Audit

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

Other description:

Customer Phone Numbers Office: Mobile:

Job Number

Site Risk Assessment

Job
Job Type

Details:

Pests
Pests Treated

Other description:

Details:

Treatment photo:
Property
Property Description

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:

Aditional details

Additional details

Additional Information:

Site photo:
Site plan:
Materials

Materials used:

Treatment Officer Details

Name:

Officer image:

Licence Number:

Time on site hrs:

Officer Signature
Customer signature:
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.