PSM_-_Contractor_Annual_Audit_Form.pdf
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- Attached to
- Landscaping Services
- Solicitation number
- 2025-RFQ-009
- Issued by
- San Joaquin County, Sunnyvale City, Florida
About this file
The document is a PSM- Contractor Annual Audit Form issued by the City of Lakeland's Risk Management and Purchasing department. The form is designed to conduct an annual audit of contractors to evaluate their safety performance and compliance across multiple criteria. Key audit items include evaluating the contractor's Experience Modification Rate (EMR), drug and alcohol policy, written safety plan, safety compliance program, safety records, employee training records, and overall safety performance onsite. The form provides a structured checklist for auditors to assess and document a contractor's safety practices, with a final determination on whether the contractor remains approved for inclusion on the PSM-Approved Contractors List.
The audit form does not contain specific pricing, funding, or contract details, but serves as an internal evaluation tool to maintain high safety standards for contractors working with the City of Lakeland. The checkboxes and blank fields allow for a comprehensive review of each contractor's safety protocols, with space for comments and a final approval/disapproval recommendation. By systematically reviewing these critical safety components, the City aims to ensure that contractors meet their safety performance standards and mitigate potential workplace risks.
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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 .