Chemical Spray Record Example
Example document for Chemical Spray Record. Use this as a reference when creating your own.
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Document: Chemical Spray Record
Example Document
Last updated 7/30/2026
Chemical Spray Record
Business Name: Green Valley Landscaping Pty Ltd ABN: 12 345 678 901 Location Address: 45 Sunny Lane, Bacchus Marsh VIC 3340
| Date of Application | Operator Name | Product / Trade Name | Active Constituent | Batch Number | Rate of Application | Area Sprayed / Crop | Target Pest / Weed | Wind Speed & Direction | Temperature | Weather Conditions | Re-entry Interval (REI) | PPE Used | Remarks / Signature |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 15/10/2023 | J. Smith | Roundup Biactive | 360 g/L Glyphosate | RU998821 | 1.5 L / Ha | Northern Paddock | Annual Ryegrass | 10 km/h NW | 22°C | Clear | 4 Hours | Coveralls, Gloves, Goggles | Sprayed early morning. J. Smith |
| 18/10/2023 | M. Jones | Kocide DF | 300 g/L Copper Hydroxide | COP7712 | 3 kg / Ha | Vineyard Block 3 | Downy Mildew | 5 km/h S | 18°C | Overcast | 24 Hours | Coveralls, Mask, Gloves | No bees observed. M. Jones |
Declaration: I declare that the information recorded above is true and correct and that the application was made in accordance with the label instructions and relevant safety data sheets.
Supervisor Signature: A. Manager Date: 20/10/2023
Notes
This example shows a completed record for a landscaping business. Note the specific inclusion of the batch number for each chemical. The operator has recorded the wind speed to prove they were spraying in safe conditions. The PPE used lists the specific gear required by the product label. The remarks section notes environmental observations such as the absence of bees, which is a best practice for environmental protection.
About this Example
Part of the Chemical Spray Record document collection
Document Type
Chemical Spray Record
A logbook used to track the application of agricultural and veterinary chemicals for workplace health and safety compliance.