Aged Care

SIRS reporting: aged care incident obligations explained

The Serious Incident Response Scheme requires approved aged care providers to identify, record, manage, and report serious incidents. Priority 1 incidents must be reported within 24 hours. Priority 2 within 30 days. This guide covers what triggers each priority, how to report, and the critical link between incident reporting and your shift records.

What SIRS is

The Serious Incident Response Scheme (SIRS) is a requirement under the Aged Care Act that obligates approved providers to identify, record, manage, resolve, and report serious incidents involving aged care consumers. It is administered by the Aged Care Quality and Safety Commission.

Residential aged care

SIRS has applied to residential aged care providers since April 2021.

Home care (including Support at Home)

SIRS was extended to home care providers, including those delivering under the Support at Home program, from 1 December 2022.

SIRS applies from the day your organisation becomes an approved provider. There is no grace period.

Priority 1 vs Priority 2 incidents

SIRS divides reportable incidents into two priority levels based on severity. The priority determines the reporting timeframe.

Incident typePriorityReport within
Unexpected deathPriority 124 hours
Serious injuryPriority 124 hours
Severe neglectPriority 124 hours
Abuse causing serious harmPriority 124 hours
Unexpected serious injuryPriority 230 days
Physical, sexual, or psychological abusePriority 230 days
Unlawful sexual contactPriority 230 days
Unexplained absencePriority 230 days
Unauthorised use of chemical or physical restraintPriority 230 days
Theft or financial abusePriority 230 days

These are indicative categories. Refer to the Aged Care Quality and Safety Commission for current SIRS guidance and the full definition of each incident type. agedcarequality.gov.au

How to report

SIRS reports are submitted through the My Aged Care provider portal. When filing a report, you will be asked to provide:

  • Date and time the incident occurred
  • Description of the incident
  • Actions taken in response
  • Person or persons involved
  • Whether police have been notified (required for Priority 1 incidents)

Priority 1 timeframe starts from when the incident becomes known to the provider, not from when it occurred. Ensure your incident notification pathway within the organisation is fast. A delay between a worker becoming aware of an incident and management being notified eats into your 24-hour reporting window.

The rostering connection

SIRS requires that incidents can be linked to the shift during which they occurred. This is not just a technical requirement -- it is a practical one. When the Aged Care Quality and Safety Commission investigates a reported incident, one of the first things they will look at is the shift record: who was rostered, who actually attended, what time the shift started and ended.

This creates a direct dependency between your rostering system and your incident management process:

Shift records must be retained

You cannot link an incident to a shift if that shift record has been deleted, archived without retrieval capability, or never properly recorded in the first place. Shift records need to be kept for the periods specified under the Aged Care Act.

Check-in and check-out times matter

Accurate time records establish when the worker was present. If an incident occurred at a time when the worker was meant to be on-site, your check-in and check-out records are the evidence that they were.

The link must be accessible at short notice

The Aged Care Quality and Safety Commission can conduct unannounced assessments. Being able to retrieve a shift record linked to a specific incident in minutes, not days, is a practical requirement. Searching through spreadsheets or paper records under time pressure is a known point of failure.

SIRS vs NDIS reportable incidents

Providers delivering services in both aged care and the NDIS operate under two separate incident reporting frameworks with different administrators, different categories, and different timeframes. Key differences:

SIRS (aged care)NDIS reportable incidents
Administered byAged Care Quality and Safety CommissionNDIS Quality and Safeguards Commission
Priority 1 timeframe24 hours24 hours
Priority 2 timeframe30 days5 business days
Applicable toApproved aged care providersNDIS registered providers
Reporting portalMy Aged Care provider portalNDIS Commission portal

Note the difference in Priority 2 timeframes: SIRS gives 30 days; the NDIS framework requires reporting within 5 business days. Dual-sector providers need separate incident management pathways for each framework and should not assume that filing a SIRS report also satisfies the NDIS obligation, or vice versa.

Quick reference

QuestionAnswer
When did SIRS start for home care?1 December 2022
When did SIRS start for residential care?April 2021
Who administers SIRS?Aged Care Quality and Safety Commission
Where do you report?My Aged Care provider portal
Priority 1 timeframe24 hours
Priority 2 timeframe30 days

Source: Aged Care Act 2024, SIRS guidance (Aged Care Quality and Safety Commission). agedcarequality.gov.au

Keep shift records and incidents connected

Teiro links incident reports to the shift on which they occurred, keeps check-in and check-out records accessible, and surfaces shift history for audit and ACQSC assessment purposes.