RAPID BIN ADD NEW | Drugs and Alcohol

Date of collection

Staff Name*

DACT Team*

LGD (Council)*

RAPID Bin Locations

Prescription - Selected Items Only

Opiates (Codeine, Co Dydramol, Kapake, Tramadol / Maxitram, Oxycodone / Oxycontin, Dihydrocodeine)
Nerve/Anxiety (Lyrica / Pregabalin / Alzain), Gabapentin / Neurontin, Duloxetine)
Depressant / Anti-psychotic (Diazepam, Lorazepam, Seroquel / Quetiapine)

Codeine (Op)

Co Dydramol (Op)

Kapake (Op)

Tramadol/Maxitram (Op)

Oxycodone/Oxycontin (Op)

Dihydrocodeine (Op)

Lyrica / Pregabalin / Alzain (A.N)

Gabapentin/Neurontin (A.N)

Duloxetine (A.N)

Diazepam (D.AP)

Lorazepam (D.AP)

Seroquel/Quetiapine (D.AP)

Amitriptyline

Naproxen

Co-codamol

Illegals

Drug Type

Alternative Description / Stamp / Logo

Qty NUMBER ONLY

Drug Type

Alternative Description / Stamp / Logo

Qty NUMBER ONLY

Drug Type

Alternative Description / Stamp / Logo

Qty NUMBER ONLY

Drug Type

Alternative Description / Stamp / Logo

Qty NUMBER ONLY

Needle and Syringe

Qty NUMBER ONLY

Description

Other Prescription / OTC not already noted

All Other Items - Use the box below for one total for all other prescription or Over the Counter items.

Qty NUMBER ONLY

OTC Description

Please name any Other Prescription / OTC items that had a significant recording from this bin

Photos Of Collection and Waste Transfer Note

Photo of Collection

Drop files here or

Max. file size: 20 MB, Max. files: 5.

Take a photo of all of the drugs on a table. Lay drugs out in a flat lay and try to take the photo top down

BIN THE DRUGS

Prescription - Selected Items Only

Illegals

Needle and Syringe

Other Prescription / OTC not already noted

Photos Of Collection and Waste Transfer Note