PSM_-_Contractor_Audit_Form.pdf

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Attached to
Replacement of Roof at Fire Station 5
Solicitation number
2026-RFP-081
Issued by
Polk County, Florida

About this file

This is a Contractor Audit Form from the City of Lakeland's Risk Management and Purchasing Division, revised April 1, 2026. The form is designed to evaluate contractors performing work for the City of Lakeland, including those bidding on projects such as the Roof Replacement at Fire Station 5. The audit form serves as a standardized assessment tool to evaluate contractor qualifications and performance metrics prior to, during, or after contract award. The form includes fields for contractor name, project identification, work location, and multiple audit items with corresponding result and comment sections, with one visible audit item related to EMR (Experience Modification Rate) assessment.

The form does not specify pricing terms, set-asides, or contract-specific requirements in its current format, as it functions as a preliminary evaluation instrument rather than a contract document. The audit criteria and scoring methodology are not fully detailed in the provided excerpt, though the form's purpose is to ensure that qualified and licensed contractors, such as those required for the Fire Station 5 roofing project, meet the City of Lakeland's risk management and performance standards before engagement.

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Text version

RISK MANAGEMENT AND PURCHASING REVISED 04/01/2026

City of Lakeland, Risk Management and Purchasing RMP- Contractor 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 .