Information
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Site Name
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Conducted on
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Prepared by
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Site Manager
FIELD INSPECTION
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Housekeeping Level?
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Proofing issue?
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CRAWLING INSECTS INFESTATION?
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FLYING INSECTS INFESTATION
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RODENTS INFESTATION ?
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INFESTATION LEVEL
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External Infestation?
PROPOSED SOLUTION
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DEEP CLEANING, SANITIZING,VACCUMING IS REQUIRED
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PERSONNEL HYGIENE SHOULD BE IMPROVED
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MAINTENANCE IS REQUIRED
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BAITING STATION REQUIRED
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ULV TREATMENT
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SPRAYING TREATMENT
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BAITING SYSTEM REQUIRED
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OTHERS
RECOMMENDATION
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AUDITOR RECOMMENDATION
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CUSTOMER COMMENTS
SIGNATURE
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CUSTOMER SIGNATURE
