PSM_-_Contractor_Audit_Form.pdf

PDF 135 KB Posted

Attached to
Wastewater Treatment Plant Masterplan Upgrades
Solicitation number
2026-RFQ-134
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 working on projects within the municipality. The form is designed to assess contractor performance and compliance across various audit items, with designated spaces for recording audit results and related comments. Specific audit criteria are referenced on the form, including EMR (Experience Modification Rate), though the complete audit item checklist is not fully detailed in the provided document excerpt.

The form serves as a standardized evaluation tool for the City of Lakeland's oversight of contractor performance on projects such as the Wastewater Treatment Plant Masterplan Upgrades, which involves progressive design-build services for facility improvements at the Glendale and Northside Wastewater Reclamation Facilities. This audit instrument appears to support the city's risk management objectives by documenting contractor qualifications and performance metrics relevant to project delivery and compliance 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 .