Rottler Facility Assessment

• Facility Name/ Address/ State/ Zip Code

• Conducted on

  Date

• Prepared by

Client Information

• Date and time of inspection

  Date

• Location Account Number

• Types of Services

• Technician Servicing Account

Audit Notes

• Notes on areas/ devices inspected during audit, items discussed, and overall comments about the audit and services being provided.

Customer Interview

• Contact Person/ Title/ Phone

• Which Auditing bodies inspect this facility?

• Is the client satisfied with our program?

  Yes

  No

• Does technician check in at time of service?

  Yes

  No

  N/A

• Does technician review findings at end of service?

  Yes

  No

  N/A

• Are inspection reports readily available?

  Yes

  No

• If we could do one thing better what would that be?

Documentation Review

• Is there a logbook on-site and accessible?

  Yes

  No

  N/A

• Is log book being scanned on each service?

  Yes

  No

• Is there a copy of the current service protocol/ agreement signed and dated within the last year?

  Yes

  No

• Is a Device Map current with all device locations, and dated/ signed within the last year?

  Yes

  No

• Is Temporary device maps up to date with the current location of devices/ or signed and dated as removed and filed in the month of removal?

  Yes

  No

  N/A

• Is there a current copy of the business license?

  Yes

  No

• Is there a current copy of the Certificate of Insurance?

  Yes

  No

• Are technician license's and proof of GMP training present and current?

  Yes

  No

• Is there a current Approved Materials List, and is the list being followed?

  Yes

  No

  N/A

• For each product that has been applied on the property, is there a copy of the Label and SDS Sheet?

  Yes

  No

• Has the new trending report been generated and placed in the log book?

  Yes

  No

  N/A

• Are all service reports present in the logbook?

  Yes

  No

• Has the technician properly documented "Conditions"?

  Yes

  No

• Are all open "Conditions" being updated on each service?

  Yes

  No

• Have all "Conditions" from the previous quarter been resolved?

  Yes

  No

• Target pest and area used listed for all materials used?

  Yes

  No

• Do trap count totals on all reports coincide with the total traps on the facility map on each report?

  Yes

  No

• If Light Traps are used, Is there documentation of an Annual bulb replacement?

  Yes

  No

  N/A

• What is the date of the last annual bulb replacement?

• Customer signature found on each service report?

  Yes

  No

  N/A

Pest Activity

• Was there pest activity on your last service?

  Yes

  No

• Were any signs of rodent activity found during this inspection?

  Yes

  No

• Were any signs of Insect activity found during this inspection?

  Yes

  No

• Were any signs of Bird activity found during this inspection?

  Yes

  No

• Are there any recommendations to the service Frequency due to pest activity

  Yes

  No

Premises

Exterior Devices

• Is Exterior rodent equipment present?

  Yes

  No

• At what frequency is the exterior inspected?

  Select Monthly Twice Monthly Weekly

  • Monthly
  • Twice Monthly
  • Weekly

• Are the barcodes in each device being scanned in?

  Yes

  No

• Is the exterior rodent equipment clean and properly maintained?

  Yes

  No

• Is each station properly marked with a device number that matches the current map?

  Yes

  No

Interior Devices

• Are Interior rodent devices present?

  Yes

  No

  N/A

• At what frequency is the interior inspected?

  Select Monthly Twice Monthly Weekly

  • Monthly
  • Twice Monthly
  • Weekly

• Are barcodes in each device being scanned in?

  Yes

  No

• Is the interior rodent equipment clean and properly maintained?

  Yes

  No

• Is each station properly marked with a device number that matches the current map, and also have a wall marker with this same number?

  Yes

  No

• Are the stations clean and working properly?

  Yes

  No

• Are stations missing or damaged?

  Yes

  No

• Is a device located within 6 feet on either side of all exterior doorways?

  Yes

  No

  N/A

• Are there changes recommended or improvements needed to the rodent program?

  Yes

  No

Insect Light Traps

• Are there Insect Light Traps present?

  Yes

  No

• At what frequency are the Insect Light Traps inspected?

  Select Monthly Twice Monthly Weekly

  • Monthly
  • Twice Monthly
  • Weekly

• Are they appropriately placed as to not present a contamination risk and are there a sufficient amount located within the facility?

  Yes

  No

• Are units serviced and cleaned appropriately?

  Yes

  No

• Are the barcodes in each device being scanned in?

  Yes

  No

• Are the bulbs shatterproof and changed annually, and the unit clean?

  Yes

  No

• Are there changes recommended or improvements needed to the ILT program?

  Yes

  No

Pheromone Monitors

• Are Pheromone Monitors being used?

  Yes

  No

• At what frequency are the Pheromone Monitors Inspected?

  Monthly

  Twice Monthly

  Weekly

• Are monitors located as to not present a contamination risk?

  Yes

  No

• Are Pheromone Lures changed at proper intervals?

  Yes

  No

• Date of last lure change

• Are lure traps maintained to properly monitor for activity levels?

  Yes

  No

• Are there changes recommended or improvements needed to the Pheromone Program?

  Yes

  No

Follow up

• Is any follow up required immediately to any issues noted above?

  Yes

  No

• Is any follow up required at the next service to any issues noted above?

  Yes

  No

Signatures

• Customer signature

  Sign

• Inspector signature

  Sign

Program Evaluation

• Score of 100%- The current program is working and no action is needed

• Score of 80-99%- Determine the items that need to be corrected and return to correct these items within two weeks.

• Score of 79% or below- Immediate action is needed. An action plan will need to be developed to correct all the failed responses.