Treatment Report

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Audit company information

• Brisbane City Council ABN 72 002 765 795
  Urban Amenity Branch - Pest Management Services

• Contacts:
  Pest enquiries: 3407 1075
  Call Centre: 3403 8888
  Fax: 3403 1492

Customer / Request details

• Customer Name

  Internal BCC

  Internal FSG

  Other

• Other description:

• Customer Phone Numbers Office: Mobile:

• Job Number

• Site Risk Assessment

Job

• Job Type

  Select Reactive Pest Control Re-inspect Proactive Rodent Control Refer to CARS Scheduled Termite Inspections Inspected with dogs

  • Reactive
  • Pest Control
  • Re-inspect
  • Proactive
  • Rodent Control
  • Refer to CARS
  • Scheduled
  • Termite Inspections
  • Inspected with dogs

• Details:

Pests

• Pests Treated

  Select Bees Cockroaches Wasps Rodents Ants Termites Spiders Other

  • Bees
  • Cockroaches
  • Wasps
  • Rodents
  • Ants
  • Termites
  • Spiders
  • Other

• Other description:

• Details:

• Treatment photo:

  Media

Property

• Property Description

  Select Indoor Grounds Nut and Fruit Trees Outdoor Easement BBQ Fat Parks Footpath Rubbish Private Property Overgrown Garden Waste Other

  • Indoor
  • Grounds
  • Nut and Fruit Trees
  • Outdoor
  • Easement
  • BBQ Fat
  • Parks
  • Footpath
  • Rubbish
  • Private Property
  • Overgrown
  • Garden Waste
  • Other

• Other Description:

• Details:

Bait Stations Checked

• Ant

• Cockroach

• Rodent

• Termite Monitors

Pest activity

• Pest activity level: 7-10 = High 5-7 = Medium 1-4 = Low 0 = None

• Details:

• Pest activity photo:

  Media

Additional details

• Additional Information:

• Site photo:

  Media

• Site plan:

  Drawing

Materials

• Materials used:

Treatment Officer Details

• Name:

• Officer image:

  Media

• Licence Number:

• Time on site hrs:

• Officer Signature

  Sign

• Customer signature:

  Sign