By Hamish Hastie,Hannah Murphy

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New figures released on Wednesday revealed ambulances spent more than 7200 hours outside hospitals for a third straight month, meaning September’s ramping numbers are now the highest on record.

Four unions banded together to speak outside of parliament on Wednesday, calling for a five-point plan to address ramping figures, citing fatigue as a real risk of the current crisis.

Christopher Pike, a paramedic of 14 years, and said paramedics were a “canary in the coal mine” when it came to WA’s health system.

“We can’t lose sight that every ramped hour is a patient who needs to be in hospital,” he said.

“The reason that we’re ramped is because the doctors and nurses are overworked and overwhelmed, so we’re just adding to that.