Internal QA Form

Customer Name

Customer Account Number

Service Technician Service Technician *Aaron DeShieldsBlake D'AndeletChad HockmanChris MitchellDarin BarncordDave GaultDonnie MorrisGrant MyersJeremy SkrinskiKevin BrattenMatt PryorMicheal LangtonMike MorrisonMyron TyreMike PryorWilliam SatchellRobert Anderson

Service Supervisor Service Supervisor *Dean BennettKevin Burton

Date of Report

Service Type Service Type *Commercial AccountInitial TreatmentMonthly Pest ServicePre-TreatQuarterly Pest ControlRodent ControlSemi-Yearly TreatmentService RecallTermite Liquid TreatmentTreatment BaitingYard SprayYearly Termite Inspection

Tech's Time In

Tech's Time Out

Greet Customer Ringing Doorbell or knock on door prior to start Greet Customer Ringing Doorbell or knock on door prior to start Yes No

If No, Why

Asked Customer if they have any issues Asked Customer if they have any issues Yes No

If No, Why

Chemical Applied Correctly Per Label Chemical Applied Correctly Per Label Yes No

If No, Why

Windows and Doorways Treated Windows and Doorways Treated Yes No

If No, Why

Wipe Down Cobwebs and Spider Webs Wipe Down Cobwebs and Spider Webs Yes No

If No, Why

Power Spray Exterior 2' Up and 2' Out Power Spray Exterior 2' Up and 2' Out Yes No

If No, Why

Treat Crawl Space with Rodent Bait and Access for Other Pests Treat Crawl Space with Rodent Bait and Access for Other Pests Yes No

If No, Why

Treat Garage Treat Garage Yes No

If No, Why

Pretreats - Chemical Applied per Label, Wall Stamped, Graph Complete and Uploaded Pretreats - Chemical Applied per Label, Wall Stamped, Graph Complete and Uploaded Yes No

If No, Why

Termite Services Followed Per Sales Agreement and Instructions by SalesPerson and Graphed Termite Services Followed Per Sales Agreement and Instructions by SalesPerson and Graphed Yes No

If No, Why

Make Contact with Customer to Explain What Was Done Before Leaving Make Contact with Customer to Explain What Was Done Before Leaving Yes No

If No, Why

(Monthly) Applied Glue Boards/RTU's?Changed Bait in Stations/Boxes (Monthly) Applied Glue Boards/RTU's?Changed Bait in Stations/Boxes Yes No

If No, Why

Treated Areas Correctly per Service Agreement Treated Areas Correctly per Service Agreement Yes No

If No, Why

Ask Customer if They Have Any Issues Ask Customer if They Have Any Issues Yes No

If No, Why

Tech Taking Pictures and Making Notes of Specific Areas of Conditions/Sanitation Issues Present & Discussing with Customer Tech Taking Pictures and Making Notes of Specific Areas of Conditions/Sanitation Issues Present & Discussing with Customer Yes No

If No, Why

Concerns From Customer If Any

Recommendations for Technician to Improve

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