2016 ICI Safety Program Awards Application Instructions


To be considered for an award, applicants must meet the following eligibility requirements:

  • Current ICI membership;
  • No OSHA citable work-related fatalities since January 1, 2015;
  • Must have one or more active jobsites available for visit during August and September 2016;
  • Must allow a random and unannounced jobsite validation and worker interviews;
  • Award recipients must work with ICI’s Safety Committee to participate in a safety roundtable gathering in early 2017.

Awards will be announced at ICI’s Annual Membership Meeting on November 2.

Completing the Application 

The ICI application process consists of three parts:

  • Interactive application form which is filled in and submitted electronically once you have completed all of the requested information. Each section of the application clearly states what is required for that section.
  • The application form will also request some independent documentation. These documents should be scanned and saved as a pdf file and included as an attachment to the email when you send your application.
  • Once the completed application form is sent to ICI via email, ICI will send you links to electronic supervisor and onsite worker surveys. You will need to provide those links via text or email to your supervisors and onsite workers so they can take the one or two minute survey.

NOTE: Please contact the ICI office at ici@indianaconstructors.org, or by phone at (317) 634-7547 if your company is unable to participate electronically.


Applications are submitted electronically and must be received by July 22, 2016.  At least the minimum number of all supervisor and onsite worker surveys must be submitted by the July 22 deadline (refer to application for minimum number needed).


To ensure fairness in the judging process, ICI will remove all identifying information, such as company name and address, from the applications and supporting documentation before providing information to ICI’s Safety Program Awards Selection Committee.

Company Safety Program

Please provide “yes” or “no” answers to three questions, adding explanations and/or comments as appropriate.

  • Please attach a sample copy of one of your jobsite safety plan, hazard analysis and preventative action (if available).
  • Please attach a sample copy of your written plan to provide task-specific, hands-on training for new hires and employees who transfer to a new task (if available).

Components of Safety Program

Please attach a copy of the Table of Contents from your company’s safety manual.

Targeted Questions – Short Answer

Please provide brief answers to the two questions.

NOTE: Although ICI will remove all identifying information, please refrain from using the company name and/or company-specific acronyms in this section.

This year, we are using electronic surveys to make it easier for companies to distribute and request anonymous feedback from employees about the company’s safety program.

Contractors without the capabilities of doing the surveys electronically should call the ICI office at (317) 634-7547 for paper surveys and instructions.

Application Submittal

Completed applications will be automatically sent to ICI via the interactive application form.  Survey forms should be submitted by July 22, 2016.


If you have any questions during the application process, contact the ICI office at (317) 634-7547 or ici@indianaconstructors.org.

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