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
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.