Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Vehicles

  • Registration number of vehicles

  • Firm name displayed on vehicle and registration number from DOH (50mm height)

  • Drivers compartment isolated from pesticides and fumigants on vehicle

  • Vehicle equipped with lockable storage for pesticide

  • Additional security for 1080 and strychnine

  • Vehicle is well maintained

  • Vehicle equipped with respirator, 2sets of overalls, gloves, boots, goggles

  • Spillage on vehicle can be contained

  • Spillage cloths ( kitty litter)

  • Spill kit or bucket of sand

  • Spraying equipment is free of leaks

  • Spraying equipment is clean, we'll maintained, not old or likely to rupture

  • Back flow prevention device fitted

  • Clean water on vehicle

  • Emulsion tanks labelled Poison

  • Chemical concentrate in original container, correctly labelled

  • Chemical rinsate containers available, correctly labelled

  • MSDS of pesticide on vehicle

PPE

  • Twin cartridge respirator

  • Reserve supply of cartridges (in date)

  • PVC or nitrile chemical resistant gloves

  • Eye protection

  • PVC boots

  • Two pairs of overalls

  • Washable headwear

  • All PPE stored separate from pesticide

  • First aid kit

Pesticide store

  • Storage of pesticides at premise

  • Store capable of being locked

  • Roof to protect from rain

  • Impervious floor

  • Storage shelving made from impervious material

  • Water available for washing down spillage

  • Situated so that spillage cannot drain into any water supply or water course

  • Away from food storage or preparation areas

  • Adequate ventilation for fire control ( 150mm round ventilation holes)

  • Impervious sump, capable of being cleaned regularly

  • Natural lighting or sealed electrical lighting

  • First aid kit

  • Fire extinguisher within easy access to storage facility

  • Warning signs fitted restricting unauthorised entry, prohibit smoking

  • Dangerous goods Class label displayed

  • Additional storage for 1080 and strychnine to comply with Code of Practice

  • Hand washing sink

  • Showers or washing facilities

  • Laundry facilities

  • Separation of pesticides of different chemical classes

  • Record of pesticide stocks kept

  • Register of employees kept

  • Register of MSDS

  • Emergency plan

Wash down facilities

  • Wipe down of vehicles only

  • Wash down facilities provided

Rinsate

  • Used as a diluent for same class of pesticide

  • Used at site of application

Disposal of pesticide containers

  • Triple rinsed, crushed, land filled

  • Empty containers stockpiled on site

  • Drum Muster collection

  • Used as rinsate containers

  • Other-give detail

Recommendations

Follow up or next inspection

  • Select date

  • Signature Environmental Health Officer

  • Signature: Proprietor

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