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TEM

STANDARD REQUIREMENT 2C - 8C

SATURDAY

9 10

12AM

CHECKED BY:
TIME

6AM

12PM

SUNDAY
6PM

12AM

6AM

12PM

Republic of the Philippines


Department of Health

MADDELA DISTRICT HOSPITAL


Diduyon, Maddela, Quirino

TEMPERATURE MONITORING FORM

MONDAY
6PM

12AM

6AM

12PM

TUESDAY
6PM

12AM

6AM

12PM

W
6PM

12AM

TAL
Form No.:
Revision No.:
Effectivity Date:
REFRIGERATOR NO. 1
WEDNESDAY
6AM

12PM

THURSDAY
6PM

12AM

6AM

12PM

FRIDAY
6PM

12AM

6AM

12PM

6PM

Republic of the Philippines


Department of Health

MADDELA DISTRICT HOSPITAL


Diduyon, Maddela, Quirino

DATE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20

REQUIREMENT NOT TO EXCEED 25C

ROOM TEMPERATURE MONITORING FORM

First Floor

AM
TEMPERATURE

TIME

CHECKED BY:

22
23
24
25
26
27
28
29
30
31

TEMPERATURE REQU

21

e Philippines
t of Health

RICT HOSPITAL

dela, Quirino

NG FORM

Form No.:
Revision No.:
Effectivity Date:

PM
TEMPERATURE

TIME

CHECKED BY:

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