Run Grocery Pharmacy Immunization Clinic Setup Checklist — Free

Inspection Details

Clinic setup date and start time recorded

Record when the immunization clinic setup inspection was completed.

Inspector name and role documented

Enter the name and role/title of the person completing the inspection.

Clinic area identified and prepared for immunization workflow

Confirm the designated clinic area is set up and clearly identified for vaccine administration.

Yes No N/A

Applicable SOP or clinic setup checklist available on site

Verify the current local procedure or checklist is available for reference during setup.

Yes No N/A

Vaccine Refrigerator and Temperature Control

Refrigerator temperature is within acceptable range critical (required)

Measure the vaccine refrigerator temperature at setup.

Temperature monitoring device is calibrated and in place critical (required)

Confirm a calibrated temperature monitoring device is present in the refrigerator or monitoring system is active.

Yes No N/A

Temperature logs are current and reviewed

Verify temperature logs are up to date and show review before clinic use.

Yes No N/A

Refrigerator door seals intact and door closes fully

Check that the refrigerator door seals are intact and the unit closes securely.

Yes No N/A

Vaccines are stored with adequate air circulation and not touching the back or sides

Confirm vaccines are arranged to allow airflow and are not placed against cooling elements or walls.

Yes No N/A

Anaphylaxis Kit and Emergency Supplies

Anaphylaxis kit is present and immediately accessible critical (required)

Confirm the emergency anaphylaxis kit is on site and reachable without delay.

Yes No N/A

Epinephrine auto-injector or emergency epinephrine supply is within expiration date critical (required)

Verify epinephrine in the anaphylaxis kit is not expired.

Yes No N/A

Anaphylaxis kit contents are complete

Select the items present in the emergency kit.

Emergency response instructions are posted or available

Verify anaphylaxis response steps and emergency contact information are available to staff.

Yes No N/A

Clinic Area Safety and Workflow

Patient waiting and vaccination areas are clearly separated

Confirm the clinic layout supports privacy and safe patient flow.

Yes No N/A

Emergency exit routes are unobstructed critical (required)

Verify exits and egress paths near the clinic area are clear.

Yes No N/A

Hand hygiene supplies are available at point of care

Confirm hand sanitizer or handwashing access is available for staff use.

Yes No N/A

Sharps container is present, mounted or stable, and not overfilled critical (required)

Check that a sharps container is available and within safe fill limits.

Yes No N/A

Staff Readiness and Documentation

Vaccinating staff are authorized and assigned for the clinic

Confirm staff assigned to administer vaccines are credentialed and scheduled.

Yes No N/A

Emergency contact numbers are available to staff

Verify local emergency response numbers and internal escalation contacts are accessible.

Yes No N/A

Patient screening and consent forms are available

Confirm required screening and consent documents are ready for use.

Yes No N/A

Inspection comments and corrective actions documented

Record any deficiencies, non-conformances, or corrective actions identified during setup.

Yes No N/A

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Run: Grocery Pharmacy Immunization Clinic Setup Checklist

Inspection Details

Vaccine Refrigerator and Temperature Control

Anaphylaxis Kit and Emergency Supplies

Clinic Area Safety and Workflow

Staff Readiness and Documentation

Get your results