Gavin Smith

Central Route Litter Picking

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Use this Template

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Title Page

Station
Conducted on
Prepared by
Week Number
Possession Type ie T3 / Line Block
Possession Number
Worksite Number
Item Number
Staff Names
Safe system of work number:

Site information

Lines at site
Was any Sharps found

Photos from site

Photo 1 Station Sign
Photo 2 Before Photo
Photo 3 After Photo
Photo 4 Rubbish collected

All work completed

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Gavin Smith

Central Route Litter Picking

Use this Template

Print as PDF

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.