Please tell us each time you were required to provide Life Preserving Services (LPS) during the November Safe Staffing strikes.

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* 1. Which District do you work in?

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* 2. Where do you work

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* 3. What is your role?

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* 4. When were you required to provide LPS?

Date
Time

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* 5. If your areas uses VIS, what was the colour in your rostered area when the request was made?

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* 6. If your area does not used VIS, was the area you were rostered to work safely staffed in your professional judgement when the request was made?

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* 7. Were you asked to work additional hours?

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* 8. Where were you redeployed to?

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* 9. In your view were the duties you were asked to perform Life Preserving Services?

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* 10. In your view did Te Whatu Ora take sufficient steps before asking striking NZNO members to perform LPS on this occasion?

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* 11. Were you able to return to normal duties after the Life Preserving Services were required?

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* 12. Are you happy for NZNO to contact you about your response?

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* 13. Your details

Thank you!

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