Attachment 6 - Crematorium Inspection Checklist.pdf

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Mortuary Services Agreements
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FA251723Q0043
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Attachment 6 – Crematorium Inspection Checklist

Installation Date

Name of Funeral Establishment/Crematorium:

1. RECEIVING/SHELTERING AREA YES NO

A. SIZE - Size is adequate……………..……………………………………………….( ) ( )

B. EQUIPMENT - Adequate for transfer/movement of remains…….………………...( ) ( )

C. INSTRUMENTS - Sufficient to identify remains………………………………….. ( ) ( )

D. SHELTERING AREA - Sufficient for at least two remains in waiting…………….( ) ( )

E. VENTILATION - Adequate ventilation……………………………………………..( ) ( )

F. APPEARANCE - Clean, orderly and free of extraneous items……………………..( ) ( )

2. RETORT

A. OPERATION – Operator can demonstrate burners are operational……….……..…( ) ( )

B. SAFETY – Operates within safety parameters specified by manufacturer ……….... ( ) ( )

3. PROCESSING OF CREAMATED REMAINS

A. Are all cremated remains swept from retort after each cremation….……………… ( ) ( )

B. Are foreign objects removed from the cremated remains and later disposed of … ( ) ( )

C. Does the facility have a mechanical device such as a cremulator on site……....…...( ) ( )

D. Can cremated remains be reduced to particles no larger than 1/8”………………….( ) ( )

5. STANDARD CRITERIA

A. COMPLIANCE - Can meet all specifications, laws, and statutes on cremating remains…………………………………………………………………………………..( ) ( )

B. LICENSE – Crematorium is licensed solely for human remains..…………………..( ) ( ) C. STAFF - A competent professional staff is available…………………….……….…( ) ( )

We, the undersigned, certify that the crematorium named above is ( ) is not ( ) acceptable to provide contractual mortuary services.

Contracting Officer:

Mortuary Officer/Other Officer:

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