Attachment 4 - Funeral Home Inspection Checklist.pdf
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- Attached to
- Mortuary Affairs Services
- Solicitation number
- FA301026Q0002
About this file
This is a Funeral Home Inspection Checklist template used to evaluate funeral establishments for federal contract eligibility to provide mortuary services.
The checklist systematically assesses six major categories of funeral home operations. The Preparation Room section evaluates size adequacy, equipment sufficiency for remains treatment, instrument availability, supply inventory, ventilation quality, and cleanliness standards. The Storage section confirms adequate space for holding remains, while the Private Carrier section verifies availability of a suitable funeral coach for transportation. The Other Areas section inspects the chapel, stateroom for visitation, and office facilities. The Standard Criteria section addresses compliance with applicable specifications, laws, and statutes; current licensing of both the funeral home and its manager; and availability of competent professional staff. The Establishment External Appearance section assesses the building's exterior condition, grounds and parking area maintenance, and the surrounding location's appearance relative to other area funeral homes. Each criterion uses a binary YES/NO evaluation format. The checklist concludes with a certification statement requiring signatures from both a Contracting Officer and Mortuary Officer/Other Officer to designate whether the funeral home is acceptable to provide contractual mortuary services. The form includes fields for installation date and funeral establishment name.
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Attachment 4 – Funeral Home Inspection Checklist
Installation Date
Name of Funeral Establishment:
1. PREPARATION ROOM YES NO
A. SIZE - Size is adequate……………..……………………………………………….( ) ( )
B. EQUIPMENT - Adequate for treatment of remains………………………………...( ) ( )
C. INSTRUMENTS - Sufficient to prepare remains………………………………….. ( ) ( )
D. SUPPLIES - Sufficient for remains preparation…………………………………….( ) ( )
E. VENTILATION - Adequate ventilation……………………………………………..( ) ( )
F. APPEARANCE - Clean, orderly and free of extraneous items……………………..( ) ( )
2. STORAGE
HOLDING REMAINS - Funeral home has space for sheltering remains………………( ) ( )
3. PRIVATE CARRIER
TRANSPORTATION - Funeral home has a suitable funeral coach………………….... ( ) ( )
4. OTHER AREAS
A. CHAPEL - Funeral home has a satisfactory chapel………………………………… ( ) ( )
B. STATEROOM - Funeral home has a satisfactory stateroom for visitation………… ( ) ( )
C. OFFICE - Office is satisfactory……………………………………………………...( ) ( )
5. STANDARD CRITERIA
A. COMPLIANCE - Can meet all specifications, laws, and statutes on preparing remains…………………………………………………………………………………..( ) ( )
B. LICENSE - Funeral home and manager are currently licensed……………………..( ) ( ) C. STAFF - A competent professional staff is available…………………………….…( ) ( )
6. ESTABLISHMENT - EXTERNAL APPEARANCE
A. BUILDING - Exterior appears to be clean and well maintained……………………( ) ( )
B. GROUNDS - Grounds and parking areas appear to be well maintained……………( ) ( ) C. LOCATION- Surrounding area appears to be well maintained and comparable to the appearance of the majority of other area funeral homes………………………….( ) ( )
We, the undersigned, certify that the funeral home named above is ( ) is not ( ) acceptable to provide contractual mortuary services.
Contracting Officer:
Mortuary Officer/Other Officer:
File details come from the government source that posted it. Updated .