Contents
Recordkeeping is an important part of a successful IPM program. Keep records of monitoring inspections, seasonal pest issues, pest management actions, and the results of your actions. Having records to compare pest problems before and after taking action will allow school district staff to determine which pest management actions worked and, just as importantly, which did not work.
All of the following tools and templates are fillable PDFs or they can be printed for use during pest management activities.
- Sample forms for fulfilling the Healthy Schools Act requirements:
- Sample information sheet for parents (PDF, 35 kb)
- Sample annual notification of pesticide use, PDF (43 kb)
- Sample notice of opportunity to register for receiving treatment notifications, PDF (41 kb)
- Sample notice of individual pesticide application, PDF (37 kb)
- Sample pesticide application warning sign, PDF (53 kb) - can also be used to fulfill the HSA recordkeeping requirement.
- Download the complete kit, PDF (93 kb)
- Pest Management Assessment Tool:
- Sample pest management summary tool, PDF (71 kb)
- Sample pesticide use, storage, and disposal checklist, PDF (55 kb)
- Sample pest inspection/sanitation report, PDF (119 kb)
- Sample form for pest proofing/repairs needed inside, PDF (68 kb)
- Sample form for pest proofing/repairs needed outside, PDF (76 kb)
- Download the complete kit, PDF (255 kb)
- Monitoring Forms
- Sample form for landscape monitoring, PDF (86 kb)
- Sample form for weed monitoring in turf, PDF (105 kb)
- Sample form for roach trap monitoring, PDF (97 kb)
- Sample pest control trouble call log, PDF (69 kb)
- Sample pest inspection/sanitation report, PDF (154 kb)
- Download the complete kit, PDF (406 kb)

