Pest and Vector Control Inspection Form
Facility/Area
Location
Inspection Date
Inspector Name
Time
Weather Conditions
Type of Infestation
Rodents
Flies
Mosquitoes
Cockroaches
Ants
Termites
Others
Level of Infestation
None
Low
Moderate
High
Observed Issues
Droppings
Damage
Carcasses
Nests
Live Pests
Other
Possible Entry Points
Harborage Areas
Sanitation Issues
Actions Taken/Recommended
Follow-up Required
Yes
No
Follow-up Date
Inspector's Remarks