Recordkeeping for Pesticide Applications Checklist
Stay compliant and protect your farm! Our comprehensive checklist ensures accurate recordkeeping for pesticide applications, simplifying reporting, safeguarding the environment, and optimizing your agriculture practices. Download now for peace of mind and regulatory readiness.
This Template was installed 3 times.
Application Information
Details about each individual pesticide application event.
Application Date
Application Time (Start)
GPS Coordinates / Field Location
Area Treated (Acres/Hectares)
Application Rate (lbs/acre or equivalent)
Application Method (e.g., Sprinkler, Foliar, Soil)
Description of Application (e.g., weather conditions, unusual circumstances)
Pesticide Product Information
Details about the specific pesticide product used.
Pesticide Common Name
Pesticide EPA Registration Number
Pesticide Formulation Type
Amount of Product Applied (lbs/acre or gallons/acre)
Concentration of Product (%), if applicable
Any Restrictions or Special Instructions on Label
Product Source/Supplier
Pesticide Label (PDF or Image)
Equipment & Calibration
Records pertaining to application equipment and its calibration.
Application Rate (e.g., lbs/acre, gallons/acre)
Nozzle Size(s)
Nozzle Type
Sprayer Pressure (PSI)
Sprayer Speed (mph)
Date of Calibration
Calibration Method Description
Calibration Record (e.g., photos, spreadsheets)
Environmental Conditions
Documentation of weather and other environmental factors at the time of application.
Date of Application
Time of Application (Start)
Temperature (°F or °C)
Wind Speed (mph or km/h)
Wind Direction
Sky Condition
Soil Moisture
Additional Comments Regarding Environmental Conditions
Applicator Information
Records related to the certified applicator and assistants.
Applicator Certification Number
Applicator Full Name
Certification Expiration Date
Applicator Category (e.g., Commercial, Private)
Assistant Applicator(s) Names and Certification Numbers (if applicable)
Supervision Status (if applicable)
Supervisor Name (if applicable)
Copy of Applicator Certification (Optional)
Field/Location Details
Information about the specific field or area where the pesticide was applied.
Field/Block Number
Crop Type
Acreage Treated (Acres)
GPS Coordinates (Latitude/Longitude)
Field Identifier (e.g., Farm Name, Subdivision)
Date of Record Creation
Record Retention & Accessibility
Guidelines for storing, maintaining, and providing access to pesticide application records.
Record Retention Period (Years)
Record Storage Format
Access Permissions – Who can access records?
Notes on Record Accessibility Procedures
Date of last record review/audit
Physical Location of Paper Records (if applicable)
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