Form library · Food safety
Pest control report template
For pest-control technicians and premises managers. Record visit and evidence, monitoring points and prevention and treatment. Try the form below, see every question or download a blank PDF or Word copy.
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What should food premises record about pest control?
FSA guidance describes prevention, checks for signs of pests and prompt action where problems are found. HSE guidance on biocides explains that products must be used in accordance with their authorised uses and label instructions. Treatment decisions need suitable competence and the site conditions.
Last updated . Facts checked by the SiteSurvey team on 6 October 2026 against FSA safer food better business pest control and HSE using biocides.
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Answer a few questions and watch it adapt. Your answers are not saved, and any photos you add are deleted within the hour.
This is the real form as your team would use it: questions appear as you answer, scores work themselves out and you can add photos and signatures. No sign-up needed.
Want to see one filled in? See a completed pest control visit report report (PDF), made by SiteSurvey from a fictional site visit.
Fill it in on a phone or tablet
Your team completes the pest control visit report on site in the SiteSurvey app on iPhone, iPad and Android phones and tablets. The project name and address fill in for them, it works without signal, and it syncs when the device is back online with photos kept against the question they answer.
Customers and subcontractors do not need the app: send them a link and they can fill it in from any browser.
Every question in the pest control visit report template
A pest-control visit record with observed evidence, monitoring locations, proofing and hygiene findings, treatment details and follow-up recommendations. 5 sections and 31 questions. Follow-up questions and guidance appear only when an answer calls for them, so the person on site never sees the ones that do not apply.
Make it your own: every question is editable
This is a starting point, not a fixed form. Once it is in your SiteSurvey account you can reword any question, add or remove questions, sections and answer options, and add your own logo, so it fits the way your team works and the jobs you do.
Details you only enter once
Add this form to a project in SiteSurvey and it fills in what the project already knows, so nobody on site retypes it and every form on the job uses the same names. Anything filled in can still be changed.
- Project: the project name
- Site or premises address: the site address, from the space or the project
- Client or organisation: the project's customer
Record details and scope
- ProjectShort answer
Filled in from the project in SiteSurvey.
Fills in from the project name - Site or premises addressShort answerFills in from the site address, from the space or the project
- Client or organisationShort answerFills in from the project's customer
- Record date*Date
- Person completing the record*Short answer
- CheckThis records a visit and actions. It does not select a pesticide, prescribe a dose or authorise a treatment. Food contamination and access restrictions need assessment by the responsible people.
- CheckFSA guidance describes prevention, checks for signs of pests and prompt action where problems are found. HSE guidance on biocides explains that products must be used in accordance with their authorised uses and label instructions. Treatment decisions need suitable competence and the site conditions.
Visit and evidence
- Technician and company*Short answer
- Visit type*Choose one
- Routine monitoring
- Reported activity
- Treatment follow-up
- Other
- Reported activity and areas inspectedNotes
- Monitoring-point plan referenceShort answer
- Pest evidence and proofing photosPhotos
Monitoring points
- Monitoring pointRepeat for each monitoring point. Each one asks:
- Point ID and location*Short answer
- Activity or evidence observed*Notes
- Device or monitoring methodShort answer
- Action at this pointNotes
- Access or food-safety restrictionsNotes
Prevention and treatment
- Proofing, waste, hygiene and stock-storage findingsNotes
Identify the opening or condition and its location. Separate evidence of activity from a proposed prevention measure.
- Treatment performed, product authorisation and label reference, quantity and locationNotes
- Safety information, restrictions and advice givenNotes
- Further work and next visit arrangementsNotes
- Responsible site contact informedShort answer
Actions and review
- Are further actions required?*Choose one
- Yes
- No
- Further actionRepeat for each further action. Each one asks:Shown when “Are further actions required?” is “Yes”
- Action and evidence reference*Notes
- Person responsible*Short answer
- Target dateDate
- Action status*Choose one
- Open
- In progress
- Completed
- Completion evidence*NotesShown when “Action status” is “Completed”
- Outstanding limitations and information to pass onNotes
- Record status*Choose one
- Ready for review
- Further work needed
- Work or use stopped
- Reviewed byShort answer
- Review dateDate
- Author signature*Signature
- CheckSigning records the information entered. It does not itself certify legal compliance, remove a limitation or authorise unsafe work.
Scope and responsibility
This records a visit and actions. It does not select a pesticide, prescribe a dose or authorise a treatment. Food contamination and access restrictions need assessment by the responsible people.
What a useful entry looks like
Proofing, waste, hygiene and stock-storage findings
Identify the opening or condition and its location. Separate evidence of activity from a proposed prevention measure.
Gap observed below the rear store door; photograph P-06 attached. Door repair recommended for the premises manager's review.
Fictional example of record wording. Use the actual evidence and approved arrangements for your job; this is not a completed report or an instruction to carry out the work.
See it filled in
A completed pest control visit report report, made by SiteSurvey from a fictional site visit: every answer, the photos, the guidance that applied and the sign-off, ready to send as a PDF.
Pest Control Visit Report FAQs
How should I record “Proofing, waste, hygiene and stock-storage findings”?
Identify the opening or condition and its location. Separate evidence of activity from a proposed prevention measure.
Does the form recommend pesticides?
No. Record only treatment selected and performed by the appropriate competent person under the product authorisation and instructions.
Can it record a visit with no pest activity?
Yes. Describe the points and areas checked and the evidence observed, including any limitations.
What should happen after a hygiene or proofing defect?
Record the defect, advice given, responsible person and follow-up date. Treatment alone does not resolve an access or hygiene problem.
What are the limits of this template?
This records a visit and actions. It does not select a pesticide, prescribe a dose or authorise a treatment. Food contamination and access restrictions need assessment by the responsible people.
Can I complete this form on site and share the record?
In the SiteSurvey app the form works offline, with photos and signatures recorded against the questions. Share the completed record as a PDF or a link. Dates and action owners are recorded fields; this form does not send reminders or update other systems.
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