Anonymous

CM009 Vaccine Refrigerator Inspection - PM Shift

This vaccine storage temperature log recognizes the DHHS-recommended refrigerator and freezer temperature for vaccine storage.

Use this Template

Print as PDF

Use this Template

Go digital today!

Convert your paper checklists into digital forms

Scan this QR code to use this paper checklist on your smartphone or tablet or visit https://safetyculture.com/

Information

Conducted on
Medic

Vaccine Refrigerator Storage Temperature

Record temperature displayed from screen above the fridge.
Temperature
Was the temperature between 2 - 8 degrees?
What was the temperature
Please get in touch with the Medical Services Manager for further instructions.

Visual Inspection

Was there anything other the medication stored in the refrigerator?
Was there any medication leaking?

Anonymous

CM009 Vaccine Refrigerator Inspection - PM Shift

This vaccine storage temperature log recognizes the DHHS-recommended refrigerator and freezer temperature for vaccine storage.

Use this Template

Print as PDF

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.