Four months after a fatal crash, an independent report has found older bus drivers need more regular health checks to stay on the road.
The report, commissioned by Brisbane City Council, recommended bus drivers over 60 should have increased health assessments to ensure public safety.
The findings come after a peak-hour crash in Brisbane's city centre where Tia Cameron, 18, was pinned against a building by a bus in March.
She died at the scene while four other people were treated for injuries.
Driver Lindsay Francis Selby, 70, has been charged with careless driving causing death.
Bus drivers over 60 currently undergo an authorisation test every five years which includes criminal history, medical and traffic history checks.
Once they turn 75, medical assessments are held annually.
The report recommended drivers over 60 should undergo more frequent health assessments but did not specify the regularity.
Transport Councillor Ryan Murphy said the recommendation would support drivers and help passengers feel safe on the city's buses.
"We don't want to throw the baby out with the bathwater," he told reporters on Friday.
"We want to make sure we can place support around our drivers who are ageing to make sure that they are assured of their health conditions."
A Brisbane bus driver's average age is 52. The state average is 56, one more than the national average.
In other states like NSW, bus drivers undergo a health assessment every three years once they turn 60.
Other findings in the report included psychometric profiling in future recruiting, regular monitoring of driver behaviours and performance, low-risk driver behaviour training, and shift and route modifications during training.
Premier Steven Miles said there were already significant safety measures in place for the state's bus drivers but the government was yet to look at the recommendations in detail.
"We want to make sure our buses are as safe as they can possibly be and so if there are changes that need to be made, we'll consider those," he said.
Some of the recommendations like digital aides for drivers will be rolled out by the end of the year but training policy changes and medical assessments will need industry and union consultation.
