close
lumiform
Lumiform Mobile audits & inspections
Get App Get App

Pest Control Inspection Report

This specification is part of a comprehensive Integrated Pest Management (IPM) program for the premises listed herein. IPM is a process for achieving long-term, environmentally sound pest suppression and prevention through the use of a wide variety of technological and management practices.

Downloaded 15 times

Rated 5/5 stars on Capterra

Say goodbye to paper checklists!

Lumiform enables you to conduct digital inspections via app easier than ever before
  • Cut inspection time by 50%
  • Uncover more issues and solve them 4x faster
  • Select from over 5,000 expert-proofed templates

Digitalize this paper form now

Register for free on lumiformapp.com and conduct inspections via our mobile app

  • Cut inspection time by 50%
  • Uncover more issues and solve them 4x faster
  • Select from over 4000 expert-proofed templates
Rated 5/5 stars on Capterra

Pest Control Inspection Report

Audit

Site

Building/Area

Service Type

Warranty/No Charge
One Time Treatment
Weekly
Bi-Weekly
Monthly
Bi-Monthly
Quarterly
Yearly

Pest Treated

Cockroaches
Rodents
Ants
Bees
Spiders
Wasps
Fleas
Mosquitoes
Silverfish
Other

Treatment Area(s)

Interior
Exterior

Chemical Used

Advion Roach Gel EPA Reg # 352-652 0.6% Indoxacarb
Advion Ant Gel EPA Reg # 352-746 0.05% Indoxacarb
Temprid SC EPA Reg # 432-1483 21.00% Imidacloprid 10.50% Beta-Cyfluthrin Glycerine
Contrac Blox EPA Reg # 12455-79 0.005% Bromadiolone
Glue Boards/Monitor Traps

Guarantee

None
30 Day
60 Day
90 Day
1 Year
Other

Sanitation

Overall Sanitation

Comments/Recommendations

(check name not set)

IDPH Licenses

051-027332
052-082047
Share this template: