Vaccine Refrigerator Temperature Record

Vaccine Storage Unit Temperature Record20706 (Rev2022-06) SiteMonthVaccine Storage UnitYearDateTimeCurrent TempMaximum TempMinimum TempInitial TimeCurrent TempMaximum TempMinimum TempInitial12345678910111213141516171819 20 Page 1 of 3 Vaccine Storage Unit Temperature Record20706 (Rev2022-06) SiteMonthVaccine Storage UnitYearDateTimeCurrent TempMaximum TempMinimum TempInitial TimeCurrent TempMaximum TempMinimum TempInitial2122232425262728293031 Weekly AuditDateInitialsInitials and Printed Name of RecorderInitialsPrinted NameInitialsPrinted NamePage 2 of 3 NotesVaccine Storage Unit Temperature Record20706 (Rev2022-06) a new form for each new in the site and Vaccine storage unit serial number (or other identifying information, Fridge #1,Freezer #1, etc.) along with the current month and year that the data is being the Current Temp.

7. If there are any temperature excursions that do not result in the submission of a cold chain break report, an explanation should be documented on the temperature log after discussion with your Zone Vaccine Contact (e.g. the door was open while adding vaccine inventory – temperature out of range for 10 minutes). 8.

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  Record, Temperatures, Vaccine, Refrigerator, Temperature log, Vaccine refrigerator temperature record

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