Temperature Log for Refrigerator

Temperature Log for Refrigerator – Fahrenheit

Page 2 of 3

DAYS 16

–

Monitor temperatures closely!

1. Write your initials below in “Staff Initials,” and note the time in “Exact Time.”

2. Record temps twice each workday.

3. Record the min/max temps once each workday—preferably in the morning.

4. Put an “X” in the row that corresponds to the refrigerator’s temperature.

5. If any out-of-range temp, see instructions to the right.

6. After each month has ended, save each month’s log for 3 years, unlessstate/local

jurisdictions require a longer period.

Take action if temp is out of range—too warm (above 46ºF) or too cold (below 35ºF).

1. Label exposed vaccine “do not use,” and store it under properconditions as quickly as possible.

Do not discard vaccines unlessdirected to by your state/local health department and/or the

manufacturer(s).

2. Record the out-of-range temps and the room temp in the “Action” area on the bottom of the log.

3. Notify your vaccine coordinator, or call the immunizationprogram at your state or local health

department for guidance.

4. Document the action taken on the “Vaccine Storage Troubleshooting Record” on page 3.

Month

Year VFC PIN or other ID #

Facility Name

Day of Month 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

Staff Initials

Exact Time

Min/Max Temp

(since previous reading)

Danger! Temperatures above 46ºF are too warm! Write any out-of-range temps and room temp on the lines below and call your state or local health department immediately!

Danger! Temperatures below 35ºF are too cold! Write any out-of-range temps and room temp on the lines below and call your state or local health department immediately!

Write any out-of-range

temps (above 46ºF

or below 35ºF) here:

Room Temperature