The Health Department says it's working with Worksafe Tasmania to address ongoing health and safety concerns at the Royal Hobart Hospital.
It comes after southern region health and safety representatives notified Ambulance Tasmania of its intention to direct paramedics to cease work in the hospital's ramping area from Friday.
The cease work action comes days after a leaked consulting report from November 2018 showed Ambulance Tasmania was failing to meet legal obligations around workplace health and safety policies and procedures.
Ramping refers to the time ambulances are located at hospital emergency departments, with paramedics caring for a patient until they can be handed over to the care of ED staff.
In an email sent to management, the Southern HSR group states that despite several meetings and detailed risk assessments, "there has been no meaningful action to resolve even the smallest of ramp-related safety issues".
It says the directed course of action will likely require all staff who are triaged in ramp for more than 30 minutes, to return their patient to the safety of an ambulance as part of a "temporary solution" to reduce risks to patients and staff.
Health Department secretary Kathrine Morgan-Wicks said it was working to address issued raised by the Southern HSR group.
"It should be pointed out that in relation to these issues, an action plan has been developed, and a number of the highest-priority recommendations as identified by an independent workplace health and safety consultant have already been addressed," she said.
"Further recommendations are on track to be implemented in the coming months.
"Patient safety and care, along with the safety of our staff, are our top priorities.
"We never want to see either of these compromised, which is why we have committed to this work and these improvements."
Ms Morgan-Wicks said under the Work Health and Safety Act 2012, the Health Department needed to "formally receive a valid notice of intention to cease work and be able to consider that notice accordingly".
In May, an Auditor-General report into the state's four major hospitals revealed ambulance ramping increased by about 149 per cent between 2012-13 and 2017-18.
It prompted an urgent health summit in Hobart to address access solutions, including ambulance ramping.
However last week Australian College of Emergency Medicine president Dr Simon Judkins said despite the meeting, the "unacceptable" situation facing Tasmania's hospitals had only gotten worse.
On Thursday former Health Minister Michael Ferguson hit back at claims the government was ignoring the concerns of paramedics.
"I want to emphasise right from the outset the Tasmanian Government is the strongest continuing supporter of our paramedics," he said.
"They do a great job in difficult circumstances.
"We are more than aware of the demands that are being placed on our health system right now.
"We are not relaxed about it at all. We are working very hard."