PSM_-_Contractor_Audit_Form.pdf
PDF 135 KB Posted
- Attached to
- Terminal Hold Room Expansion
- Solicitation number
- 2026-ITB-085
- Issued by
- Polk County, Florida
About this file
This is a Contractor Audit Form issued by the City of Lakeland, Risk Management and Purchasing Department, revised as of April 1, 2026. The form serves as an evaluation tool for contractors engaged on municipal projects. The document is structured to assess contractor performance across multiple audit items, with designated spaces for audit results and corresponding comments. The form is designed to be completed during or after project execution to verify contractor compliance and performance standards.
The audit form includes a field for EMR (Experience Modification Rate) evaluation, though the specific audit criteria and assessment metrics are not fully detailed in the provided excerpt. The form appears to be a standard internal evaluation document used by the City of Lakeland's Risk Management and Purchasing division to monitor contractor performance on projects such as the Terminal Hold Room Expansion project referenced in the contract opportunity, which involves passenger terminal modifications including hold rooms, restroom facilities, and associated infrastructure at a Florida location.
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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 .