Appendix 20. Cold chain evaluation/inventory

See Toolbox


Country: ___________________________________ Province/region:  _____________________

District: ____________________________________ Health care facility: ___________________

Person in charge: ____________________________ Date: ______________________________


YesNo

1 - Is there a person in charge of the cold chain?
If yes, person’s name and contact information:




2 - Is the room well-ventilated?



3 - Is the equipment protected from the sun?



4 - If electricity is available, is it reliable?
Specify the number of hours of electricity per day:



5 - Is the distance between the wall and the refrigerator/freezer greater than or equal to 30 cm?




6 - Refrigerators:


Brand,
model


Number

Energy
source
a

Storage
volume
(in litres)

Available
volume
(in litres)

Monitoring equipment
present
Y/Nb































a Specify the energy source, the electrical power and the availability (number of hours/day).
b One thermometer, one Stop!Watch® card with a Freeze-tag® and one temperature monitoring sheet per refrigerator.


7 - Freezers:



Brand, model



Number



Energy
sourcea

Storage
volume

Ice production
per 24 hours


Monitoring equipment
present
Y/Nb

In litres

In nb
0.6-litre
ice
packs

In
kg/24h
without
vaccines

In nb
0.6-litre
ice
packs

















































a Specify the energy source, the electrical power and the availability (number of hours/day).
b One thermometer and one temperature monitoring sheet per freezer.


8 - Transport equipment:

Vaccine carrier, brand and modelTotal number

Number available

Vaccine storage
volume (in litres)













Cold box, brand and modelTotal number

Number available














Ice packsTotal numberNumber available
0.6 litre


0.4 litre


Other (specify volume)






9 - Monitoring equipment:

Equipement

Total number
available/functional

Fridge-Tag® or Logtag® (with display) temperature logger
Moeller® alcohol thermometer
Thermometer with liquid-crystal display (LCD)
Other thermometer (specify):
Refrigerator monitoring card (Stop!Watch® with Freeze-tag®)
Freeze indicator (Freeze-tag®)