Pest Control Site Management Report

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Document Number

• Rodent Bait Stations Serviced

• Wax blocks used

• Electric Fly Catchers Serviced

• Pest Monitors Serviced

• Monitor Sleeves Changed/Inserted

• Glueboards replaced

• Flushing Agent Used

  Yes

  No

  N/A

• Roach Gel/Lure Used

  Yes

  No

  N/A

• Pest Chemical Spray (Litres)

• Areas Treated

Pest Activity Log

• Cockroaches

  High

  Low

  Medium

  None

• Rodents

  High

  Low

  Medium

  None

• Flies

  High

  Low

  Medium

  None

• Ants

  High

  Low

  Medium

  None

• Other

  Yes

  No

  N/A

Corrective Actions & Recommodations

• Is there any Corrective Actions that needs to be taken

Completion Notes

• Follow Up Service Required

  Yes

  No

  N/A

• Site Manager on Duty Name

• Site Manager Signature

  Sign

• Date Completed

  Date

• Operator(s)

• P Number - 47960

• Pest Controller Onsite

  Yes

  No

  N/A