Daily Pest Control Inspection Form
Document each pest control inspection thoroughly for compliance and quality assurance.
Inspector Name
*
First Name
Last Name
Inspection Date and Time
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Site/Facility Name
*
Location/Area Inspected (e.g., Kitchen, Storage, Exterior)
*
Areas Inspected
*
Kitchen
Storage Room
Dining Area
Restrooms
Exterior/Perimeter
Other
Types of Pests Observed
*
Rodents
Cockroaches
Ants
Flies
Spiders
Other
Level of Infestation
*
None
Low
Moderate
High
Actions Taken During Inspection
*
Baiting
Trapping
Spraying
Cleaning/Sanitation
No Action Needed
Other
Products or Chemicals Used (if any)
Additional Findings or Comments
Is follow-up required?
*
Yes
No
Inspector Signature
*
Submit Inspection
Submit Inspection
Should be Empty: