refrigerator temperature log nyc health
Write your initials below in Staff Initials and note the time in Exact Time 2. Write your initials below in Staff Initials and note the time in Exact Time 2.
Editable Temperature Log Fill Out And Sign Printable Pdf Template Signnow Refrigerator Temp Refrigerator Temperature Refrigerator Freezer Temperature Chart
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. If temperature is unacceptable below -58ºF or above 5ºF take action see below. 5F 4F 3F 2F 1F 0F-1F-2F-3F-4F - 58F to - F Write any out-of-range temps above 5ºF or below -58ºF here. Record temps twice each workday.
PROVIDER INFORMATION FacilityPhysician Name. At the end of the month le this log and keep it for three years. Massachusetts Department of Public Health.
Write your initials and the am. A designated food service employee willrecord the time air temperature ad theinr initials. Write your initials below in Staff Initials and note the time in Exact Time 2.
Write your initials below in Staff Initials and note the time in Exact Time 2. Record temps twice each workday. -80 to -60 C -112º to -76ºF for ultra-cold freezer may be used for Pfizer COVID-19 vaccine.
Temperature Log for Refrigerator Celsius Page 1 of 3 DAYS 1 15 Monitor temperatures closely. Record the minmax temps once each workday. Page 1 of 3.
Ad Download Fill Sign or Email the file More Fillable Forms Register and Subscribe Now. If any out-of-range temp observed see instructions to the right. At the end of the month le this log and keep it for three years-15C-16C-17C-18C-19C-21C-22C-23C-24C-25C to -50C Aim for -20C Danger.
If you have any problems with your refrigerator andor VFC vaccines please notify the NYC VFC program at 347-396-2404. If any out-of-range temp see instructions to the right. At the end of the month le this log and keep it for three years.
TEMPERATURE LOG FOR REFRIGERATORS and FREEZERS If storing food only refrigerator must be 41 F or below and freezer must be 10 F or below If storing breast milk refrigerator must be 39 F or below and freezer must be 0 F or below Revised. Record the minmax temps once each workday. Submit the completed Temperature Excursion Report and data logger pdf report to vaccinetempexcursionhealthnygov or fax to 518-449-6912.
Days 1 to 15 1. _ VFC PIN. If temperature is unacceptable below -50ºC or above -15ºC take action see below.
Temperature Log for Refrigerator Fahrenheit Day 16 31 MonthYear. Temperature Log for Refrigerator Celsius Page 2 of 3 DAYS 1631 Monitor temperatures closely. Immediately at 1-888-646-6864 for.
If using temperature monitoring device TMD. Action Room Temperature Temperature Log for Freezer Fahrenheit Page 1 of 3 DAYS 1 15. OEstimated length of time between event and last documented reading of storage temperature in acceptable range 2 to 8 oC 36 o to 46oF for refrigerator.
Above 8ºC or too cold below 2ºC. Temperature Log for Refrigerator Fahrenheit Page 2 of 3 DAYS 1631 Monitor temperatures closely. Record the minmax temps once each workdaypreferably in.
Name of Person Reporting Incident. 32018 If temperature is unacceptable below 36ºF or above 46ºF. If temperature is unacceptable below 2ºC or above 8ºC.
_ Completing this temperature log. Refrigerator temperature range should be 2oC to 8oC or 36oF to 46oF Day. After each month has ended save each months log for 3 years.
Go Paperless Fill Sign Documents Electronically. -50o to -15 C -58º to 5ºF for freezer. Record minimum Min and maximum Max temperature readings once per day.
Record temps twice each workday. Write any out-of-range temps and room temp on the lines below and call your state or local health department immediately-15ºC-16ºC-17ºC-18ºC-19ºC-20ºC-21ºC-22ºC-50ºC to -23ºC action Write any out-of-range temps above -15ºC or below -50C here. Record temps twice each workday.
Vaccine Refrigerator Temperature Log. Place an X in the box that corresponds with the temperature the time of the temperature. Record minimum Min and maximum Max temperature readings once per day.
Put an X in the row that corresponds to the refrigerators temperature. Digital data logger recommended that records minmax temps document minmax once. This log willbe maintained for.
Ad Ref Temp Log More Fillable Forms Register and Subscribe Now. Write an X next to the current temperature in the table below. Check the temperature in the refrigerator compartment of your vaccine storage unit at least twice each working day.
Temperature Log for Refrigerator Fahrenheit. Daily Freezer Refrigerator Temperature Log. Temperature Log for Refrigerator Fahrenheit Page 1 of 3 DAYS 1 15 Monitor temperatures closely.
Refrigerator andfreezer both walk-in and reachin units in - the facility. Date Action Min temperature Max temperature Record temperatures once per day when using a digital data logger thermometer. VFC Fahrenheit Refrigerator Temperature Log Last modified by.
Write any out-of-range temps and room temp on the lines below and call your state or local health department immediately. Room Temperature Temperature Log for Freezer Celsius Page 2 of 3 DAYS 1631. Write your initials and the am.
Label exposed vaccine do not use and store it. Fax all temperature logs since previous order along with vaccine order and usage form to 617-983-6924. Refrigerated vaccine safety zone is 2 to 8C.
Loftus Patrick Created Date. Write your initials below in Staff Initials and note the time in Exact Time 2. Record the minmax temps once each workday.
After each month has ended save each months log for 3 years unless statelocal jurisdictions require a longer period. Record temperatures once per day when using a digital data logger themomether 6 82017. Pin Facility Name.
Temperature Data and Incident Description. 305 South St Jamaica Plain MA 02130. This temperature log was reviewed at end of month by.
Record minimum Min and maximum Max temperature readings once per day. Record CURRENT MIN and MAX temperatures twice a day. Document temps are IN RANGE by Y.
Temperatures found outside of the safety zones for 30 minutes or more. If temperature is unacceptable below 2ºC or above 8ºC take action see below.
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