Temperature Log for Vaccines (Celsius) Completing this temperature log: Check the temperatures in both the freezer and the refrigerator compartments of your vaccine storage units at least twice each working day. Place an “X” in the box that corresponds with the temperature and record the ambient (room) temperature, the time of the temperature readings, and your initials. Once the month has ended, save each month’s completed form for 3 years, unless state or local jurisdictions require a longer time period. If the recorded temperature is in the shaded zone: This represents an unacceptable temperature range. Follow these steps: 1. Store the vaccine under proper conditions as quickly as possible. 2. Call the vaccine manufacturer(s) to determine whether the potency of the vaccine(s) has been affected. 3. Call the immunization program at your local health department for further assistance: (_____) _________________. 4. Document the action taken on the reverse side of this log. Month/Year:______________ Days 1–15 Day of Month: Staff Initials: Room Temp.: Exact Time: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 oC Temp 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 Too Warm*: *>11o *10o *9o Refrigerator Temperature: Aim for 4o 8o 7o 6o 5o 4o 3o 2o Too Cold*: *1o *0o *<1o Freezer Temperature: Too Warm*: *>-12o *-13o *-14o -15o -16o <-17o IMPORTANT: * Too warm or too cold. Take immediate action if temperature has a *. Month/Year:______________ Days 16–31 Day of Month: Staff Initials: Room Temp.: Exact Time: 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 oC Temp 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 am pm Too Warm*: *>11o *10o *9o Refrigerator Temperature: Aim for 4o 8o 7o 6o 5o 4o 3o 2o Too Cold*: *1o *0o *<1o Freezer Temperature: Too Warm*: *>-12o *-13o *-14o -15o -16o <-17o IMPORTANT: * Too warm or too cold. Take immediate action if temperature has a *. Completing this temperature log: Check the temperatures in both the freezer and the refrigerator compartments of your vaccine storage units at least twice each working day. Place an “X” in the box that corresponds with the temperature and record the ambient (room) temperature, the time of the temperature readings, and your initials. Once the month has ended, save each month’s completed form for 3 years, unless state or local jurisdictions require a longer time period. If the recorded temperature is in the shaded zone: This represents an unacceptable temperature range. Follow these steps: 1. Store the vaccine under proper conditions as quickly as possible. 2. Call the vaccine manufacturer(s) to determine whether the potency of the vaccine(s) has been affected. 3. Call the immunization program at your local health department for further assistance: (_____) _________________. 4. Document the action taken on the reverse side of this log. www.immunize.org/news.d/celsius.pdf • Item #P3039A (1/07) Distributed by the Immunization Action Coalition • (651) 647-9009 • www.immunize.org • www.vaccineinformation.org • admin@immunize.org Technical content reviewed by the Centers for Disease Control and Prevention, Jan. 2007.