Pest management survey checklist
Survey to assess and address pest management issues.
What does this form include?
This form contains 17 sections:
Who is the primary contact at this location?
Date of last Terminix audit
Paperwork / Log Book Review
- Is there a log book in place?
What standard/guidelines were used to set up the pest management program (I.e. AIB, Primus Labs, Customer provided, etc.)
Exterior Rodent Monitoring Devices
- Does the location have exterior rodent bait stations?
Outdoor Pest Harborage
- Are there any out buildings that are not being addressed by the current rodent and pest program?
Outdoor sanitation/site review
- Does the location have a dumpster on property?
Interior Rodent Monitoring Devices
- Does the location have interior rodent control stations?
Insect Management
- Does the location have insect light traps (ILTs)
- Does the location have a pheromone monitoring program?
Kitchens and Breakrooms
- Does the location have a commercial kitchen?
- Are employee break rooms being treated using proper IPM service protocols (monitoring devices, baiting, etc)
Customer feedback
- The control of pests meets the expectations of our customer
- Service professional is prompt, uniformed, and conscientious
- Service professional responds to questions and problems promptly
- Service reports are legible and completed
- Service professional reviews sanitation and structural problems
- Stations/devices are initialed, dated, and/or scanned per scheduled
- Office staff is helpful in resolving problems/issues
- Overall satisfaction
If the customer could change one aspect of their service it would be.
What is the customer's favorite feature of their current service.
Any follow-ups, action items, comments for this location.
Customer would like additional information on the following Terminix Services.
Contact Signature
Terminix Representative
Use this template