Temperature Log for Refrigerator
Temperature Log for Freezer – Fahrenheit
Page 1 of 3
DAYS 1
–
15
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 freezer’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 5ºF) or too cold (below
-
58ºF).
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
F
°
If you have a vaccine storage issue, also complete “Vaccine Storage Troubleshooting Record” found on page 3.
Technical content reviewed by the Centers for Disease Control and Prevention
Immunization Action Coalition
1573 Selby Avenue
•
St. Paul, MN 55104
•
651
-
647
-
9009
•
Adapted with appreciation from California Department of Public Health
distributed by the
Day of Month 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Staff Initials
Exact Time
Min/Max Temp
(since previous reading)
Danger! Temperatures above 5ºF 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!
5
˚
F
4
˚
F
3
˚
F
2
˚
F
1
˚
F
0
˚
F
-
1
˚
F
-
2
˚
F
-
3
˚
F
-
4
˚
F
-
58
˚
F to
-
5
˚
F
Write any out-of-range
temps (above 5ºF
or below
-
58ºF) here.
Room Temperature
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a c c e p t a b l e
t e m p e r a t u r e s
a c t i o n
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