Select date

Checklist completed daily

Top of Trolley

Defibrillator Checked

Defibrillator serial number and type

Defibrillator pads in date

Defibrillator pads connected

Side of Trolley

E size Oxygen cylinder at least 3/4 full

Box of medium size gloves

Suction machine connected and working

Yankeur suction catheter (3)

Suction catheters size 12fg (4)

Suction catheters size 14fg (4)

Intravenous Infusion Pole

Bag valve mask

Draw 1 Advanced Airway

ET tube size 6,7,8,9

Laryngoscopes handle with disposable size 3 blade

Laryngoscopes handle with disposable size 4 blade

Magills forceps


Catheter Mount

20ml syringe

Ribbon Gauze

Spare batteries for laryngascope

Waters circuit

Draw 2 Airway & Breathing

Non-rebreathe oxygen mask (high flow)

Oro-pharyngeal airways size 2,3,4

Naso-pharyngeal airways size 6,7

Laryngeal mask airways size 4,5

Pocket mask

50ml syringe

Lubricant gel

Draw 3 Circualtion

Orange cannula 14g (6)

Grey cannula 16g (6)

Green cannula 18g (6)

Pink cannula 20g (4)

Micropore tape (half inch)

Micropore tape (one inch)

IV dressings (8)

5ml syringe (4)

10ml syringe (8)

20ml syringe (4)

Blood gas syringe (4)

Pack of gauze swabs (6)

Alcohol impregnated swabs (20)

Green needles 21g (20)

Sodium Chloride 0.9% ampules 10mls (10)

Razors (2)

Long intravenous line size 14g, 16g

Three way tap with extension (2)

Draw 4 Circulation

IV giving set (2)

Large bore blood giving set (2)

Volplex 500mls

Normal Saline 500mls

Normal Saline 1000mls

Draw 5 Drugs and Miscellaneous

Blue cardiac arrest drugs box

Pressure infusion bag

Pack of ECG electrodes

Spare pack of defibrillation pads

Sharps bin

Staff Signature
Auditor Signature
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.