b'Documentation and ReferralChapterEmployers are required to keep accurate records for all work-related injury or illness. These records are to be maintained in a Register of Injuries. Information must be clear and concise. Patient information is confidential and must only be conveyed to a doctor, nurse or other attending medical personnel (Ambulance). This medical information can only be passed on with the express and even written permission of the patient. Workers medical records are to be secured at all times.Referral letters should include information regarding the patients previous medical history, present injury or illness and any treatment given to the patient. Accurate reporting of the incident will assist medical staff in determining the extent of the injury or illness and organising on-going patient treatment.Example of Injury or Illness Record20/5/2110 Occupational Health and Safety'