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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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