Equipment check

Emergency trolley check - JCI AOP.7.4, clinics (international)

This template helps clinics check their emergency trolley or grab bag for readiness, ensuring all essential items are present, in date, and functional.

Fill it in online - free, no account needed. 27 questions.

What it is for

This template provides a structured way to verify the readiness of emergency equipment in clinics.

The full question list

1. Trolley/Grab Bag Security and Readiness

  1. Emergency trolley/grab bag location *
  2. Seal number recorded *
  3. The emergency trolley/grab bag seal is intact *
  4. Date and time of last check *

2. Medication Check

  1. All required emergency medications are present *
  2. All emergency medications are within their expiry dates *
  3. Earliest medication expiry date found *
  4. Medications are stored securely (e.g., locked drawer if required) *

3. Defibrillator and Oxygen

  1. Defibrillator is charged and ready for use *
  2. Defibrillator self-test has passed *
  3. Defibrillator battery expiry date *
  4. Oxygen cylinder is full *
  5. Oxygen cylinder expiry date *

4. Airway and Suction Equipment

  1. Suction apparatus is functional and ready for use *
  2. All required airway management equipment is present and in good condition *
  3. Airway equipment (e.g., LMA, ET tubes) is within expiry dates *
  4. Ventilation bag and masks are present and functional *

5. Other Emergency Equipment

  1. IV access equipment (e.g., cannulas, fluids) is present and in date *
  2. Blood glucose monitoring equipment is present and functional *
  3. Sharps container is present and not full *
  4. Gloves and other PPE are present and accessible *

6. Documentation and Follow-up

  1. Emergency trolley/grab bag log is completed accurately *
  2. Any identified deficiencies have been reported for corrective action *
  3. The emergency trolley/grab bag was restocked promptly after its last use *

7. Sign-off

  1. Name of person completing this check *
  2. Date and time of completion *
  3. Signature *

References

How the score works

The score is the share of scored questions that pass. N/A is left out of the score; text, dates and signatures are recorded but not scored. A completed template is a record of what you checked; it is not an inspection by a regulator or an accreditation body.

Questions

How often should this check be completed?

It is recommended to complete this check at least daily, or before each shift, to ensure continuous readiness of emergency equipment.

What if an item is missing or expired?

Any missing or expired items should be immediately replaced and reported according to your clinic's incident management policy. The 'fail_creates_action' questions highlight critical items.