Michael Coleman

Chemical Application (GF2016)

Complete before applying chemical to site

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Use this Template

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Information

Site Number/Name
Conducted on
Prepared by
Contractor Name
Location

Is the temperature above 28 degrees Celsius?
Do not proceed with chemical application.
Is the wind speed greater than 20km/h
Do not proceed with chemical application.
Is the ground wet or icy?
Do not proceed with chemical application.
Target Species
Chemical
Application Rate (L/ha)
Ratio
Method
- Spot spray hose
- Spot spray backpack
- Strip spray boom
Witholding Period (hours)
Start Time
Wind speed/direction
Temperature
Last Rain
Finish Time
Were any areas missed?
Where and why?
Sign here

Michael Coleman

Chemical Application (GF2016)

Complete before applying chemical to site

Use this Template

Print as PDF

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.