Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Service Information

  • Copy of Service Agreement

  • Service Agreement last updated

  • Service Specifications

  • Variances to Specifications

  • Action Parameters

  • Procedures

  • Site Risk Assesment

  • Floorplan of premises

  • Floorplan last updated

Service Documentation

  • Pest Sightings recorded by customer

  • Pest Sightings Actioned

  • Pest Sightings Signed-off by PCO

  • Department Checklist completed

  • Service Report completed

  • Usage Logs up-to-date

  • Checklist Rodents completed

  • Checklist Crawling Insects completed

  • Checklist Insects & Monitoring Traps

Action Logs

  • Action logs outstanding

  • Number

  • Date

  • Number

  • Date

  • Number

  • Date

Trend Reports

  • Rodent Trend Analysis recorded, actioned and plotted.

  • Crawling Insects Trend Analysis recorded, actioned and plotted

  • Flying Insects Trend Analysis recorded, actioned and plotted

  • Flying insects identified

Q.A Reports (New Era)

  • Last Audit carried out on

  • Last Audit carried out by

  • All recommendations actioned

  • Record all recommendations outstanding

Material Safety Data Sheets & Product Labels

  • Approved Pesticide List up-to-date

  • All MSDS sheets of products on used in file

  • All Labels of products on Usage Logs in file

  • Any MSDS sheets not in file

Company Information

  • P.C.O Registrations in file

  • P.C.O Registration valid until

  • Insurance Certificate (Public Liability)

  • Insurance Certificate last updated

  • Company Registration Certificate

  • Medical Emergency No's & New Era Contact No's

  • WCA Certificate

  • WCA Certificate valid until

  • Pest Control Industries Board Certificate (PCSIB)

  • Pest Control Industries Board Certificate valid unitl

Rodent Bait Stations

  • Bait Stations Indicators against wall

  • Bait Stations Indicated on floorplan

  • Bait Stations dated inside

  • Baits clean and fresh and old bait removed

  • All Bait Stations still in tact - if no, please specifiy no's

  • Bait Stations secured

  • Bait Stations locked

Flying Insect Control Equipment

  • Fly Control Units indicated on plan

  • Fly Control Units numbered

  • Fly Control Units inspected and dated

  • Fly Control Units clean

  • Date Ultra Violet Tubes changed

  • Are all Fly Control Units still in tact - if no, specify numbers

Insect Monitoring Traps

  • Insect Monitoring Taps indicated on plan

  • Insect Monitoring Traps numbered

  • Insect Monitoring Traps Inspected and dated

  • Insect Monitoring Traps clean

  • Are all Insect Monitoring Traps still in tact - if no, specify numbers

General & Recommendations

  • Notes

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. You should independently determine whether the template is suitable for your circumstances.