PSM_-_Contractor_Annual_Audit_Form.pdf

PDF 143 KB Posted

Attached to
Taxiway A Holding Bay
Solicitation number
2026-ITB-028
Issued by
Polk County, Florida

About this file

This is a Contractor Annual Audit Form issued by the City of Lakeland's Risk Management and Purchasing Department for use in evaluating contractor performance on projects. The form serves as an assessment tool to audit contractors' compliance with established safety and operational standards throughout the contract period. The document requests basic project information including the contractor name, date of audit, project title, and project location, followed by a structured audit checklist that evaluates contractors across multiple performance categories. One visible audit item references EMR (Experience Modification Rate), a key metric for assessing contractor safety performance and insurance history. The form appears designed as a standardized document to be completed for each contractor engaged by the City on an annual basis to ensure ongoing compliance with contractual obligations and safety requirements.

The audit form does not establish pricing terms, funding sources, or contract award information, as it functions as a post-award performance evaluation tool rather than a solicitation document. This form would be utilized during the execution phase of contracts, such as the Taxiway A Holding Bay construction project at Lakeland Linder International Airport, to verify that awarded contractors maintain appropriate insurance coverage, safety records, and other performance standards throughout the contract term. The form's purpose is to document contractor compliance findings and any comments related to identified deficiencies or areas of concern, enabling the City to maintain quality control and risk management oversight of its contracted services and construction projects.

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Text version

City of Lakeland, Risk Management and Purchasing

PSM- Contractor Annual Audit Form

Contractor: _____________________________________ Date: _______________

Project: _______________________________________________________________

Location: ______________________________________________________________

Audit Item Audit Result Comments

EMR (<1.0)

Drug and Alcohol Policy Written Safety Plan Safety Compliance Program

Safety Records Employee Training Records

Acceptable Safety Performance Onsite

Contractor, ___________________________________, ☐ is ☐ is not approved for continued inclusion on the PSM-Approved Contractors List.

Audit performed by: ______________________, Title: __________________________

Auditors signature: ______________________________________ Date: ___________

File details come from the government source that posted it. Updated .