Criteria: Refrigerator units must be 4°C (40°F) or colder; and Freezer units must be -18°C (0°F) or colder If the criteria are not met, immediately contact: __________________________________________________________ Temperatures are measured in: °C or °F
DAY 1 Date (year/month/day): ____________________________________________________________
Corrective actions/ Refrigerator units Time temperature was taken Comments a.m. a.m. a.m./p.m. p.m. p.m.
Freezer units
Initials
DAY 2 Date (year/month/day): ____________________________________________________________
Corrective actions/ Refrigerator units Time temperature was taken Comments a.m. a.m. a.m./p.m. p.m. p.m.
Freezer units
Initials
Reviewed on (year/month/day): ________________________ By: ___________________________________________
10927 FS-19e
EOHU.ca • 613-933-1375 • 1800267-7120 D E'J [!I mJ