Pesticide Use Notification Form

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A written notice or declaration that must be submitted by an occupier to the relevant local authority (such as a council) before applying pesticides on land under their control. This form typically requires information about the type and quantity of pesticide to be used, the location where it will be applied, and details of any necessary safety precautions. The purpose of this notification is to ensure that all reasonable steps are taken to minimize risks to people and the environment from pesticide use.

Implementing a Pesticide Use Notification Form in your organization can have several benefits, including:

• Enhanced compliance with regulations and laws governing pesticide use
• Improved communication among stakeholders, such as employees, contractors, and neighboring communities
• Reduced risk of accidents and exposure to pesticides through better tracking and monitoring of pesticide applications
• Increased transparency and accountability within the organization
• Better management of pest control operations and associated costs

1. Farmer/Operator Information:
   • Name
   • Address
   • Contact Details (Phone Number and Email)
2. Product Information:
   • Pesticide Product Name
   • Active Ingredient(s)
   • Manufacturer's Name
3. Application Details:
   • Type of Application (Spraying, Dusting, etc.)
   • Date of Application
4. Area and Quantity:
   • Total Area Treated
   • Amount of Pesticide Used (in liters or kilograms)
5. Crop Information:
   • Crop Type
   • Stage of Growth
6. Target Pest(s):
   • Name of the pest(s) targeted by the pesticide
7. Precautionary Measures:
   • Details of any protective measures taken during application