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SOP	ON	RESPONDING	TO	
REMOTE	TEMPERATURE	
MONITORING	ALARMS
VACCINE	
SECURITY	
FREEZE	ALARMS	 HEAT	ALARMS	
Freeze	sensitive	vaccines	(Td,	
Penta,	HepB,	PCV)	damages	at	
temperature	below	-0.5C	after	a	
duration	of	1hour.	
Action	should	be	taken	within	an	
hour		
Heat	sensitive	vaccines	(OPV,		
MV,	YF)	damages	at	temperature		
below	8C	after	a	duration	of	
24hours.	
Action	should	be	taken	within	24	
hours		
	
WHEN	TEMPERATURE	EXCUSSIONS	OCCURS,	A	SERIES	OF	EVENT	SHOULD	TAKE	PLACE	AS	FOLLOWS;	
STAGE	ONE	
When	is	
Alarm	
triggered	
Alarm	is	triggered	15min	after	
vaccine	exposure	to	temperature	
below	-0.5C	
Alarm	is	triggered	6hr	after	vaccine	
exposure	to	temperature	above	8C	
Who	receives	
alerts	 	
SMS	&	Email	is	sent	to	the	
ACCO/CCO/VACCINE	HANDLER	
SMS	&	Email	is	sent	to	the	
ACCO/CCO/VACCINE	HANDLER	
Key	Response
	 	
.	Arrive	on	Site	within	15min	
.	Open	the	fridge/WICR	for	30min	to				
remove	risk	of	freezing	
.	Confirm	that	thermostat	is	set	
properly	
.	Check	for	obvious	signs	of	cooling	
unit	malfunction	
.	Arrive	on	Site	within	1hr	
.	Determine	if	CCE	unit	is	receiving	
power	from	main	or	gen	source	
.	Ensure	the	door	is	closed	&	all	
seals	are	intact	
.	Check	for	obvious	signs	of	cooling	
unit	malfunction	
	
If	issue	is	
resolve		
.	Conduct	shake	test	on	samples	of	
vaccines	in	the	freezing	spots	
.	Generate	and	download	report	
from	BW	platform	
.	Report	to	SIO	and	arrange	for	
possible	maintenance	
.	Confirm	VVM	status	of	vaccines	in	
the	heat	spots	
.	Generate	and	download	report	
from	BW	platform	
.	Report	to	SIO	and	arrange	for	
possible	maintenance	
If	issue	is	not	
resolve		
.	Execute	contingency	plan	by	
moving	vaccines	to	a	functional	CCR	
.	Contact	SIO/Warehouse	manager	
and	arrange	for	repair	visit		
.	Execute	contingency	plan	by	
moving	vaccines	to	a	functional	
CCR	
.	Contact	SIO/Warehouse	manager	
and	arrange	for	repair	visit
IF	STAGE	ONE	ALARM	IS	NOT	RESOLVED,	A	SECOND	STAGE	OF	ALERT	IS	ACTIVATED	AND	THE	FOLLOWING	
EVENT	SHOULD	TAKE	PLACE;	
STAGE	TWO	
If	issue	is	
not	
resolved	
Alarm	is	triggered	30min	after	the	
stage	1	alarm	
Alarm	is	triggered	1hr	after	the	
stage	1	alarm	
	
Who	
receives	
alerts	 	
SMS	&	Email	is	sent	to	the	
Warehouse	Manager/	SIO	
SMS	&	Email	is	sent	to	the	
Warehouse	Manager/	SIO	
Key	
Response
	 	
.	Contact	ACCO/CCO	to	confirm	if	
action	has	been	taken	to	resolve	
issue	
.	In	absence	of	both	officers,	
delegate	an	available	staff/security	
to	carry	out	appropriate	response	
.	Follow	up	with	officers	to	confirm	
response	has	been	carried	out	
	
.	Contact	ACCO/CCO	to	confirm	if	
action	has	been	taken	to	resolve	
issue	
.	In	absence	of	both	officers,	
delegate	an	available	staff/security	
to	carry	out	appropriate	response	
.	Follow	up	with	officers	to	confirm	
response	has	been	carried	out	
	
If	issue	is	
resolve		
.	Request	for	a	shake	test	result	
.	Request	for	a	generated	report		
.	Arrange	for	possible	maintenance	
.	Request	for	VVM	status	result	
.	Request	for	a	generated	report		
.	Arrange	for	possible	maintenance	
When	is	
Alarm	
triggered	
	
.	Execute	contingency	plan		
.	Arrange	for	repair	visit		
.	Execute	contingency	plan		
.	Arrange	for	repair	visit
IF	STAGE	TWO	ALARM	IS	NOT	RESOLVED,	A	THIRD	STAGE	OF	ALERT	IS	ACTIVATED	AND	THE	FOLLOWING	
EVENT	SHOULD	TAKE	PLACE;	
STAGE	THREE	
When	is	
Alarm	
triggered	
	
Alarm	is	triggered	45min	after	the	
stage	2	alarm	
Alarm	is	triggered	2hrs	after	the	stage	
2	alarm	
Who	
receives	
alerts	 	
SMS	&	Email	is	sent	to	the	Dir.	
Operations/	DPHC/	DD.	
SMS	&	Email	is	sent	to	the	Dir.	
Operations/	DPHC/	DD.	
Key	
Response
	 	
.	Contact	SIO/WH.Manager	to	
confirm	if	action	has	been	taken	to	
resolve	issue	
.	In	absence	of	both	officers,	
delegate	an	available	staff/security	
to	carry	out	appropriate	response	
.	Follow	up	with	officers	to	confirm	
response	has	been	carried	out	
	
.	Contact	SIO/WH.Manager	to	confirm	
if	action	has	been	taken	to	resolve	
issue	
.	In	absence	of	both	officers,	delegate	
an	available	staff/security	to	carry	out	
appropriate	response	
.	Follow	up	with	officers	to	confirm	
response	has	been	carried	out	
	
If	issue	is	
resolve		
	
.	Request	for	a	generated	report		
.	Arrange	for	possible	maintenance	
	
.	Request	for	a	generated	report		
.	Arrange	for	possible	maintenance	
If	issue	is	
not	
resolved
	 	
.	Execute	contingency	plan		
.	Arrange	for	repair	visit		
.	Execute	contingency	plan		
.	Arrange	for	repair	visit

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