PSM_-_Contractor_Audit_Form.pdf
PDF 135 KB Posted
- Solicitation number
- 2026-ITB-125
- Issued by
- Polk County, Florida
About this file
This is a Contractor Audit Form issued by the City of Lakeland's Risk Management and Purchasing (RMP) department, revised as of April 1, 2026. The form is designed to be completed for contractors working on projects within the City of Lakeland's jurisdiction. The audit form includes fields for contractor identification, project name, project location, and a section for documenting audit items with corresponding results and comments. One audit item referenced on the form is EMR (Experience Modification Rate), though the form appears to be a template with incomplete entries for the specific project details and audit findings.
The form serves as a quality assurance and risk management tool for the City of Lakeland to evaluate contractor performance and compliance during project execution. While the form itself does not contain pricing, set-aside information, or specific contract terms, it appears to be a standard administrative document used in conjunction with procurement activities such as the McIntosh Power Plant Heat Trace Bundle Material solicitation. This audit mechanism enables the city to assess contractor eligibility, safety records, and other relevant performance metrics prior to or during contract performance.
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Other files
| File | Type | Posted |
|---|---|---|
| McIntosh_Power_Plant_-_Heat_Trace_Bundle_Material_and_Accessories_(Addendum_#1_Revision).pdf | ||
| McIntosh_Power_Plant_-_Heat_Trace_Bundle_Material_and_Accessories.pdf | ||
| Indemnification_2026_Contractor_-_FDOT.docx | DOCX document | |
| Indemnification_2026_Consultant_-_FDOT.docx | DOCX document | |
| Indemnification_2026_Vendor.doc | DOC document | |
| Human_Trafficking_Affidavit.docx | DOCX document | |
| Indemnification_2026_Contractor.doc | DOC document | |
| Indemnification_2026_Consultant.doc | DOC document |
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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 .