QPMS Quality Audit Form PH

• Document No.

• Audit Title

• Client / Site

• Site Contact

• Service Technician

• Inspection Number:

• Conducted on

  Date

• Prepared by

Date of last Routine:

• Select date

  Date

• Multi Site / National Account:

  Multi Site

  National Account

Pest Covered:

• Cockroaches :

  Select Yes: No:

  • Yes:
  • No:

• Rodents:

  Select Yes: No:

  • Yes:
  • No:

• Flies:

  Select Yes: No:

  • Yes:
  • No:

• Others:

  Select Birds Snakes Bed Bugs Termites Bees Mosquito Ants No

  • Birds
  • Snakes
  • Bed Bugs
  • Termites
  • Bees
  • Mosquito
  • Ants
  • No

Service Quality Check Points:

Visits / Specification / Folder:

• 1. Is the service folder on site and are service reports filed in:

  Yes

  No

  N/A

• 2. Is there a current risk assessment completed:

  Yes

  No

  N/A

• 3. Are service visits up to date:

  Yes

  No

  N/A

• 4. Are additional locations recorded [verify on site]

  Yes

  No

  N/A

• 5. Are Actions recorded and completed correctly:

  Yes

  No

  N/A

• 6. Are Pest Activities recorded and completed correctly:

  Yes

  No

  N/A

• 7. Are Preparations recorded and completed correctly:

  Yes

  No

  N/A

• 8. Are Recommendations recorded and completed correctly:

  Yes

  No

  N/A

• 9. Are Follow Up visits recorded completed correctly:

  Yes

  No

  N/A

• 10. Are Treatments signed off by the client:

  Yes

  No

  N/A

Documents:

• 11. Are Training Certificates available and current:

  Yes

  No

  N/A

• 12. Are Safety Data Sheets available for all preparations used:

  Yes

  No

  N/A

• 13. Is Health & Safety and General Information current:

  Yes

  No

  N/A

Site Plans:

• 14. Are site plans legible and do they have version / issue dates:

  Yes

  No

  N/A

• 15. Are all device locations positioned correctly on plan [verify on site]:

  Yes

  No

  N/A

Stations and Devices:

• 16. Are External Rodent stations positioned, labeled and serviced:

  Yes

  No

  N/A

• 17. Are Internal Rodent stations positioned, labeled and serviced:

  Yes

  No

  N/A

• 18. Are all Rodent stations secured in place and locked:

  Yes

  No

  N/A

• 19. Are all Rodenticides used according to label directions:

  Yes

  No

  N/A

• 20. Are Insect detectors and monitors positioned, labeled and serviced:

  Yes

  No

  N/A

• 21. Are all Insecticides used according to label directions:

  Yes

  No

  N/A

• 22. Are Flying Insect Control units positioned, labeled & serviced:

  Yes

  No

  N/A

• 23. Are Flying Insect catch analysis reports completed:

  Yes

  No

  N/A

• 24. Are all other pest control devices positioned, labeled and serviced:

  Yes

  No

  N/A

Infestation Control:

• 25. Are Rodent infestations at acceptable control levels:

  Yes

  No

  N/A

• 26. Are Crawling Insect infestations at acceptable control levels:

  Yes

  No

  N/A

• 27. Are Flying Insect infestations at acceptable control levels:

  Yes

  No

  N/A

• 28. Are Stored Product Pests infestations at acceptable control levels:

  Yes

  No

  N/A

• 29. Are Vertebrate and Other Pests at acceptable control levels:

  Yes

  No

  N/A

Other Service Providers On site:

• 30. Are there any other comments about the service [Ask Site Contact]:

  Yes

  No

  N/A

• If there are comments about the service please indicate here:

Could you tell me how likely it is that you would recommend Rentokil to a friend or colleague?

• Using a scale of 0 to 10, where 0 is “not at all likely” and 10 means “extremely likely”

  Select 0 1 2 3 4 5 6 7 8 9 10

  • 0
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10

• Referred to:

  Select Branch Manager Operation Manager Service Supervisor Technical Manager Q.A. Manager RI Direct

  • Branch Manager
  • Operation Manager
  • Service Supervisor
  • Technical Manager
  • Q.A. Manager
  • RI Direct

Corrective Action/s required by date:

• Select date

  Date

Follow-up Audit date:

• Select date

  Date

• Follow-up Audit No: