BMS VACCINE STORAGE TEMPERATURE LOG



VACCINE STORAGE TEMPERATURE LOG

Month/Year:___________ Serial Number of Freezer or location: _____________________

|Freezer Range 5 F or lower |

|Date |AM |PM |Code Memory |Comments/Action |Checked by |

| |Temp |Temp | | | |

|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 | | | | | |

|X = site/floor not open H = holiday |

|A= alarm sounded; temperature has exceeded the Range |

|N= No alarm; temperature has remained in Range since thermometer was last checked. |

|Note: Codes are based on a 24 hour period |

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