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⚫ Black – Not observed

🟢 Green = Low risk / isolated / conditions not supportive

🟠 Orange = Moderate risk / conducive conditions present / could escalate

🔴 Red = High risk / active evidence or strong conducive conditions / likely recurrence

SECTION 1 – CUSTOMER INFORMATION

Customer Full Name *

Customer Phone *

Customer Email *

Customer Street Address *

Customer City *

Customer ZIP *

Inspection Date *

Inspection Time *

07:00 AM to 11:00 AM

01:00 PM to 05:00 PM

06:00 PM to 10:00 PM

Technician Name *

Technician Email *

Primary Pest Concern (customer-reported) *

Property Type *

Restaurant / Café / Takeaway

Pub / Bar

Hotel / Hospitality

Retail / Shop

Office

Warehouse / Logistics

Food Production / Manufacturing

Healthcare / Care

Education

Property Management / Block / Lettings

Construction / Site Cabin

Other

If Other

SECTION 2 – CUSTOMER QUESTIONNAIRE

(Response: ☐ 🟢 ☐ 🟠 ☐ 🔴 for each question)

1. Which best describes what prompted you to call us today? *

A single sighting or proactive concern with no prior history

Multiple sightings over a short period that raised concern

Ongoing or worsening activity that feels out of control

Notes

2. Where have you noticed the activity or evidence? *

Outside only, away from the structure, with no indoor activity

One primary area either inside or just outside the home

Multiple areas and/or both inside and outside the structure

Notes 2

3. Does the activity appear contained or spreading?

Limited to one consistent location with no spread observed

Mostly contained, but has appeared in another area once or twice

Clearly spreading, shifting locations, or appearing in multiple areas

Notes 3

4. How often are you noticing it and how long has it been happening?

Rare sightings or very recent activity within the last few days

Occasional activity over several weeks

Frequent or recurring activity lasting a month or longer

Notes 4

5. Do you notice a pattern tied to time of day, season, or weather?

No noticeable pattern or timing

Some consistency (certain times, weather changes, or seasons)

A clear and repeatable pattern that happens predictably

Notes 5

6. Besides sightings, have you noticed other signs?

No additional signs beyond a visual sighting

Light or unclear evidence (old droppings, faint damage, mild odors)

Clear, repeated evidence such as fresh droppings, damage, bites, or sounds

Notes 6

7. How much is this affecting your household?

Minor annoyance with little impact on daily life

Moderate disruption affecting comfort or peace of mind

Significant concern impacting health, safety, sleep, or property

Notes 7

8. Have you tried anything already?

No DIY methods attempted yet

DIY efforts helped temporarily but did not fully resolve the issue

DIY attempts failed or the problem returned quickly

Notes 8

9. Are there food or garbage attractants accessible?

Food and waste are well managed, sealed, and inaccessible

Occasional exposure due to habits or layout

Consistent access to food, trash, pet food, or compost

Notes 9

10. Are there moisture or water issues present?

Dry conditions with no leaks or standing water

Minor or occasional moisture issues

Ongoing leaks, damp areas, or standing water

Notes 10

11. Do you have storage or cluttered areas that are rarely disturbed?

Minimal storage and easy access to all areas

Some quiet or stored areas not checked often

Extensive long-term storage or clutter creating hiding areas

Notes 11

12. Have there been recent changes to the home or property?

No recent changes or disruptions

Minor changes such as small renovations or deliveries

Major or multiple changes that could introduce or disturb pests

Notes 12

13. How much outside pest pressure surrounds the property?

Low exposure with minimal surrounding risk factors

Moderate exposure from one nearby factor

High exposure due to multiple factors or shared walls

Notes 13

14. Are there suspected entry points into the home?

No visible or known entry points

One or two possible gaps or weak points

Multiple or known openings allowing pest entry

Notes 14

15. When resolved, what level of control do you want?

Immediate relief from current activity

Mostly controlled with rare, manageable activity

Near-zero activity with long-term prevention

Notes 15

SECTION 3 – TECHNICIAN INSPECTION CRITERIA (25-POINT)

(Observation: ☐ 🟢 ☐ 🟠 ☐ 🔴)

1. Exterior pest evidence (foundation & perimeter)

No visible pests or fresh signs such as trails, droppings, nests, or damage

Light or older evidence with no signs of active nesting or infestation

Active pests or heavy evidence including nests, burrows, fresh droppings, or damage

Technician Notes

Photo Upload

2. Interior pest evidence

No visible evidence in living spaces or utility areas

Minor or isolated evidence limited to one area

Active infestation signs such as live pests, fresh droppings, or egg casings

Technician Notes 2

Photo Upload 2

3. Exterior doors (sweeps & seals)

Doors seal tightly with intact sweeps and no visible daylight

Minor gaps or wear that could allow small pest entry

Clear gaps, damaged sweeps, or daylight visible indicating entry risk

Technician Notes 3

Photo Upload 3

4. Garage door seals

Bottom and side seals intact and sealing properly

Worn seals or small gaps that could allow pest access

Missing or damaged seals creating obvious entry points

Technician Notes 4

Photo Upload 4

5. Windows and screens

Screens intact and windows close and seal properly

Small tears, loose frames, or minor sealing issues

Missing or torn screens or windows that do not seal

Technician Notes 5

Photo Upload 5

6. Foundation and slab

No visible cracks or gaps around the foundation

Hairline cracks or small separations with limited access potential

Open cracks or gaps providing clear access points

Technician Notes 6

Photo Upload 6

7. Siding, trim, and caulking

Siding and trim tight with intact caulking

Aging caulk or small gaps beginning to form

Significant gaps, rot, or missing materials

Technician Notes 7

Photo Upload 7

8. Utility penetrations

All penetrations sealed with no visible gaps

Small gaps or deteriorating sealant

Open penetrations allowing access into wall voids

Technician Notes 8

Photo Upload 8

9. External Air-bricks

Air-bricks properly screened and secured

Screens or covers worn or loose

Missing or damaged covers allowing entry

Technician Notes 9

Photo Upload 9

10. Roofline and eaves

No roof or eaves present

Roofline intact with no gaps or signs of entry

Minor wear or small separations

Openings, rot, or signs of pest access

Technician Notes 10

Photo Upload 10

11. Chimney and roof penetrations

Caps and flashing intact and secure

Wear or fit issues that could worsen over time

Missing caps or open penetrations

Technician Notes 11

Photo Upload 11

12. Gutters and drainage

No gutters or drainage present

Clear gutters directing water away properly

Partial blockages or minor pooling

Clogged gutters causing overflow or foundation pooling

Technician Notes 12

Photo Upload 12

13. Standing water

No standing water present

Temporary water after rainfall

Persistent standing water or multiple breeding sites

Technician Notes 13

Photo Upload 13

14. Vegetation contacting structure

No vegetation touching the structure

Limited contact that could be trimmed

Heavy overgrowth creating pest bridges

Technician Notes 14

Photo Upload 14

15. Mulch and leaf litter

Minimal mulch with clearance from foundation

Moderate buildup touching foundation in spots

Heavy buildup retaining moisture against the structure

Technician Notes 15

Photo Upload 15

Technician Notes 16

Photo Upload 16

17. Outdoor storage

Minimal storage kept away from the structure

Some storage near the structure

Heavy storage or clutter creating harborage

Technician Notes 17

Photo Upload 17

18. Trash and compost

Covered and managed properly

Occasional overflow or proximity to the home

Open or overflowing containers attracting pests

Technician Notes 18

Photo Upload 18

19. Exterior lighting

Minimal insect activity around lights

Moderate insect attraction

Heavy insect concentration near entry points

Technician Notes 19

Photo Upload 19

20. Interior entry gaps

No visible gaps into wall or floor voids

Small gaps in limited areas

Large or multiple gaps allowing pest movement

Technician Notes 20

Photo Upload 20

21. Kitchen sanitation

Clean with minimal attractants

Some crumbs, grease, or inconsistent habits

Heavy attractants or poor sanitation

Technician Notes 21

Photo Upload 21

22. Food storage

Food sealed and protected

Some items left unsealed

Multiple unsealed food sources

Technician Notes 22

Photo Upload 22

23. Moisture or leaks

Dry with no leaks or condensation

Minor moisture issues

Active leaks or persistent dampness

Technician Notes 23

Photo Upload 23

24. Interior clutter

Low clutter with easy access

Moderate clutter in some areas

Heavy clutter limiting inspection and control

Technician Notes 24

Photo Upload 24

25. High-risk hidden areas

Clean and accessible with no pest signs

Limited access or mild conducive conditions

Active signs of pests or strong conducive conditions

Technician Notes 25

Photo Upload 25

SECTION 4 – RECOMMENDED PLAN

Ongoing General Pest *

None

Basic

Standard

Premium

Ongoing Rodent

None

Basic

Standard

Premium

Ongoing Roach *

None

Basic

Standard

Premium

Ongoing Wildlife *

None

Basic

Standard

Premium

Ongoing Flea *

None

Basic

Standard

Premium

Ongoing Bed Bug *

None

Basic

Standard

Premium

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778-601-3577

Hamilton, ON, Canada