MA000098CurrentHealth and community services

Ambulance and Patient Transport Industry Award

The Ambulance and Patient Transport Industry Award can be highly relevant for ambulance operators, non emergency patient transport providers and businesses involved in ambulance education and training, but it is not a simple label based award. The main compliance issues are usually the initial coverage check, the choice of Schedule A classification, written part time arrangements, casual loading rules, 40 hour roster cycles and correct treatment of all purpose allowances.

Consolidated through
1 July 2026
Source checked
1 August 2026
Award coverage depends on the employer's industry and the work the employee actually performs. Job titles alone do not decide coverage. Check the coverage and classification clauses, any enterprise agreement, and the official award before changing pay or employment conditions.

Who this award covers

This award may apply where a business provides ambulance services, patient transport services, or ambulance and patient transport education and training. Coverage is not automatic just because a business works in health or transport. The employee must fit a Schedule A classification, and if the employer is touched by more than one award the employee sits under the classification that is most appropriate to the work performed and the environment in which that work is usually done. That is especially important where nurses, other health professionals, or enterprise covered employees are also in the workforce.

Businesses and work usually covered

  • Emergency ambulance work
  • Non emergency patient transport
  • Ambulance and patient transport education and training
  • Communications centre work tied to ambulance or patient transport operations
  • Clinical support, audit and training functions within ambulance services
  • Maintenance and repair of ambulance and patient transport vehicles

When another award or arrangement may apply

  • Employers bound by the Aged Care Award 2010, Health Professionals and Support Services Award 2020, Medical Practitioners Award 2020, Nurses Award 2020 or the Social, Community, Home Care and Disability Services Industry Award 2010 are not covered by this award.
  • Employees excluded from award coverage by the Fair Work Act are not covered.
  • Employees covered by a modern enterprise award, enterprise instrument, State reference public sector modern award or State reference public sector transitional award are not covered.

Roles and classifications

The award contains classification levels that connect an employee's duties, skills and responsibility to a minimum rate. Common role descriptions include:

  • Ambulance Officer or Ambulance Paramedic
  • Student Ambulance Officer or Student Paramedic
  • Intensive Care Paramedic
  • Station Officer or Team Manager
  • Assistant Station Officer or Regional Relieving Officer
  • Ambulance Attendant
  • Patient Transport Officer
  • Clinical Transport Officer
  • Clinical Support Officer
  • Communications Officer or Communications Call Taker
  • Senior Station Officer
  • Mechanic or Fleet Maintenance Officer

A familiar job title is only a starting point. Match the employee's real duties against the classification definitions and keep a written record of the level selected.

Rules employers need to check

Start with coverage and classification

4.1, 4.6, Schedule A

The first compliance task is coverage and classification. This award is not a blanket instrument for every health related role. It only covers employees in its classifications, and where another award is also in play the most appropriate classification and work environment decide the result.

  • Match each employee to the Schedule A classification that best fits the duties they actually perform.
  • Check the work environment as well as the task list, because clause 4.6 uses both factors.
  • If there is no suitable classification here, the note to clause 4.6 points to the possibility of another award with occupational coverage.

Record employment terms properly

8.1, 8.2, 10.2, 10.4

Engagement records matter under this award. A loose understanding about part time hours is not enough, because the written pattern sets the ordinary hours and helps determine when overtime begins. Small payroll errors usually start with poor engagement paperwork.

  • Tell each employee at engagement whether they are full time, part time or casual and record that decision.
  • For part time staff, agree in writing on the days, hours and actual starting and finishing times.
  • A part time shift must be at least 4 consecutive hours.

Apply the casual rules carefully

11.1, 11.2, 11.4, 11.5

Casual compliance is more complicated than adding one loading. This award has separate treatment for weekdays, weekends and public holidays, and overtime is carved out again. Employers should also keep the award rules separate from the National Employment Standards casual conversion pathway.

  • Casuals must be paid for at least 3 hours on each attendance unless another arrangement is agreed.
  • Weekday, weekend and public holiday casual loadings are set separately in the award.
  • Casual overtime is dealt with under clause 11.4, and the pathway to move from casual to ongoing work sits in the National Employment Standards.

Build roster cycles correctly

13.1, 13.2, 13.3

Rostering is a core risk area in this award. Ordinary hours, roster cycles and 40 hour patterns are all regulated, and an employer that builds a roster first and checks the award later can easily miss accrued day off or additional leave obligations.

  • Full time ordinary hours are 38 per week or an average of 38 over the roster cycle.
  • Employees may work ordinary hours on a 10/14 roster arrangement by mutual agreement.
  • If employees are rostered to regularly work 40 ordinary hours per week, the award requires either additional leave or one accrued day off in each 4 week period.

Watch accrued day offs and public holidays

13.2, 27

Accrued day off administration needs active attention. The award does not let a public holiday simply swallow the day. Employers need a practical process for identifying the clash and setting the replacement day within the roster cycle where possible.

  • If an employee's accrued day off falls on a public holiday, another accrued day off must be set instead.
  • The replacement day should be taken within the same 4 week cycle where practical.
  • Public holiday issues should be checked against the roster, not treated as a separate payroll afterthought.

Check allowance treatment in payroll

18.1, 18.2

Payroll should not treat every allowance as a flat add on. This award expressly says some allowances are all purpose, which changes the rate used for later calculations. Missing that point can affect a string of downstream payments rather than a single allowance line.

  • Allowances must be paid separately where the employee qualifies.
  • The paramedic skills allowance and the CEP or paramedic allowance are all purpose allowances.
  • Because they are all purpose allowances, they flow into penalties, loadings and annual leave calculations for employees who receive them.

Keep the award separate from the NES and enterprise coverage

3.1, 3.2, 4.5, 11.5

The award is only one layer of the legal framework. Employers still need to separate award terms from National Employment Standards entitlements and from any enterprise coverage. That distinction affects leave, casual changes, and the threshold question of whether the award applies at all.

  • The National Employment Standards and this award operate together as minimum conditions.
  • Enterprise covered employees may fall outside the award entirely under clause 4.5.
  • The casual pathway sits in the National Employment Standards, not in a separate award formula.

Pay rates, penalties and allowances

The safest way to check a current rate is to start with the employee's classification, employment type and working pattern, then use Fair Work's current pay guide or Pay and Conditions Tool. Rates can change after an Annual Wage Review or an award variation.

Common workplace examples

A private operator moves non emergency patients between hospitals

The award may apply because clause 4.2 includes patient transport services, and Schedule A contains Patient Transport Officer and Clinical Transport Officer roles. The employer should still test the duties being done, the work environment, and whether any excluded health award or enterprise coverage applies before treating the award as settled.

A business uses a regular 40 hour roster pattern

Clause 13.2 allows a regular 40 ordinary hour roster, but only if the employee receives either additional leave or one accrued day off in each 4 week period. If that accrued day off falls on a public holiday, another accrued day off must be set. The roster design and the leave administration therefore need to be checked together.

A business employs patient transport staff and nurses

The title of the business does not answer the coverage question. Clause 4.3 excludes employers bound by some other health awards, and clause 4.6 says the most appropriate classification and work environment matter. A patient transport employee may fit this award while a nurse or another health professional does not.

Recent changes to this award

PR799378, PR799533

The current consolidated award incorporates these recent variation determinations. Use the consolidated wording when checking any affected clause, schedule, rate or allowance.

Affected: 16 - Minimum rates, 18 - Allowances, 20 - Overtime, Schedule B - Summary of Hourly Rates of Pay - Clerical and Administrative Support, Classifications, Schedule C - Summary of Monetary Allowances

What to do next

  • List each role in the business and map it to the closest Schedule A classification before checking pay or rostering.
  • For every part time employee, keep the written pattern of days, hours and starting and finishing times with payroll records.
  • Review mixed health workforces role by role so nurses or other professionals are not assumed into this award by default.
  • Check any regular 40 hour roster pattern to confirm whether additional leave or an accrued day off is being provided.
  • Flag all purpose ambulance allowances in payroll so later penalties, loadings and annual leave are calculated on the right base.
  • Audit casual attendances for minimum engagement, overtime triggers and National Employment Standards casual status changes.

Common questions

Can this award cover a private non emergency patient transport business?

Potentially, yes. Clause 4.2 says the industry includes patient transport services, and Schedule A contains Patient Transport Officer and Clinical Transport Officer classifications. The safe approach is to test the actual duties, the work environment and any competing award or enterprise coverage before treating the award as settled.

Is this award only for paramedics?

No. Schedule A includes operational ambulance and patient transport roles, communications centre roles, clinical support roles and vehicle maintenance roles. Clause 4.6 still matters, because the employee must fit the classification that is most appropriate to the work performed and the environment in which it is performed.

What if our business also employs nurses or other health professionals?

Not automatically. Clause 4.3 excludes employers bound by several other health awards, including the Nurses Award 2020 and the Health Professionals and Support Services Award 2020. In a mixed workforce, you need a real role by role coverage check rather than assuming one health award covers everyone.

Does the award deal with labour hire staff?

Yes, it can. Clause 4.4 extends coverage to on hire employers and on hire employees while they perform covered work in the ambulance and patient transport industry. That extension still operates subject to the award's exclusions, so labour hire does not remove the need for a proper coverage review.

Can we classify employees by title alone?

No. Clause 4.6 makes the actual work and work environment the central test, and the note under that clause warns that another award with occupational coverage may be the better fit where this award has no suitable classification. A job title can help, but it does not decide coverage or classification by itself.

Official sources and related help

This guide is general information, not legal advice. Modern award coverage and classification depend on the facts. Check the current official award and get advice for your business before relying on this page.

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