PSM_-_Contractor_Audit_Form.pdf

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Attached to
Annual Substation Herbicide Treatment
Solicitation number
2026-RFP-104
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, applicable to the Annual Substation Herbicide Treatment contract opportunity with Lakeland Electric (LE) in Florida. The form is used to evaluate contractor performance and compliance across multiple audit categories, with fields for documenting the contractor name, audit date, project identification, and work location. The audit instrument addresses various risk management and operational metrics, including EMR (Experience Modification Rate) assessment, to ensure contractors meet the city's standards for service delivery and safety compliance on vegetation management projects at LE substations.

The herbicide treatment contract solicitation seeks to secure economical pricing from a qualified Vegetation Management Contractor to provide semi-annual bare-earth herbicide treatments at multiple Lakeland Electric substations and related areas. The contract term is one year with four optional one-year renewals available upon mutual consent. Services must be performed safely with results meeting aesthetic standards appropriate for public-facing utility facilities. The audit form serves as a quality assurance mechanism to monitor contractor performance throughout the contract period and evaluate compliance with established operational and safety 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 .