Spraying Record

Time and date works commenced

Weather conditions

Estimated temperature

Estimated wind speed

Make and model of sprayer

Weeds being targeted (Grass, Dock, Dandelion etc)

Water Volume used to mix herbicide

Name of herbicide used and active ingredient/s

Quantity of herbicide used in water

Application rate used (refer back to spray calibration sheet)

Approximate amount used whilst spraying this site

PPE worn: Spraying suit

PPE worn: Spray mask

PPE worn: Ultra Nitrile gloves

PPE worn: Wellington Boots

Anything you witnessed or noticed whilst carrying out the spaying work

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Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.