Title Page
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Conducted on
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Prepared by
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Location
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Inspection Date
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Customer Name
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Customer Address
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Contact Person
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Designation/Position
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Service Technician/s
Service Quality Check Points
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Is the service folder available on site and are service reports properly filed in
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Are service visits up to date
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Are additional locations recorded [verify on site]
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Are Actions recorded in Call back form and are service checklists completed correctly
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Are Pest Activities recorded in Call back form or Service checklists and completed correctly
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Are Chemical Preparations recorded in chemical log book and/or service checklists and completed correctly
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Are Recommendations recorded and completed correctly
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Are Treatments and service checklists signed off by the client
Documents
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Are Safety Data Sheets, CPRs and chemical labels available and updated for all preparations used
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Are pest control locator maps available and current
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Are business permits and licenses, company profile and certificates available and updated
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Are Training Certificates available and current
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Is the scope of work available on site
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Is Pesticide Rotation Schedule available and current
Monitoring Devices
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Are all device locations positioned correctly on plan [verify on site]
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Are External Rodent stations positioned, cleaned, labeled and monitored properly
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Are Internal Rodent stations positioned, cleaned, labeled and monitored properly
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Are all Rodent stations secured in place and locked
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Are all Insecticides and rodenticides used according to label directions
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Are Flying Insect Control units positioned, cleaned, labeled and monitored properly
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Are all other pest control devices positioned, cleaned, labeled and monitored properly
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Are all monitoring sheets available and properly filled in
Action Taken
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All requirements and documents are discussed and explained to the key contact person or authorized personnel.
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If the response is NO, please indicate reason/s
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I understand and acknowledge that inspection and verification were done.
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I declare that the information in this report is true and correct.
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Date/Time Completed
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Inspected By:
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Position