Department of Education

School Building Inventory Form

(as of December 31, 2016)

Region : School ID :
Division : School Name :

Table 1. Summary of Existing Building/Structure

Building/Structure
Building/ Year Completed8 Dimension
Specific Fund Building/Structure Number of Number of Rooms (if not provided, Classification of (in Meters)10
Structure Building/Structure Type2 Fund Source/s 3
Source/s4 Condition 5 Storeys6 by Design/Intent7 refer to building Building/Structure9
Number1 type)
Width Length

Col. 1 Col. 2 Col. 3 Col. 4 Col. 5 Col. 6 Col. 7 Col. 8 Col. 9 Col. 10 Col. 11

Prepared by: Certified True and Correct by: Validated by:

School Property Custodian/ School Head Schools Division Office

School Engineering Facilities Coordinator
 Department of Education
School Building Inventory Form
(as of December 31, 2016)

Region : School ID :
Division : School Name :

Table 2. Existing Rooms per Building

Room Dimension
Building/ Have undergone major Number of
(in Meters)16
Structure Room Number11 Room Condition12 repair for the last 5 Concurrent Actual Usage/s15
Number1 years13 (Yes/No) Usage/s14 Width Length
Col. 1 Col. 2 Col. 3 Col. 4 Col. 5 Col. 6 Col. 7 Col. 8

2 1

3 1

Prepared by: Certified True and Correct by: Validated by:

School Property Custodian/ School Head Schools Division Office

School Engineering Facilities Coordinator
 Department of Education
School Building Inventory Form
(as of December 31, 2016)

Region : School ID :
Division : School Name :

Table 3. Existing Number of Water and Sanitation Facilities

Building/ Number of Functional Toilet Bowls 17 Number of Number of Number of With Number of Faucets23
Number of
Structure Non-Functional Sink/ Urinal Septic Tank22 With Without Water
Male Female PWD Shared Urinals20
Number1 Toilet Bowls18 Washbasin19 Trough21 (Yes/No) Water Supply Supply
Col. 1 Col. 2 Col. 3 Col. 4 Col. 5 Col. 6 Col. 7 Col. 8 Col. 9 Col. 10 Col. 11 Col. 12

`
1

Prepared by: Certified True and Correct by: Validated by:

School Property Custodian/ School Head Schools Division Office

School Engineering Facilities Coordinator
 Department of Education
School Building Inventory Form
(as of December 31, 2016)
Region : School ID :
Division : School Name :

Table 4. Existing Number of Usable Furnitures

Building/ Kinder Science Science

Kinder Arm School Workshop Monobloc Monobloc Classroom Classroom Behavioral Teachers' Teachers'
Structure Modular Laboratory Laboratory
Chair25 Chair26 Desk27 Table30 Chair31 Stool32 Table33 Chair34 Chair35 Table36 Chair37
Number1 Table24 Table28 Stool29
Col. 1 Col. 2 Col. 3 Col. 4 Col. 5 Col. 6 Col. 7 Col. 8 Col. 9 Col. 10 Col. 11 Col. 12 Col. 13 Col. 14 Col. 15

Prepared by: Certified True and Correct by: Validated by:

School Property Custodian/ School Head Schools Division Office

School Engineering Facilities Coordinator
 Department of Education
School Building Inventory Form
(as of December 31, 2016)

Region: School ID:

Division: School Name:

Table 5. Other Facilities

Present in Campus?
Other Facilities
(Yes/No)
Col. 1 Col. 2

Concrete Quadrangle Yes No

Entrance Gate Yes No

Perimeter Fence Yes No

Playground Yes No

School Garden Yes No

Prepared by: Certified True and Correct by:

School Property Custodian/ School Head

School Engineering Facilities Coordinator

Validated by:
Schools Division Office