Audit

Job information:

Job Type

Job number

Pest Management Technician Name:

Licence Number:

Contract Officer / Auditor Name:

Contract Officer / Auditor Signature:
Requirements Summary:

Work completed according to work request details

Comments

Summary Conformance Level
0 = Major Non Conformance (complete improvement action form)
1-5 = Minor Non Conformance (complete action required column)
5-10 = Conformance

Action Required:

Completion date

Rodent control

Rodent Control:

Work completed within schedule

Comments:

Summary Conformance Level
0 = Major Non Conformance (complete improvement action form)
1-5 = Minor Non Conformance (complete action required column)
5-10 = Conformance

Action required

Completion date

Bait station found in clean condition

Comments:

Summary Conformance Level
0 = Major Non Conformance (complete improvement action form)
1-5 = Minor Non Conformance (complete action required column)
5-10 = Conformance

Action required

Completion date

Tamper proof bait stations secured against removal

Comments:

Summary Conformance Level
0 = Major Non Conformance (complete improvement action form)
1-5 = Minor Non Conformance (complete action required column)
5-10 = Conformance

Action required

Completion date

Bait stations in secure locations

Comments:

Summary Conformance Level
0 = Major Non Conformance (complete improvement action form)
1-5 = Minor Non Conformance (complete action required column)
5-10 = Conformance

Action required

Completion date

B.C.C approved station with current contact details:

Comments:

Summary Conformance Level
0 = Major Non Conformance (complete improvement action form)
1-5 = Minor Non Conformance (complete action required column)
5-10 = Conformance

Action required

Completion date

Treatment report filled out correctly and signed

Comments:

Summary Conformance Level
0 = Major Non Conformance (complete improvement action form)
1-5 = Minor Non Conformance (complete action required column)
5-10 = Conformance

Action required

Completion date

Finalisation

Job Finalisation:

Operator notified of audit results

Corrective action taken

Service provider / team name:

Service provider signature:
Provider profile:
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.