PSM_-_Contractor_Audit_Form.pdf

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Attached to
Municipal Fire Protection Non-Ad Valorem Assessment Program and Rate Study
Solicitation number
2026-RFP-100
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 contractor performance and compliance across various audit criteria. The document provides a standardized template that the City uses to assess contractors working on municipal projects, with designated fields for recording the contractor name, project details, location information, and audit results. The form includes sections for evaluating specific audit items, with corresponding result columns and space for comments related to contractor performance metrics such as EMR (Experience Modification Rate) and other risk management indicators.

The form serves as a quality assurance and risk management tool for the City of Lakeland to systematically document contractor compliance and performance throughout project execution. While the specific audit criteria are partially visible in the document, the comprehensive nature of the form indicates it addresses multiple compliance and performance dimensions relevant to municipal contracting standards. This audit mechanism is particularly relevant to the City's current solicitation for a municipal fire protection non-ad valorem assessment program consultant, as contractor qualification and performance monitoring would be essential components of managing a complex, multi-year engagement requiring demonstrated expertise in Florida's assessment methodologies and implementation 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 .