CHAPTER 29

CHAPTER 29. EMERGENCY EQUIPMENT DAILY CHECKLIST 

To be completed by nurses or designated staff at the beginning of each shift. 

Item 

Available 

Working? 

Notes 

Oxygen Cylinder 

☐ Yes ☐ No 

☐ Yes ☐ No 

___________ 

Oxygen Mask & Tubing 

☐ Yes ☐ No 

☐ Yes ☐ No 

___________ 

Ambu Bag (BVM) 

☐ Yes ☐ No 

☐ Yes ☐ No 

___________ 

Suction Machine 

☐ Yes ☐ No 

☐ Yes ☐ No 

___________ 

Emergency Drug Box 

☐ Yes ☐ No 

Expiry Checked: ☐ Yes ☐ No 

___________ 

Gloves & PPE (Gloves, Aprons, Masks) 

☐ Yes ☐ No 

☐ Yes ☐ No 

___________ 

IV Supplies (Cannulas, Fluids, Giving Sets) 

☐ Yes ☐ No 

☐ Yes ☐ No 

___________ 

Torchlight 

☐ Yes ☐ No 

☐ Yes ☐ No 

___________ 

Glucometer & Test Strips 

☐ Yes ☐ No 

☐ Yes ☐ No 

___________ 

Thermometer 

☐ Yes ☐ No 

☐ Yes ☐ No 

___________ 

BP Machine & Stethoscope 

☐ Yes ☐ No 

☐ Yes ☐ No 

___________ 

Checked by: ___________________________
Date: _______________
Signature: ___________________________