Appendix 20. Cold chain evaluation/inventory
See Toolbox
Country: ___________________________________ Province/region: _____________________
District: ____________________________________ Health care facility: ___________________
Person in charge: ____________________________ Date: ______________________________
Yes | No | |
1 - Is there a person in charge of the cold chain? | ||
2 - Is the room well-ventilated? | ||
3 - Is the equipment protected from the sun? | ||
4 - If electricity is available, is it reliable? | ||
5 - Is the distance between the wall and the refrigerator/freezer greater than or equal to 30 cm? |
6 - Refrigerators:
| Number | Energy | Storage | Available | Monitoring equipment |
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:
|
|
| Storage | Ice production | Monitoring equipment | ||
In litres | In nb | In | In nb | ||||
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 model | Total number | Number available | Vaccine storage |
Cold box, brand and model | Total number | Number available | |
Ice packs | Total number | Number available | |
0.6 litre | |||
0.4 litre | |||
Other (specify volume) |
9 - Monitoring equipment:
Equipement | Total number |
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®) |