Two emergency medical services employees, an Intermediate Life Support Paramedic (Pillay) and a Basic Ambulance Assistant (Tembe), were tasked with transporting a female patient from Inkosi Albert Luthuli Central Hospital to Murchison Hospital. Instead of completing the transfer, the employees drove the ambulance to their base in Port Shepstone and knocked off duty, leaving the patient inside the ambulance. The employer alleged that the patient was left unattended during transport, that both employees sat in the front of the ambulance, and that the patient was abandoned without proper handover. The employees denied this, claiming Tembe attended to the patient and that a proper handover was effected at the base. Following a disciplinary enquiry, both employees were dismissed. An arbitrator found the dismissals substantively fair (procedurally unfair only in Tembe’s case, without relief). The Labour Court reviewed and set aside the arbitration award and ordered reinstatement. The Department of Health appealed to the Labour Appeal Court.