PSM_-_Contractor_Audit_Form.pdf

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Attached to
Professional Municipal Engineering Services (CCNA) - Glendale Street Trail from New Jersey Road to Lakeland Highlands Road - CEI Services
Solicitation number
2026-RFQ-113
Issued by
Polk County, Florida

About this file

This is a Contractor Audit Form used by the City of Lakeland's Risk Management and Purchasing Department to evaluate contractors on municipal projects. The form is designed to assess contractor performance and compliance across various audit items, with dedicated sections for recording audit results and associated comments. The document serves as a standardized evaluation tool for projects conducted within Lakeland's jurisdiction, allowing the city to systematically track contractor performance metrics and ensure adherence to project requirements.

The audit form includes a field for recording the Experience Modification Rate (EMR), which is a critical safety metric used to evaluate a contractor's workplace safety performance and insurance risk profile. This assessment mechanism enables the City of Lakeland to maintain oversight of contractor qualifications and operational standards throughout the duration of contract execution, supporting the city's risk management objectives and procurement accountability practices.

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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 .