Rise Form

    Are you a R.I.S.E member?*
    YesNo

    Location Name*
    Search

    Location Type*
    BeachesNon-recreational Coastal AreaInland ParksPublic Housing EstatesHawker CentresPlaygroundRetail Areas / Commercial AreasOthers
    Waste Size*

    Plastic Bags LargeModerateSmallNone
    Plastic bottles, containers & packaging LargeModerateSmallNone
    Other plastic objects (straws, cutlery, toys, pens, etc) LargeModerateSmallNone
    Cigarette butts LargeModerateSmallNone
    Paper tissue & small items (receipts, torn pieces, etc) LargeModerateSmallNone
    Paper containers & boxes LargeModerateSmallNone
    Flyers LargeModerateSmallNone
    Other paper (newspaper, magazines, envelopes, etc) LargeModerateSmallNone
    Styrofoam objects (boxes, plates) LargeModerateSmallNone
    Glass objects (bottles, cups, bulbs, etc) LargeModerateSmallNone
    Metal objects (cans, tongs, etc) LargeModerateSmallNone
    E-waste (mobile phones, screens, batteries, etc) LargeModerateSmallNone
    Others LargeModerateSmallNone

    Description and Quantification of Litter

    Type of bags used*

    Number of bags collected*

    Overview of the amount collected

    Estimated weight of bags* (KG)

    Number of other objects collected and unable to bag*

    What were the "other" objects?* (e.g. oil drums, jerry cans)

    Estimate the number of each type of item (specify minimum top 3 items)

    Overall Number of Items
    Plastic bags
    Plastic bottles, containers & packaging
    Other plastic objects (straws, cutlery, toys, pens, etc
    Cigarette butts
    Paper tissue & small items (receipts, torn pieces, etc)
    Paper containers & boxes
    Flyers
    Other paper (newspaper, magazines, envelopes, etc)
    Styrofoam objects (boxes, plates)
    Glass objects (bottles, cups, bulbs, etc)
    Metal objects (cans, tongs, etc)
    E-waste (mobile phones, screens, batteries, etc)
    Other (as specified above)

    Photos

    Photo BEFORE the cleanup
    Photo DURING the cleanup
    Photo AFTER the cleanup
    Group Photo with Collected Trash

    By this submission, I consent to the use of the above information and photographs for R.I.S.E.’s and the Public Hygiene Council’s publications and publicity materials, including websites and social media.

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