The Patient Handling Incident Review of Systems (PHIRES)

Download the Patient Handling Incident Review of Systems (PHIRES) tool and watch videos explaining its use.



PHIRES is an incident investigation tool to review incidents sustained through patient handling.

The PHIRES Tool is based on a systems-thinking approach to preventing patient-handling injuries. It is designed to help employers:

  • review, and if necessary revise, risk controls following a patient-handling injury
  • focus on risk controls for the task, rather than the injured person
  • consult with health and safety representatives (HSRs) and employees
  • identify more effective risk controls

Explanatory videos

PHIRES Introduction

PHIRES Step 1: Summary of the incident

PHIRES Step 2: Consultation with stakeholders

PHIRES Step 3: Identifying factors for review

PHIRES Step 4: Visual representation of the review using Accimap

PHIRES Step 5: Developing action plans