Older bus drivers need more regular health checks to stay on the road, a report sparked by a fatal crash has found.

The independent report, commissioned by Brisbane City Council, found bus drivers over 60 should have increased health assessments to stay fit for the job.

The findings come after a horror 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.

It has been handed to the state government to consider legislative changes.

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.