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New Requirements Related to Violence in Medical Facilities

AB348 of the 2019 Legislative Session put in place new requirements for medical facilities related to workplace violence. On December 21, 2021 the Legislative Commission adopted regulation R044-20 Workplace Violence in the Medical Industry: R044-20AP.pdf ( This regulation became effective December 22, 2021. Please see the following link for a letter that briefly explains the regulation and provides enforcement guidance: New Regulation for Workplace Violence at Medical Facilities (R044-20) (

Please also see the following link for an optional template that can be used by medical facilities to comply with the recordkeeping requirements of the regulation: Violence Log.xlsx

In addition to the regulation, NRS 618.7318(1) requires medical facilities to submit to DIR an annual summary of workplace injuries and illnesses pursuant to 29 CFR 1904.32 using OSHA Form 300A. These forms should be submitted to It’s important to note that Nevada OSHA will be exercising enforcement discretion for reporting year 2021 and will be requiring employers to submit this form to Nevada OSHA no later than April 1, 2022. For future reporting periods, employers will be required to submit the form no later than February 1st.