Refrigerator/freezer Temperature Chart Template

Refrigerator/Freezer Temperature Chart

Location: __________________

Month/Year_________________

Refrigerator range: 35 to 46°F or 2 to 8°C

Freezer range: less than 5°F or less than -15°C

Temp

DATE

°C

°F

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

15

59

14

57

13

55.5

12

54

11

52

10

50

9

48

8

46

7

44.5

6

43

5

41

4

39

3

37.5

2

36

1

34

0

32

-1

30

28

-2

-3

27.5

Fill out corrective action in the lines below if temperature reading falls in any shaded areas.

-4

25

-5

23

-6

21

-7

19

-8

17.5

-9

16

-10

14

-11

12

-12

10.5

-13

9

-14

7

-15

5

-16

3

-17

1

-18

-0.5

-19

-2

-20

-4

-21

-6

-22

-8

INITIALS

AM

INITIALS

PM

Refrigerator/freezer temperatures shall be monitored and recorded daily unless used for storage of vaccines. Vaccine refrigerators are recorded twice daily. Place a dot (*) for the refrigerator and the freezer readings in the box nearest

the temperature for the date indicated. Document on the lines below, continue on the back of the page, any out of range readings below and indicate the corrective action taken. Consult the duty pharmacist or the immunization program

manager regarding stability/usability of drugs if out of range. Areas not staffed 7 days per week must use a hi/low thermometer or other method and document history reading for days not staffed.

Date:

Action taken:

_______________

________________________________________________________________________________________________________

_______________

________________________________________________________________________________________________________