PSM_-_Contractor_Annual_Audit_Form.pdf

PDF 143 KB Posted

Attached to
McIntosh Power Plant Site Stormwater Modifications
Solicitation number
2026-RFP-049
Issued by
Polk County, Florida

About this file

This is a Contractor Annual Audit Form used by the City of Lakeland's Risk Management and Purchasing department to evaluate contractor performance and compliance. The form is designed to assess contractors working on city projects through a standardized audit process. The document includes fields for identifying the contractor name, audit date, project name, and project location. The audit evaluates multiple criteria, with EMR (Experience Modification Rate) listed as one of the key audit items to be assessed, along with space for documenting audit results and associated comments for each evaluated element.

The form serves as a quality assurance and risk management tool to ensure contractors meet established performance standards and regulatory requirements throughout the duration of their contracts with the City of Lakeland. While the specific audit criteria beyond EMR are not fully detailed in the provided excerpt, the structured format indicates a comprehensive evaluation methodology used to monitor contractor compliance and performance on city projects, including infrastructure projects such as the McIntosh Power Plant Site Stormwater Modifications project in Florida.

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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 .