Attachment 6 - Daily Headstone-Marker Raise Realign Verification Survey.pdf

This document is a Daily Headstone/Marker Raise & Realign Verification Survey form template used for quality assurance in cemetery maintenance operations.

The form establishes procedures for daily re-verification of headstone and marker raise and realign (R&R) work completed during a workday. Prior to workday completion, the Cemetery Director, Contracting Officer Representative (COR), Foreman, Work Leader, or designee must conduct a re-verification survey of all completed headstone/marker work within the contract scope. The survey references the original Burial Register Report and Gravesite Layout Map from the Initial Verification Survey. The form requires documentation of the station number, date, cemetery name, cemetery director name, and COR identification. The responsible party must list the sections and headstones/markers subject to R&R, document any discrepancies or issues identified, and confirm whether all issues have been resolved. If discrepancies remain unresolved, the Cemetery Director/COR/Foreman/Work Leader/designee must inform the District Office Director and Contracting Officer. The form concludes with certification fields for the date, time of completion, and signature of the authorized official conducting the verification survey.