Before induction of anaesthesia

Patient has confirmed - identity - site - procedure - consent

Site marked or not applicable

Anaesthesia safety check completed

Pulse oximeter attached and functioning

Does the patient have a:

Known allergy

Difficult airway / aspiration risk?

Equipment and assistance available.

Risk of > 500ml blood loss (7ml/kg in children)

Adequate intravenous access and fluid planned.

Difficult airway or aspiration risk?

Equipment and assistance available.

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.