How-to

SIRS Priority 1 vs Priority 2: how to tell the difference

The priority you assign decides your clock: 24 hours for Priority 1, 30 calendar days for Priority 2. Getting it wrong in either direction is a problem. This guide sets out which categories are always Priority 1, the trigger that decides the rest, and how to work through a real case.

This is guidance, not a determination or legal advice. Whether an incident is reportable under SIRS, and at what priority, is a judgement your organisation's nominated delegate must confirm. SIRS rules change: always verify current requirements against current ACQSC guidance and your own SIRS policy before you act. When you are genuinely unsure, the safer default most quality consultants recommend is to report.

The short answer

A Priority 1 incident must be notified to the Aged Care Quality and Safety Commission within 24 hours of the provider becoming aware of it.

A Priority 2 incident is any other reportable incident that does not meet the Priority 1 criteria. It must be notified within 30 calendar days of awareness. That is 30 calendar days, not business days.

These are always Priority 1

These are Priority 1 no matter how the individual case looks. You do not assess severity first:

  • Unexpected death
  • Any sexual conduct: unlawful sexual contact or inappropriate sexual conduct
  • Unexplained absence from care reported, or that reasonably should be reported, to police

The Aged Care Quality and Safety Commission deliberately removed the severity assessment for sexual conduct, so the whole category is always Priority 1 and cannot be under-classified onto the 30 calendar day clock.

The rest are assessed against the Priority 1 trigger

For the remaining categories, an incident is Priority 1 if either of these is true:

  • It caused, or could reasonably have caused, physical or psychological injury requiring medical or psychological treatment; or
  • There are reasonable grounds to report it to police.

If neither is true, the incident is still reportable, but as Priority 2 on the 30 calendar day clock. Inappropriate use of a restrictive practice is reportable regardless of severity: if it does not meet the Priority 1 trigger, it is reported as Priority 2.

Priority at a glance

CategoryPriorityReport within
Unexpected deathAlways Priority 124 hours
Unlawful sexual contactAlways Priority 124 hours
Inappropriate sexual conduct (not unlawful contact)Always Priority 124 hours
Unexplained absence reported (or that should be reported) to policeAlways Priority 124 hours
Unreasonable use of forceAssessed: P1 or P224 hours / 30 calendar days
Psychological or emotional abuseAssessed: P1 or P224 hours / 30 calendar days
NeglectAssessed: P1 or P224 hours / 30 calendar days
Stealing or financial coercion by a staff memberAssessed: P1 or P224 hours / 30 calendar days
Inappropriate use of a restrictive practiceReportable; P1 or P224 hours / 30 calendar days

Indicative summary of the classification logic. Confirm each case against current ACQSC guidance and your own policy.

A worked example

A care worker uses more force than is reasonable while assisting a person to transfer, and the person is left with bruising but needs no treatment. There is no suggestion the matter should go to police. Because it did not cause injury requiring medical or psychological treatment and there are no grounds to report to police, this would likely be assessed as Priority 2 and reported within 30 calendar days.

Change one fact: the same incident causes a fracture requiring hospital treatment. Now it caused injury requiring medical treatment, so it would likely be Priority 1 and reported within 24 hours. The category is the same; the trigger changes the priority.

These examples are illustrative. The actual classification is a judgement for your nominated delegate.

Primary source

This page is based on guidance published by the Aged Care Quality and Safety Commission (ACQSC) under the Aged Care Act 2024 and the Aged Care Rules 2025, in force from 1 November 2025.

How Teiro helps

The record already exists by the time the clock is running

Teiro captures the incident at the point of care, timestamps the moment your team became aware of it, surfaces the classification question to your reviewer with the facts already attached, tracks the deadline once a priority is assigned, and produces the record you need to lodge your SIRS notification. The decision about whether something is reportable, and at what priority, stays with your organisation's delegate. Teiro makes sure that decision gets made in time, by the right person, with the facts already in front of them.

Teiro does not determine reportability, and does not submit notifications to the ACQSC or the NDIS Commission on your behalf. It produces the record your delegate needs to make the call and lodge it.

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