Republic of the Philippines

Department of Education
Region II – Cagayan Valley
Division of Cauayan City

INSTRUCTIONAL SUPERVISORY TOOL

for School Head
Name of School Head:___________________________________________________
School: _______________________________________________________________
District: ______________________________________________________________
Class: _________________________ Subject: ___________________________
Date Observed: _________________ Time: _____________________________

I. ACTUAL OBSERVATION REPORT

Legend:

1 -Below Basic (BB) -School Head’s behavior on the job and outputs frequently fall
below standard.
-Performance and work outputs are consistently low.
-The school head may need immediate directive instructional support.
2 – Basic (B) -School Head’s behavior on the job meets basic expectations
based on standards.
-Displays basic level of work performance outputs as required
outcomes.
3 – Proficient (P) -School Head’s behavior often exceeds expectations.
-Displays a high level of competency related skills, abilities, initiatives and
productivity, exceeding requirements in many of the job areas.
4 – Highly Proficient (HP)-School Head’s behavior consistently exceeds expectations.
-Displays consistently at all times, high level of performance in skills, abilities,
initiatives and productivity.
-School Head is self-directed.

A. PREPARATION AND PLANNING

Directions: Check the appropriate observation for the School Head.
Performance Behavior Observation Rating REMARKS
BB (1) B (2) P(3) HP (4)
1. Has duly approved Instructional
Supervisory Plan for implementation
of curriculum programs based on
teachers’ instructional needs
2. Shows evidences in providing
technical assistance on the preparation
of lesson plans and assessment
materials.

3. Shows evidence of monitored

preparation of appropriate, adequate

Address: Barangay Turayong, Cauayan City, Isabela 3305

Telephone Nos.: (078) 652-1614
Email Address:cauayancity@deped.gov.ph
Doc Code: FM-CID-006 Rev: 00
Website: depedcauayan.wordpress.com
As of: 09-02-2019 Page: 1
 Republic of the Philippines
Department of Education
Region II – Cagayan Valley
Division of Cauayan City

and economical instructional materials

that suit the learners’ diverse needs.
4. Conducts pre-observation conference
with the teacher

B. OBSERVATION
Performance Behavior Observation Rating REMARKS
BB (1) B (2) P(3) HP (4)
1. Records actual observation of
teaching-learning process using
appropriate forms.
2. Evaluates congruency of lesson plan,
references, instructional material,
learning strategies, techniques and
assessment tools used
3. Evaluates teaching-learning process
based on learning outcomes

4. Ensures that content standards,

performance standards, and learning
competencies of learning areas are
based on the Curriculum Guide

5. Guides the teacher in

enriching/enhancing the curriculum
based on learner’s context and local
needs
6. Reinforces strengths of the teacher
and guides him/her to overcome areas
of development

7. Conducts post conference and agree

on solution to identified instructional
area of development.

C. ASSESSING AND REPORTING OF LEARNING OUTCOMES

Performance Behavior Observation Rating

Address: Barangay Turayong, Cauayan City, Isabela 3305

Telephone Nos.: (078) 652-1614
Email Address:cauayancity@deped.gov.ph
Doc Code: FM-CID-006 Rev: 00
Website: depedcauayan.wordpress.com
As of: 09-02-2019 Page: 2
 Republic of the Philippines
Department of Education
Region II – Cagayan Valley
Division of Cauayan City

BB B (2) P(3) HP (4) REMARKS

(1)
1. Evaluates assessment done during the
teaching-learning process
2. Ensures that test results are analyzed
and interpreted

3. Helps the teacher develop interventions

for least mastered competencies

II. ANALYSIS OF INSTRUCTIONAL SUPERVISION

(Summary of what transpired during the SH-PSDS conference.

III. AGREEMENT BETWEEN SCHOOL HEAD AND PSDS/EPS

______________________ ___________________________________
School Head’s Name and Signature EPS/PSDS Name and Signature

Address: Barangay Turayong, Cauayan City, Isabela 3305

Telephone Nos.: (078) 652-1614
Email Address:cauayancity@deped.gov.ph
Doc Code: FM-CID-006 Rev: 00
Website: depedcauayan.wordpress.com
As of: 09-02-2019 Page: 3