada Teachers Tarpaulin/Banner
Eskwela Plus through letters, Infographics
posting of banners and
infographics in social networking
sites
Generate resources for the Year round School Head Coupon Bond, 1,500.00
conduct of Brigada Eskwela (both Teachers, Travelling
materials and School Physical expenses,
manpower/volunteer services) by: Facilities coordinator communication
1. Determine target resources PTA expenses
and volunteers SSG Officers
2.Resource 2. Encourage community Volunteers
Mobilization leaders to engage support
from the community
3. Making requests and
sending them to
prospective partners
4. Accepting donations from
stakeholders
1. Establishment of different May 15-20, 2017 School Head Construction
working committee in Teachers materials,
charge of different activities PTA, Volunteers Carpentry tools,
2. Giving directions or SSG Officers paints and
guidance in performing the Working Committee accessories, Water
assigned tasks Parents Filter, Computer
3. Implementation 3. Seeing to it that the Equipment,
working committees are Emergency Kits
performing their duties and and supplies
responsibilities
4. Seeing to it that the
targeted tasks are properly
accomplished
Listing and inspection of all May 15 June 2017 School Head, BE form 1-7
accomplishments on Brigada Committee
Eskwela by all persons Chairperson
4. Monitoring and
concerned
Evaluation
Documentation of all activities BE form 1-7
on Brigada Eskwela Gemma F. Lamsen
May June 2017 School Head BE Forms 1-7,
Preparation/consolidation of School BE Coordinator Narative and
5. Reporting necessary reports and Accomplishment
submission to the Division BE reports
Coordinator
Prepared by: Noted by:
___________________________________ _________________________ _____________________________
Signature over Printed name Date Prepared ASP Division Coordinator/ BE coordinator
BE Form 03

REGION I
Lingayen

SY 2017-2018
BRIGADA ESKWELA
RESOURCE MOBILIZATION FORM
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.
Key
Strategies/Plan
Persons/Organization
Materials Needed Quantity of Person Responsible Status Remarks
to
Action
be Tapped
Key
Labor Strategies/Plan
Persons/Organization
Skills/Volunteers Quantity of Person Responsible Status Remarks
to
Needed Action
be Tapped
Carpenters
Mason
Painter
Electrician 2
Prepared by: Noted:
___________________________________________ _______________________________________________
Resource Mobilization Committee Chairperson School Head
BE Form 04
REGION I
Lingayen

SY 2017-2018
BRIGADA ESKWELA
DAILY ATTENDANCE OF VOLUNTEERS
Date: ____________________
Instruction: Volunteers themselves should personally fill in the details required by this form under the supervision of any of the
committee members. For the last column, indicate if masonry, carpentry, plumbing, painting, electrical, gardening/landscaping, ordinary
labours or others.
TOTAL NATURE
NAME POSITION/ ADDRESS/ CONTACT TIME SIGNATUR NUMBERS OF
DESIGNATION ORGANIZATION/ NUMBER E OF VOLUNTEER
AFFILIATION IN OU HOURS SERVICES
T SERVED RENDERED
Noted:
___________________________________________ _________________________________
School Head Date
BE Form 05

REGION I
Lingayen

SY 2017-2018
BRIGADA ESKWELA
RECORD OF DONATIONS RECEIVED
ITEMS/ MATERIALS QUANTITY DATE NAME OF DONOR ASSUMED COST OF ITEMS

RECIEVED Per Unit Total
TOTAL
________________________________________________ ______________________________________________
Committee on Documentation Chair/Member School Head
BE Form 06
REGION I
Lingayen

SY 2017-2018
BRIGADA ESKWELA
DAILY ACCOMPLISHMENT REPORT
DAY 1 2 3 4 5 DATE: _________________

6
Instruction: List down all the activities that needs to be undertaken for each day of the Brigada Eskwela week. At the end of each day,
please mark the appropriate column that corresponds to the status of each activity. Cite reasons for non-completion.
STATUS
Started but not REMARKS/RECOMMENDATIONS
Activities Completed yet Not done
completed
Day 1
Day 2
Day 3
Day 4
Day 5
Day 6
________________________________________________ ______________________________________________
Program Implementation Committee Chair/Member School Head
Date Prepared: ____________
BE Form 7

REGION I
Lingayen

SY 2017-2018
BRIGADA ESKWELA
SCHOOL ACCOMPLISHMENT REPORT
DIVISION: Ilocos Sur REGION: I

SCHOOL: SCHOOL ID:
SCHOOL ADDRESS:
(Please check appropriate box)
Level: Type of School:

Elementary Central School
High School Non- Central School
(Complete)
Multi-grade
Primary School
(Complete)
Integrated
SCHOOL HEAD: CONTACT NO.:

PTA PRESIDENT: CONTACT NO.:
BE Form 07

REGION I
Lingayen

SY 2017-2018
A. SCOPE OR REPAIR AND MAINTENANCE WORK COMPLETED (Please check appropriate column)
What was done?
Others
Repaired Repainted Replaced
(Brief Description)
- School Grounds
- Roof / gutters
- Ceiling
- Walls
- Blackboards
- Chairs/desks/tables
- Water facilities
- Signage
- School Garden (Gulayan sa Paaralan)
- Lightings, switches and outlets, ceiling and wall fans
- Windows
- Doors
- Comfort rooms
- School canteen
- School Fence
- Pavement
School gate and arc
- Nipa Hut/ Students Shed
- Disaster Risk Reduction Management
-
-
BE Form 07
Department of Education
Region I
SCHOOLS DIVISION OF ILOCOS SUR
(Name of School)
(School Address)
School Year _________
B. DONATIONS/MATERIALS RESOURCES GENERATED (Use separate sheets, if needed)

Type of Donations Sources Estimated Cost
TOTAL
BE Form 07
Region I
(Name of School)
(School Address)
School Year _________
C. VOLUNTEERS SERVICE
Number of Volunteers
Name of individuals/
Type of Volunteer
organization
Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 TOTAL
TOTAL
BE Form 07

Region I
(Name of School)
(School Address)
D. ESTIMATED COST OF VOLUNTEER SERVICES RENDERED

Type of Service Total Number of Volunteers Total Number of Hours Total Estimated Costs
Rendered
Carpentry
Masonry
Gardening/ Landscaping
Painting
Welding
Electrical/ Electronics
Plumbing
Ordinary Labor
TOTAL
BE Form 07

Region I
(Name of School)
(School Address)
E. SIGNIFICANT EVENTS / EXPERIENCES

What is/are important
contribution to the operation
What happened? Who were involved? When?
to the school or to existing
needs of the school?

BE Form 07

Region I
(Name of School)
(School Address)
F. LESSONS LEARNED
G. SUGGESTIONS TO STRENGTHEN BRIGADA ESKWELA PROJECT
Prepared by: Date:
_____________________________
_________________________________________
School Head

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BE Form 01

Republic of the Philippines

CATALINO D. CEREZO NATIONAL HIGH SCHOOL

CONDITION Nature of Manpower

School gate and arc

- no teachers kit - Purchase teachers kit - Teachers kit

- no students kit - Purchase students kit - Students kit

- no school alarm system - Purchase and installation - Fire alarm 1 electrician

Prepared by: Noted:

ALTMAN L. CABARDO ____________________ JOVITA C. GARAN

Republic of the Philippines

CATALINO D. CEREZO NATIONAL HIGH SCHOOL

KRA Activities Timeline Persons Materials Budget

___________________________________ _________________________ _____________________________

Republic of the Philippines

CATALINO D. CEREZO NATIONAL HIGH SCHOOL

Resource Mobilization Committee Chairperson School Head

CATALINO D. CEREZO NATIONAL HIGH SCHOOL

School Head Date

Republic of the Philippines

CATALINO D. CEREZO NATIONAL HIGH SCHOOL

ITEMS/ MATERIALS QUANTITY DATE NAME OF DONOR ASSUMED COST OF ITEMS

Committee on Documentation Chair/Member School Head

CATALINO D. CEREZO NATIONAL HIGH SCHOOL

DAY 1 2 3 4 5 DATE: _________________

Prepared by: Noted by:

Program Implementation Committee Chair/Member School Head

Date Prepared: ____________

Republic of the Philippines

CATALINO D. CEREZO NATIONAL HIGH SCHOOL

DIVISION: Ilocos Sur REGION: I

Level: Type of School:

SCHOOL HEAD: CONTACT NO.:

Republic of the Philippines

CATALINO D. CEREZO NATIONAL HIGH SCHOOL

B. DONATIONS/MATERIALS RESOURCES GENERATED (Use separate sheets, if needed)

Republic of the Philippines

D. ESTIMATED COST OF VOLUNTEER SERVICES RENDERED

Republic of the Philippines

E. SIGNIFICANT EVENTS / EXPERIENCES

Republic of the Philippines

G. SUGGESTIONS TO STRENGTHEN BRIGADA ESKWELA PROJECT

Prepared by: Date:

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_______________________ _ _________________