ANNUAL BLOCK SURVEY  FOR COMMON PESTS
Please fill this in, and return this, even if you have not seen any pests.
There are common pests which can be controlled, if the problem is reported.
Have you seen any of the following in the Building?

YOUR FLAT NUMBER:                                DATE:
please leave this with the caretaker/conciege/estate manager/flat number__
(adjust for your own building and add address of building)

..........................
PEST

----------------
DATE
SIGHTED
(roughly)

----------------------
SEEN
IN
CORRIDOR?
(list closest flats)

  -----...------
SEEN
IN
FLAT?
(flat #)

.......................................................
HISTORY OF PROBLEM
have you seen this before?
(and if so,  when and where)


cockroach

 . . . .


clothes moth

 . . . .


pigeons

 . . . .


mouse

 . . . .


rat

 . . . .


silverfish

 . . . .


pharaoh ants

 . . . .


wasps

 . . . .


any
funny
bugs?

 . . . .


other
(please add)

 . . . .


OTHER
COMMENTS

.

Cockroach_2008


This is a cockroach (much enlarged)
It is as long as your thumb's fingernail
13mm (half an inch).