Make it a communication tool. A checklist forces communication where it is needed. For instance, in construction, even a minor change in the support structure can affect a range of other planned steps, such as plumbing and electrical. Checklists can be used to make sure people in charge of different aspects of a project are consulted about any decision that potentially affects their part of the project. “Just ticking boxes is not the ultimate goal here, ” Gawande writes. “ Embracing a culture of teamwork and discipline is.