Pesticides (Pest Control Operator) Rules 2004, PU(A) 70

PESTICIDES (PEST CONTROL OPERATOR) RULES 2004 PU(A) 70/2004 1. Citation and commencement. (1) These rules may be cited as the Pesticides (Pest Control Operator) Rules 2004. (2) These Rules come into operation on a date to be appointed by the Minister by notification in the Gazette, and the Minister may appoint different dates for the coming into operation of these Rules, or of different provisions of these Rules, in different parts of Malaysia. 2. Interpretation. In these Rules, unless the context otherwise requires— "under the supervision of" , in relation to pest control operations carried out by a licensed assistant pesticide applicator, means acting under the instruction and control of a licensed pesticide applicator who is available if and when needed, even though the licensed pesticide applicator is not physically present at the time and place the pest control operations are carried out; "property" means all land and water areas, including the air space over such areas, and all plants, animals, structures, buildings, contrivances and machinery, whether fixed or mobile, appurtenant to or situated on such areas; "termite and other wood destroying organisms control" means the control of termites or other wood destroying organisms using pesticides; "general house pest control" means the control of pests in houses using pesticides, but does not include fumigation controlled under the Hydrogen Cyanide (Fumigation) Act 1953 [Act 260], and the control of termites and other wood destroying organisms; "control of pests affecting public health" means the control of pests that affect public health in public places using pesticides, but does not include fumigation controlled under the Hydrogen Cyanide (Fumigation) Act 1953; "general public weed control" means the control of weeds in public places using pesticides; "house pests" means pests, other than wood destroying organisms, which infest or attack houses, and includes but is not limited to rodents, vermins and insects; "licensed pesticide applicator" means a person who is licensed by the Board to carry out, or supervise, whether personally or otherwise, the carrying out of, pest control operations on the property of another person; "licensed assistant pesticide applicator" means a person who is licensed by the Board to carry out pest control operations under the supervision, or personal supervision, of a licensed pesticide applicator; http://www.cljlaw.com/membersentry/LegTermDefinationfromsection.Asp?Word=under+the+supervision+of http://www.cljlaw.com/membersentry/LegTermDefinationfromsection.Asp?Word=property http://www.cljlaw.com/membersentry/LegTermDefinationfromsection.Asp?Word=termite+and+other+wood+destroying+organisms+control http://www.cljlaw.com/membersentry/LegTermDefinationfromsection.Asp?Word=general+house+pest+control http://www.cljlaw.com/membersentry/LegTermDefinationfromsection.Asp?Word=control+of+pests+affecting+public+health http://www.cljlaw.com/membersentry/LegTermDefinationfromsection.Asp?Word=general+public+weed+control http://www.cljlaw.com/membersentry/LegTermDefinationfromsection.Asp?Word=house+pests http://www.cljlaw.com/membersentry/LegTermDefinationfromsection.Asp?Word=licensed+pesticide+applicator http://www.cljlaw.com/membersentry/LegTermDefinationfromsection.Asp?Word=licensed+assistant+pesticide+applicator "fumigation" means the use of a fumigant within an enclosed space, or in or under a structure or tarpaulin; "licensed pest control operator" means a person who is licensed by the Board and who owns, operates or manages a pest control operating company or business that is engaged in carrying out pest control operations on the property of another person for hire; "pest control operations" means general house pest control, termite and other wood destroying organisms control, general public weed control or control of pests affecting public health; "personal supervision" , in relation to pest control operations carried out by a licensed assistant pesticide applicator, means acting under the instruction and control of a licensed pesticide applicator who shall be physically present at the time and place the pest control operations are carried out; "house" means any building or structure and its contents which are used by man for any purpose, and includes warehouses, hotels, residential premises, restaurants and farm houses; "public place" means any place that is accessible to the public; "minor pest control jobs" means general house pest control in private residential premises or general public weed control carried out by a licensed pesticide applicator, or a licensed assistant pesticide applicator under the supervision of a licensed pesticide applicator; "major pest control jobs" means termite and other wood destroying organisms control, general house pest control in commercial premises or control of pests affecting public health carried out by a licensed pesticide applicator, or a licensed assistant pesticide applicator under the personal supervision of a licensed pesticide applicator. 3. Pest control. (1) A person who carries out— (a) general house pest control; (b) termite and other wood destroying organisms control; (c) general public weed control; or (d) control of pests affecting public health, on the property of another person for hire shall possess a licence issued by the Board. (2) All pest control operations stated in subrule (1) shall be carried out by using only pesticides registered by the Board. 4. Licence. (1) The Board may issue— http://www.cljlaw.com/membersentry/LegTermDefinationfromsection.Asp?Word=fumigation http://www.cljlaw.com/membersentry/LegTermDefinationfromsection.Asp?Word=licensed+pest+control+operator http://www.cljlaw.com/membersentry/LegTermDefinationfromsection.Asp?Word=pest+control+operations http://www.cljlaw.com/membersentry/LegTermDefinationfromsection.Asp?Word=personal+supervision http://www.cljlaw.com/membersentry/LegTermDefinationfromsection.Asp?Word=house http://www.cljlaw.com/membersentry/LegTermDefinationfromsection.Asp?Word=public+place http://www.cljlaw.com/membersentry/LegTermDefinationfromsection.Asp?Word=minor+pest+control+jobs http://www.cljlaw.com/membersentry/LegTermDefinationfromsection.Asp?Word=major+pest+control+jobs (a) a pest control operator licence; (b) a pesticide applicator licence; or (c) an assistant pesticide applicator licence, on receipt of an application made under rule 6, 7 or 8, respectively, and on payment of the prescribed application fee. (2) A person who intends to apply for the licence in paragraph (1)(b) or (c) shall fulfill the requirements as specified in rule 5. (3) Notwithstanding subrule (1), the Board may issue a licence, other than the licences stipulated in subrule (1), and such licence shall, where necessary, be subject to such requirements as may be determined by the Board. 5. Examination. (1) The Board shall conduct at least once a year— (a) a pesticide applicator examination for any person who intends to apply for a pesticide applicator licence; or (b) an assistant pesticide applicator examination for any person who intends to apply for an assistant pesticide applicator licence. (2) A person who applies to sit for a pesticide applicator examination shall— (a) have at least completed Form Five or its equivalent; or (b) have at least three years working experience as a licensed assistant pesticide applicator in a pest control operating company or business. (3) A person who applies to sit for an assistant pesticide applicator examination shall— (a) possess at least a pass in Standard Six; or (b) have at least two years working experience as a worker engaged in pesticide application in a pest control operating company or business. (4) A person who applies to sit for a pesticide applicator examination or an assistant pesticide applicator examination shall submit to the Board his application in Form A1 or Form A2, respectively, and accompanied with the prescribed examination fee. (5) A pass in the examination specified in subrule (2) or (3) shall be a prerequisite for the application of a licence under rule 7 or 8, respectively. 6. Pest Control Operator Licence. (1) A person who intends to own, operate or manage a pest control operating company or business that is engaged in carrying out pest control operations on the property of another person for hire, shall apply for a pest control operator licence. (2) An application for a pest control operator licence shall be made in writing to the Board in Form B, and accompanied with the prescribed application fee. (3) The pest control operator licence shall be as in Form C. (4) Where the Board refuses to issue a pest control operator licence to the applicant, the Board shall inform the applicant in writing of the reasons for the refusal. 7. Pesticide Applicator Licence. (1) A person who intends to carry out pest control operations, or supervise, whether personally or otherwise, the carrying out of pest control operations by a licensed assistant pesticide applicator, shall apply for a pesticide applicator licence. (2) An application for a pesticide applicator licence shall be made in writing to the Board in Form D, and accompanied with the prescribed application fee. (3) The pesticide applicator licence shall be as in Form E. (4) Where the Board refuses to issue a pesticide applicator licence to the applicant, the Board shall inform the applicant in writing of the reasons for the refusal. 8. Assistant Pesticide Applicator Licence. (1) A person who intends to carry out— (a) major pest control jobs under the personal supervision; or (b) minor pest control jobs under the supervision, of a licensed pesticide applicator, shall apply for an assistant pesticide applicator licence. (2) An application for an assistant pesticide applicator licence shall be made in writing to the Board in Form F, and accompanied with the prescribed application fee. (3) The assistant pesticide applicator licence shall be as in Form G. (4) Where the Board refuses to issue an assistant pesticide applicator licence to the applicant, the Board shall inform the applicant in writing of the reasons for the refusal. 9. Exemption. (1) The provisions in rules 6, 7 and 8 do not apply to— (a) a person who— (i) owns, operates or manages a company or business whose principal or regular activity does not involve the carrying out of pest control operations on the property of another person for hire; and (ii) does not publicly hold himself out as a pest control operator; or (b) a person who carries out pest control operations on his private property that is solely used for non commercial purposes. (2) Notwithstanding paragraph (1)(b), a contractor or developer who carries out pest control operations at a construction site being worked on or developed by him shall be subject to these Rules. 10. Renewal of licence. (1) An application for the renewal of a licence shall be made to the Board on or within the period of three months before the date of expiry of the licence, in Form B, D or F and accompanied with the prescribed renewal fee. (2) Where an application for the renewal of a licence is made after the period as stipulated in subrule (1), the applicant shall make an application in Form B, D or F and accompanied with the prescribed renewal fee and a penalty of fifty per cent of the prescribed renewal fee. (3) The Board may, upon the renewal of the licence, impose such conditions as it deems necessary. 11. Replacement of licence. Where a licence is lost or damaged, or there is a change in the name of the pest control operating company or business or its address, the applicant shall apply for a replacement of the licence in the form as determined by the Board and accompanied with the fee of twenty ringgit. 12. Warning or, suspension or cancellation of licence. (1) The Board may issue a written warning to a licensed pest control operator, licensed pesticide applicator or licensed assistant pesticide applicator, or suspend or cancel the licence issued to such person, if the Board is satisfied that such person— (a) makes false or fraudulent claims, through any media, misrepresenting the effect of a pesticide or methods to be utilized in the application of a pesticide; (b) recommends the use of, or uses a pesticide that is not registered by the Board for pest control operations, or uses or supervises the use of any registered pesticide in a manner inconsistent with or in violation of its approved use as stipulated in its label; (c) fails to maintain any equipment or machinery used in the application of pesticides, or knowingly operates such equipment or machinery that is faulty or unsafe; (d) carries out pest control operations in a careless or negligent manner; (e) refuses or neglects to keep and maintain the records as required by these Rules, or to make reports when and as required by these Rules; (f) makes false or fraudulent invoices or reports; (g) being a licensed assistant pesticide applicator, carries out pest control operations on the property of another person for hire without the supervision, or personal supervision of a licensed pesticide applicator; (h) uses fraud or misrepresentation when making an application for a licence or its renewal; (i) refuses or neglects to comply with any conditions as stipulated in the licence; (j) aids or abets, or conspires with a person licensed under these Rules, or any other person to evade the provisions of these Rules; (k) allows his licence to be used by another person; (l) makes false or misleading statements during or after an inspection concerning any infestation or infection by a pest; or (m) induces any person to hire him to carry out pest control operations by impersonating as an officer in the service of the Government or any local authority, or by any other misrepresentation. (2) Before issuing a written warning, or suspending or cancelling a licence under subrule (1), the Board shall give the licensed pest control operator, licensed pesticide applicator or licensed assistant pesticide applicator a notice in writing of the Board’s intention to do so and require such person to show cause as to why such action should not be taken against him. 13. Appeal. Any person who is dissatisfied with the refusal of the Board to issue or renew a licence may appeal to the Minister whose decision shall be final. 14. Obligations of licensed pest control operator. (1) A licensed pest control operator shall provide and ensure that appropriate personal protective clothing and equipment are worn and used in all pest control operations carried out by a licensed pesticide applicator and a licensed assistant pesticide applicator. (2) A licensed pest control operator shall provide all his workers involved in pest control operations, including licensed pesticide applicators and licensed assistant pesticide applicators, with facilities for medical examinations at least once a year, where the record of such examinations shall be kept for five years and shall be made available for inspection by the Board, when required. (3) Upon the completion of pest control operations on the property of a person— (a) the licensed pesticide applicator or licensed assistant pesticide applicator shall promptly furnish that person with a written report regarding the pest control operations as in Form H; and (b) a record of the written report in Form H shall be kept by the licensed pest control operator for a period of two years from the date of completion of the pest control operations to which the report refers, and shall be made available for inspection by the Board, when required. (4) An accident or incident involving pesticides in the course of a pest control operation shall be reported to the Board by the licensed pest control operator in Form I within seven days from the date of occurrence of the accident or incident. 15. Transportation, storage or disposal of pesticides or pesticide containers. No person shall transport, store or dispose of any pesticide or pesticide containers in such a manner as to cause injury to humans, beneficial vegetation, crops, livestock, wildlife or beneficial insects, or to pollute the environment or any waterway in a way harmful to any wildlife in that environment or waterway, unless in accordance with the conditions as stipulated in the licence and the rules of other relevant Government agencies. 16. Programmes of instruction and training. The Board may, in collaboration with other relevant Government agencies or organizations, organize and conduct programmes of instruction and training in areas of knowledge required for licensed pest control operators, licensed pesticide applicators or licensed assistant pesticide applicators, and where appropriate and feasible, may draw upon the resources and expertise of other institutions and the private sector. 17. Enforcement. (1) An authorized officer may, at all reasonable times, enter, inspect and investigate the premises of a licensed pest control operator, or any public or private property upon which pest control operations are carried out— (a) to observe, inspect or investigate the use and application of pesticides; (b) to inspect any equipment or machinery used in pest control operations; (c) to inspect and obtain samples from the property, actually or reportedly, exposed to pesticides; (d) to inspect storage or disposal areas of any pesticides; (e) to inspect or investigate complaints of injury to humans or damage to any property resulting from the application of pesticides; (f) to obtain samples of pesticides being applied or to be applied; or (g) to search, seize and remove— (i) pesticides and any other substances deemed unfit for use as a pesticide; or (ii) any equipment, records, reports, invoices and other documents relating to pest control operations. 18. Penalty. Without prejudice to rule 12, a person who contravenes any of the conditions as stipulated in the licence or any of the provisions of these Rules commits an offence and is liable, on a first conviction to imprisonment for six months or to a fine of one thousand ringgit, and on a second or subsequent conviction, to imprisonment for one year or to a fine of two thousand ringgit or to both. 19. Savings and transitional. (1) A pest control operator, pesticide applicator or assistant pesticide applicator who has been carrying out pest control operations before the date of coming into operation of these Rules shall, not later than one year after the date of coming into operation of these Rules, obtain a licence under these Rules. (2) Where a pest control operator, pesticide applicator or assistant pesticide applicator referred to in subrule (1) fails to obtain a licence after the period prescribed in subrule (1), he shall be deemed to be an unlicensed pest control operator, unlicensed pesticide applicator or unlicensed assistant pesticide applicator and the provisions of these Rules shall apply to him accordingly. SCHEDULE FORMS PESTICIDES ACT 1974 PESTICIDES (PEST CONTROL OPERATOR) RULES 2004 Form A1 [Subrule 5(4)] APPLICATION FOR PESTICIDE APPLICATOR EXAMINATION (This application shall be submitted to the Secretary, Pesticides Board) (Two copies to be completed) 1. Name of applicant: …………………………………….................................................................. 2. NRIC No.: ……………………………..... 3. Sex: ............................................................ 4. Address: .................................................................................................................................. .................................................................................................................................. 5. Postcode: ………………………………... 6. State: ........................................................... 7. Tel. No.: ………………………………..... 8. Fax. No.: .................................................... 9. Details of employer: (1) Name: …………………………………................................................................................ (2) Address: ……………………………….................................................................................. (3) Postcode: ……………………......... (4) State: ………………………………............. (5) Tel. No.: ………………………...... (6) Fax. No.: ………………………….............. I forward: • *a certified true copy of **my secondary school leaving certificate or its equivalent/ an original letter from the pest control operating *company/ business where I had worked as a licensed assistant pesticide applicator; (** certified by the relevant School Head/Department of Education officials) • two recent passport size photographs of myself; and • *an account payee bank draft/ money order/ postal order No. ………………. made payable to the Ketua Pengarah Pertanian, Semenanjung Malaysia for the amount of RM150.00, being the examination fee. I declare that all the information given in this application is true and correct. ………………..............…………………………. (Signature of applicant) Name: …………………………………..........….. Date: …………………………………............….. * Delete whichever is not applicable. PESTICIDES ACT 1974 PESTICIDES (PEST CONTROL OPERATOR) RULES 2004 Form A2 [Subrule 5(4)] APPLICATION FOR ASSISTANT PESTICIDE APPLICATOR EXAMINATION (This application shall be submitted to the Secretary, Pesticides Board) (Two copies to be completed) 1. Name of applicant: .............................................……………………………………...........… 2. NRIC No.: ...................………………...... 3. Sex: .........................…….......................… 4. Address: …………………………………………………………………………………………... ................................................................................................................................. 5. Postcode: ...................……………........… 6. State: ............................................................ 7. Tel. No.: ...................……………............ 8. Fax. No.: .................................................. 9. Details of employer: (1) Name: …………………………………….…………………………………………………. (2) Address: ......................................................................………………………….............. (3) Postcode: ...................………….... (4) State: .......................................................... (5) Tel. No.: ...................…………….. (6) Fax. No.: ..................................................... I forward: • *a certified true copy of my primary school certificate or its equivalent/ an original letter from the pest control operating *company/business where I had worked as a worker engaged in pesticide application; and • *an account payee bank draft/ money order/postal order No. ......................... made payable to the Ketua Pengarah Pertanian, Semenanjung Malaysia for the amount of RM100.00, being the examination fee. I declare that all the information given in this application is true and correct. ………………..............…………………………. (Signature of applicant) Name: …………………………………..........….. Date: …………………………………............….. * Delete whichever is not applicable. PESTICIDES ACT 1974 PESTICIDES (PEST CONTROL OPERATOR) RULES 2004 Form B [Subrules 6(2), 10(1) and 10(2)] APPLICATION FOR *PEST CONTROL OPERATOR LICENCE/ RENEWAL OF PEST CONTROL OPERATOR LICENCE (A Pest Control Operator Licence is valid for one premise only) (This application shall be submitted to the Secretary, Pesticides Board) (Two copies to be completed) Application for: (Please [√ ] as appropriate) (a) New licence : □ (b) Renew licence : □ (i) Existing licence number: ............................................................................ (ii) Validity period of licence: From ............................... to ……………........... 1. Name of applicant: ................................................................................................................. 2. Name of *company/business: ............................................................................................... 3. Address of *company/business where business relating to pest control operations *is to be/ is conducted: ................................................................................................................................................ ................................................................................................................................................ 4. Postcode: ...................……………........… 5. State: ............................................................ 6. Tel. No.: ...................……………............ 7. Fax. No.: .................................................. 8. Licensed pesticide applicators under the employment of the *company/ business: (Use additional sheet if space provided is insufficient) Name Pesticide Applicator Licence No. Validity Period of Licence Age 9. Licensed assistant pesticide applicators under the employment of the *company/ business: (Use additional sheet if space provided is insufficient) 10. Address where pesticide is stored ........................................................................................... 11. Registration number of *company/business: ......................................................................... *I/ We forward: • *a certified copy of the Certificate of Incorporation issued by the Registrar of Companies/ Certificate of Registration issued by the Registrar of Businesses/ trading licence issued under the Trades Licensing Ordinance [Sabah Cap. 144]/trading licence issued under the Businesses, Professions and Trades Licensing Ordinance [Sarawak Cap. 33]; • *a copy of the Pesticide Sale and Storage for Sale Licence; and • *an account payee bank draft/ money order/postal order No. ……………………… made payable to the Ketua Pengarah Pertanian, Semenanjung Malaysia— □ for the amount of RM400.00 being the application fee for the licence □ for the amount of RM400.00 being the renewal fee for the licence, where the application for the renewal of the licence is made on or within the period of three months before the date of expiry of the licence □ for the amount of RM600.00 being the renewal fee for the licence and a penalty of 50% of the renewal fee, where the application for the renewal of the licence is made after the period stipulated above. (Please [√ ] as appropriate) *I/We declare that all the information given in this application is true and correct. ............................................................ (Signature of applicant) Name: ................................................................. NRIC No.: .......................................................... For and on behalf of: ............................................................ (State name of *company/ business) *Company seal/ Business stamp: Date: ……………………………..........… * Delete whichever is not applicable. PESTICIDES ACT 1974 PESTICIDES (PEST CONTROL OPERATOR) RULES 2004 Form C [Subrule 6(3)] PEST CONTROL OPERATOR LICENCE Licence No.: ................................. Licence is granted to .............................................................................................. to carry out general house pest control, termite and other wood destroying organisms control, general public weed control and control of pests affecting public health at................................................................... ................................................................................................................................................................... ................................................................................................................................................................... 2. Unless earlier cancelled or suspended, this licence is valid for a period of two years from the date of its issue. 3. This licence is not transferable and is issued subject to the following *conditions: (1) This licence shall be exhibited at all times at the premise specified in this licence. (2) No person shall conduct a pest control operating **company/ business other than at the premise specified in this licence. (3) The Board shall not issue a pest control operator licence until the applicant, or a pesticide applicator under his employment who carries out or supervises the carrying out of pest control operations on the property of another person for hire, is a licensed pesticide applicator. (4) The licensee shall apply to the Board in respect of any change in the address of the pest control operating **company/ business at least ten days prior to the change, accompanied with a copy of the Pesticide Sale and Storage for Sale Licence issued by the Pesticide Licensing Officer and, in the case of a pest control operating business, the business licence issued by the respective local authority for the new premise. (5) The licensee shall inform the Board in respect of any change in the licensed pesticide applicator under his employment within ten days of the change. (*The Board may, in addition to the above conditions, impose such other conditions as it deems necessary) ................................................... Secretary Pesticides Board Date of issue: ........................................... ** Delete whichever is not applicable. PESTICIDES ACT 1974 PESTICIDES (PEST CONTROL OPERATOR) RULES 2004 Form D [Subrules 7(2), 10(1) and 10(2)] APPLICATION FOR *PESTICIDE APPLICATOR LICENCE/ RENEWAL OF PESTICIDE APPLICATOR LICENCE (This application shall be submitted to the Secretary, Pesticides Board) (Two copies to be completed) Application for: (Please [ ] as appropriate) (a) New licence : □ (b) Renew licence : □ (i) Existing licence number : ................................................. (ii) Validity period of licence: From ......................... to .......................... 1. Name of applicant : .................................................................................................................... 2. NRIC No.: .................................................. 3. Sex: :.................................................................. 4. Address: .................................................................................................................................... .................................................................................................................................. 5. Age: ........................................................ 6. Postcode: ...................…………............. 7. State: ......................................................... 8. Tel. No.: ...................……………......... 9. Fax. No.: ................................................... 10. Details of employer: (1) Name: …………………………………….……………………………………………… (2) Address: ......................................................................………………………….............. (3) Postcode: ...................…………....(4) State: .......................................................... (5) Tel. No.: ...................…………… (6) Fax. No.: ..................................................... 11. Details of previous working experience: ........................................................................................ . ............................................................................................................................................... I forward: • a copy of the results of the pesticide applicator examination conducted by the Board; • two recent passport size photographs of myself; and • *an account payee bank draft/money order/postal order No. ................................. made payable to the Ketua Pengarah Pertanian, Semenanjung Malaysia— □ for the amount of RM150.00 being the application fee for the licence □ for the amount of RM150.00 being the renewal fee for the licence, where the application for the renewal of the licence is made on or within the period of three months before the date of expiry of the licence □ for the amount of RM225.00 being the renewal fee for the licence and a penalty of 50% of the renewal fee, where the application for the renewal of the licence is made after the period stipulated above. (Please [ ] as appropriate) I declare that all the information given in this application is true and correct. ...................................................................... (Signature of applicant) Name:: ........................................................ Date :............................................................ * Delete whichever is not applicable. PESTICIDES ACT 1974 PESTICIDES (PEST CONTROL OPERATOR) RULE 2004 Form E [Subrule 7(3)] PESTICIDE APPLICATOR LICENCE Licence No.: No.: f pest control operating *company/business ress: AFFIX PHOTO ure of Secretary, Pesticides Board) Validity period: .................................................. Date of issue: ..................................................... **Conditions: 1. This licence is granted to the licensee to carry out general house pest control, termite and other wood destroying organisms control, general public weed control and control of pests affecting public health. 2. Unless earlier cancelled or suspended, this licence is valid for a period of two years from the date of its issue. 3. This licence is not transferable. 4. This licence shall be worn by the licensee when he carries our pest control operations. 5. If this licence is lost, the licensee shall report the matter to the Board and apply for its replacement. 6. The Board may require the licensee who applies for a renewal of this licence to attend courses organized by the Board from time to time to ensure that the licensee continues to meet the requirements of changing technology and possesses a continued level of competence and ability in the safe and proper use of pesticides. (**The Board may, in addition to the above conditions, impose such other conditions as it deems necessary) * Delete whichever is not applicable. PESTICIDES ACT 1974 PESTICIDES (PEST CONTROL OPERATOR) RULES 2004 Form F [Subrules 8(2), 10(1) and 10(2)] APPLICATION FOR *ASSISTANT PESTICIDE APPLICATOR LICENCE/RENEWAL OFASSISTANT PESTICIDE APPLICATOR LICENCE (This application shall be submitted to the Secretary, Pesticides Board) (Two copies to be completed) Application for: (Please [ ] as appropriate) (a) New licence : □ (b) Renew licence : □ (i) Existing licence number : ....................................................................... (ii) Validity period of licence : From................................to ................................. 1. Name of applicant: .............................................................................................................. 2. NRIC No.:................................................ 3. Sex: .............................................................. 4. Address:............................................................................................................................... ................................................................................................................................ 5. Age: ................................... 6. Postcode: ................................................7. State: .............................................................. 8. Tel. No.: ................................................. 9. Fax. No.: ........................................................ 10. Details of employer: (1) Name: ...................................................................................................................................... (2) Address: .................................................................................................................................... (3) Postcode: ........................................... (4) State: .............................................................. (5) Tel. No.: ............................................ (6) Fax. No.: ........................................................ 11. Details of previous working experience: .............................................................................................. ................................................................................................................................................ I forward: • a copy of the results of the assistant pesticide applicator examination conducted by the Board; • two recent passport size photographs of myself; and • *an account payee bank draft/money order/postal order No.:......................... made payable to the Ketua Pengarah Pertanian, Semenanjung Malaysia— □ for the amount of RM75.00 being the application fee for the licence □ for the amount of RM75.00 being the renewal fee for the licence, where the application for the renewal of the licence is made on or within the period of three months before the date of expiry of the licence □ for the amount of RM112.50 being the renewal fee for the licence and a penalty of 50% of the renewal fee, where the application for the renewal of the licence is made after the period stipulated above. (Please [ ] as appropriate) I declare that all the information given in this application is true and correct. ........................................................ (Signature of applicant) Name: ............................................ Date: .............................................. * Delete whichever is not applicable. PESTICIDES ACT 1974 PESTICIDES (PEST CONTROL OPERATOR) RULES 2004 Form G [Subrule 8(3)] ASSISTANT PESTICIDE APPLICATOR LICENCE Licence No. :....................................... Name: NRIC No.: Name of pest control operating *company/business AFFIX and address: PHOTO (Signature of Secretary, Pesticides Board) Validity period: Date of issue: **Conditions: 1. This licence is granted to the licensee to carry out general house pest control, termite and other wood destroying organisms control, general public weed control and control of pests affecting public health. 2. Unless earlier cancelled or suspended, this licence is valid for a period of two years from the date of its issue. 3. This licence is not transferable. 4. This licence shall be worn by the licensee when he carries out pest control operations. 5. If this licence is lost, the licensee shall report the matter to the Board and apply for its replacement. 6. The Board may require the licensee who applies for a renewal of this licence to attend courses organized by the Board from time to time to ensure that the licensee continues to meet the requirements of changing technology and possesses a continued level of competence and ability in the safe and proper use of pesticides. (**The Board may, in addition to the above conditions, impose such other conditions as it deems necessary) * Delete whichever is not applicable. PESTICIDES ACT 1974 PESTICIDES (PEST CONTROL OPERATOR) RULES 2004 Form H [Subrule 14(3)] REPORT TO CUSTOMER (RECORD OF PESTICIDE APPLICATION) 1. Name of customer:.................................................................................................................. 2. Address where pesticide is used: ........................................................................................ 3. Type of premise: (Please [] as appropriate) • private residence □ • commercial □ • public area □ 4. Purpose of treatment: ............................................................................................................. 5. Date of application:................................................................................................................. 6. Site of application:.................................................................................................................. 7. Pesticide applied: Active ingredient Trade name Concentration of diluted solution applied (%) Method of application Total area treated Total quantity of diluted solution used (litre/kg.) Remarks: (For termite control, state the spacing of holes and also the number of holes drilled and the quantity of pesticide used per hole) 8. Precautionary statements contained on the pesticide label: ................................................... ................................................................................................................................................ 9. Name of person applying pesticide: ....................................................................................... 10. Name of licensed pesticide applicator, if different from (9): ................................................ ................................................................................................................................................ 11. Vehicle and mobile equipment: ............................................................................. ................ 12. Registration number of vehicle: .............................................................................................. I declare that the above information is true and correct. ............................................................................. (Signature of licensed pesticide applicator) Name: ................................................................. Pesticide Applicator Licence No.: ...................... Date: ................................................................... I acknowledge receipt of the above report. ............................................................................. (Signature of Customer) Name: ................................................................. Date: ................................................................... (The report shall be made on the letter head of the licensed pest control operating *company/ business and shall be given to the customer upon completion of the application of the pesticide.) * Delete whichever is not applicable. PESTICIDES ACT 1974 PESTICIDES (PEST CONTROL OPERATOR) RULES 2004 Form I [Subrule 14(4)] REPORT OF PESTICIDE * ACCIDENT/INCIDENT (This report shall be submitted to the Secretary, Pesticides Board within seven (7) days from the date of the *accident/incident) 1. Date of report: ....................................................................................................................................... 2. Location of *accident/incident: ............................................................................................................ 3. Information on pesticide involved in the *accident/incident: Trade name: .......................................................................................................................................... Active ingredient: ................................................................................................................................. Concentration: ...................................................................................................................................... 4. Report on the *accident/incident, where the details in the report should include the following: • description of what actually happened • statement whether any person, animal etc. was poisoned • description of the follow-up actions taken • medical assistance sought • name of hospital or clinic • statement of the actions taken, if the* accident/incident involved a spillage • name of licensed pesticide applicator/licensed assistant pesticide applicator involved in the *accident/incident • date and time of the *accident/incident • amount of pesticide involved in the *accident/incident. 5. Remarks: ................................................................. (Signature of person making the report) Name: ................................................................. Pest Control Operator Licence No: .................... *Company seal/Business stamp: Made 21 January 2004 TAN SRI DATO’ HAJI MUHYIDDIN BIN HAJI MOHD. YASSIN Minister of Agriculture