Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Service Information
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Copy of Service Agreement
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Service Agreement last updated
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Service Specifications
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Variances to Specifications
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Action Parameters
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Procedures
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Site Risk Assesment
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Floorplan of premises
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Floorplan last updated
Service Documentation
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Pest Sightings recorded by customer
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Pest Sightings Actioned
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Pest Sightings Signed-off by PCO
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Department Checklist completed
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Service Report completed
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Usage Logs up-to-date
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Checklist Rodents completed
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Checklist Crawling Insects completed
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Checklist Insects & Monitoring Traps
Action Logs
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Action logs outstanding
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Number
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Date
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Number
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Date
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Number
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Date
Trend Reports
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Rodent Trend Analysis recorded, actioned and plotted.
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Crawling Insects Trend Analysis recorded, actioned and plotted
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Flying Insects Trend Analysis recorded, actioned and plotted
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Flying insects identified
Q.A Reports (New Era)
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Last Audit carried out on
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Last Audit carried out by
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All recommendations actioned
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Record all recommendations outstanding
Material Safety Data Sheets & Product Labels
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Approved Pesticide List up-to-date
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All MSDS sheets of products on used in file
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All Labels of products on Usage Logs in file
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Any MSDS sheets not in file
Company Information
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P.C.O Registrations in file
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P.C.O Registration valid until
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Insurance Certificate (Public Liability)
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Insurance Certificate last updated
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Company Registration Certificate
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Medical Emergency No's & New Era Contact No's
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WCA Certificate
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WCA Certificate valid until
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Pest Control Industries Board Certificate (PCSIB)
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Pest Control Industries Board Certificate valid unitl
Rodent Bait Stations
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Bait Stations Indicators against wall
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Bait Stations Indicated on floorplan
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Bait Stations dated inside
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Baits clean and fresh and old bait removed
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All Bait Stations still in tact - if no, please specifiy no's
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Bait Stations secured
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Bait Stations locked
Flying Insect Control Equipment
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Fly Control Units indicated on plan
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Fly Control Units numbered
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Fly Control Units inspected and dated
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Fly Control Units clean
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Date Ultra Violet Tubes changed
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Are all Fly Control Units still in tact - if no, specify numbers
Insect Monitoring Traps
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Insect Monitoring Taps indicated on plan
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Insect Monitoring Traps numbered
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Insect Monitoring Traps Inspected and dated
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Insect Monitoring Traps clean
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Are all Insect Monitoring Traps still in tact - if no, specify numbers
General & Recommendations
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Notes