Form OP-140132A "Refrigerator/Room Temperature Log" - Oklahoma

What Is Form OP-140132A?

This is a legal form that was released by the Oklahoma Department of Corrections - a government authority operating within Oklahoma. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on February 1, 2021;
  • The latest edition provided by the Oklahoma Department of Corrections;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form OP-140132A by clicking the link below or browse more documents and templates provided by the Oklahoma Department of Corrections.

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Download Form OP-140132A "Refrigerator/Room Temperature Log" - Oklahoma

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OKLAHOMA DEPARTMENT OF CORRECTIONS
Page 1 of 2
REFRIGERATOR / ROOM TEMPERATURE LOG
MONTH / YEAR:
UNIT TYPE: Laboratory/Medication/ Vaccine Storage
Type:  Refrigerator
Facility:
Unit Location:
ROOM TEMP (59°to 77°F)
UNIT TEMP: Refrigerator (36°to 46°F) / Unit: (#) ________________________________
A.M.
A.M.
P.M.
Daily Temp RANGE
Date
Time
Temp
Init
Time
Temp
Init
Time
Temp
Init
MIN
MAX
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.
CORRECTIVE ACTION Taken for out of range readings
Date
Steps Taken
New Temp
Resolved? (Y/N)
If no, next steps
Init
Initial
Signature
Initial
Signature
Initial
Signature
1. Measure & log room temp daily and Refrigerator temps twice daily with min/max readings. If out of range reading,
adjust temperature control and check again in 30 minutes. Document steps taken and new temperature in
Corrective Action Section. If temperature remains outside/above parameters, call facility maintenance.
2. Do not store food or beverages in the same refrigerator unit as medications or vaccines or in the attached freezer.
3. Do not use the freezer section of a combination unit to store vaccine.
4. Keep temperature logs available for inspection for at least three years
.
DOC 140132A (R 02/21)
OKLAHOMA DEPARTMENT OF CORRECTIONS
Page 1 of 2
REFRIGERATOR / ROOM TEMPERATURE LOG
MONTH / YEAR:
UNIT TYPE: Laboratory/Medication/ Vaccine Storage
Type:  Refrigerator
Facility:
Unit Location:
ROOM TEMP (59°to 77°F)
UNIT TEMP: Refrigerator (36°to 46°F) / Unit: (#) ________________________________
A.M.
A.M.
P.M.
Daily Temp RANGE
Date
Time
Temp
Init
Time
Temp
Init
Time
Temp
Init
MIN
MAX
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.
CORRECTIVE ACTION Taken for out of range readings
Date
Steps Taken
New Temp
Resolved? (Y/N)
If no, next steps
Init
Initial
Signature
Initial
Signature
Initial
Signature
1. Measure & log room temp daily and Refrigerator temps twice daily with min/max readings. If out of range reading,
adjust temperature control and check again in 30 minutes. Document steps taken and new temperature in
Corrective Action Section. If temperature remains outside/above parameters, call facility maintenance.
2. Do not store food or beverages in the same refrigerator unit as medications or vaccines or in the attached freezer.
3. Do not use the freezer section of a combination unit to store vaccine.
4. Keep temperature logs available for inspection for at least three years
.
DOC 140132A (R 02/21)
OKLAHOMA DEPARTMENT OF CORRECTIONS
Page 2 of 2
REFRIGERATOR / ROOM TEMPERATURE LOG
Tracking the daily temperature range (the minimum and maximum temperature reached each day)
will alert us to any out of range readings that can be damage the integrity of refrigerated
pharmaceuticals. The twice daily temp checks are a snapshot, indicative only of the unit’s
temperature at the exact time it is read. This is helpful for identifying trends, but does not guarantee
the unit has been holding the proper temperature at all other times. Setting the min/max range will
ensure that we are alerted if the unit is not. After you check and document the minimum and
maximum readings for the previous 24 hours, the memory should be reset.
The following information is specific to the Traceable ® 4307 Dual
Thermometer. Please consult the instruction manual for your specific
thermometer if the following directions do not work for the model of
thermometer that you are currently using.
MINIMUM AND MAXIMUM MEMORY
There are four points that are automatically recorded into memory:
1. Minimum (MIN) Sensor 1 (S1) Temperature Achieved with time-of-day and date achieved
2. Maximum (MAX) Sensor 1 (S1) Temperature Achieved with time-of-day and date achieved
3. Minimum (MIN) Sensor 2 (S2) Temperature Achieved with time-of-day and date achieved
4. Maximum (MAX) Sensor 2 (S2) Temperature Achieved with time-of-day and date achieved
Minimum and maximum temperature memories are NOT programmable. The minimum
temperature recorded into memory is the minimum temperature achieved since the last time the
memory was cleared. The maximum temperature recorded into memory is the maximum temperature
achieved since the last time the memory was cleared. The minimum and maximum temperature
memories are maintained over the period since the memory was cleared. Minimum and maximum
memories are recorded for both sensors regardless of the display mode.
VIEWING THE MINIMUM/MAXIMUM MEMORIES
1. Press the S1/S2 button to display the desired temperature sensor.
2. Press the MODE button, the minimum temperature achieved by that sensor along with the time-of-
day the temperature was achieved will appear on the display (indicated by MIN on the display).
3. To toggle the display between the time-of-day/date achieved, press the TIME/DATE button.
4. Press the MODE button a second time, the maximum temperature achieved by that sensor along with
the time-of-day the temperature was achieved will appear on the display (indicated by MAX on the
display).
5. To toggle the display between the time-of-day/ date achieved, press the TIME/DATE button. Note: If
no button is pressed for ten (10) seconds, the unit automatically returns to the current
temperature/time-of-day display mode.
6. To exit from the memory display mode, press and release the MODE button until MIN, MAX, LO, HI
no longer appears on the display, or simply do not press any button for ten (10) seconds.
CLEARING THE MINIMUM/MAXIMUM MEMORIES
When clearing the min/max memory, all four memories (S1 Min/Max and S2 Min/Max) are cleared
simultaneously, regardless of which sensor or memory value is being displayed.
1. Press the MODE button to enter the memory display mode (indicated by MIN or MAX
appearing on the display).
2. Press the CLEAR button to clear the temperature memories. The display will show all dashes
and will then display the current probe temperature and time-of-day.
DOC 140132A (R 02/21)
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