Rottler Quality Assurance Report

• Conducted on

  Date

• Prepared by

Client Information

• Date and time of inspection

  Date

• Location Number

• Types of Services

• Technician Servicing Account

Customer Interview

• Contact Person/Title

• Is facility inspected by outside inspection service?

  Yes

  No

  N/A

• Is the client satisfied with our program?

  Yes

  No

  N/A

• 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

  N/A

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

Documentation Review

• Is there a log book on site and maintained?

  Yes

  No

  N/A

• Is log book being scanned on each service?

  Yes

  No

  N/A

• Is the pest management map present and accurate?

  Yes

  No

  N/A

• Are all licenses, certifications, insurance on file and updated?

  Yes

  No

  N/A

• Is the Approved Materials List being followed?

  Yes

  No

  N/A

• Has the new trending report been generated?

  Yes

  No

  N/A

• Customer signature found on last service?

  Yes

  No

  N/A

• Has the technician properly documented "Conditions" in Pest Pac?

  Yes

  No

  N/A

• Target pest and area listed for all materials used?

  Yes

  No

  N/A

Pest Activity

• Was there pest activity on your last service?

  Yes

  No

  N/A

• If “YES”, please explain pest issues and action taken by technician and/or customer.

• Has any pest activity been found today?

  Yes

  No

  N/A

• If “YES”, please explain pest activity and if action needs to be taken by technician and/or customer.

• Can we add photos of any pest activity or conducive conditions that need attention?

  Media

Inspection of Equipment

• Are all pest monitors in good working order?

  Yes

  No

  N/A

• Is rodent equipment present?

  Yes

  No

  N/A

• Are the barcodes in each device being scanned in?

  Yes

  No

  N/A

• Is the rodent equipment clean and properly maintained?

  Yes

  No

  N/A

• Explain any issues with the rodent equipment.

• Are there fly lights present?

  Yes

  No

  N/A

• Are they appropriately placed and in good working order?

  Yes

  No

  N/A

• Are there a sufficient amount of fly lights present?

  Yes

  No

  N/A

• Are the barcodes in each device being scanned in?

  Yes

  No

  N/A

• Are they being cleaned and maintained properly?

  Yes

  No

  N/A

• Explain any issues with the fly lights.

• Are termite monitors present?

  Yes

  No

  N/A

• Sentricon

• If “Sentricon”, are they being scanned in properly?

  Yes

  No

  N/A

• Term Alert

• Are stations missing or damaged?

  Yes

  No

  N/A

• Are the monitors/bait being maintained and stations cleaned?

  Yes

  No

  N/A

Follow up

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

Signatures

• Customer signature

  Sign

• Inspector signature

  Sign