Title Page
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Document No.
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Audit Title
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Site
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Conducted on
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Spraying carried out by
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Location
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Other personnel on site
Spraying Record
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Time and date works commenced
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Weather conditions
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Estimated temperature
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Estimated wind speed
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Make and model of sprayer
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Weeds being targeted (Grass, Dock, Dandelion etc)
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Water Volume used to mix herbicide
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Name of herbicide used and active ingredient/s
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Quantity of herbicide used in water
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Application rate used (refer back to spray calibration sheet)
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Approximate amount used whilst spraying this site
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PPE worn: Spraying suit
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PPE worn: Spray mask
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PPE worn: Ultra Nitrile gloves
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PPE worn: Wellington Boots
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Anything you witnessed or noticed whilst carrying out the spaying work
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