Country
Level 1
Spray Operator Morning
Mobilization
Date of Inspection :
Country:
Level 1:
Level 2:
Level 3:
Level 4:
GPS Coordinates
Lat:
Long:
Number of operators:
Number of days of operation at this site:
Name(s) of Inspector(s):
Respons
Question
Morning Mobilization
1 Are you conducting this inspection at Yes
the beginning of the spray day? No
2 Have the spray operators eaten Yes
breakfast and had plenty of water to No
drink prior to donning PPE?
3 Are SOP in full PPE before boarding Checkbox
truck? (Helmet, Face shield, overalls,
boots, gloves, mask, neck protection,
flashlight, None of the above)
4 Are any spray operators eating or Yes
drinking after donning PPE? No
5 Do the Team Leaders do a casual Yes
physical inspection of SOP, i.e., look No
out for any obvious breathing
problems, fatigue, weakness, alcohol
intoxication, etc.?
6 Do operators fill spray pumps using Yes
the contents of drums 1, 3, and 5 and No
7 from the previous day's progressive
rinse?
7 Are barrels 1, 3, 5 and 7 empty when Yes
Spray Operators depart for the field? No
8 Additional Comments
Transportation Vehicle Inspection (TVI)
Clear or update flagged
Level 2
dropdowns with proper
Level 3
values.
Level 4
Date/Time
Vehicle Make:
Vehicle Model:
License Plate Number:
Follow Up Follow up
e Question Response ECO Action Work List
If "no", "Advise all spray If "no", "Problem reported:
operators to eat breakfast Spray operator(s) not properly
and drink plenty of water fed or hydrated prior to donning
before donning PPE." PPE."
If "no", "Advise all spray If "no", "Problem reported:
operators to be in full PPE Spray operator(s) not wearing
before boarding truck." ___list unchecked boxes___
before boarding transport."
If "yes", "Advise spray If "no", "Problem reported:
operators not to eat after Spray operator(s) eating or
donning PPE. Make note of drinking after donning PPE."
spray team and suggest
retraining."
If "no", "Ask the Team If "no", "Problem reported:
Leaders do a casual Team Leaders not conducting
physical inspection of SOP casual physical inspection of
to look for signs of any SOP in the morning."
obvious breathing
problems, fatigue,
weakness, alcohol
intoxication, etc."
IF "no", "Ask spray team If "no", "Problem reported:
supervisor to demonstrate Spray operator(s) not using
correct procedure for filling insecticide left over from
up spray pumps for spray previous day."
operations."
IF "no", "Ask spray team If "no", "Problem reported: Not
supervisor to demonstrate all pesticide and contaminated
correct procedure for filling rinse water used up to fill SOP'
up spray pumps for spray tanks."
operations."
 9 Was this vehicle inspected and Yes If "yes", "Is If "no", "Perform full Pre- If "no", "Problem noted: Vehicle
approved by ECO or authorized AIRS No the AIRS- contract vehicle inspection. was not inspected prior to
representative before contract issued Contact Logistics and notify contract."
signing? certificate in of vehicle substitution, and
the of inspection results."
vehicle?"
10 Is a special license or certificate Yes
needed for driver or vehicle No
transporting hazardous goods or
numerous people?
If "yes", Yes If $F$33 is no, 'Contact If $F$33 is no, 'Problem noted:
"Does the No operations coordinator Vehicle does not have required
driver immediately and advise of license or certificate.'
and/or violation.'
vehicle have
the needed
certification
(driver’s
license,
etc.) for
transporting
hazardous
goods or
numerous
If $F$33 is
____/_____/_
yes, 'Date of
____
expiration:'
11 Has the driver attended safety Yes If "No", "Provide safety If "No", "Problem noted:
training? No training for driver" Provide safety training for
driver."
If "Yes" or
____/_____/_
"No", "Date
____
of training:"
12 Other than the pesticide sachets or Yes If yes, "Notify driver and site
If "yes", "Problem noted:
bottles for the day's use, are any No supervisor of violation. Separate transportation
pesticides transported in the same Supervise correction of the needed for operators and
vehicle with the operators? problem." pesticides other than the day's
supply."
13 Are food products, animal feed, or Yes If "yes", immediately If "yes", "Problem noted: Mixed
consumer goods transported in the No remove all food products, goods transportation violation,
same truck as pesticides? animal feed, and consumer suggest re-training."
goods from all trucks
transporting pesticide.
Instruct driver and logistics
personnel about prohibition.

14 Is there 1. a spill kit (sand, shovel, Checkbox If "no", "Provide (List If "no", "Problem noted:
bucket), and 2. unchecked items) for the Missing (List unchecked items)
spill/emergency/accident response vehicle." for the vehicle."
procedures in the vehicle?

If "no", If no, "Call main stores to If "no", "Confirm delivery date

15 Is there a fully-stocked first aid kit
(eye wash, Band-Aids, gauze,
antibiotic cream, hydrocortisone
cream/calamine, aspirin) in the
vehicle?
"Date of ____/_____/_____
determine delivery status of for (List missing items)."
delivery:" missing item(s)."
Checkbox If "no", "Provide missing If "no", "Problem noted:
items (list missing items) for Missing (list missing items) for
first aid kit for the vehicle." first aid kit for the vehicle."
If "no", If "no", "Confirm delivery date
"Date for for (list missing items) for first
delivery of ____/____/____ aid kit."
missing first
aid kit items:
16 Do drivers have a cell telephone and
appropriate PPE (boots, gloves, and
filter mask) in case of a spill or
accident?
17 If this vehicle transports pesticide,
can the pesticides be adequately
secured and tied down in the
vehicle?
18 Does the vehicle have a fire
extinguisher?
19 If this vehicle transports operators,
does the spray operator transport
vehicle have seats and railings?
20 Are the operators properly seated in
the transport vehicle with the pump
secured between their legs?
21 Is the vehicle overcrowded?
Yes If "no", "Instruct driver to get If "no", "Problem noted: Drivers
No PPE from stores." do not have cell telephone
and/or appropriate PPE."
N/A If "no", "Provide materials If "no", "Problem noted: Need
Yes for securing and tying down to provide materials for
No pesticides in the vehicle" securing and tying down
pesticides in the vehicle"
Yes If "no", "Instruct the driver to If "no", "Problem reported:
No get a fire extinguisher from Pesticide transport vehicle
stores." must always carry a fire
extinguisher."
N/A If "no", "Arrange for vehicle If "no", "Problem noted: Spray
Yes to be fitted with seats and operator transport vehicle must
No railings ASAP" be configured with seats and
railings"
If "no", If "no", "Confirm date for
"Date transport vehicle to be
vehicle will ____/____/____ modified."
be fitted
with seats
Yes If "no", "Instruct the spray If "no", "Problem reported:
No operators to be seated with Spray operators must be
the pump secured between properly seated with the pump
their legs." secured between their legs in
the transport vehicle."
Yes If "yes", "Find alternate If "yes", "Problem noted: Need
No transportation for some to provide additional vehicle for
operators." Dimagi: program spray operators."
phone to ask for picture.

If "yes",
"Take a
picture of
the
22 Is there evidence of pesticide Yes If "yes", Instruct driver to If "yes", "Problem noted:
leakage in the trucks? No decontaminate the vehicle Evidence of pesticide leakage
before next use" in vehicle."
23 Have there been any incidents of Yes
pesticide exposure? No
If "yes", Yes If $D$52 is yes, and $F$53 If $D$52 is yes, and $F$53 is
"Has an No is no, 'Get as much no, 'Problem noted: Pesticide
incident information as possible and exposure incident reported.
report form ensure that an accident Follow-up to ensure that an
been filed?" form is filed immediately.' incident report form is
completed and sent to COP,
ECO, Operations Manager,
Technical Coordinator and
ECM immediately.'

24 Have there been any vehicular Yes

accidents? No
If "yes", Yes If $D$54 is yes, and $F$55 If $D$54 is yes, and $F$55 is
"Has an No is no, 'Get as much no, 'Problem noted: Vehicle
incident information as possible and accident reported. Follow-up to
report form ensure that an accident ensure that an incident report
been filed?" form is filed immediately.' form is completed and sent to
COP, ECO, Operations
Manager, Technical
Coordinator and ECM
immediately.'
If $D$54 or
$F$55 is ____/_____/_
yes, 'Date of ____
incident:'