Republic of the Philippines

Department of Education
Region VII
Division Cebu City
School Tisa Night High School
BRIGADA ESKWELA
PHYSICAL FACILITIES REPAIR AND MAINTENANCE NEEDS ASSESTMENT FORM
(To be accomplished by the School Physical Coordinator)
Instruction: Conduct an ocular inspection of the school physical facilities listed below. Then provide the needed information to facilitate the improvement to be done on these identified fa
you may use separated form for each classroom or school facility).
FACILITIES Condition Remarks Nature of improvement Needed Material Resources Needed
(Check One) (e.g. repair, repainting (Indicate kind and quantity)
replacement, etc.
Satisfa Unsati If, unsatisfactory, describe the problem
ctory sfacto
ry
Roofs/gutters / needs repainting and cleaning repainting and cleaning one gallon of paint
Ceilings three gallons of paint, nails,
/ needs repainting and repair repainting and repair plywood,hammer saw
Walls / faded repainting
Blackboards / needs repainting no lines, faded repainting two gallons of paint
Chairs/desks/tables five bottles of varnish, nails,
/ unserviceable repair and repainting hammer, saw
Water Facilities/Drainage
System / unserviceable repair- pressurized
Signages /
School Garden replacement of fence and plants bobwire, plants and pots, stones
/ needs more plants, fence construction landscaping and animal manure
Lightings / some bulb needs to be replaced replacement bulbs and electrical materials
Windows needs repair, repainting, woods, three gallons of paint,
/ faded, destroyed and termite infested replacement saw ,hammer, nails
Doors / termite infested need treatment
Comfort Rooms needs repair, replacement of pvc
doors were vandalised and broken, replacement of and repair of the faucets and water pvc, good lumber for the doors,
/ pvc, water connection connection faucet and water pipes
 School Grounds /
School Canteen/Clinic the school has no clinic and canteen for for health lumber, nails ,hammer,
/ and sanitation of the students construction of a clinic and canteen paint.cement, hollowblocks
School Fence /
Others pls specify:
Prepared by: Noted:
Jean A. Villmor 1-Mar-11 LUDOVECO C. ELACION
School Physical Facilities Coordinator Date of Inspection Tisa Night High School, Principal
be done on these identified facilities. (If needed,

Manpower Needed (indicate

quantity and nature of labor service
needed)

one paintor and utility

one paintor and two carpenter

two paintor

five carpenters

2 persons

three persons
two electrician

five persons

five persons
five persons
 Republic of the Philippines
Department of Education
Region VII
Division Cebu City
School Tisa Night High School
School Year 2010-2011

BRIGADA ESKWELA
SCHOOL WORKPLAN
(To be accomplished by the School Head)
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
completed, submit a copy to the Adopt-A-School Program coordinator of your division on or before
KRA Activities Timeline Person/s Materials Needed
Responsible
1. Advocacy and Marketing -Conduct extensive awareness campaign posting May 1 - 22, 2011 SSG Officers, PTA Officers, Microphone, Speaker,
of campaign banners, distribution of other
campaign materials School Head, Faculty Streamers, Flyers
-Prepare for work plan involved Members
2. Resource Mobilization -solicitation,donations, PTA Funds, April 8, 2011- May 22, 2011 SSG Officers, PTA Officers, soliciation letters, envelopes
Business establishments, School Head, Faculty
Members
3. Implementation - Simple Opening Program/ Kick – May 23- 28, 2011 SSG Officers, PTA Officers, paint, broom sticks, dust pans, garbage
bins, paint brush & rollers, hammers,
Off Ceremony on the 3rd week of School Head, Faculty nails, plywoods, rounds rugs, duster,
May Members, Alumnai, Private cements, sand & gravel, detirgent soap,
electrical wires, light bulbs
Individuals, Skilled Workers

4. Monitoring and Evaluation -Ocular inspection and May 23- 28, 2011 Divion/District Supervisors/ Checklist of work plan
documentation Principal

5. Reporting -Preparation of accomplishments, May 31, 2011-June 2, 2011 Principal/ School Facilities Forms, Photos
printing photos, submission of Coordinator
report
Prepared by: Noted:
 LUDOVECO C. ELACION
Principal Date Prepared ASP Division Coordinator/BE Coo
ation. Add another sheet if needed. Once

s Needed Budget

e, Speaker, P 500
rs, Flyers

ers, envelopes P 250

dust pans, garbage

& rollers, hammers,
ounds rugs, duster,
avel, detirgent soap,
es, light bulbs

f work plan

Photos P 400
sion Coordinator/BE Coordinator
 Republic of the Philippines
Department of Education
Region VII
Division Cebu City
School Tisa Night High School
School Year 2010-2011
BRIGADA ESKWELA
RESOURCE MOBILIZATION FORM
(To be accomplished by the School Head)
Materials Needed Quantity Key Persons/ Organization to Strategies/Plan of Action Person Responsible
be tapped
Paint 6 gallons Barangay ,SSG,PTA, Community
Nails 2 kilos
Saw 2
Hammer 3
Lumber
Bobwire one roll
Plants
Stones 2 sacks
PVC
Pipe
Faucet
Varnish 5 bottles
Plywood 10 plywood
Pots 20 pots
Animal Manure 2 sacks
Bulbs 5 bulbs
Electrical Materials
Labor Skills/Volunteers Quantity Key Persons/Organization to Strategies/Plan of Actions Person Responsible
Needed be tapped

Prepared by: Noted by:

Resource Mobilization Committee Chairperson
Status Remarks

Status Remarks

LUDOVECO C. ELACION
Principal