Title Page
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Site conducted
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Conducted on
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Select date
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Prepared by
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Location
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PCO name and P-number
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PCO signature
Shopfloor
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Shelve been cleaned?
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Shelves been washed down?
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Has all damaged stock been removed of the shelves?
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Is shelves over stack with stock?
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Is there activity noted on shelves? (Droppings, nesting materials, live activity)
Returns locker
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Are all stock placed in bins
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Is bins sealed?
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Is bins clean with no spillages or debris on?
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Recieving area clean?
Service Report
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RODENTS
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Any rodent activities
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Amount of Rodenticides used
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External Stations
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Internal Stations
Crawling Insects
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Amount of Pesticides used
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Pesticides used
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Cockroach acticity
Flying Insects
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Starters replacement
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Fly unit tubes replacement
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Fly types and amounts
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Fly units
SPI
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SPI units grounded
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Treatment recommended
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SPI units hanging
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Recommendation
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Internal recommendations
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External recommendations
Sanitation
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Stacking
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Client Name & Surname
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Client Signature