Sample Integrated Pest Management Plan

General Pest Control

Facility Name
Address
Telephone Number

Pests to be Controlled
Pest control services which can be performed in the General Pest Control category
includes cockroaches, ants (other than carpenter ants), winged termite swarmers
emerging indoors, incidental/occasional invaders including bees & wasps entering from
out of doors, and flies and other arthropod pests. Populations of these pests that are
located immediately outside of a specified building and pose a possible infestation
problem to that building are included.

General
Facility Name will be inspected by name of the pest control company (PCO) for the
purpose of identifying potential problem areas that may be contributing to pest
infestation within the facility, making recommendations for corrective measures that
should be implemented and developing a comprehensive integrated pest management
(IPM) plan. The IPM plan will utilize all methods of pest control, which may include
structural maintenance, sanitation, monitoring for pest populations, mechanical and
biological control, and the judicious use of pesticides. These methods will help to
eliminate food, moisture and harborage for pests, making their survival more difficult.
Pesticides will not be applied on a routine basis; however, they may be used as a tool to
maintain pest populations at or below an acceptable level. The selection of pesticides
that may be used will be based on a pre-determined hierarchy, which will utilize least
toxic products as first choice. Proper implementation of this program will reduce the
volume, toxicity and frequency of application of pesticides, thereby reducing the risk of
potential exposure of building occupants who may be sensitive to their use.

The PCO and name of responsible individual - Contracting Officer's Representative

(COR) shall meet to discuss areas that have been problematic or sensitive. (i.e.;
operating rooms, prisons or areas where there is a history of high pest pressure) Areas
that are sensitive to pesticide use will also be discussed. (i.e.; day care areas, elderly
residence, work area of sensitive employees, etc.)

Once these areas have been identified, the PCO and COR will discuss various pest
control options and determine the speed of control necessary as well as
threshold/action levels based on pest population and species.

Recommendations
Name of PCO will submit recommendations for corrective measures in writing to Name
of (COR) prior to the application of any pesticides. He/she (COR) is responsible for
scheduling and coordinating structural maintenance of the facility and will act on the
recommendations as soon as possible. He/she will report in writing which
recommendations will not be followed and state the reasons if no action is to be taken
as required by RCSA Sec.22a-66l-1(c). Otherwise, all IPM methods that are
recommended will be followed.
Pest control services will be supervised by name & certification number, and performed
by name & certification number(s) of name of pest control company & business
registration number. The IPM program will begin on date with six weekly visits in order
to start the program. Subsequent service calls will be performed twice a month or as
needed depending upon pest pressure. Service calls will be scheduled on Day of week
& approx. time and will include a visual inspection of potential problem areas and
monitoring devices, application of pesticides where pest populations exceed their
threshold levels. Records will be completed at the conclusion of each service call and
will include written recommendations of corrective measures that need to be made by
building maintenance personnel. A member of the custodial staff should be available to
allow the pest control technician to access areas that may be locked.

Records
The pest control technician will indicate pest problem areas and provide written
recommendations for structural, sanitary or procedural modifications on "Pest Control
Service Record and Pest Inspection Report" forms or substantially similar substitute.
These forms will be kept in a file that will be maintained in responsible individual (COR)
office. He/she will act as a liaison between the pest control company and department
supervisor(s) and will be responsible for notifying the appropriate personnel of
corrective actions that are needed (i.e.; sanitation).

The pest control technician at the beginning of each service call will review Pest sighting
report logs provided by name of PCO. The log will be maintained in responsible
individual (COR) office and will serve as a tool to facilitate communication between all
personnel and the pest control technician. All pest sightings should be reported in the
logs and should include specific information as to the location and type of pest, if
known. Whenever possible, a sample of the insect will be provided to the pest control
technician for identification purposes.

Monitoring
Service call/monitoring inspections will be limited to list specific areas that will be
inspected - (i.e.; kitchen, kitchen storage, dish room, laundry room, cafeteria, employee
lounge, custodial closets, locker rooms, laundry room, main office, hallways on ground
and main floors, boiler room) and the perimeter of the building unless pest activity or
sightings in other areas have been reported in the pest sighting log.

Glueboards will be used for the duration of the IPM program to monitor pest populations
and activity. They will be placed in areas where pest activity has been identified or is
likely to occur. The dates of installation and servicing will be indicated on each monitor
and the pest control technician will create diagrams or maps indicating their placement.
The diagrams will be maintained as part of the pest control company's service record.
Visual inspections of the glueboards will help the pest control technician to identify
specific areas of infestation, if any, and assess the need for further action. The
glueboards will be placed as follows;

List specific areas - (i.e.; Kitchen & Dish Room - 29 traps, Kitchen Storage - 8 traps,
Laundry Room - 2 traps, Cafeteria - 1 trap (Under the vending machine), Employee
Lounge - 3 traps, Men's Locker Room - 2 traps, Women's Locker Room - 2 traps,
Laundry - 2 traps, Custodial Closets - 2 traps, Main Office - 6 traps and Boiler Room - 8
traps.) The pest control technician may also use flushing agents such as or
as an inspection tool during monitoring visits.

Pests

Cockroaches
Due to the fact that German cockroaches can reproduce rapidly, have been attributed to
causing asthma and are known to translocate bacteria and viruses to food and
preparation surfaces, their control will be a high priority. Other cockroach species are
also of concern and measures will be taken to reduce or eliminate their populations
whenever possible.

Close and careful attention should be given to eliminating conditions that are conducive
to pest infestation. All pests need food, moisture and harborage. By eliminating one or
more of these, it is more difficult for pests to survive. Also, pests reproduce at a slower
rate when conditions are not conducive for their survival.

Food, paper goods and other supplies should be visually inspected upon arrival for
cockroach infestation. Cockroaches will often hide in the corrugation of cardboard
boxes. Supplies should be unpacked and stored properly and their shipping cartons
disposed of as soon as possible.

Sanitation and elimination of moisture sources is also an important factor in cockroach

control. Areas where food is prepared and consumed should be swept or vacuumed
daily. Particular attention should be given to areas underneath counters and appliances.
Food residue should be washed off of any preparation surface or equipment. Grease
residues should also be eliminated as much as possible as it is a food source and will
render some pesticides ineffective. Bulk foods should be stored in tightly covered bins.
Moisture sources should be eliminated as much as possible by repairing faucets, drying
sinks and counters at the end of each day.

Sample for Light to Moderate Cockroach Population:

If 3-5 cockroaches are observed during any monitoring visit in any one area, bait such
as , or will be placed according to the product label recommendations.
The bait will be utilized along with glueboards for monitoring purposes and will be
replaced as needed during regular monitoring inspections.

**Note: Pesticide baits could be used for monitoring purposes in situations where no
cockroaches have been observed but the likelihood of infestation is greater (i.e.;
institutional kitchen). The amount of bait consumed will indicate pest activity and will be
the first step to control the problem.
Sample for Moderate Cockroach Population:
Due to moderate to heavy infestation of cockroaches (6-10 cockroaches observed in
one area), an intensive crack and crack & crevice treatment will be performed using
or . Bait stations will be placed throughout the infested area once the crack &
crevice application has been completed. Glueboards will also be used for monitoring
purposes. Bait stations may be applied in adjoining rooms where conducive conditions
may also exist. The infested area will be re-inspected weekly and baits and glueboards
will be replaced as needed. If the pest population has not decreased after six weeks
have passed, re-treatment may be performed. Every effort must be made by the facility
to eliminate conditions that are conducive to infestation.

**Note: It is imperative that recommendations made by the pest control company be

implemented as soon as possible. The recommendations are likely to include improving
sanitation, modifying storage practices or caulking cracks or voids where cockroaches
may hide.

Sample for Heavy Cockroach Infestation:

Due to heavy cockroach infestation (10+cockroaches observed in one area during
inspection) an intensive crack and crevice treatment will be performed using _______
or . A or dust may also be applied to ceiling, wall and/or floor voids.
Treated voids should be patched/plugged/caulked as soon as possible to eliminate
harborage sites. Consideration will be given to applying a fogging insecticide
in conjunction with the other pesticides listed. Glueboards will be placed appropriately
for monitoring purposes. The area will be monitored weekly and re-treatment may be
performed if the cockroach population remains high. Once the intensive treatments
have been completed, or bait will be placed in the area according to
pesticide label directions. The infested area will be re-inspected weekly and baits and
glueboards will be replaced as needed.

Implementation of these pest control methods will require written consent of the
responsible individual (COR).

**Note: This type of treatment, particularly fogging, may only be appropriate in areas
where there is an absolute zero tolerance for infestation and speed of control is
essential (i.e.; hospital operating room).

Ants
Ants and many other pests can be excluded by caulking and patching cracks and voids
in the walls, floors and sidewalks. Branches of trees and shrubs should be trimmed
away from the building to eliminate pest access. Organic matter, wood debris and other
trash should be raked away from the foundation wherever possible. If ants are seen
within the building, they will usually be foraging for food. The pest control technician will
properly identify the pest ant species and any conditions that may be conducive to
infestation. Proper identification will enable the pest control technician to determine
appropriate measures of control for the particular ant species. Also, the pest control
technician will attempt to locate nest location(s). Written recommendations will be made
to correct conducive conditions. Depending upon the ant species and where they are
seen, bait stations such as or may be utilized within the building.
Ants outside of the building may be treated using baits such as or ,
however, steps should be taken to eliminate conducive conditions as much as possible.

A crack & crevice application of a or dust may be made in walls or

other voids only if it has been determined that ants are nesting in a particular location.

Occasional Invaders & Bees/Wasps

Pesticide applications will not be performed to control occasional invaders unless they
present an immediate health hazard or are unduly disruptive. The pest control
technician will identify the pest and make recommendations to correct conditions that
are conducive to infestation. Pests that are occasional invaders may include drain flies,
fungus gnats, earwigs, spiders, sowbugs and centipedes. Improving sanitation and
removing organic debris, which will reduce their food supply, can usually control them.
Elimination of moisture sources is also helpful.

Pests that may pose an immediate health threat such as bees and wasps will be treated
using a or spray product. or dust may be used where nests
are located underground or in a wall void.

Complaints of unseen biting insects will be investigated, however, no pesticide will be

applied unless the pest has been identified and no other pest control options are
available.

Stored Product Pests

Stored product pests can usually be controlled with proper sanitation, storage and
inventory control. Products should be stored in clean airtight containers. The products
should be checked frequently for signs of infestation and disposed of if infested.

A crack and crevice application of or may be applied if it is determined by

the pest control technician and COR that residual control would be beneficial.

Pesticide Plan
Pesticides may be applied if pest populations exceed an acceptable level. Priority is
given to those pesticides having the lowest toxicity, taking into consideration the method
and frequency of application and the risk of exposure to building occupants. Pesticides
selected for possible use are as follows;

First Choice (Products having the lowest toxicity and/or least risk of exposure
based on the formulation, method and frequency of application.)

Flushing Agents
a)
b)
c)
Baits
a)
b)
c)
d)
 Dusts
a)
b)
Crack & Crevice Sprays
a)
b)
c)

First Choice (Continued)

Rodenticide (Outdoor use only)
a)
b)

Second Choice (Products having moderate toxicity and/or risk of exposure

based on the formulation, method and frequency of application.)
Crack & Crevice Sprays
a)
b)
c)
d)
e)
f)

Third Choice (Products having moderate to high toxicity and/or risk of exposure
based on the formulation, method and frequency of application.)

Use of any third choice pesticide product requires written approval of COR prior to
application
Spot Treatments - (Surface treatment to an area no larger than 2 square
feet)
a)
b)
General Sprays or Fogs
a)
b)
c)
Rodenticides (Interior Use)
a)
b)

An appraisal of this IPM program will be conducted bi-monthly by responsible individual

(COR) and name of pco representative. A determination will be made as to the
effectiveness of the program and revisions will be made to correct potential problems.

03/30/99
Rev. 6/17/08
DEP/PMP