Pre-Start Checklists

    Free Pre-Start Checklist (Dialysis Unit) Template

    Download our free Pre-Start Checklist (Dialysis Unit) Template. This structured DOCX & PDF resource helps formalise daily equipment safety checks.

    September 12, 20264 min read10 viewsLast reviewed September 2026Licensing terms (PDF)

    Free Pre-Start Checklist (Dialysis Unit) Template

    DOCX • 125 KB + PDF

    Updated Oct 2026

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    Free Pre-Start Checklist (Dialysis Unit) Template — document preview

    Purpose of the Free Pre-Start Checklist (Dialysis Unit) Template

    Dialysis is a life-sustaining treatment, and the reliability of the equipment used is paramount. This Free Pre-Start Checklist (Dialysis Unit) Template provides a structured framework for healthcare professionals to conduct consistent and thorough safety inspections before each use.

    Implementing a formal pre-start check helps to identify potential faults, ensure the machine is clean and correctly set up, and verify that all safety features are functional. Regular checks are a fundamental component of proactive risk management in a clinical setting, safeguarding both patients and operators.

    Using this checklist helps an organisation demonstrate its commitment to safety and operational excellence. It formalises the process of verifying equipment readiness, reducing the risk of equipment malfunction during treatment. This structured approach is crucial for maintaining high standards of patient care and aligns with the principles of effective risk control seen in other healthcare procedures, such as those governing aged care manual handling procedures.

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    How to use the Free Pre-Start Checklist (Dialysis Unit) Template

    This resource is provided as a customisable template in both DOCX and PDF formats. It is designed to be adapted to the specific models of dialysis machines and the established protocols within your healthcare facility.

    The checklist prompts operators to inspect critical components such as fluid lines, alarms, monitors, and water treatment connections. It also includes sections for recording actions taken and escalating any identified issues to the appropriate personnel, like biomedical engineering or a unit manager.

    To implement it effectively:

    • Download: Select the DOCX version for easy editing.
    • Customise: Modify the checklist items to match your specific dialysis machine models, consumables, and internal safety protocols. Add your organisation’s logo and details.
    • Train: Ensure all relevant staff (e.g., renal nurses, dialysis technicians) are trained on how to use the checklist correctly and understand the importance of each check.
    • Implement: Integrate the checklist into your daily startup procedures for the dialysis unit.

    Important: This document is a starting-point template only. We have provided a structured guide, but you must customise it to reflect your specific equipment, workplace, and the unique risks present in your facility.

    A standalone document is only one part of a safe system of work; it must be incorporated into your facility's broader WHS management systems to be effective.

    When to use a Dialysis Unit Pre-Start Checklist

    The pre-start checklist should be completed before the first use of the dialysis machine each day or at the beginning of each operational shift. It serves as the final verification that the machine is safe and ready for patient connection after cleaning, disinfection, and any routine maintenance.

    Consistent use establishes a baseline for equipment condition, making it easier to spot deviations and developing issues. Integrating this check into daily routines is a key theme of our Pre-Start Checks and Plant Maintenance Toolbox Talk Template, which reinforces the importance of this habit.

    Who should use this checklist

    This checklist should be completed by a trained and competent person authorised to operate the dialysis equipment. This typically includes registered nurses specialising in nephrology, clinical technologists, or dialysis technicians.

    The user must have a thorough understanding of the machine's operation, its safety features, and the potential hazards associated with its use. Ensuring that operators have the requisite skills and knowledge is a core responsibility for any person conducting a business or undertaking (PCBU), and seeking WHS consulting can help your organisation develop robust competency and training frameworks.

    Beyond the Pre-Start: A Holistic Approach

    While a pre-start checklist is a critical tool for day-to-day safety, it forms just one part of a comprehensive safety and quality assurance program. This program should also include scheduled preventative maintenance by qualified biomedical technicians, regular performance verification, and adherence to the manufacturer's servicing requirements.

    Periodically reviewing your overall processes, including the effectiveness of your pre-start checks, ensures continuous improvement. A formal WHS compliance audit can provide valuable third-party insight into the health of your safety systems and identify opportunities for enhancement.

    By integrating daily checks, professional maintenance, and periodic reviews, healthcare facilities can create a robust system that ensures the ongoing safety and reliability of their dialysis services. For more tools to support your safety programs, you can browse our complete free WHS resources library.

    Common mistakes

    Common mistakes to avoid

    • Failing to customise the generic template for the specific machine model and clinic protocols.
    • 'Pencil-whipping' the form without performing the physical checks, defeating its purpose.
    • Not immediately reporting and escalating identified faults to maintenance or management.
    • Insufficient training for staff on why each check is important and how to perform it correctly.

    Legal references

    Legal considerations

    The following legal requirements may be relevant to this type of work.

    • Work Health and Safety Act (Harmonised) — Provides the primary duties for protecting workers and other people from work health and safety risks.
    • Work Health and Safety Regulations (Harmonised) — Sets out requirements supporting the management of workplace hazards and risks.

    The following codes may be relevant to this type of work.

    • Managing WHS Risks Code of Practice — Provides practical guidance on identifying hazards, assessing risks and applying effective controls.
    • Work Health and Safety Consultation, Cooperation and Coordination Code of Practice — Provides practical guidance on consulting workers and coordinating with other duty holders.
    • Managing the Work Environment and Facilities Code of Practice — Provides practical guidance on safe work environments, workplace facilities and related controls.

    Did you know

    Australian Regulation

    In Australia, dialysis machines are regulated as medical devices by the Therapeutic Goods Administration (TGA), which sets requirements for their safety, quality, and performance.

    Treatment Volume

    Over 13 million dialysis treatments are performed in Australia each year, highlighting the critical importance of equipment reliability and safety in this sector.

    FAQ

    Frequently asked questions

    01Why are pre-start checks for dialysis units so important?
    Pre-start checks are vital for patient and operator safety. They help identify equipment faults, contamination, or incorrect settings before treatment begins, significantly reducing the risk of adverse events during a life-sustaining procedure.
    02What should be included in a dialysis unit pre-start checklist?
    A thorough checklist should cover the physical condition of the machine, confirmation of correct cleaning and disinfection, alarm function tests, verification of dialysate and water quality, and checks of all connections and consumables.
    03How often should this checklist be reviewed and updated?
    The checklist should be reviewed annually or whenever a new model of dialysis machine is introduced, when facility protocols change, or following an incident. Regular reviews ensure it remains relevant and effective.
    04Can this template be used for different brands of dialysis machines?
    Yes, but it must be customised. This template provides a general framework, but you need to edit it to reflect the specific checks, terminology, and requirements for each brand and model of dialysis machine used in your facility.

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    How To Use It

    1. 1Download and open in Word or PDF.
    2. 2Replace the placeholders with your business details.
    3. 3Get it reviewed by a WHS specialist before rollout.
    Get a document review

    Need it customised?

    Our WHS consultants can adapt this template to your site, run a gap analysis, or audit what you already have in place.

    Book a Free Consultation Explore Consultancy

    or call 1300 156 382