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Audit

Vaccine Storage Temperature
Refrigerator/ Freezer

+ Refrigerator Temperature Reading

Refrigerator Temperature
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

Freezer Temperature
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

Vaccine Temperature Log Checklist

Created by: SafetyCulture Staff | Industry: Health Services | Downloads: 21

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.

Signup for a free iAuditor account to download and edit this checklist. It will be added to your free account and you will be able to conduct inspections from your mobile device.

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Audit

Vaccine Storage Temperature
Refrigerator/ Freezer

+ Refrigerator Temperature Reading

Refrigerator Temperature
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

Freezer Temperature
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