"Vaccine Refrigerator/Freezer Temperature Chart Template"

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Refrigerator/Freezer Temperature Chart
Location: __________________
Month/Year_________________
Refrigerator range: 35 to 46°F or 2 to 8°C
Freezer range: less than 5°F or less than -15°C
Temp
DATE
°C
°F
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
15
59
14
57
13
55.5
12
54
11
52
10
50
9
48
8
46
7
44.5
6
43
5
41
4
39
3
37.5
2
36
1
34
0
32
-1
30
28
-2
-3
27.5
Fill out corrective action in the lines below if temperature reading falls in any shaded areas.
-4
25
-5
23
-6
21
-7
19
-8
17.5
-9
16
-10
14
-11
12
-12
10.5
-13
9
-14
7
-15
5
-16
3
-17
1
-18
-0.5
-19
-2
-20
-4
-21
-6
-22
-8
INITIALS
AM
INITIALS
PM
Refrigerator/freezer temperatures shall be monitored and recorded daily unless used for storage of vaccines. Vaccine refrigerators are recorded twice daily. Place a dot (*) for the refrigerator and the freezer readings in the box nearest
the temperature for the date indicated. Document on the lines below, continue on the back of the page, any out of range readings below and indicate the corrective action taken. Consult the duty pharmacist or the immunization program
manager regarding stability/usability of drugs if out of range. Areas not staffed 7 days per week must use a hi/low thermometer or other method and document history reading for days not staffed.
Date:
Action taken:
_______________
________________________________________________________________________________________________________
_______________
________________________________________________________________________________________________________
Refrigerator/Freezer Temperature Chart
Location: __________________
Month/Year_________________
Refrigerator range: 35 to 46°F or 2 to 8°C
Freezer range: less than 5°F or less than -15°C
Temp
DATE
°C
°F
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
15
59
14
57
13
55.5
12
54
11
52
10
50
9
48
8
46
7
44.5
6
43
5
41
4
39
3
37.5
2
36
1
34
0
32
-1
30
28
-2
-3
27.5
Fill out corrective action in the lines below if temperature reading falls in any shaded areas.
-4
25
-5
23
-6
21
-7
19
-8
17.5
-9
16
-10
14
-11
12
-12
10.5
-13
9
-14
7
-15
5
-16
3
-17
1
-18
-0.5
-19
-2
-20
-4
-21
-6
-22
-8
INITIALS
AM
INITIALS
PM
Refrigerator/freezer temperatures shall be monitored and recorded daily unless used for storage of vaccines. Vaccine refrigerators are recorded twice daily. Place a dot (*) for the refrigerator and the freezer readings in the box nearest
the temperature for the date indicated. Document on the lines below, continue on the back of the page, any out of range readings below and indicate the corrective action taken. Consult the duty pharmacist or the immunization program
manager regarding stability/usability of drugs if out of range. Areas not staffed 7 days per week must use a hi/low thermometer or other method and document history reading for days not staffed.
Date:
Action taken:
_______________
________________________________________________________________________________________________________
_______________
________________________________________________________________________________________________________