PSM_-_Contractor_Audit_Form.pdf

PDF 135 KB Posted

Attached to
Lakeland Electric - Unit 5 - 2026 Fall Outage Contract Services
Solicitation number
2026-RFP-114
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 department, revised as of April 1, 2026. The form is designed to evaluate contractors performing work on projects for the City of Lakeland. The audit instrument includes sections for contractor identification, project details, location information, and various audit items with corresponding result and comment fields. One audit item referenced on the form pertains to EMR (Experience Modification Rate), which is a standard metric used to assess contractor safety performance and risk management practices. The form serves as a quality assurance and compliance tool to verify that contractors meet established safety, insurance, and operational standards before, during, or after project execution.

The audit form does not specify pricing terms, set-asides, funding sources, or contract amounts, as it functions as an evaluation instrument rather than a procurement document. The form is generic in nature and appears designed for use across multiple City of Lakeland projects, suggesting it is part of a standardized contractor vetting process. Contractors responding to City of Lakeland solicitations, including the Lakeland Electric Unit 5 Fall Outage project scheduled for November 29 through December 19, 2026, would likely be subject to completion of this audit form as part of their contract compliance and qualification requirements.

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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 .