Pest Control Checklist

• Client / Site

• Date and Time of Inspection

  Date

• Inspected by

• Location
  Address

Management of Physical Facility

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

  Compliant

  Non-Compliant

  N/A

• Are outside garbage containers clean and properly covered?

  Compliant

  Non-Compliant

  N/A

• Are the doors or other openings to the outside of the building tightly fitted (no visible light showing through)?

  Compliant

  Non-Compliant

  N/A

• Are all screens for windows and doors in place and tightly fitted and in good repair?

  Compliant

  Non-Compliant

  N/A

• Are all traps in place and accounted for?

  Compliant

  Non-Compliant

  N/A

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

  Compliant

  Non-Compliant

  N/A

• Outside grounds are free from standing/stagnant water?

  Compliant

  Non-Compliant

  N/A

• Fly lights are in good repair and fly boards are being changed on a regular basis?

  Compliant

  Non-Compliant

  N/A

Investigating for Evidence of Pests

• Is there any evidence of mouse droppings or mouse urine staining?

  Compliant

  Non-Compliant

  N/A

• Are chew marks visible on any boxes or materials in the facility?

  Compliant

  Non-Compliant

  N/A

• Are there insects present on sticky traps throughout the facility?

  Compliant

  Non-Compliant

  N/A

• Is there evidence of nesting (piles of dust, debris, insulation etc in quiet areas)?

  Compliant

  Non-Compliant

  N/A

Completion

• Recommendations/Miscellaneous

• Inspector's Full Name and Signature

  Sign