Title Page

  • Property name

  • Property owner

  • Conducted on

  • Inspected by

  • Location

Assessment

  • Is there evidence of damage and debris caused by insects

  • Are the doors or other openings to the outside tight fitting?

  • Are there gaps around windows and/ or doors?

  • Are there water sources near the building?

  • Is there waste disposal near the building?

  • Is there vegetation or mulch placed against or near the building?

  • Is there nonessential lighting near the building?

  • Is there evidence of damage and debris caused by insects within the building?

  • Are there cracks or holes in or around the walls, doors or windows?

  • Is there food waste in undesignated areas?

  • Do all food containers have lids?

  • Are there moisture leaks or condensation around plumbing, windows, or climate control equipment?

  • Are garbage containers clean and properly covered?

Signs of Infestation (Rodents)

  • Rodent droppings on the floor and other surfaces especially where food is stored.

  • Greasy rub marks on vertical surfaces.

  • Squeaking, gnawing or movement sounds in walls, cupboards, ceilings.

  • Nests made from rags, paper, cardboard, straw and other materials.

  • Gnawing damage to materials including wood, soft metals, soap, cables, conduits and food containers.

Signs of Infestation (Cockroach)

  • Smell.

  • Small spindle shaped droppings.

  • Dead cockroach bodies.

Completion

  • Additional comments/reccomendations .

  • Name & Signature of Inspector

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