KABC Adopt-a-Spot clean up report
Email
*
Please enter your email and you will receive a copy of this clean up report.
Group number
Date of clean-up (start date)
-
Day
-
Month
Year
End date of clean-ups (if applicable)
-
Day
-
Month
Year
Name of coordinator
Name of group (if applicable)
Site name
Local government area
*
Number of participants - ADULTS
Number of participants - CHILDREN
Approximate number of minutes at the site
*
This number will be used to estimate total volunteer time at the site (if this report covers more than one clean up event, please do a total of time at all clean ups).
Were there any incidents or injuries to participants?
No
Yes
If yes, give details.
Number of orange litter bags filled
Did you separate rubbish from recyclable litter items?
Yes
No
How many of these bags were for rubbish only?
How many of these bags were for recyclable material only?
If you picked up cigarette butts, please estimate how many? (otherwise skip this question)
If you picked up used syringes, please record how many?(otherwise skip this question)
Did you pick up any of the following items? (please select for yes)
Aluminium cans
Glass bottles
Paper/cardboard
Plastic bottles
Other comments or unusual items found
Photo use permission
I give KABC WA permission to use these photos in online and print publishing
Photos
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