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Fridge-Tag ®2 Temperature Recording Sheet

The document is a temperature recording sheet for refrigerators used to store vaccines, requiring temperature checks twice daily to ensure they remain between 2-8°C. It includes sections for recording morning and evening temperatures, maximum and minimum temperatures, alarms, and corrective actions taken during temperature excursions. Additionally, it outlines specific codes for actions to be taken in response to alarms and the need to document outcomes of shake tests and VVM checks.

Uploaded by

andualem Birhanu
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© © All Rights Reserved
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1K views1 page

Fridge-Tag ®2 Temperature Recording Sheet

The document is a temperature recording sheet for refrigerators used to store vaccines, requiring temperature checks twice daily to ensure they remain between 2-8°C. It includes sections for recording morning and evening temperatures, maximum and minimum temperatures, alarms, and corrective actions taken during temperature excursions. Additionally, it outlines specific codes for actions to be taken in response to alarms and the need to document outcomes of shake tests and VVM checks.

Uploaded by

andualem Birhanu
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Fridge-Tag ®2 Temperature recording sheet No.

Woreda Facility Name


Refrigerator model Refrigerator No Fridge- tag ID number
o
Record the refrigerator temperature twice per day .Temperature should stay between 2-8 c to protect vaccines. Month……………………year ………….date ……………
Day 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.
T Morning Temp.
o
d AM(oc)
a Evening Temp.
y
AM(oc)
Maximum Temp.
P (oc)
r Alarm(Y/N)
e Duration
v (HH:MM)
i Minimum
Temp.(oc)
o Alarm(Y/N)
u Duration
s (HH:MM)
Date of Alarm and corrective Measures taken for Temperature Excursions
Date of Alarm Action Taken (code)* Impact of Excursion on vaccines

Indicate type of an alarm by (tick) or for high and low temperature respectively for specific date of alarm
Use the following code for actions to be taken during alarm:
1. Vaccine transferred 2. VVM checked 3. Frozen vaccine discarded 4. Shake test conducted
5. Refrigerator maintenance 6. Reported to higher level 7. Thermostat Adjustment 8. Other measure (specify)

In addition to recording the code for taken action ,outcome of shake test and VVM checking has to be recorded
Prepared byAndualem Birhanu from quality officer

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