Abstract: The purpose of this review was to assess the effectiveness of current guidelines and how they are operationalised in practice for ensuring safety for remote primary health care staff working in Northern Territory (NT) government primary health care centres, when providing after hours on-call services in remote NT communities. In particular, the review was designed to assess the effectiveness of the Remote Health Atlas on-call safety and security procedures in ensuring a safe work environment by auditing on the ground practices. The report did not include any assessment of staff travel, medical evacuations or visiting health services to remote centres. Also out of scope were NT Health urban primary health care services and remote Primary Health Care (PHC) services administered by other organisations. Notwithstanding the non-inclusion of this latter group of services, it is hoped that Aboriginal Community Controlled Health Organisations that are responsible for operating remote primary care clinics may find this report and the recommendations both relevant and useful. The report recommendations aim to strengthen the effectiveness of existing arrangements for promoting and ensuring staff safety and security in remote health facilities.