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Your Details

Name(Required)

First Name Last Name

Your Email Address(Required)

Tel. Number(Required)

Address(Required)

Street Address Address Line 2 City ZIP / Postal Code

What3Words

Store Use/Description(Required)

Stores size. Tonnes H x W x L(Required)

Certification Status (tick all that apply)

ACCS

Organic Soil Association

Organic OF & G

UFAS

FEMAS

TASCC

Other

Crop Type(Required)

Site Details

Site Address (if different)

Street Address Address Line 2 City ZIP / Postal Code

Site Phone Number

Site Mobile Number

Site Fax Number

Site Contact Name

First Last

Site Contact Email

Store Cleaning & Fumigation

Do you require grain store cleaning this year?(Required)

Would you like your stores/bins fumigating?(Required)

Have we cleaned your stores in the past?(Required)

When were the stores last cleaned?

MM slash DD slash YYYY

When would be the earliest date we could clean your stores?(Required)

(Early access helps with work schedules and improves control of pests)

Pre Visit Questionnaire

Can Cleaning and Fumigation take place during normal working hours?(Required)

ie Mon- Fri 0800-1700

Yes

Comments

Are extended hours / weekend work permitted?(Required)

Yes

Comments

Will toilets and hand wash facilities be available?(Required)

Yes

Comments

Location Nearest Landline Phone(Required)

Is there any special site induction required?(Required)

(Silo access; Elevator pits etc)

Yes

Comments

Is there a risk of exposure to any chemical or biological hazard?(Required)

Yes

Comments

Is the level of noise on site likely to exceed 90 dB(A)?(Required)

Yes

Comments

Are there overhead power lines crossing the site?(Required)

If so please indicate voltage and location on separate site plan

Yes

Comments

Is water available for refilling fumigation tanks etc.?(Required)

(either fresh running water or minimum 100lt)

Yes

Comments

Are there suitable tested Single Phase 13amp 240v sockets available on site for power tool use?(Required)

(If No, please specify supply available). Please indicate location of main fuse board DATE OF LAST TEST

Contact

Get in touch

Want to Book your Grainstore Cleaning & Fumigation?

Your Details

Site Details

Store Cleaning & Fumigation

Pre Visit Questionnaire