Pesticide Application Log Worksheet

Free pesticide application log worksheet (Excel): one row per application — date, site, product, EPA reg #, rate, area, weather, REI. Blank + sample. No signup.

Worksheet version
Preview

Switch the preview between an empty sheet and a sample-filled example. The download always includes the whole workbook — a Log (blank) tab, a Sample tab, and a Read me tab.

Download the Excel worksheet Blank + sample tabs · 14 columns · opens in Excel, Sheets, or LibreOffice

XLSX · 14 columns · blank + sample Filename pesticide-application-log-worksheet.xlsx · one workbook, three sheets (Log (blank) · Sample · Read me).

A preview of the downloadable sheet. The full log has ~32 blank rows per page — fill them in the Excel file or by hand on the printout.

Pesticide Application Log Worksheet One row per application
Blank
Business / operation name
Applicator name
Applicator license / certification #
Business address
Phone
Date & time of applicationProperty owner name & addressTreatment site (if different from owner)Pesticide brand (label) nameEPA registration #Rate of formulation (per unit area)Total amount usedPurpose of applicationTarget site / pestArea treatedArea unitWeather (temp / wind dir / wind speed)REI (restricted-entry interval)Notes

The downloaded sheet has ~32 blank rows per page; the Read me tab lists the federal record fields for reference.

Organizational worksheet only. Does NOT meet USDA AMS / 7 CFR 110 or state pesticide recordkeeping requirements. Keep your official records on your state's required form.

Print or save

Organizational worksheet only. Does NOT meet USDA AMS / 7 CFR 110 or state pesticide recordkeeping requirements. Keep your official records on your state's required form.

What this worksheet is (and isn't)

This is a blank record sheet, not a calculator. One row is one application: you fill in the date and time, who the work was for, the treatment site, the product brand and EPA registration number, the rate and total amount, the purpose and target pest, the area treated and its unit, and — optionally — the weather and the restricted-entry interval (REI). It computes nothing: no dose, no conversion, no totals, no in-range check. The EPA registration number and license number are free text — nothing is validated or looked up.

The column set mirrors a typical state pesticide application form (Property owner name & address · Treatment site if different from owner · Date & time of application · Pesticide brand (label) name · EPA registration # · Rate of formulation per unit area · Total amount used · Purpose of application · Target site / pest), with weather and REI columns added for operator convenience. The Area column is numeric and the Area unit is an in-cell dropdown (sq ft · acre · linear ft) — they stay independent cells, so nothing is auto-converted.

For reference, a federal restricted-use pesticide record (USDA AMS / 7 CFR 110) usually captures:

  • Brand name and EPA registration number of the pesticide applied
  • Total amount of the pesticide applied
  • Size of area treated
  • Crop, commodity, stored product, or site to which the pesticide was applied
  • Location of the application
  • Month, day, and year of the application
  • Name and certification (license) number of the certified applicator
  • (If applicable) the supervising certified applicator for an application made by a non-certified applicator
  • Keep records for 2 years from the date of the restricted-use application

That list is shown for reference only — this worksheet does not check your rows against it. Organizational worksheet only. Does NOT meet USDA AMS / 7 CFR 110 or state pesticide recordkeeping requirements. Keep your official records on your state's required form. Nothing is saved; there is no stored history, no roster, and no cross-session state — every value lives in the file you download or on the printout.

Sources

  1. Pesticide Application Record. Utah Dept. of Agriculture & Food. Retrieved .
  2. Pesticide Application Record Template. US Legal Forms. Retrieved .
  3. Free Pesticide & Spray Record Template (Sheets + Excel). FarmRaise. Retrieved .

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