Students must confirm they have seen and understand the Resuscitation Council Guidelines 2015 for Adult BLS

Student must sign here...
Scene Safety

Has the candidate assessed the scene for safety?

Patient Response

Is the patient alert?

Is the patient responding to voice?

Is the patient responding to pain?

Is the patient unresponsive?


Has the candidate checked the Airway (with consideration to C-Spine injury if appropriate)


Is the patient breathing normally?

Call for Help

Did the candidate call for help?

Chest Compressions

Is the hand position correct?

Are compressions at the correct depth?

What is the rate?

Has the candidate sequenced the ventilations correctly? IE 30:2

Do the ventilations make the chest rise and fall?

Do the ventilations take 1 second?


Is the candidate managing the scene, sequence and sequelae?


Has the candidate followed the instructions of the AED?

It is safe to touch the patient whilst the shock is being delivered?

It is safe to shock an overweight patient?


Does the candidate recognise signs of life?

Does the candidate manage ABC appropriately and keep flat where possible for 10 minutes?

Does the candidate carry out an accurate handover?

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.