Get Ie Hse Cold Chain/fridge Breakdown/power Failure Form 2022-2025

Completing the IE HSE Cold Chain/Fridge Breakdown/Power Failure Form online is essential for reporting incidents related to vaccine storage. This guide will provide you with clear, step-by-step instructions to help you accurately fill out the form and ensure proper reporting.

Follow the steps to successfully complete the form.

1. Click the ‘Get Form’ button to access the form and open it for editing.
2. In the first section, enter the name of the surgery where the cold chain incident occurred. This helps identify the location of the event.
3. Next, provide your NCCS account number, which is a 7-digit number beginning with 300. This number is crucial for record-keeping.
4. Then, fill in your contact name and phone number for any follow-up or clarification needed regarding the incident.
5. In the product section, list the vaccines that were affected, indicating their quantity and batch number. Choose from the specified options such as Infanrix Hexa or COVID-19 vaccines.
6. Record the last recorded fridge temperature along with the date and time. This is important for assessing the condition of the vaccines.
7. Specify the duration for which the vaccines were outside the acceptable temperature range of +2°C to +8°C.
8. Enter the maximum or minimum temperature recorded during the breach to provide crucial heating or cooling information.
9. Indicate whether the vaccines involved had experienced previous temperature excursions by answering 'Yes' or 'No'.
10. Review all fields for accuracy and completeness. Once verified, you can save changes, download, print, or share the form as needed.

Complete the IE HSE Cold Chain/Fridge Breakdown/Power Failure Form online now to ensure proper documentation of the incident.