Title Page

  • Name of Customer

  • Address
  • Contact No

  • Contract Type

  • Type of Premise: Flat / Bungalow / Office / Others - pls specity

  • Total no. of Floors

  • Treated area situated on : Ground Floor / 1st Floor /

  • Covered area (in Sq.ft.)

  • Conducted on

  • Prepared by

  • Pest Infestation observed

  • Add media

  • Specimen collected and identified as

  • Key Characteristic features that helped in identification

  • Specific areas where infestation noticed

  • Type of pest related damages noticed

  • Add media

  • Do's and Don'ts suggested by Technician

  • Customer queries (if any)

  • Other observations, queries & Service USPs

  • Details of equipment used during service (Drill machine model no./ drill bit size)

  • Details of other materials / PPEs used

  • Total no. of drill holes made at skirting level along internal perimeter of the structure:

  • Total no. of drill holes made along internal perimeter of the structure at junction of wall & flr.:

  • Total no. of drill holes made along the external perimeter of the structure:

  • Name Termiticide used : (ml/ltr. of water)

  • Total quantity termiseal used: (in ml)

  • Name & Signature of Mentor

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. Any ratings or scores displayed in our Public Library have not been verified by SafetyCulture for accuracy. Users of our platform may provide a rating or score that is incorrect or misleading. You should independently determine whether the template is suitable for your circumstances. You can use our Public Library to search based on criteria such as industry and subject matter. Search results are based on their relevance to your search and other criteria. We may feature checklists based on subject matters we think may be of interest to our customers.