Do
- Use the equipment type your immunisation programme specifies. Many programmes require purpose-built vaccine refrigerators.
- Store vaccines in the middle of the cabinet, away from walls, the floor and cold-air outlets.
- Monitor and record temperatures as the programme requires, using calibrated devices.
- Keep vaccines in their original packaging and do not store food or drinks in the same unit.
- Have a written contingency plan for power cuts and equipment failure, including where vaccines will go.
- Train all staff who open the vaccine fridge on the basic rules.
- Report and quarantine any vaccines exposed to temperatures outside the allowed range, as the programme directs.
Avoid
- Do not use domestic fridges for vaccines unless the programme permits it.
- Do not store vaccines in the fridge door.
- Do not let vaccines freeze unless the programme specifies frozen storage for that product.
- Do not discard or use temperature-exposed vaccines without following the programme's procedure.
In Indian conditions
India's national immunisation programme runs an extensive cold chain using equipment such as ice-lined refrigerators and deep freezers for ice packs, chosen to cope with high ambient temperatures and power cuts. Private hospitals, clinics and pharmacies should follow the programme and manufacturer requirements for any vaccines they hold. Voltage fluctuations and long outages are a real risk; use stabilisers, temperature alarms and contingency plans. General-purpose commercial refrigerators and freezers may not meet programme specifications, so check what equipment your programme requires before using any unit for vaccines.
General good practice for commercial kitchens and shops. Where your FSSAI licence conditions or food-safety plan set stricter limits, follow those.