Vfc Refrigerator/freezer Temperature Log Template

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VFC Refrigerator/Freezer Temperature Log
Month/Year:
VFC Pin #:
Provider Name:
Units/Rooms:
Contact Person:
(identify which units you are recording temps for)
Refrigerated vaccine safety zone
is between 36° to 46° F (2° to 8° C). 40° F is ideal.
Frozen vaccine safety zone
is 5°F (-15°C) or lower. 0° F or colder is ideal.
Call the Vaccine Center Immediately (602) 364-3642 if ANY temperatures are outside of
the safety zones listed above.
Exact time, temperature to the tenths place, F or C and initials are REQUIRED for each entry
DATE
TIME
REFRIG
FREEZER
INITIAL
DAY
TIME
REFRIG
FREEZER
INITIAL
1
am
17
am
st
th
°F °C
°F °C
°F °C
°F °C
pm
pm
°F °C
°F °C
°F °C
°F °C
2
am
18
am
nd
th
°F °C
°F °C
°F °C
°F °C
pm
pm
°F °C
°F °C
°F °C
°F °C
3
am
19
am
rd
th
°F °C
°F °C
°F °C
°F °C
pm
pm
°F °C
°F °C
°F °C
°F °C
4
am
20
am
th
th
°F °C
°F °C
°F °C
°F °C
pm
pm
°F °C
°F °C
°F °C
°F °C
5
am
21
am
th
st
°F °C
°F °C
°F °C
°F °C
pm
pm
°F °C
°F °C
°F °C
°F °C
6
am
22
am
th
nd
°F °C
°F °C
°F °C
°F °C
pm
pm
°F °C
°F °C
°F °C
°F °C
7
am
23
am
th
rd
°F °C
°F °C
°F °C
°F °C
pm
pm
°F °C
°F °C
°F °C
°F °C
8
am
24
am
th
th
°F °C
°F °C
°F °C
°F °C
pm
pm
°F °C
°F °C
°F °C
°F °C
9
am
25
am
th
th
°F °C
°F °C
°F °C
°F °C
pm
pm
°F °C
°F °C
°F °C
°F °C
10
am
26
am
th
th
°F °C
°F °C
°F °C
°F °C
pm
pm
°F °C
°F °C
°F °C
°F °C
11
am
27
am
th
th
°F °C
°F °C
°F °C
°F °C
pm
pm
°F °C
°F °C
°F °C
°F °C
12
am
28
am
th
th
°F °C
°F °C
°F °C
°F °C
pm
pm
°F °C
°F °C
°F °C
°F °C
13
am
29
am
th
th
°F °C
°F °C
°F °C
°F °C
pm
pm
°F °C
°F °C
°F °C
°F °C
14
am
30
am
th
th
°F °C
°F °C
°F °C
°F °C
pm
pm
°F °C
°F °C
°F °C
°F °C
15
am
31
am
th
st
°F °C
°F °C
°F °C
°F °C
pm
pm
°F °C
°F °C
°F °C
°F °C
16
am
th
°F °C
°F °C
pm
°F °C
°F °C
VACCINE MAY BE REMOVED IF TEMPERATURES FALL OUTSIDE OF THE SAFETY ZONE OR TEMPERATURES
HAVE NOT BEEN RECORDED FOR MORE THAN 4 CONSECUTIVE DAYS.
**UP-TO-DATE TEMPERATURES MUST BE SUBMITTED WITH YOUR VACCINE ORDER.
Last Revision: February 2017

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