Title Page
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Conducted on
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Prepared by
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Location
Spraying Details
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Name of sprayer
- Paul Thompson
- Dorian Bell-Stephens
- Jules Curtis
- Other
- Kevin Grice
- Jake Martin
- Mark Challinor
- Nick Clark
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Details if other
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NPTC qualification
- Pa1
- Pa2
- Pa5
- Pa6
- Pa6aw
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Location of spraying
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Type of chemical used
- Herbicide
- Insecticide
- Pesticide
- Fungicide
- Other
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Details if other
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Name of chemical used
- Roundup
- Garlon
- Tanulex
- Other
- Selective lawn?
- Residual?
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Details if other
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Amount of chemical used and/or l/ha
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Application type
- 5l solo handheld
- 15l solo knapsack
- 6m tractor boom
- Toppex applicator
- Other
- 100l logic tank and lance
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Details if other
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Delivery/ method of chemical
- Spot
- Spray
- Boom
- Drench
- Dosage/ tablet/ powder
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PPE worn to mix and clean
- Gloves
- Suit
- Boots
- Face shield
- Face mask
- Other
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Details if other
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PPE used to apply
- Gloves
- Suit
- Boots
- Face shield
- Face mask
- Other
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Details if other
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Location of cleaning
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Any other details, signage, sickness, spillage etc
Sign out details
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Name
