Brigada Kontra Dengue Form 01

Republic of the Philippine

Department of Educat
Region VI
SCHOOLS DIVISION OF
SAN DIONISIO INTEGRATE
Schools District of San R
School Year 2019 - 20

BRIGADA KONTRA DENGUE ASS

Instruction: Conduct an ocular inspection of the school facilities, areas and grounds listed below that are possible

POSIBLE BREEDING PLACES OF MOSQUITO IN CONDITION AS Potential

Breeding Place (Please Check) Nature of Work Need
SCHOOL
 POSIBLE BREEDING PLACES OF MOSQUITO IN
SCHOOL
• Unused structure/buildings/rooms
• Stockroom
Nature of Work Need
YES NO
/ Cleaning the area
Filling and organized things
/ inside

• Roofs/Gutters / checking and clearing the gutter

get the things inside and recyle
• Material Recovery Facility / it.
• Septic Tanks /
• Curtains /
• Air Conditioned Drip Trays /
• Empty Bottles/Cans / recylce
• Open Garbage Pit / Cleaning the area
• Water Storage/Drum/Barrels / drain the drum and clean
• Dark Places /
• Fish Pond /
• Wood Piles /
• Stagnant Water /
• Swampy Areas /
• Drainage / Clearing the drainage

• Garden / pulling off weeds

• Plants that hold water /
cutting and pulling off the
• Weeds / weeds

• Flower Pots and Vases /

• Unused Tires / Recycle it buy using in a garden
• Bamboo Poles /
• Tree Holes / cutting the tree
• Tree Stumps / digging the tree stumps
• Open Holes / filling sand
Prepared by: Noted:

ROCHELLE ANNE P. EULATRIZ 07-19-19 GERWIN V. KATAGU

School DRRM Coordinator Date of Inspection Prin
 the Philippines
t of Education
gion VI
ISION OF ILOILO
TEGRATED SCHOOL
ict of San Rafael
ar 2019 - 2020

NGUE ASSESSMENT FORM

are possible breeding places of mosquitos. Then provide the needed information.

Materials Resources Needed Manpower needed(Indicated quantity and nature of labor services
(Indicated Kind and quantity needed
Materials Resources Needed Manpower needed(Indicated quantity and nature of labor services
(Indicated Kind and quantity needed

brooms,dust pan and trash bag 10 volunteer laborers

brooms,dust pan and trash bag 5 volunteer laborers

brooms and ladder 6 volunteer laborers

none 7 volunteer laborers

8 volunteer laborers
9 volunteer laborers
10 volunteer laborers
empty bottles,sciccors 5 volunteer laborers
shovel,brooms and bolo 8 volunteer laborers
none 3 volunteer laborers
 8 volunteer laborers
shovel,brooms and bolo
shovel, bolo and hoe 15 volunteer laborers

bolo, shovel and grasscutter 20 volunteer laborers

unused tires paint and plants 15 volunteer laborers

axe 5 volunteer laborers

axe 5 volunteer laborers
shovel, hoe and sand 10 volunteer laborers
V. KATAGUE
Principal I