Reporting Forms

Unsafe Staffing

• Web Form:
  https://action.massnurses.org/forms/safe-staffing/
• Hospital Setting (PDF):
  /files/file/Objection%20and%20Documentation%20of%20Unsafe%20Staffing%202022(1).pdf
• Community Setting (PDF):
  http://www.massnurses.org/files/file/Labor-Action/UnsafeStaff-community.pdf

ICU Law Violation

• Web Form:
  https://action.massnurses.org/forms/icu-staffing/
• PDF:
  http://www.massnurses.org/files/file/Legislation-and-Politics/ICU_Staffing_Violation_form_02.pdf

MOT Law Violation

• Web Form:
  https://action.massnurses.org/forms/mot-law-violation/
• PDF Form:
  http://www.massnurses.org/files/file/Nursing-Resources/MOT_Survey_01.pdf
• Quick Guide to Mandatory Overtime
  http://www.massnurses.org/files/file/Nursing-Resources/quick-guide-to-MOT.pdf

Workplace Violence

• Web Form:
  https://action.massnurses.org/forms/workplace-violence-reporting-form/
• PDF Form:
  https://www.massnurses.org/files/file/Health-and-Safety/Workplace-Violence-Reporting-form.pdf