Clean Kent Campaign

Kent County Council

Waste Management
Block H
The Forstal
Beddow Way
Aylesford
Kent ME20 7BT
Tel: 01622 605964
E-mail elaine.fletcher@kent.gov.uk
Date: As postmark

Dear Sir or Madam

Clean Kent Campaign – Community Clean-Ups

Thank you for taking the time to register your interest in organising a Community Clean-up, we are
delighted that you are able to support Clean Kent in this way and make a difference in your
community. Please find enclosed a set of information, which we have designed to be as simple as
possible to complete whilst needing to meet aspects such as health and safety.

What we need you to do:

 Registration Form – please complete and return
 Risk Assessment – please complete both copies, initialling each section and signing at the
bottom. Please return copy 1 and keep copy 2 for your records
 Supply a map of the area you intend to litter pick indicating the level of traffic risk as
detailed in Appendix 1
 List of attendees – please note that this document must be completed and returned after
the event, to ensure compliance with KCC’s volunteer insurance procedures.
 Feedback form – please return this to us, with your comments, after the event has taken
place

The list of attendees can be completed, along with feedback, via our online form. Simply go to the
Community Clean Up page on www.kent.gov.uk/cleankent and click on “clean-up feedback form”.

Once we receive your completed forms we will review and collate your details and contact you to
confirm that your clean-up can go ahead.

Your clean-up pack will consist of:

 hi-visibility jackets
 rigger gloves
 litter pickers
 first aid kit
 sharps box

We hope you have an enjoyable and successful event. If you have any further questions or
concerns please do not hesitate to contact me.

Yours faithfully,

Elaine Fletcher
Clean Kent Campaign
Appendix 1
Please supply a map of the area that you wish to litter pick, you may wish to download one
from www.google.co.uk/maps

If your event is taking place off the highway e.g. in a park, woodland or on a beach please
provide full details of the location but you do not need to complete a map.

Using the map please indicate all areas that you intend to litter pick on. We would like you
to mark the roads using the following system:

Red Road - 40mph+ or alternatively a low speed road but with a specific hazard that
may cause drivers difficulty in controlling their vehicles if they come across
workers in the highway (e.g. visibility, sharp bends)

Amber road - low speed road with specific hazards where the road workers have
additional risks to consider to ensure safe working practice (e.g. visibility, banks,
hedges)

Green road - low speed road with good visibility and no additional risk level to
consider.

Please mark the outlying edges of your litter pick, or simply circle the area that you intend
to litter pick in.

See worked example overleaf.

 Mar. 2011

Registration Form
Name of event organiser

Address

Postcode

Email

Contact Numbers

Expected date of clean-up Expected number of people attending

Please describe type(s) e.g. general litter, tyres and quantity e.g. 8 black sacks, skip load of
waste that you anticipate will be collected

Please provide an outline of where your clean-up will take place

Please return this form along with Copy 1 of the Risk Assessment to:

Clean Kent Campaign, FREEPOST RSCE-YXRS-LGUX, KCC Waste Management

Block H, The Forstal, Beddow Way, Aylesford, Kent ME20 7BT

Please allow 10 working days for your documents to be processed

COPY 1 – TO BE RETURNED TO KCC CLEAN KENT CAMPAIGN PRIOR TO EVENT

Mar. 2011 Clean Kent Campaign – Kent County Council

Risk assessment for volunteer litter clearance
HAZARD PRECAUTIONS MEASURES TO REDUCE MANAGEMENT PLEASE INITIAL
(A source of To remove hazard, reduce risk EFFECT IN THE EVENT OF AN ACTIVITY TO INDICATE
potential danger) ACCIDENT UNDERSTANDING

Traffic  KCC insurance will NOT cover volunteers to Be aware of oncoming traffic and other One volunteer to act as
litter pick on roads of 40mph or above. hazards. ‘eyes and ears’ for traffic
 Mapped risk assessment to ensure road fits into Ensure use of Personal Protective movements on behalf of
Medium or Low risk category. Equipment. the rest of the group.
 Use of reasonable safety measures. Do not use mobile phones whilst on a
highway.

Lifting heavy  Do not move or lift objects unless necessary Stop immediately if suffering any pain If volunteers find
objects  Use mechanical aids, or handle with a number of or discomfort. large/heavy objects, make
people. Break up the load into smaller parcels. Seek medical attention if ill effects a note and report to the
 Use good lifting technique. persist. local council for removal
after the event.

Chemicals  Do not approach or remove containers which Seek medical attention if exposed to Contact the Environment
contain/contained chemicals pesticides, insecticides or other Agency 0800 80 70 60.
chemicals  record any label details.

Cliffs, quarry faces,  Avoid picking on or close to the edge of cliffs, Seek medical treatment in the event of Instruct volunteers to stay
steep slopes quarries, steep slopes etc and below unstable injury. away from these areas.
cliffs & slopes
 Take weather conditions and possible weather
changes into account
 Take account of tides

Electric fences  Always assume electric fences are live Warn volunteers not to
 Avoid contact touch fences.

Ground conditions  Wear strong boots with ankle support Seek medical attention for any serious Instruct volunteers to
 Avoid dangerous areas and choose the safest cuts, bruises or strains. wear suitable footwear.
possible route over difficult ground.

Hedges Fences  Take care climbing stiles particularly in wet weather Stay within the registered
Walls Ditches  Avoid climbing walls, ditches and fences location.
HAZARD PRECAUTIONS MEASURES TO REDUCE MANAGEMENT PLEASE INITIAL
(A source of To remove hazard, reduce risk EFFECT IN THE EVENT OF AN ACTIVITY TO INDICATE
potential danger) ACCIDENT UNDERSTANDING

Water, marshes &  Avoid banks, especially if they appear unstable. Shower and change to warm dry Never allow children to
bogs  Always work in pairs if close to water. clothing if immersed. work in these areas.
Adults should be warned

Vehicles, bicycles,  Avoid close proximity if possible. Seek medical attention in the event of Be aware of the vehicles
plant and  Stay off the highway. injury. around you during the
machinery  Be alert to the potential presence of agricultural litter pick. Keep a look
machinery. out.
 Wear high visibility clothing if necessary.
 Do not work on the roadside if the speed limit is
40mph or over.

People & lone  Beware of aggressive and difficult people. Leader to have mobile phone. Keep together and stay
working  Withdraw rather than face conflict. Medical attention following any assault. off private property.
 Do not work out of sight of others in the group.
 No school age children to be working on the
highway
 School age children working off highway to be
fully supervised at all times.

Refuse, litter  Pick up only general litter. Seek medical attention for any cuts. Volunteers must wear the
 Do not collect medical waste (e.g. needles etc) Keep antitetanus injections up to safety clothing provided.
 Wear gloves and use a litter picker wherever date.
practicable and available.

Tools & equipment  Team to be shown how to use equipment if First aid training. Volunteers must use the
appropriate. Have first aid kit available. equipment provided and
 Allow sufficient working area for the correct and Obtain medical attention in the event of as instructed.
safe use of the tool. injury.
 Use appropriate protection.

Personal  All attendees to wear long sleeve hi-visibility tops Volunteers must wear the
Protection (Class 3). safety clothing provided.
Equipment
Trees and shrubs  Be alert to the risks and keep a sharp look out for Wear safety helmet in hazardous Be aware of low hanging
hazards. conditions. Obtain medical attention in branches and exposed
the event of injury. tree/ shrub roots.
HAZARD PRECAUTIONS MEASURES TO REDUCE MANAGEMENT PLEASE INITIAL
(A source of To remove hazard, reduce risk EFFECT IN THE EVENT OF AN ACTIVITY TO INDICATE
potential danger) ACCIDENT UNDERSTANDING

Irritant and  Beware of dangerous plants & possible adverse Seek medical attention for unusual or Wear the gloves provided.
dangerous plants reactions. suspicious symptoms after contact with
 Wash thoroughly on completion of such operations. vegetation.

Weather  Adjust work programmes to avoid extremes. Seek shelter. In the event of extreme
 Cease work in inappropriate conditions. weather conditions the
 Avoid over exertion in hot and cold extremes. litter pick should be
 Dress for conditions & carry additional clothing. postponed / suspended.

Individual  Check that individuals understand and are able to

capability carry out voluntary work on site

Other Hazard(s) not

mentioned above 
Leader to note

Please return this and the registration form to:

Clean Kent Campaign
FREEPOST RSCE-YXRS-LGUX
KCC Waste Management, Block H, The Forstal, Beddow Way, Aylesford, Kent. ME20 7BT

Name of Responsible Person: ……………………………………………………………………………………………

Signature: ……………………………………………………………………………………………………………………..

Location of pick: ……………………………………………………………………………………………………………..

Date: ……………………………………………………………………………………………………………………………

Contact telephone number: ………………………………………………………………………………………………..

 This form is to be completed by the lead volunteer prior to the commencement of the clean up event and returned to KCC in advance (minimum 10
working days).
 As the organiser of the event you will be responsible for informing volunteers of the identified risks and
measures to reduce risk, prior to commencing your event.
COPY 2 – TO BE RETAINED BY THE EVENT ORGANISER

Mar. 2011 Clean Kent Campaign – Kent County Council

Risk assessment for volunteer litter clearance
HAZARD PRECAUTIONS MEASURES TO REDUCE MANAGEMENT PLEASE INITIAL
(A source of To remove hazard, reduce risk EFFECT IN THE EVENT OF AN ACTIVITY TO INDICATE
potential danger) ACCIDENT UNDERSTANDING

Traffic  KCC insurance will NOT cover volunteers to Be aware of oncoming traffic and other One volunteer to act as
litter pick on roads of 40mph or above. hazards. ‘eyes and ears’ for traffic
 Mapped risk assessment to ensure road fits into Ensure use of Personal Protective movements on behalf of
Medium or Low risk category. Equipment. the rest of the group.
 Use of reasonable safety measures. Do not use mobile phones whilst on a
highway.

Lifting heavy  Do not move or lift objects unless necessary Stop immediately if suffering any pain If volunteers find
objects  Use mechanical aids, or handle with a number of or discomfort. large/heavy objects, make
people. Break up the load into smaller parcels. Seek medical attention if ill effects a note and report to the
 Use good lifting technique. persist. local council for removal
after the event.

Chemicals  Do not approach or remove containers which Seek medical attention if exposed to Contact the Environment
contain/contained chemicals pesticides, insecticides or other Agency 0800 80 70 60.
chemicals  record any label details.

Cliffs, quarry faces,  Avoid picking on or close to the edge of cliffs, Seek medical treatment in the event of Instruct volunteers to stay
steep slopes quarries, steep slopes etc and below unstable injury. away from these areas.
cliffs & slopes
 Take weather conditions and possible weather
changes into account
 Take account of tides

Electric fences  Always assume electric fences are live Warn volunteers not to
 Avoid contact touch fences.

Ground conditions  Wear strong boots with ankle support Seek medical attention for any serious Instruct volunteers to
 Avoid dangerous areas and choose the safest cuts, bruises or strains. wear suitable footwear.
possible route over difficult ground.

Hedges Fences  Take care climbing stiles particularly in wet weather Stay within the registered
Walls Ditches  Avoid climbing walls, ditches and fences location.
HAZARD PRECAUTIONS MEASURES TO REDUCE MANAGEMENT PLEASE INITIAL
(A source of To remove hazard, reduce risk EFFECT IN THE EVENT OF AN ACTIVITY TO INDICATE
potential danger) ACCIDENT UNDERSTANDING

Water, marshes &  Avoid banks, especially if they appear unstable. Shower and change to warm dry Never allow children to
bogs  Always work in pairs if close to water. clothing if immersed. work in these areas.
Adults should be warned

Vehicles, bicycles,  Avoid close proximity if possible. Seek medical attention in the event of Be aware of the vehicles
plant and  Stay off the highway. injury. around you during the
machinery  Be alert to the potential presence of agricultural litter pick. Keep a look
machinery. out.
 Wear high visibility clothing if necessary.
 Do not work on the roadside if the speed limit is
40mph or over.

People & lone  Beware of aggressive and difficult people. Leader to have mobile phone. Keep together and stay
working  Withdraw rather than face conflict. Medical attention following any assault. off private property.
 Do not work out of sight of others in the group.
 No school age children to be working on the
highway
 School age children working off highway to be
fully supervised at all times.

Refuse, litter  Pick up only general litter. Seek medical attention for any cuts. Volunteers must wear the
 Do not collect medical waste (e.g. needles etc) Keep antitetanus injections up to safety clothing provided.
 Wear gloves and use a litter picker wherever date.
practicable and available.

Tools & equipment  Team to be shown how to use equipment if First aid training. Volunteers must use the
appropriate. Have first aid kit available. equipment provided and
 Allow sufficient working area for the correct and Obtain medical attention in the event of as instructed.
safe use of the tool. injury.
 Use appropriate protection.

Personal  All attendees to wear long sleeve hi-visibility tops Volunteers must wear the
Protection (Class 3). safety clothing provided.
Equipment
Trees and shrubs  Be alert to the risks and keep a sharp look out for Wear safety helmet in hazardous Be aware of low hanging
hazards. conditions. Obtain medical attention in branches and exposed
the event of injury. tree/ shrub roots.
HAZARD PRECAUTIONS MEASURES TO REDUCE MANAGEMENT PLEASE INITIAL
(A source of To remove hazard, reduce risk EFFECT IN THE EVENT OF AN ACTIVITY TO INDICATE
potential danger) ACCIDENT UNDERSTANDING

Irritant and  Beware of dangerous plants & possible adverse Seek medical attention for unusual or Wear the gloves provided.
dangerous plants reactions. suspicious symptoms after contact with
 Wash thoroughly on completion of such operations. vegetation.

Weather  Adjust work programmes to avoid extremes. Seek shelter. In the event of extreme
 Cease work in inappropriate conditions. weather conditions the
 Avoid over exertion in hot and cold extremes. litter pick should be
 Dress for conditions & carry additional clothing. postponed / suspended.

Individual  Check that individuals understand and are able to

capability carry out voluntary work on site

Other Hazard(s) not

mentioned above 
Leader to note

Please retain this copy for your records.

 This form is to be completed by the lead volunteer prior to the commencement of the clean up event.
 As the organiser of the event you will be responsible for informing volunteers of the identified risks and measures to reduce risk, prior to commencing
your event.
 Mar. 2011

Clean-up Event Attendees

This document must be completed to ensure compliance with KCC’s volunteer insurance
procedures.
This document, along with the feedback form, can now be completed via our online form. Simply go to the Community
Clean Up page on www.kent.gov.uk/cleankent and click on “clean-up feedback form”.

Event Details Date

NAME SIGNATURE

I ………………………………………………………… confirm that the above persons attended this event

and, to the best of my knowledge, no injuries nor incidents occurred. The above persons have all received
a Health & Safety briefing prior to the event commencing.

Signed Date

The information you provide will be processed by KCC for health and safety and claims management, the information may be shared with the
council’s insurers in this respect.
 Mar. 2011

Feedback Form
This document, along with the list of attendees, can now be completed via our online form. Simply go to the
Community Clean Up page on www.kent.gov.uk/cleankent and click on “clean-up feedback form”.

YOUR DETAILS
Name of event organiser Phone

Contact Address

Postcode

Email

CLEAN-UP DETAILS
Location of Clean-up Date

How many people took part? How many hours did you litter pick for?

WHAT TYPE AND QUANTITY OF RUBBISH WAS COLLECTED?

Household rubbish, e.g. black sack waste

Street litter, e.g. cans, crisp packets

Flytipping/large items e.g. tyres, metal, furniture

Other – please describe

HOW WOULD YOU RATE THE LEVEL OF OUR SERVICE?

Poor Average Excellent

Helpfulness of staff 1 2 3 4 5
Equipment delivery 1 2 3 4 5
Waste collection 1 2 3 4 5
Overall 1 2 3 4 5

Do you have any additional comments?

Once completed please return this form to:

Clean Kent Campaign
FREEPOST RSCE-YXRS-LGUX
KCC Waste Management
Block H, The Forstal
Beddow Way, Aylesford
Kent ME20 7BT