Follow-up Report AG Termite Baiting

IMPORTANT INFORMATION - “Follow-Up” Special-Purpose Detection Report

• This "Follow-up" Special-Purpose Termite Detection Report (hereinafter called "The Report") is issued subject to the Terms and Conditions of inspection and report set out in Clause A.1 of this document. This Report references the current versions of the Australian Standard series AS 3660 Termite Management including AS 3660.1, AS 3660.2 and AS 3660.3. This Report cannot be relied upon on its own. This Report must be read as an addendum and in conjunction with the previously issued Standard Termite or Timber Pest Detection Report and/or Subterranean Termite Management Proposal & Agreement referred to by number in this document. This Report is issued subject to the Terms and Conditions set out in the previously issued Standard Termite or Timber Pest Detection Report and/or Subterranean Termite Management Proposal & Agreement.

• NAME OF CLIENT:

  Select The University of Queensland Mater Misericordiae Health Services Brisbane Limited Ventia Pty Ltd

  • The University of Queensland
  • Mater Misericordiae Health Services Brisbane Limited
  • Ventia Pty Ltd

• PROPERTY ADDRESS:

  Select

• TIME OF INPSECTION:

  Date

• DATE OF INPSECTION:

  Date

• PREVAILING WEATHER CONDITIONS:

  Select Wet Dry

  • Wet
  • Dry

• REPORT NO.

• REPORT TYPE:

  AG Bait Station Report

• PLEASE READ THE TERMS AND CONDITIONS IN CLAUSE A.1 ON THE LAST PAGE OF THIS DOCUMENT

ABOVE GROUND TERMITE BAIT STATION INSPECTION

• This Report refers to the current Subterranean Termite Management Proposal & Agreement numbered:

• Scope of report: To confirm the status of termite activity in AG bait stations.

• Purpose of report: Follow up service to Inspect Nemesis AG (above ground) termite bait station/s as per site plan and report on activity and replace bait as required.

• Total number of stations to be inspected?

  Select 1 2 3

  • 1
  • 2
  • 3

• Bait Station 1.

  Inspected

• Activity detected:

  No Termite Activity

  Low Live Termite Activity

  Moderate Live Termite Activity

  High Live Termite Activity

• Approximate bait consumption:

  Select Nil 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

  • Nil
  • 10%
  • 20%
  • 30%
  • 40%
  • 50%
  • 60%
  • 70%
  • 80%
  • 90%
  • 100%

• Signs the colony may have been affected:

  Select Termite bodies appeared white/chalky. Termites appeared sluggish. Only soldier termites observed. High ratio of soldier termites to workers observed. Remnants of soldier termite heads observed. Deceased termites observed. Undetermined.

  • Termite bodies appeared white/chalky.
  • Termites appeared sluggish.
  • Only soldier termites observed.
  • High ratio of soldier termites to workers observed.
  • Remnants of soldier termite heads observed.
  • Deceased termites observed.
  • Undetermined.

• Bait replaced:

  Yes

• Bait Station 2.

  Inspected

• Activity detected:

  No Termite Activity

  Low Live Termite Activity

  Moderate Live Termite Activity

  High Live Termite Activity

• Approximate bait consumption:

  Select Nil 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

  • Nil
  • 10%
  • 20%
  • 30%
  • 40%
  • 50%
  • 60%
  • 70%
  • 80%
  • 90%
  • 100%

• Signs the colony may have been affected:

  Select Termite bodies appeared white/chalky. Termites appeared sluggish. Only soldier termites observed. High ratio of soldier termites to workers observed. Remnants of soldier termite heads observed. Deceased termites observed. Undetermined.

  • Termite bodies appeared white/chalky.
  • Termites appeared sluggish.
  • Only soldier termites observed.
  • High ratio of soldier termites to workers observed.
  • Remnants of soldier termite heads observed.
  • Deceased termites observed.
  • Undetermined.

• Bait replaced:

  Yes

• SPECIFY REGISTERED BAIT USED:

  Select Nil at this inspection. NEMESIS - CHLORFLUAZURON 1.0g/kg

  • Nil at this inspection.
  • NEMESIS - CHLORFLUAZURON 1.0g/kg

• Total quantity in grams:

  100

  200

  300

  400

• Batch Number:

• RECCOMENDATIONS OR ADDTIONAL ADVICE:

  Select Please ensure treated areas are left undisturbed until the next inspection. See note below:

  • Please ensure treated areas are left undisturbed until the next inspection.
  • See note below:

• Other:

• THE NEXT INSPECTION IS RECCOMENDED IN:

  Select 2 - 3 Weeks 3 - 4 Weeks 4 - 5 Weeks 5 - 6 Weeks 6 Weeks N/A Bait Stations Removed

  • 2 - 3 Weeks
  • 3 - 4 Weeks
  • 4 - 5 Weeks
  • 5 - 6 Weeks
  • 6 Weeks
  • N/A Bait Stations Removed

CERTIFICATION

• This document certifies that the property described in this Report has been inspected by the Termite Manager in accordance with the level of service agreed with the Client and the Terms and Conditions set out in this Report.

• COMPANY NAME: SIVTECH Commercial Services

• ADDRESS: Unit 2/3, 433 Ipswich Rd, Annerley, Qld, 4103

• PHONE: 1300 723 229

• EMAIL: work@sivtech.com.au

• NAME OF TERMITE MANAGER:

• SIGNATURE:

  Sign

• This Report is issued subject to the following Terms and Conditions:

• 1. This Report cannot be relied upon on its own. This Report must be read as an addendum and in conjunction with the previously issued Standard Termite or Timber Pest Detection Report and/or Subterranean Termite Management Proposal & Agreement referred to by number in this Document. This Report is not valid without the current Standard Termite or Timber Pest Detection Report and/or Subterranean Termite Management Proposal & Agreement being issued and available.

• 2. This Report is issued subject to the Terms and Conditions set out in the previously issued Standard Termite or Timber Pest
  Detection Report and/or Subterranean Termite Management Proposal & Agreement.

• 3. If the Client has any doubt about the Scope of this Report please discuss your concerns with the Consultant on receipt of this Report.

• 4. The Client acknowledges that, unless stated otherwise, the Client as a matter of urgency should implement any recommendation
  or advice given in this Report.

• 5. The Inspection Report is to be produced for the Client’s use alone. No liability is accepted by the Termite Manager or any related body corporate, firm or entity in the event of any reliance on the Inspection Report by any third party.
  
  

• Inspected