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Guidelines on stock records for immunization programme - Path

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3.4 Loss report<br />

In cases where damaged vaccine cannot be used, the <strong>stock</strong> <strong>records</strong> should be adjusted<br />

and the loss should be recorded <strong>on</strong> a loss report similar to Figure 7.<br />

Figure 7: Loss report (adapted from a standard UNICEF <strong>for</strong>m)<br />

Loss report<br />

Serial number:<br />

Issuing office<br />

Issued by Title Date and signature<br />

Approved by Title Date and signature<br />

Nature of loss<br />

Damaged in store Damaged by heat Expired<br />

Damaged in transit Freezing Missing inventory<br />

Other<br />

No Item descripti<strong>on</strong> Unit size Quantity to be Remarks<br />

disposed of<br />

Recommendati<strong>on</strong>s of corrective acti<strong>on</strong>s and disposal<br />

Property Survey Board submissi<strong>on</strong><br />

List of documents attached to the report (photos, claim, laboratory analysis, batch & expiry dates…)<br />

Original<br />

copy<br />

Copy 1 Copy 2 Copy 3<br />

18<br />

Vaccine <strong>stock</strong> management – <str<strong>on</strong>g>Guidelines</str<strong>on</strong>g> <strong>on</strong> <strong>stock</strong> <strong>records</strong> <strong>for</strong> immunizati<strong>on</strong> <strong>programme</strong> and vaccine store managers

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