Refrigerator/Freezer Cleaning and Temperature Log
LOCATION: MONTH: YEAR: .
Instructions: 1. Cleaning schedule a. Clean refrigerator weekly with a mild dishwashing detergent and water solution, rinse and air dry. Check all items for labels and current expiration dates. Rotate items using first in-first out method. b. Defrost freezer quarterly or as needed. c. Indicate dates of cleaning and defrosting at the bottom of the form in the spaces provided. 2. Temperatures should be measured with a refrigerator thermometer a. Medication refrigerator temperature should be within 36 o - 46o F for refrigerator; 0 o F or below for freezers. b. Nourishment refrigerator temperature should be 40o F or below; 0 o F or below for freezers. b. Contact maintenance and pharmacy (for medication refrigerator) immediately if the refrigerator or freezer is not within the designated temperature or other problems are noted. Medications and nourishments will be transferred to another refrigerator. Medications may need to be discarded per pharmacy directions. Place an “out of order” sign on the outside of the refrigerator or freezer. Note corrective actions in space provided. 3. Temperature Checks a. The temperature of the refrigerator and freezer will be checked and recorded for each day that the unit/office/department is occupied, i.e., the temperatures do not have to be checked on weekends and holidays if the department is not open on those days. 4. Temperature/Cleaning Log a. Post the log on the side or front of each refrigerator and maintained logs for the most recent twelve (12) months. Temperature Checks and Initials Refrigerator Freezer Initials Temperature Temperature Temperature Checks and Initials Refrigerator Freezer Initials Temperature Temperature
Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Date 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Corrective Actions (Include date and actions taken): _________________________________________________________________________________________________________ _________________________________________________________________________________________________________
Weekly Refrigerator Cleaning Log (Record the dates of cleaning & initials): Week 1 Week 2 Week 3 Week 4 Initials Initials Initials Date Date Date Date Quarterly Freezer Defrosting: N/A - Frost Free Freezer/Refrigerator only Date Last Defrosted (from previous logs) Date Defrosted During Current Month, if Due Initials CSH-1008 (Revised 2-06)
Week 5 Date