PSM_-_Contractor_Audit_Form.pdf

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Attached to
Traffic Safety Software
Solicitation number
2026-RFP-108
Issued by
Polk County, Florida

About this file

This is a Contractor Audit Form developed by the City of Lakeland's Risk Management and Purchasing Department, revised as of April 1, 2026. The form is designed to evaluate contractor performance and compliance across various audit criteria. The document provides a structured template for conducting audits of contractors engaged by the City of Lakeland, with designated fields for contractor name, project identification, location, and date of audit. The audit framework includes multiple line items for assessment, with columns designated for audit results and associated comments.

The form appears to be a standard compliance and risk management tool utilized by the City of Lakeland to monitor contractor performance on projects. One specific audit item referenced is EMR (Experience Modification Rate), which is a key safety metric used to evaluate contractor safety records and workers' compensation history. This form would be employed to ensure that contractors meet the City's quality, safety, and operational standards throughout the duration of their engagement on projects such as the Traffic Safety Software initiative.

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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 .