pre treatment assessment

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Infestation risk assessment

• What type of dwelling is the location?

  Select Attached semi detached detached apartment/condo rooming house basement

  • Attached
  • semi detached
  • detached
  • apartment/condo
  • rooming house
  • basement

• Is there signs of infestation in the neighborhood?

  Yes

  No

  N/A

• Does immediate neighbors have infestation issues?

  Yes

  No

  N/A

• What is the current maintenance condition?

  1 well maintained

  2

  3

  4

  5 badly maintained

• Is there multiple units?

  Yes

  No

  N/A

• Does client have special needs or are they some how unable to perform preventive maintenance?

  Yes

  No

  N/A

• If yes provide details.

Potential damage assessment

Treatment strategical assessment

Clutter assessment

• How versed is victim on bedbugs?

  1 extremely informed

  2

  3

  4

  5 barely knows what a bed bug is.