Title Page
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Date Inspected
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Inspector Name
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Inspector Lic. Number
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Site Location
Ant & Location Details
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Property Type
- Aged care/childcare/NDIS facility
- Business/worksite
- Education facility (school)
- Farming/primary production
- Government land/property
- Park/recreationalarea
- Residential/acreage
- Roadside/footpath
- Sports facility
- Vacant land
- Other
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Are the ants copper brown in colour with a darker abdomen? (attach photo)
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Do the ants measure between 2–6 mm, and vary in size within a single nest? (attach photo)
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Does the nest have no clear entry or exit holes? (attach photo)
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Are the ants aggressive and swarm when disturbed? (attach photo)
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How many fire ants have you seen? (attach photos)
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Where on the property are the ants/nest located?
Treatment Details
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Was treatment completed onsite?
If yes, please complete the below section.
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Date treatment completed
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Person completing treatment (Full Name)
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Time treatment commenced
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Time treatment concluded
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Type of treatment completed
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Was appropriate PPE worn, and safety procedures followed?
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Specific details of treatment (including name of bait/chemical/qty used/measurement ratio etc) *refer Product Guide*
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Additional comments regarding treatment performed
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If a follow up inspection is required, please advise the date when this is to be organised
If no, please complete the below section.
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Will SAG be reattending at a later date to complete treatment? If so, when?
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Does DAF need to be notified to attend and treat?
Sign Off
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By signing this report, you confirm that the information provided and stated is true and correct.
