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2023 Roadside Cleanup - Checklist on Day of Cleanup

A supervisor must complete this form on the day your group is picking up litter.

Group Name

Please List All Participants including First and Last Names

Before beginning work, put signs up at each end of the road you will be cleaning.

Yes

Get together at the pre-arranged meeting place before starting the cleanup. Review safety checklist, safe cleanup procedures, and shuttle vehicle safety.

Yes

Make sure the first-aid person has brought the first-aid kit and that everyone knows who the first-aid person is. (NOTE: It is recommended that the first-aid person operates a shuttle vehicle.)

Yes

Name of First Aid Person

Establish work crews and assign locations. With the appropriate crews, review specific procedures for crossing bridges, railway tracks, etc.

Yes

Remind shuttle operator and supervisors to check that the safe cleanup and safe shuttle vehicle procedures are followed.

Yes

Remind child participants that they must follow their supervisor's instructions at all times.

Yes

Hand out garbage bags, safety vests, and gloves.

Yes

Adjust work crews, locations, and activities as needed during the day.

Yes

After the cleanup is complete, all participants are to report to a pre-arranged meeting place and return any incident reports (if there are any), safety vests, signs, unused garbage bags, and unused gloves.

Yes

Incident reports (if there are any), safety vests, signs, unused garbage bags, and unused gloves must be returned to the Clairmont Centre for Recycling and Waste Management between 8 am and 6 pm, Monday to Saturday.

Most of all, have fun! Don't forget to take photographs during the day for the County to use in their newsletter!

Name of supervisor who completed this checklist

Signature of supervisor who completed this checklist

Clear

Protection of Privacy - Personal information is collected in accordance with Section 33(c) of the Alberta Freedom of Information and Protection of Privacy Act (the FOIP Act) and will be protected under Part 2 of that Act. It will be used for the purposes of administering the program or service for which the information is collected. Should you require further information about collection, use and disclosure of personal information, please contact the FOIP Coordinator at foip@countygp.ab.ca or call 780-532-9722.