Rottler Quality Assurance Report -Short Form

• Conducted on

  Date

• Prepared by

Client Information

• Date and time of inspection

  Date

• Location Name

• Location Account Number

• Types of Services

• Technician Servicing Account

Audit notes

• Notes on areas, devices inspected, and any other information about the inspection process

Customer Interview

• Contact Person/Title

• 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

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

Documentation Review

• Target pest and area listed for all materials used?

  Yes

  No

  N/A

• Is the device numbering in order/ logically labeled

  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

Pest Activity

• Was there pest activity on your last service?

  Yes

  No

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

• Has any pest activity been found today?

  Yes

  No

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

Inspection of Equipment

• Are Pest monitors present and in good working order?

  Yes

  No

  N/A

• What type of devices are present?

  Select Exterior Rodent Bait Stations Interior Rodent Bait Stations Multi Catch Rodent Stations Termite Stations Insect Light Traps

  • Exterior Rodent Bait Stations
  • Interior Rodent Bait Stations
  • Multi Catch Rodent Stations
  • Termite Stations
  • Insect Light Traps

• Are the barcodes in each device being scanned in?

  Yes

  No

  N/A

• Is the equipment clean and properly maintained?

  Yes

  No

  N/A

• Is there a sufficient amount of devices present?

  Yes

  No

  N/A

• Are stations missing or damaged?

  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