Litter Picking Project: Form

1. Your location

To help us understand where you are litter picking, please provide a brief description in the box below. ( a What3Words description can also be used).

If you are litter picking in multiple locations, please complete a separate form for each area you pick.

2. Date and start time

	DD/MM/YYYY

3. What litter did you find?
Please record how many of the following items you found.

	1-2	3-4	5-6	7-8	9-10	10+
Bottle (plastic)	Bottle (plastic) 1-2	Bottle (plastic) 3-4	Bottle (plastic) 5-6	Bottle (plastic) 7-8	Bottle (plastic) 9-10	Bottle (plastic) 10+
Bottle (glass)	Bottle (glass) 1-2	Bottle (glass) 3-4	Bottle (glass) 5-6	Bottle (glass) 7-8	Bottle (glass) 9-10	Bottle (glass) 10+
Can	Can 1-2	Can 3-4	Can 5-6	Can 7-8	Can 9-10	Can 10+
Cigarette butt	Cigarette butt 1-2	Cigarette butt 3-4	Cigarette butt 5-6	Cigarette butt 7-8	Cigarette butt 9-10	Cigarette butt 10+
Crisp packet	Crisp packet 1-2	Crisp packet 3-4	Crisp packet 5-6	Crisp packet 7-8	Crisp packet 9-10	Crisp packet 10+
Disposable coffee cup	Disposable coffee cup 1-2	Disposable coffee cup 3-4	Disposable coffee cup 5-6	Disposable coffee cup 7-8	Disposable coffee cup 9-10	Disposable coffee cup 10+
Drink container	Drink container 1-2	Drink container 3-4	Drink container 5-6	Drink container 7-8	Drink container 9-10	Drink container 10+
Face mask	Face mask 1-2	Face mask 3-4	Face mask 5-6	Face mask 7-8	Face mask 9-10	Face mask 10+
Fast food packaging	Fast food packaging 1-2	Fast food packaging 3-4	Fast food packaging 5-6	Fast food packaging 7-8	Fast food packaging 9-10	Fast food packaging 10+
Gloves	Gloves 1-2	Gloves 3-4	Gloves 5-6	Gloves 7-8	Gloves 9-10	Gloves 10+
Tissues	Tissues 1-2	Tissues 3-4	Tissues 5-6	Tissues 7-8	Tissues 9-10	Tissues 10+
Wet wipes	Wet wipes 1-2	Wet wipes 3-4	Wet wipes 5-6	Wet wipes 7-8	Wet wipes 9-10	Wet wipes 10+

Other (please list the items found alongside the quantity):

4. How many items of food waste did you find?

Please specify the items of food waste you found below:

5. How many litter bins did you see whilst litter picking?

6. Finish time

	HH	MM