Minimum / maximum temperature chart

Day of<br />

Month<br />

Time<br />

+20°<br />

or above<br />

+18°<br />

+16°<br />

+14°<br />

+12°<br />

+10°<br />

+8°<br />

<strong>Minimum</strong> / <strong>maximum</strong> <strong>temperature</strong> <strong>chart</strong><br />

VSP Number<br />

Location of Refrigerator<br />

Month and Year /<br />

01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31<br />

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 am pm am pm am pm am pm am pm am pm am pm am pm<br />

am pm am pm am pm am pm am pm am pm am pm<br />

Take immediate action if <strong>temperature</strong> is in shaded section* See Below<br />

Day of<br />

Month<br />

Time<br />

+20°<br />

or above<br />

+18°<br />

+16°<br />

+14°<br />

+12°<br />

+10°<br />

+8°<br />

Correct Range<br />

Temperature<br />

2° to 8° C<br />

+6°<br />

+4°<br />

+6°<br />

+4°<br />

Correct Range<br />

Temperature<br />

2° to 8° C<br />

+2°<br />

0°<br />

-2°<br />

or below<br />

Initials<br />

Take immediate action if <strong>temperature</strong> is in shaded section* See Below<br />

01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31<br />

+2°<br />

0°<br />

-2°<br />

or below<br />

Initials<br />

Mark minimum and <strong>maximum</strong> <strong>temperature</strong>s on the graph with a black pen twice daily Date / / Audited by:<br />

Cleaning Date / /

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Vaccine Storage Troublesheet<br />

Date<br />

Time<br />

Max/Min<br />

Temps.<br />

Problem Action Taken Results<br />

Initials