Freezer Temperature Log Sheet - Fahrenheit

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Freezer Temperature Log - Fahrenheit
Month/Year
(Days 1 - 15)
VFC PIN:
Facility Name
Record
, MIN, and MAX TEMPERATURES TWICE A DAY. COMPLETE Steps 1 – 4.
CURRENT
Write your initials and the time of day.
Step 1
MAINTAIN FREEZER TEMPERATURES:
-58°F to 5°F
Read the thermometer display. (See example at bottom right.) Write the temperatures below.
Step 2
Circle all temperatures that are in DANGER. (See zones below.) Then go to Step 3.
If ALL temperatures are OK, go to Step 4.
example
LH
Staff Initials
Day of
15
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Month
Time
8:00
AM
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
example
CURRENT
2
MIN
-10
MAX
41
6
-20
° & lower
-10
°
-9
°
-8° -7° -6° -5° -4
°
-3
°
-2
°
-1
°
0
°
1
°
2
°
3
°
4
°
5
°
6
°
7
°
8
°
9
°
10
°
11
°
12
°
13
°
14
°
15° 16° 17° 18° & higher
These temperatures are OK. Go to Step 4.
DANGER Zone
Too warm! Go to Step 3!
AIM FOR
°
below 0
If temps are in Danger Zone (above 5
F), even for a short time:
°
Step 3
Put a “Do Not use Vaccine” sign on the vaccines.
Alert your supervisor immediately.
If temps are in Danger Zone over 30 minutes – Call the manufacturers immediately, then complete the Incident Report.
MUST document the Date and Actions taken:
Press the MEMORY CLEAR button on the thermometer every time you finish logging temperatures.
Step 4
If you press the MODE button by mistake, LO and HI will display. Press it again to see MIN and MAX.
(For further information, refer to your PA VFC Provider Handbook, Section 6)
At the end of the month, file this log and keep it for 3 years.
1-888-646-6864
Revised Feb 2014
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