Lumiform / Templates / Vaccine Refrigerator Temperature Log Sheet

Vaccine Refrigerator Temperature Log Sheet

This vaccine storage temperature log recognizes the CDC-recommended refrigerator and freezer temperature for vaccine storage. Anything out of range will prompt the inspector to inform superior for appropriate action to be taken.

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Vaccine Refrigerator Temperature Log Sheet

Audit

Vaccine Storage Temperature

Refrigerator/ Freezer

+ Refrigerator Temperature Reading

Temperature:

If refrigerator temperature is not between 35°F and 46°F, note the vaccine and inform your superior.

Vaccine name:

Action taken:

Photo (optional):

Name and signature of inspector

+ Freezer Temperature Reading

Temperature:

If freezer temperature is not between -58°F and 5°F, note the vaccine and inform your superior.

Vaccine name:

Action taken:

Photo (optional):

Name and signature of inspector

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Please note that this checklist template is a hypothetical appuses-hero example and provides only standard information. The template does not aim to replace, among other things, workplace, health and safety advice, medical advice, diagnosis or treatment, or any other applicable law. You should seek your professional advice to determine whether the use of such a checklist is appropriate in your workplace or jurisdiction.