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Use a pest management plan example template for health and safety

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Use a pest management plan example template for health and safety

Audit

Site Details

Building/Area Description

Construction Type

Wind 0-10

Pests Treated

Cockroaches

Rodents

Birds

Bird Lice

Ants

Spiders

Borers

Termites

Fleas

Silverfish

Mosquitoes

Bees

Wasps

Ticks

Other- Type In

Treatment Area(s)

Internal

External

Chemical Used & Quantity

Termidor (Fipronil 100gms/Ltr)

Biflex Ultra Low Odour (Bifenthrin 100gms/Ltr)

Biflex Aquamax (Bifenthrin 100gms/Ltr)

Cislin (Deltamethrin 25gms/Ltr)

Ditrac Blocks (Brodifacoum 0.005%)

Dragnet Dust (Permethrin 20gms/Kg)

Maxforce Gold Cockroach Gel (Fipronil 0.3gms/Kg)

Optiguard Ant Gel (Thismethoxam 0.1gms/Kg)

Battle Axe Areosol (Propoxur 20gms/Kg, Tetramethrin 2gms/Kg)

Maxforce Granular (Hydramethylnon 10gms/Kg)

Cislin Ultra Aerosol (Bioallethrin 1.5gms/Ltr, Deltamethrin 0.2gms/Ltr)

Amdro Ant Granular (Hydramethylnon 7.3gms/Kg)

Advion Ant Gel (Indoxacarb 6gms/Kg)

Advion Cockroach Gel (Indoxacarb 6gms/Kg)

Stratagem Blocks (Flocoumafen 0.05gms/Kg)

Antmaster (Imidacloprid 0.05gms/Ltr)

Chill (D-allethrin 1.3gms/Kg)

Aquatain AMF (Polydimethylsiloxane 754gms/Ltr)

Amdro Cockroach Gel (Hydramethylnon 20gms/Kg)

Other- Type In

Service Type

Regular

Warranty

Scheduled

Warranty Provided

Warranty Period

Additional Information

Comment/Recommendations

Add media

Technician

Add signature

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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.