Spraying Details

Name of sprayer

Details if other

NPTC qualification

Location of spraying

Type of chemical used

Details if other

Name of chemical used

Details if other

Amount of chemical used and/or l/ha

Application type

Details if other

Delivery/ method of chemical
PPE worn to mix and clean

Details if other

PPE used to apply

Details if other

Location of cleaning

Any other details, signage, sickness, spillage etc

Sign out details

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.