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Injury and Illness <br /> Prevention Program 2.22 <br /> TABLE OF CONTENTS <br /> 1. PURPOSE ................................................................................................................................................1 <br /> 2. SCOPE AND APPLICABILITY.................................................................................................................1 <br /> 3. ROLES AND RESPONSIBILITIES...........................................................................................................1 <br /> 4. COMMUNICATION...................................................................................................................................2 <br /> 5. HAZARD IDENTIFICATION AND ASSESSMENT...................................................................................3 <br /> 6. ACCIDENT INVESTIGATION ..................................................................................................................5 <br /> 7. TRAINING AND INSTRUCTION ..............................................................................................................6 <br /> 8. RECORDKEEPING AND DOCUMENTATION ........................................................................................7 <br /> Appendix B— Example Job Safety Analysis Form .........................................................................................i <br /> Appendix C—Accident Report and Investigation Form..................................................................................i <br /> AppendixD— Near Loss Form .......................................................................................................................i <br /> APPENDICES <br /> Appendix A—Safe Work Practices <br /> Appendix B— Example Job Safety Analysis Form <br /> Appendix C—Accident Report Form <br /> Appendix D— Near Loss Form <br /> Appendix E— Factors, Root Causes and Solutions FormTM <br /> 7/2018 Corporate Health and Safety Management Program I ROUX i <br />