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 107 times
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
IDPH Licenses
051-027332
052-082047
Share this template:
Please note that this checklist template is a hypothetical appuses-hero example and provides only standard information. The template does not aim to replace, among other things, workplace, health and safety advice, medical advice, diagnosis or treatment, or any other applicable law. You should seek your professional advice to determine whether the use of such a checklist is appropriate in your workplace or jurisdiction.