South Carolina Refrigerator/freezer Temperature Log For Vaccine Storage Units
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4SOUTH CAROLINA REFRIGERATOR/FREEZER TEMPERATURE LOG
For Vaccine Storage Units
Days 1-15
Site:
PIN:
Month/Year:
Refrigerator (Circle One):
Centigrade
Fahrenheit
Freezer (Circle One):
Centigrade
Fahrenheit
Initials:
Date:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Exact Time:
°F
°C
am
pm
am
pm
am
pm
am
pm
am
pm
am
pm
am
pm
am
pm
am
pm
am
pm
am
pm
am
pm
am
pm
am
pm
am
pm
Temp
Temp
>49
*Take immediate action if temperature is in shaded area.
48
>9
47
46
8
45
7
44
43
6
42
41
5
40
4
39
38
3
37
36
2
35
34
1
33
*Take immediate action if temperature is in shaded area.
<32
<0
-
>8
>
13
7
-14
6
5
-15
4
<-16
<3
*
If temperature is in the shaded area mark vaccine as “DO NOT USE” and call the Immunization Division at (803) 898-0460 or 1-800-277-4687 for instructions.
South Carolina Department of Health & Environmental Control
DHEC 1627 (9/2012)
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