Title Page

  • Conducted on

  • Prepared by

  • Location
  • Complaint inspection or Regular Pest / Site risk Audit

  • Date of compliant raised

External Factors

  • Is the external areas around the facility posing a risk by contributing to the pest issue?

  • What do you see as a pest risk assessment at the external areas

  • Is there any risk for our personnel to conduct safe pest control procedure?

  • What are the safety risk that is noticed at the facility

  • Is there debris or garbage accumulation around outside or the building?

  • Is there a proper waste disposal process in place at the facility

  • What is the current frequency of garbage disposal

  • Grass and weeds are maintained to minimize harborage areas for pests and are not within 20 feet of the building

  • Outside grounds are free from standing / stagnant water?

  • Is there signs of rodent movement? ( Burrows, dropping, markings, etc.,)

  • Is the gaps on the compound wall or is there chance of pest coming from outside the facility boundary

Building Internal areas

  • Is there any opening that is acting as ingress for pests?

  • Is the door and windows secured without any gaps and does not allow pest to coming in

  • Are the drains cleaned and has grating across?

  • Are there crack and crevices seen in food handling or critical areas which is a harborage points for pest breeding?

  • Are there pest ingress through ducts ( Plumbing, electrical, open to sky, etc)

Hygiene Factors

  • Cleaning and upkeep of garbage / dustbins / liners , drains etc.

  • Upkeep of all beverage vending machines, kitchen equipments

  • Storage practices. (Cupboard, crates, racks, carton boxes, un-utilized equipments, etc)

Current Practice

  • Are there rodent and insect monitoring stations in place

  • Condition of the rodent bait stations

  • Chemical usage and storage practices

  • Site mapping displayed to show installations and monitoring stations.

Behavioral Influencers

  • Does the technician use proper PPE, uniform and maintains good grooming standards during work?

  • Are the equipments used for services in good working condition

  • Has the pest control operator sufficient knowledge in chemicals, dilution, method of application

  • Does the pest control operator understand the need to ensure safe practices during work

  • Is proper checklist and service records maintained at site or is the activities been recorded properly

  • Is the operator able to communicate effectively with the client?

  • How do you rate the relationship of the operator with the client

  • Is there is proper support and guidance given to the operator by the client?

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.