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

  • Witholding Period (hours)

  • Start Time

  • Wind speed/direction

  • Temperature

  • Last Rain

  • Finish Time

  • Were any areas missed?

  • Where and why?

  • Sign here

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.