Fort Richardson SOW Attachments.docx
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- 36C78621Q0271
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LIST OF ATTACHMENTS
Attachments Number of Pages
Attachment A – Diagram of Graves (For the purposes of Interments/Disinterments) 2
Attachment B – Headstone Realignment 2
Attachment C – Headstone, Marker and Niche Cover Maintenance Checklist 1
Attachment D – Grounds Maintenance Check Lists 4
Attachment E – Pesticide Application Data Sheet 1
Attachment F – Vertebrate Pest Inspection Sheet 1
Attachment G – Site Plan of Fort Richardson 1
Fort Richardson NC Cemetery Management Services 910-Grds-FY22-002
ATTACHMENT A – DIAGRAM OF GRAVES
FIGURE 1
ATTACHMENT B
HEADSTONE REALIGNMENT
ATTACHMENT C
HEADSTONE MAINTENANCE CHECKLIST (MONTHLY)
| Area/Section Inspected: |
| OK |
| Needs Attention/# |
| N/A |
| Comments |
| OAI Measure |
| Description |
Cleaning
| 4.1 |
| Headstones are clean, free of debris and objectionable accumulations |
Height and Alignment
| 4.2 |
| Upright headstones are at the proper height and alignment |
Condition
| 4.4 |
| Headstone, inscriptions are visible and legible as appropriate for the age and historic significance of the marker. |
| 4.5 |
| Damaged and defaced headstones have been identified and action taken to replace or repair them. |
| 4.6 |
| Headstones that are no longer useable are disposed of in a manner that is respectful and prevents unacceptable use. |
Signature of Inspector:
Title:
| Measure |
| Description |
| Process # |
| Yes |
| No |
| This Burial |
HS Face Contractor Name/Signature Name/Signature of Verifier (Process #2-Burial) (Interment Completed By) (Interment Witnessed By) Casket- GP9 GL1 None Urn - GP6 Barrel None
N/A
Comments
| IO-2.1a |
| Gravesites match the current gravesite layout plans & Gravesite Burial Status and Account Tool (GBSAT) |
| 1 |
CHAIN OF CUSTODY: Remains Received By:_______________________ Date/Time:________________ Received From: FH NOK OTHER_____________
Name/Signature of Verifier (Process #1 - Assign/Notify/Mark) _____________________________________
| IO-3.1 |
| Gravesites are excavated to the proper depth and squared, spoils or sod appropriately removed or made presentable, and headstones for reopeners appropriately placed. |
| 2a |
| IO-3.2 |
| Corrective action to repair damage to existing graves is initiated by close of business the same day. |
| 3a |
Note Damage: .
| IO-3.3 |
| Open Graves protected while unattended with approved safety devices. |
| 2b |
| IO-3.4a |
| Outer burial receptacles placed without obstructing occupied gravesites or hinder the flow of traffic through the cemetery. |
| 2c |
| IO-5.1a |
| Caskets and urns are properly tagged and placed in the correct gravesite or niche. |
| 2d |
Verification/Labeled By: _____________________
| IO-5.1b |
| Caskets & urns not damaged throughout the interment process. |
| 2e |
Note Damage: .
| IO-6.1a |
| Daily interment/inurnment is marked by a correct and aligned Temporary Markers by close of business. |
| 3b |
| IO-6.1b |
| Daily burials are leveled, squared, tamped, raked smooth and ready for seed or sod. |
| 3c |
| IO-6.1c |
| Floral arrangements neatly placed on correct gravesite. |
| 3d |
# & type (spray, loose, wreath, real, silk, plastic, etc.):
| IO-7.1 |
| Subsections show evidence of progress towards completion; grass is established, headstones and markers delivered are being set, excess dirt, debris, tools and equipment are removed. |
| 3e |
| IO-4.3 |
| Unaccompanied veteran burials have a memorial or committal service. |
| 3f |
SAFETY
| OS-3.1a |
| Necessary personal protective and safety measures are adhered to at all times. |
| 2f |
DECEDENT NAME: _______________________________________
BOSS ID:_______________ TYPE INT: 1st Sub Dbl FC URN Section:____, Row:_____, Site:_______
Name/Signature of Verifier (Process #3 - Close of Business) _______________________________________________________________
Attachment F
ATTACHMENT E: PESTICIDE APPLICATION DATA SHEET
| Date: |
| Applicator: |
APPLICATION SITE
Certification No.:
| Size of Treatment Area: |
| Location: |
| Description (Turf, Plant Bed, Trees): |
| Plant Age and Condition: |
| Surrounding Sensitive Areas: |
| Soil Conditions: |
| Previous Pesticides Used: |
| Personal Protective Equipment Used: |
| PEST PROBLEM |
| Primary Pest: |
| Damage Observed: |
| Other Pests Present: |
| Location of Damage: |
Beneficials Present:
Severity of Pest Problem:
| PESTICIDE(S) USED | |
| Pesticide(s): | Formulation: |
(1)
| Rate: |
| Total Amount Used: |
(2)
(3)
| Adjuvants Type: |
| Amount: |
| Total Gallons of Diluted Spray Used: |
| Surfactant Type: |
| Amount: |
| APPLICATION |
| Date(s) of Application: |
| Weather Conditions |
Temperature:
| Equipment used: |
| Cloud Cover: |
Wind Speed:
| Equipment Calibrated By: |
| Wind Direction: |
Rain:
Travel Speed:
Total Hours for Application:
Persons Notified or Spoken to Regarding Application:
(1)
(2)
(3)
| FOLLOW UP |
| Effectiveness of Application: |
| Beneficials Present: |
| Pest Resurgence Noted: |
Injury to Non-Target Plants or Surfaces:
COMMENTS
Signature & Date
ATTACHMENT F
VERTEBRATE PEST INSPECTION SHEET
Voles, Mice, Shrew, Ground Squirrels, Tree Squirrels, Ermine, and Porcupine
Location of Service: Fort Richardson National Cemetery
Date of Service: ______________________
| NO. |
| CEMETERY SECTION |
| ID# OF NEAREST HEADSTONE |
| ANIMAL PEST TYPE |
| OLD OR NEW DAMAGE? |
| DATE OF DISCOVERY |
| CHEMICAL OR TRAP TREATMENT |
| DATE OF TREATMENT |
| DATE OF TURF REPAIR |
| CONTRACTOR SIGNATURE |
| COMMENTS |
ATTACHMENT G
SITE PLAN OF FORT RICHARDSON NATIONAL CEMETERY
image1.png image2.png image3.tiff image4.tiff image5.emf
Microsoft_Excel_97-2003_Worksheet.xls GM-Daily
GROUNDS MAINTENANCE CHECKLIST - DAILY DATE: ______________
Area/Section Inspected:
Completed by: Title
MEASURE DESCRIPTION OK NEEDS ATTENTION NOT APPLICABLE COMMENTS Number Identified Number Completed and/or Corrective Action Taken
GM-2.3b/2.9b Visually Prominent Areas are free of trash.
GM-2.4b/2.9d Sunken graves are identified and measures taken to re-establish ground level and cover within 30 calendar days of the date identified.
GM-2.8 Turf damage due to grounds maintenance tasks is identified and corrective action initiaited by close of business the same day
GM-2.9h
GENERAL MAINTENANCE
GM-6.2a Debris, equipment, tools and supplies are removed from turf areas at the conclusion or each task or at the end of the workday.
GM-6.2b All roads, walkways, shelters, etc are free of grounds maintenance debris at the end of the workday.
SAFETY
OS-3.1a Necessary personal protective equipment and safety measures are adhered to at all times during Grounds Maintenance operations.
OS-3.2a Safety hazards (holes, sunken graves, pest, etc.) identified and corrective action initiated to ensure safety with the same workday.
OS-3.3a Roads, sidewalks, paths and parking lots open to the public or for cemetery operations during adverse conditions are safe and accessible (e.g. clear of ice and snow or storm debris).
&LGM - Daily&ROAI V4.0 October 2009
GM-Weekly
GROUNDS MAINTENANCE CHECKLIST - WEEKLY DATE:
Area/Section Inspected:
Completed by: Title
MEASURE DESCRIPTION OK NEEDS ATTENTION NOT APPLICABLE COMMENTS
GM-2.1c Turf in Visually Prominent Areas is maintained within one inch of the recommended height.
GM-2.3a/2.9a Turf areas are cleared of leaves and other natural debris as needed or weekly.
GM-2.5/2.9e Visually Prominent Areas have no standing water.
GM-2.6a Turf surrounding headstones is trimmed to its recommended mowing height.
GM-2.6b Turf is edged vertically even with marker and marker is free of trimming debris.
GM-2.6c Other features on cemetery grounds are trimmed or edged within appropriate limits.
GM-2.9f
GM-2.9g
PLANTING BEDS
GM-4.1b Planting beds are weed free.
GM-4.1c Plants in planting beds are healthy, vigourous, and free of pests and disease and are maintained in accordance with the CGMP.
&L&A&RV4.0 OAI
GM-Monthly
GROUNDS MAINTENANCE CHECKLIST - MONTHLY DATE:
Area/Section Inspected:
Completed by: Title
MEASURE DESCRIPTION OK NEEDS ATTENTION NOT APPLICABLE COMMENTS Number Identified Number Completed and/or Corrective Action Taken
GM-2.1a Visually prominent area is generally weed free.
GM-2.1b Visually prominent area is generally free of bare areas.
GM-2.7a Grave reopeners during the growing season show healthy turf re-established within 60 days of the interment.
GM-2.7b Winter grave reopeners show healthy turf re-established within 60 days of the start of the growing season.
TREES AND SHRUBS
GM-3.2 Trees and shrubs are healthy, vigorous, free of pests and disease and/or are maintained in accordance with the Cemetery Grounds Management Plan.
GENERAL MAINTENANCE
GM-6.4a Containers for floral vases are well marked, clean, neat and in good repair.
GM-6.4b Floral vases are clean and in good repair
&LGM Monthy&RV4.0 OAI
GM-Annual
GROUNDS MAINTENANCE CHECKLIST - ANNUAL DATE:
Area/Section Inspected:
Completed by: Title
MEASURE DESCRIPTION OK NEEDS ATTENTION NOT APPLICABLE COMMENTS Number Identified Number Completed and/or Corrective Action Taken
GM-1.1a Grounds Management Plan is current and includes a cemetery site plan and all maintenance activities and schedules.
GM-1.1b Grounds Management Plan has been reviewed and updated.
GM-1.1c Activities in the Grounds Management Plan are being accomplished
GM-2.2 Turf is compatible with the geographic region.
TREES AND SHRUBS
GM-3.1 Trees and shrubs are compatible with the geographic region.
PLANTING BEDS
GM-4.1a Planting beds contain only material that is compatible with the geographic region.
WASTE MANAGEMENT
GM-5.2a Cemetery has a centralized trash collection point established in a location that is screened from the public.
GM-5.3 Cemetery spoils areas are located, concealed or maintained to minimize public visibility.
GENERAL MAINTENANCE
GM-6.3 Floral regulations are posted in visually prominents areas.
&LGM - Annual&RV4.0 OAI image6.emf
Microsoft_Excel_97-2003_Worksheet1.xls GM-Daily
GROUNDS MAINTENANCE CHECKLIST - DAILY DATE: ______________
Area/Section Inspected:
Completed by: Title
MEASURE DESCRIPTION OK NEEDS ATTENTION NOT APPLICABLE COMMENTS Number Identified Number Completed and/or Corrective Action Taken
GM-2.3b/2.9b Visually Prominent Areas are free of trash.
GM-2.4b/2.9d Sunken graves are identified and measures taken to re-establish ground level and cover within 30 calendar days of the date identified.
GM-2.8 Turf damage due to grounds maintenance tasks is identified and corrective action initiaited by close of business the same day
GM-2.9h
GENERAL MAINTENANCE
GM-6.2a Debris, equipment, tools and supplies are removed from turf areas at the conclusion or each task or at the end of the workday.
GM-6.2b All roads, walkways, shelters, etc are free of grounds maintenance debris at the end of the workday.
SAFETY
OS-3.1a Necessary personal protective equipment and safety measures are adhered to at all times during Grounds Maintenance operations.
OS-3.2a Safety hazards (holes, sunken graves, pest, etc.) identified and corrective action initiated to ensure safety with the same workday.
OS-3.3a Roads, sidewalks, paths and parking lots open to the public or for cemetery operations during adverse conditions are safe and accessible (e.g. clear of ice and snow or storm debris).
GROUNDS MAINTENANCE CHECKLIST - WEEKLY DATE:
Area/Section Inspected:
Completed by: Title
MEASURE DESCRIPTION OK NEEDS ATTENTION NOT APPLICABLE COMMENTS
GM-2.1c Turf in Visually Prominent Areas is maintained within one inch of the recommended height.
GM-2.3a/2.9a Turf areas are cleared of leaves and other natural debris as needed or weekly.
GM-2.5/2.9e Visually Prominent Areas have no standing water.
GM-2.6a Turf surrounding headstones is trimmed to its recommended mowing height.
GM-2.6b Turf is edged vertically even with marker and marker is free of trimming debris.
GM-2.6c Other features on cemetery grounds are trimmed or edged within appropriate limits.
GM-2.9f
GM-2.9g
PLANTING BEDS
GM-4.1b Planting beds are weed free.
GM-4.1c Plants in planting beds are healthy, vigourous, and free of pests and disease and are maintained in accordance with the CGMP.
GROUNDS MAINTENANCE CHECKLIST - MONTHLY DATE:
Area/Section Inspected:
Completed by: Title
MEASURE DESCRIPTION OK NEEDS ATTENTION NOT APPLICABLE COMMENTS Number Identified Number Completed and/or Corrective Action Taken
GM-2.1a Visually prominent area is generally weed free.
GM-2.1b Visually prominent area is generally free of bare areas.
GM-2.7a Grave reopeners during the growing season show healthy turf re-established within 60 days of the interment.
GM-2.7b Winter grave reopeners show healthy turf re-established within 60 days of the start of the growing season.
TREES AND SHRUBS
GM-3.2 Trees and shrubs are healthy, vigorous, free of pests and disease and/or are maintained in accordance with the Cemetery Grounds Management Plan.
GENERAL MAINTENANCE
GM-6.4a Containers for floral vases are well marked, clean, neat and in good repair.
GM-6.4b Floral vases are clean and in good repair
GROUNDS MAINTENANCE CHECKLIST - ANNUAL DATE:
Area/Section Inspected:
Completed by: Title
MEASURE DESCRIPTION OK NEEDS ATTENTION NOT APPLICABLE COMMENTS Number Identified Number Completed and/or Corrective Action Taken
GM-1.1a Grounds Management Plan is current and includes a cemetery site plan and all maintenance activities and schedules.
GM-1.1b Grounds Management Plan has been reviewed and updated.
GM-1.1c Activities in the Grounds Management Plan are being accomplished
GM-2.2 Turf is compatible with the geographic region.
TREES AND SHRUBS
GM-3.1 Trees and shrubs are compatible with the geographic region.
PLANTING BEDS
GM-4.1a Planting beds contain only material that is compatible with the geographic region.
WASTE MANAGEMENT
GM-5.2a Cemetery has a centralized trash collection point established in a location that is screened from the public.
GM-5.3 Cemetery spoils areas are located, concealed or maintained to minimize public visibility.
GENERAL MAINTENANCE
GM-6.3 Floral regulations are posted in visually prominents areas.
image7.emf
Microsoft_Excel_97-2003_Worksheet2.xls GM-Daily
GROUNDS MAINTENANCE CHECKLIST - DAILY DATE: ______________
Area/Section Inspected:
Completed by: Title
MEASURE DESCRIPTION OK NEEDS ATTENTION NOT APPLICABLE COMMENTS Number Identified Number Completed and/or Corrective Action Taken
GM-2.3b/2.9b Visually Prominent Areas are free of trash.
GM-2.4b/2.9d Sunken graves are identified and measures taken to re-establish ground level and cover within 30 calendar days of the date identified.
GM-2.8 Turf damage due to grounds maintenance tasks is identified and corrective action initiaited by close of business the same day
GM-2.9h
GENERAL MAINTENANCE
GM-6.2a Debris, equipment, tools and supplies are removed from turf areas at the conclusion or each task or at the end of the workday.
GM-6.2b All roads, walkways, shelters, etc are free of grounds maintenance debris at the end of the workday.
SAFETY
OS-3.1a Necessary personal protective equipment and safety measures are adhered to at all times during Grounds Maintenance operations.
OS-3.2a Safety hazards (holes, sunken graves, pest, etc.) identified and corrective action initiated to ensure safety with the same workday.
OS-3.3a Roads, sidewalks, paths and parking lots open to the public or for cemetery operations during adverse conditions are safe and accessible (e.g. clear of ice and snow or storm debris).
GROUNDS MAINTENANCE CHECKLIST - WEEKLY DATE:
Area/Section Inspected:
Completed by: Title
MEASURE DESCRIPTION OK NEEDS ATTENTION NOT APPLICABLE COMMENTS
GM-2.1c Turf in Visually Prominent Areas is maintained within one inch of the recommended height.
GM-2.3a/2.9a Turf areas are cleared of leaves and other natural debris as needed or weekly.
GM-2.5/2.9e Visually Prominent Areas have no standing water.
GM-2.6a Turf surrounding headstones is trimmed to its recommended mowing height.
GM-2.6b Turf is edged vertically even with marker and marker is free of trimming debris.
GM-2.6c Other features on cemetery grounds are trimmed or edged within appropriate limits.
GM-2.9f
GM-2.9g
PLANTING BEDS
GM-4.1b Planting beds are weed free.
GM-4.1c Plants in planting beds are healthy, vigourous, and free of pests and disease and are maintained in accordance with the CGMP.
GROUNDS MAINTENANCE CHECKLIST - MONTHLY DATE:
Area/Section Inspected:
Completed by: Title
MEASURE DESCRIPTION OK NEEDS ATTENTION NOT APPLICABLE COMMENTS Number Identified Number Completed and/or Corrective Action Taken
GM-2.1a Visually prominent area is generally weed free.
GM-2.1b Visually prominent area is generally free of bare areas.
GM-2.7a Grave reopeners during the growing season show healthy turf re-established within 60 days of the interment.
GM-2.7b Winter grave reopeners show healthy turf re-established within 60 days of the start of the growing season.
TREES AND SHRUBS
GM-3.2 Trees and shrubs are healthy, vigorous, free of pests and disease and/or are maintained in accordance with the Cemetery Grounds Management Plan.
GENERAL MAINTENANCE
GM-6.4a Containers for floral vases are well marked, clean, neat and in good repair.
GM-6.4b Floral vases are clean and in good repair
GROUNDS MAINTENANCE CHECKLIST - ANNUAL DATE:
Area/Section Inspected:
Completed by: Title
MEASURE DESCRIPTION OK NEEDS ATTENTION NOT APPLICABLE COMMENTS Number Identified Number Completed and/or Corrective Action Taken
GM-1.1a Grounds Management Plan is current and includes a cemetery site plan and all maintenance activities and schedules.
GM-1.1b Grounds Management Plan has been reviewed and updated.
GM-1.1c Activities in the Grounds Management Plan are being accomplished
GM-2.2 Turf is compatible with the geographic region.
TREES AND SHRUBS
GM-3.1 Trees and shrubs are compatible with the geographic region.
PLANTING BEDS
GM-4.1a Planting beds contain only material that is compatible with the geographic region.
WASTE MANAGEMENT
GM-5.2a Cemetery has a centralized trash collection point established in a location that is screened from the public.
GM-5.3 Cemetery spoils areas are located, concealed or maintained to minimize public visibility.
GENERAL MAINTENANCE
GM-6.3 Floral regulations are posted in visually prominents areas.
image8.tiff
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