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Checklist Monitoring Form

The document contains a checklist monitoring form from San Roque Elementary School in Quezon Province, Philippines. The form monitors 5 criteria for classroom cleanliness and organization: 1) proper labeling and cleanliness of trash bins, 2) a clean garbage bin, 3) proper waste segregation with no plastics in bins, 4) a neat and organized classroom, and 5) a safe and clean corridor. It also includes a schedule for morning, lunch, and afternoon monitoring and spaces for signatures of the monitor and person noting the monitoring.

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0% found this document useful (0 votes)
69 views

Checklist Monitoring Form

The document contains a checklist monitoring form from San Roque Elementary School in Quezon Province, Philippines. The form monitors 5 criteria for classroom cleanliness and organization: 1) proper labeling and cleanliness of trash bins, 2) a clean garbage bin, 3) proper waste segregation with no plastics in bins, 4) a neat and organized classroom, and 5) a safe and clean corridor. It also includes a schedule for morning, lunch, and afternoon monitoring and spaces for signatures of the monitor and person noting the monitoring.

Uploaded by

merafeebreo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Republic of the Philippines

Department of Education
Region IV-A
SCHOOLS DIVISION OF QUEZON PROVINCE
SAN ROQUE ELEMENTARY SCHOOL
GUISGUIS SAN ROQUE, SARIAYA, QUEZON

CHECKLIST MONITORING FORM

1. There are 3 trash bins inside the classroom with label. (NABUBULOK, DI NABUBULOK, BOTE/PLASTIC BOTTLES)
2. Garbage bin is clean.
3. There is a proper segregation of waste. There must be NO PLASTICS inside the bins.
4. The classroom is neat and organized.
5. The corridor is safe from obstructions and clean all the time.

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY


SCHEDULE

1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5

MORNING
LUNCH
AFTERNOON
MONITORED BY: __________________________
SIGNATURE over Printed Name Noted: ______________________________
SIGNATURE over Printed Name

Address: Sitio Centro, Guisguis San Roque, Sar., Quezon


Trunkline #: (042) 7310432

DepEdTayoSanRoqueES [email protected]
Republic of the Philippines
Department of Education
Region IV-A
SCHOOLS DIVISION OF QUEZON PROVINCE
SAN ROQUE ELEMENTARY SCHOOL
GUISGUIS SAN ROQUE, SARIAYA, QUEZON

HAPPY OR NOT? MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY TOTAL

Address: Sitio Centro, Guisguis San Roque, Sar., Quezon


Trunkline #: (042) 7310432

DepEdTayoSanRoqueES [email protected]
Republic of the Philippines
Department of Education
Region IV-A
SCHOOLS DIVISION OF QUEZON PROVINCE
SAN ROQUE ELEMENTARY SCHOOL
GUISGUIS SAN ROQUE, SARIAYA, QUEZON

Address: Sitio Centro, Guisguis San Roque, Sar., Quezon


Trunkline #: (042) 7310432

DepEdTayoSanRoqueES [email protected]

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