Title Page
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Conducted on
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Prepared by
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Location
Reviewer Details
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Name
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Position
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Organisation
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Phone Number
Pest Applicator or Project Manager Details
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Name
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Position
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Organisation
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Phone Number
Review Details
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Location
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Scope
Risk Assessment (Desktop)
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Is pesticide application at a small scale or broadscale?
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Guidance note:
- Provisioning centers may carry out both broadscale and small scale application of pesticides
- Small scale application is exempt from regulatory record keeping and applicator licencing requirements
- Small scale application includes:
s4 of Pesticide Regualtion 2017
The use of a pesticide by a person is an exempt domestic like use of pesticide for the purposes of this Regulation if the pesticide is, or is part of, a product that is widely available to the general public at retail outlets, is ordinarily used for domestic purposes (including home gardening), is being applied by hand or hand-held applicator and:
(a) if the product is being used outdoors—no more than 20 litres or 20 kilograms of “ready-to-use” product or 5 litres or 5 kilograms of concentrated product is being used, or
(b) if the product is being used indoors—no more than 5 litres or 5 kilograms of “ready-to-use” product or 1 litre or 1 kilogram of concentrated product is being used. -
Has a site assessment been undertaken prior to work commencing?
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Guidance note:
- TBEIA or other documented assessment has been prepared for small scale
- Risk assessment been carried out for broadscale as per AQF
- Check consideration of safety risk is documented
- Check ecological risk maps and associated management plans have been considered (if applicable) -
Are key risks and sensitive receivers identified within the assessment?
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Guidance note:
- Examples of risks include potential for pesticide drift and run-off
- Examples of sensitive receivers include waterways, threatened vegetation, crops, residences, schools. -
Are risk mitigation measures identified within the site assessment?
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Are the outcomes of the site assessment communicated to others involved in the work?
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Guidance note:
- Pre-Work brief
- Safe Work Method Statement
- Other
Qualifications and Training (Desktop)
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Does the pesticide applicator have records to demonstrate current qualifications in pesticide use and application (training must have been undertaken in the last five years)?
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Guidance note:
- Small Scale - Online training completed (check with HR prior to onsite review)
- Broadscale - competency against AQF Level 3
- A Ground Applicator Licence will be required from July 2018, existing AQF licensing remains valid until expiry after July 2018
Application of Pesticides (Field Inspection)
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Are risk mitigation measures implemented as per the site assessment? Key measures to include in review:
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Guidance note:
- Avoidance of sensitive receivers (both direct application and potential spray drift or run-off)
- Checking weather forecast and conditions are appropriate -
Are the pesticides being applied in accordance with their specific label conditions (and if near waterways are the pesticides registered for use near waterways)?
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If application is directly adjacent/in a publicly accessible location, is signage in place?
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Are there any specific permit or label requirements in relation to notification and signage?
BROAD SCALE ONLY Recording Pesticide Usage (Desktop)
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Are records of pesticide application maintained?
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Do records include the following information?
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- Details of who applied the pesticide (individual and company)
- What pesticide was applied (full pesticide product name)
- How, when and where it was applied
- What it was applied to and how much was applied
- Weather conditions at time of application, at minimum an estimate of wind speed and direction (when spraying equipment is used) -
Are records documented within 48 hours and available for 3 years?
Notification (Desktop)
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Sensitive Place – For Work within 20 metres of a “Sensitive Place” (Schools, Nursing Homes etc.) has notification been provided?
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Guidance note:
At least 5 days notice to owners / managers must be provided -
Label Requirements – If required by the label (or APVMA permit), has notification been conducted in accordance with label instructions?
General Comments/Actions Required
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General Comments
