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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