Vaccine and Medication Fridges: Baseline Audit

If there has been a cold chain breach please follow local site policy for management.

** Alarm wired to central monitor to facilities management and to shift manager’s page phone.

Location / Access / Fridge Details / Security / Monitoring / Content / Essential power / Facilities
information / Comments
Ward/clinic
or
Department / Hours of
Availability
(e.g. 24/7,
M-F 9-5) / Room
(e.g. Clean utility room,
Drug room,
Resus room) / (e.g. Swipe,
Key,
Open area) / Type
(e.g. Purpose-built,
Domestic,
Bar) / Model
(e.g. Arcus,
ICS Pacific,
Thermoline,
Haeir,
Kelvinator,
Westinghouse) / Serial Number / Lock on fridge
Y / N / Locked
at time of audit
Y / N / External temperature monitoring device
(Required where no inbuilt digital temp display)
Y / N /NA / Monitoring book by the fridge
Y / N / Monitoring book completed without gaps
- Medication fridge
once daily
- Vaccine fridges
twice daily
Y / N / Vaccines storage
Y / N / Content identified on front of fridge
Y / N / Fridge seals
1 Intact
2 Not intact
(brittle or torn) / Fridge on
Essential power
(Red socket)
Y / N / Fridge alarm
on
central monitoring**
Example 1
Out patient clinic / M-F 9-5 / Clean utility room / Key / Purpose built / Thermoline / SN12345 / Y / Y / NA / Y / N / Y / N / 2 / Y / Y / Food found in fridge & removed
Facilities notified of poor door seal (no recordings outside of appropriate range
Large gaps between monitoring recordings
Example 2
Medical ward / 24/7 / Clean utility room / Swipe / Purpose built / ICS pacific / SN34567 / Y / N / NA / Y / Y / N / Y / 1 / N / N

Vaccines stored in refrigerators must comply with the National Vaccine Storage Guidelines – Strive for Five 2nd edition. Australian Government, Department of Health and Ageing and Vaccine Cold Chain Guidelines – Operational Directive OD 0355/11

Acknowledgement to FHHS, SMHS, and RPH Refrigerator Audit tools which assisted in the development of this tool.