Refrigerator Temperature Log – Fill Out and Use This PDF

The Refrigerator Temperature Log is a great way to keep track of how long food has been in the refrigerator and it helps you avoid food poisoning.

Hitting the orange button below will launch our PDF tool. The tool enables one to access this form quickly. The application features a versatile toolbar that will allow you to edit PDF files. You can do it on any platform, anywhere anytime!

Refrigerator Temperature Log PDF Details

Keeping track of your refrigerator's temperature is a good way to ensure that your food stays safe and at the right temperature. The Refrigerator Temperature Log Form can help you do just that. This form provides space to document the temperature of your fridge on a daily basis, so you can keep track of any changes. You can also use this form to record any problems you may have with your fridge's temperature. Having this information handy can help you troubleshoot any issues and keep your food safe.

This information will aid you to grasp better the details of the refrigerator temperature log before you start filling it out.

Question	Answer
Form Name	Refrigerator Temperature Log
Form Length	5 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	1 min 15 sec
Other names	zer refrigerator temperature log, refrigerator temperature log monthly nc, refrigerator zer temperature log, refrigerator log

Form Preview Example

F°	Temperature Log for Refrigerator – Fahrenheit
	DAYS 1–15

For information on storage and handling of COVID-19 vaccines, see the COVID-19 Vaccine Addendum in CDC’s updated Vaccine Storage and Handling Toolkit at www.cdc.gov/vaccines/hcp/admin/storage/toolkit/index.html.

Monitor temperatures closely!

temps, document current temps twice, at

Month/Year		VFC PIN or other ID #		Page 1 of 2
Month/Year		VFC PIN or other ID #

1.Write your initials below in “Staff Initials,” and note the time in “Exact Time.”

2.If using a temperature monitoring device

(TMD; digital data logger recommended) that records min/max temps (i.e., the highest and lowest temps recorded in a specific time period), document current and min/max once each workday, preferably in the morning. If using TMD that does not record min/max

beginning and end of each workday.

3.Put an “X” in the row that corresponds to the refrigerator’s temperature.

4.If any out-of-range temp observed, see instructions to the right.

5.After each month has ended, save each month’s log for 3 years, unless state/local jurisdictions require a longer period.

Facility Name

Take action if temp is out of range – too warm (above 46ºF) or too cold (below 36ºF).

1.Label exposed vaccine “do not use,” and store it under proper conditions as quickly as possible. Do not discard vaccines unless directed to by your state/local health department and/or the manufacturer(s).

2.Record the out-of-range temps and the room temp in the “Action” area on the bottom of the log.

3.Notify your vaccine coordinator, or call the immunization program at your state or local health department for guidance.

4.Document the action taken on the attached

“Vaccine Storage Troubleshooting Record.”

Day of Month

Staﬀ Initials

Exact Time

Min/Max Temp in Unit

(since previous reading)

Danger! Temperatures above 46ºF are too warm! Write any out-of-range temps and room temp on the lines below and call your state or local health department immediately!

temperatures

Aim for 41º

acceptable

46˚F

45˚F

44˚F

43˚F

42˚F

41˚F

40˚F

39˚F

38˚F

37˚F

36˚F

Danger! Temperatures below 36ºF are too cold! Write any out-of-range temps and room temp on the lines below and call your state or local health department immediately!

action

Write any out-of-range temps (above 46ºF or below 36ºF) here:

Room Temperature

If you have a vaccine storage issue, contact your state or local health department for guidance and complete the attached “Vaccine Storage Troubleshooting Record.”

DISTRIBUTED BY THE

IMMUNIZATION ACTION COALITION Saint Paul, Minnesota • 651-647-9009 • www.immunize.org • www.vaccineinformation.org

Adapted with appreciation from California Department of Public Health

www.immunize.org/catg.d/p3037F.pdf • Item #P3037F (8/21)

F°	Temperature Log for Refrigerator – Fahrenheit
	DAYS 16 –31

Monitor temperatures closely!

temps, document current temps twice, at

Month/Year

VFC PIN or other ID #

Page 2 of 2

1.Write your initials below in “Staff Initials,” and note the time in “Exact Time.”

2.If using a temperature monitoring device

beginning and end of each workday.

3.Put an “X” in the row that corresponds to the refrigerator’s temperature.

4.If any out-of-range temp observed, see instructions to the right.

5.After each month has ended, save each month’s log for 3 years, unless state/local jurisdictions require a longer period.

Facility Name

Take action if temp is out of range – too warm (above 46ºF) or too cold (below 36ºF).

2.Record the out-of-range temps and the room temp in the “Action” area on the bottom of the log.

3.Notify your vaccine coordinator, or call the immunization program at your state or local health department for guidance.

4.Document the action taken on the attached

“Vaccine Storage Troubleshooting Record.”

Day of Month

Staﬀ Initials

Exact Time

Min/Max Temp in Unit

(since previous reading)

Danger! Temperatures above 46ºF are too warm! Write any out-of-range temps and room temp on the lines below and call your state or local health department immediately!

temperatures

Aim for 41º

acceptable

46˚F

45˚F

44˚F

43˚F

42˚F

41˚F

40˚F

39˚F

38˚F

37˚F

36˚F

Danger! Temperatures below 36ºF are too cold! Write any out-of-range temps and room temp on the lines below and call your state or local health department immediately!

action

Write any out-of-range temps (above 46ºF or below 36ºF) here:

Room Temperature

If you have a vaccine storage issue, contact your state or local health department for guidance and complete the attached “Vaccine Storage Troubleshooting Record.”

DISTRIBUTED BY THE

IMMUNIZATION ACTION COALITION Saint Paul, Minnesota • 651-647-9009 • www.immunize.org • www.vaccineinformation.org

Adapted with appreciation from California Department of Public Health

www.immunize.org/catg.d/p3037F.pdf • Item #P3037F (8/21)

Vaccine Storage Troubleshooting Record

(check one) □Refrigerator □Freezer □Ultra-Cold Freezer

Use this form to document any unacceptable vaccine storage event, such as exposure of refrigerated vaccines to temperatures that are outside the manufacturers’ recommended storage ranges.

A fillable pdf of this form is available at www.immunize. org/catg.d/p3041.pdf

Date & Time of Event	Storage Unit Temperature		Room Temperature	Person Completing Report
If multiple, related events occurred,	at the time the problem was discovered		at the time the problem was discovered
see Description of Event below.

Date:	Temp when discovered:		Temp when discovered:	Name:

Time:	Minimum temp:	Maximum temp:	Comment (optional):	Title:	Date:

Description of Event (If multiple, related events occurred, list each date, time, and length of time out of storage.)

•General description (i.e., what happened?)

•Estimated length of time between event and last documented reading of storage temperature in acceptable range (2o to 8oC [36o to 46oF] for refrigerator; -50o to -15oC [-58º to 5ºF] for freezer; -80o to -60oC [-112º to -76ºF] for ultra-cold freezer (may be used for Pfizer COVID-19 vaccine).

• Inventory of affected vaccines, including (1) lot #s and (2) whether purchased with public (for example, VFC) or private funds (Use separate sheet if needed, but maintain the inventory with this troubleshooting record.)

•At the time of the event, what else was in the storage unit? For example, were there water bottles in the refrigerator and/or frozen coolant packs in the freezer?

•Prior to this event, have there been any storage problems with this unit and/or with the affected vaccine?

•Include any other information you feel might be relevant to understanding the event.

Action Taken (Document thoroughly. This information is critical to determining whether the vaccine might still be viable!)

•When were the affected vaccines placed in proper storage conditions? (Note: Do not discard the vaccine. Store exposed vaccine in proper conditions and label it “do not use” until after you can discuss with your state/ local health department and/or the manufacturer[s].)

•Who was contacted regarding the incident? (For example, supervisor, state/local health department, manufacturer—list all.)

•IMPORTANT: What did you do to prevent a similar problem from occurring in the future?

Results

• What happened to the vaccine? Was it able to be used? If not, was it returned to the distributor? (Note: For public-purchase vaccine, follow your state/local health department instructions for vaccine disposition.)

DISTRIBUTED BY THE

IMMUNIZATION ACTION COALITION Saint Paul, Minnesota • 651-647-9009 • www.immunize.org • www.vaccineinformation.org

www.immunize.org/catg.d/p3041.pdf • Item #P3041 (8/21)

Vaccine Storage Troubleshooting Record (check one)	◯	◯	◯
Vaccine Storage Troubleshooting Record (check one)	Refrigerator	Freezer	Ultra-Cold Freezer

Use this form to document any unacceptable vaccine storage event, such as exposure of refrigerated vaccines to temperatures that are outside the manufacturers' recommended storage ranges.

Date & Time of Event	Storage Unit Temperature		Room Temperature	Person Completing Report
If multiple, related events occurred,	at the time the problem was discovered		at the time the problem was discovered
see Description of Event below.

Date: (see below)	Temp when discovered:	45º F	Temp when discovered: 77º F	Name: Natalie Nurse

Time: (see below)	Minimum temp: 38º F	Maximum temp: 53º F	Comment (optional):temp is approx.	Title: VFC Coordinator	Date: 6/29/21

Description of Event (If multiple, related events occurred, list each date, time, and length of time out of storage.)

•General description (i.e., what happened?)

•At the time of the event, what else was in the storage unit? For example, were there water bottles in the refrigerator and/or frozen coolant packs in the freezer?

•Prior to this event, have there been any storage problems with this unit and/or with the affected vaccine?

•Include any other information you feel might be relevant to understanding the event.

At 8 am on Tuesday (6/29/21) morning when clinic opened, identified 4 temperature excursions over the weekend in refrigerator with readings as high as 54°, 50°, 49° & 53°F in primary vaccine storage unit #1. Recordings taken every 15 min on calibrated digital data logger overnight. Data logger probe in glycol located in middle of refrigerator with vaccines.

Total time out of range: approximately 3 hrs — maximum temp 53°F (see attached document of continuous temp readings)

Inventory of vaccines: see attached

Water bottles in refrigerator door. No vaccine stored in freezer. No problems with storage unit prior to Saturday night. Thunderstorms in area over weekend may have affected power.

Action Taken (Document thoroughly. This information is critical to determining whether the vaccine might still be viable!)

•Who was contacted regarding the incident? (For example, supervisor, state/local health department, manufacturer—list all.)

•IMPORTANT: What did you do to prevent a similar problem from occurring in the future?

Vaccines currently stored appropriately at 41ºF. Refrigerator and vaccines labeled "Do Not Use."

My State Immunization Program contacted at 8:30 am. Spoke with Victor Vaccine. Provided Victor with details of event and list of vaccines. Vaccine to remain quarantined until we hear back from Victor.

Called electric company and confirmed 2 short power outages during weekend. Checked refrigerator seals  called refrigerator maintenance company to replace seals.

Checked plug on unit  placed tape over plug to prevent inadvertent dislodging. Plan to purchase plug guard.

Plan to follow up with Immunization Program on data loggers with alarms that could be sent to coordinator and back-up phones.

Results

Late on Monday, I talked with Victor regarding continued use of vaccine. Victor had checked with manufacturers which confirmed that vaccine is acceptable for use. He told me that vaccine could therefore be removed from quarantine. I discussed the entire situation with Susie Supervisor and Dr. Director (clinic medical director) who agreed that we could put vaccine back in use.

DISTRIBUTED BY THE

IMMUNIZATION ACTION COALITION Saint Paul, Minnesota • 651-647-9009 • www.immunize.org • www.vaccineinformation.org

www.immunize.org/catg.d/p3041.pdf • Item #P3041 (8/21)

Vaccine Storage Troubleshooting Record (check one)	◯	◯	◯
Vaccine Storage Troubleshooting Record (check one)	Refrigerator	Freezer	Ultra-Cold Freezer

Use this form to document any unacceptable vaccine storage event, such as exposure of refrigerated vaccines to temperatures that are outside the manufacturers' recommended storage ranges.

Date & Time of Event	Storage Unit Temperature		Room Temperature	Person Completing Report
If multiple, related events occurred,	at the time the problem was discovered		at the time the problem was discovered
see Description of Event below.

Date:7/13/2021	Temp when discovered:	28º F	Temp when discovered: 77º F	Name: Natalie Nurse

Time: 8:00 am	Minimum temp: 28º F	Maximum temp: 42º F	Comment (optional):temp is approx.	Title: VFC Coordinator	Date: 7/13/21

Description of Event (If multiple, related events occurred, list each date, time, and length of time out of storage.)

•General description (i.e., what happened?)

•At the time of the event, what else was in the storage unit? For example, were there water bottles in the refrigerator and/or frozen coolant packs in the freezer?

•Prior to this event, have there been any storage problems with this unit and/or with the affected vaccine?

•Include any other information you feel might be relevant to understanding the event.

When checked main clinic fridge (in lab) at 8:00 am on Tuesday, 7/13/2021, digital readout on data logger read 28ºF. Data logger located in center of fridge with probe in glycol . Review of computer readings (taken every 15 minutes) showed steady drop in temps from 42ºF at 8:15 pm (7/12/2021) to 28ºF reading discovered when arrived at clinic on Tuesday morning (7/13/2021). Readings hit 34ºF at 11 pm (7/12) and 32ºF at 2 am (7/13). Total time out of recommended storage temps = 9 hours, with 6 hours at freezing or below (see attached document of continuous temp readings). Inventory of vaccines attached.

Water bottles in refrigerator door and crisper area. No vaccines stored in freezer. No recent adjustments to temp controls and no previous temp excursions noted with this refrigerator before 7/13.

Action Taken (Document thoroughly. This information is critical to determining whether the vaccine might still be viable!)

•Who was contacted regarding the incident? (For example, supervisor, state/local health department, manufacturer—list all.)

•IMPORTANT: What did you do to prevent a similar problem from occurring in the future?

Upon discovery, vaccines marked “Do Not Use” and stored in 2nd clinic fridge (in exam room #3 at 41ºF). Also placed “Do Not Use” note on main fridge in lab. Notified Susie Supervisor about the issue. Contacted Victor Vaccine at My State Immunization Program at 8:30 am. Provided Victor with details of event and list of vaccines in fridge. Victor said to maintain vaccines in 2nd fridge and that he would check with manufacturers to determine next steps.

Called Jim’s Appliance Repair to examine fridge. Repairman found and replaced faulty thermostat in unit. Reset data logger on center shelf in fridge with probe in glycol .

Results

After fridge thermostat repaired, monitored temps in empty fridge for 1 week, per state requirements. Fridge maintained 39º-41ºF temps for entire week. Submitted repair documentation and data logger readings to Victor Vaccine for approval and ordered replacement vaccines. Victor had checked with manufacturers who confirmed that all vaccines in fridge EXCEPT MMR were no longer viable and should be returned per state policy guidelines. MMR may be used because pkg insert allows storage down to -58ºF. Discussed entire situation with Susie Supervisor and clinic director, Dr. Director, who agreed on continued use of MMR . Will continue to monitor fridge closely to watch for pattern of temp fluctuations indicating potential problem with thermostat. If problems, contact Victor Vaccine for advice on purchasing new fridge meeting criteria for appropriate vaccine storage.

DISTRIBUTED BY THE

IMMUNIZATION ACTION COALITION Saint Paul, Minnesota • 651-647-9009 • www.immunize.org • www.vaccineinformation.org

www.immunize.org/catg.d/p3041.pdf • Item #P3041 (8/21)

How to Edit Refrigerator Temperature Log Online for Free

Our PDF editor works to make filling in forms stress-free. It is rather simple to edit the [FORMNAME] file. Keep up with these steps to be able to achieve this:

Step 1: Select the orange button "Get Form Here" on this page.

Step 2: You can now edit the printable temperature log. Our multifunctional toolbar helps you include, remove, adapt, and highlight content as well as undertake other sorts of commands.

For every single area, add the data requested by the system.

example of blanks in refrigerator zer temperature log

Note the details in s e r u t a r e p m e t, Aim for º, e l b a t p e c c a, F F F F F F F F F F F, Danger Temperatures below ºF are, n o, i t c a, Write any outofrange temps above, Room Temperature, If you have a vaccine storage, distributed by the Immunization, Adapted with appreciation from, and wwwimmunizeorgcatgdpFpdf Item PF.

Filling out refrigerator zer temperature log stage 2

The application will require you to provide specific valuable information to automatically fill in the area Temperature Log for Refrigerator, Monitor temperatures closely, and note the time in Exact Time, If using a temperature monitoring, temps document current temps twice, Put an X in the row that, the refrigerators temperature, If any outofrange temp observed, instructions to the right, After each month has ended save, months log for years unless, For information on storage and, MonthYear VFC PIN or other ID, Page of, and Facility Name.

Entering details in refrigerator zer temperature log step 3

You should identify the rights and obligations of each party in field s e r u t a r e p m e t, Aim for º, e l b a t p e c c a, F F F F F F F F F F F, Danger Temperatures below ºF are, n o, i t c a, Write any outofrange temps above, Room Temperature, If you have a vaccine storage, distributed by the Immunization, Adapted with appreciation from, and wwwimmunizeorgcatgdpFpdf Item PF.

Filling in refrigerator zer temperature log step 4

Review the areas Vaccine Storage Troubleshooting, Use this form to document any, A fillable pdf of this form is, Date Time of Event If multiple, Storage Unit Temperature at the, Room Temperature at the time the, Person Completing Report, Date, Time, Temp when discovered, Temp when discovered, Minimum temp, Maximum temp, Comment optional, and Name and next fill them out.

Finishing refrigerator zer temperature log stage 5

Step 3: Hit the Done button to be certain that your finalized file is available to be transferred to every device you use or mailed to an email you specify.

Step 4: Ensure that you stay clear of future challenges by producing as much as a pair of copies of your document.

Refrigerator Temperature Log – Fill Out and Use This PDF

Refrigerator Temperature Log PDF Details

Form Preview Example

How to Edit Refrigerator Temperature Log Online for Free

Watch Refrigerator Temperature Log Video Instruction

Refrigerator Temperature Log isn’t the one you’re looking for?

Please rate Refrigerator Temperature Log

Refrigerator Temperature Log – Fill Out and Use This PDF

Refrigerator Temperature Log PDF Details

Form Preview Example

How to Edit Refrigerator Temperature Log Online for Free

Watch Refrigerator Temperature Log Video Instruction

Refrigerator Temperature Log isn’t the one you’re looking for?

Related Documents

Please rate Refrigerator Temperature Log

Related Resources