PSM_-_Contractor_Annual_Audit_Form.pdf
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- 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 .