Title Page

  • Conducted on

  • Prepared by

Client Information

  • Date and time of inspection

  • 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?

  • Does technician check in at time of service?

  • Does technician review findings at end of service?

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

Documentation Review

  • Target pest and area listed for all materials used?

  • Is the device numbering in order/ logically labeled

  • Customer signature found on last service?

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

Pest Activity

  • Was there pest activity on your last service?

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

  • Has any pest activity been found today?

  • 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?

  • What type of devices are present?

  • Are the barcodes in each device being scanned in?

  • Is the equipment clean and properly maintained?

  • Is there a sufficient amount of devices present?

  • Are stations missing or damaged?

Follow up

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

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


  • Customer signature

  • Inspector signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.