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Item No.:
01
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Site:
Medical-24-Hour Acute Gastronenteritis (AGE) Report
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Violation:
The 24-hour AGE report submitted for voyage 227 included 0 reportable passenger cases but there was 1 reportable passenger case on the AGE log. Also, the 24-hour AGE report submitted for voyage 226 included 0 reportable passenger cases, but there were 2 reportable passenger cases on the AGE log. All of the passengers with an AGE illness onset were ill before the 24-hour AGE report was due.
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Recommendation:
Ensure the master, medical staff, or other designated staff of a vessel destined for a U.S. port from a foreign port submits at least one standardized AGE report based on the number of reportable cases in the AGE log to VSP no less than 24 hours?but not more than 36 hours?before the vessel?s expected arrival at the U.S. port.
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Item No.:
08
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Site:
Food Service General-Chilled Water Line Labeling
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Violation:
The chilled water lines to the ice machines and soft-service ice cream machines were not uniquely identified in the lido galley and buffet areas or in the bar and deck pantries.
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Recommendation:
Uniquely identify all refrigerant brine lines in all galleys, pantries, and cold rooms to prevent cross-connections.
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Item No.:
10
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Site:
Recreational Water Facilities-Sample Lines
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Violation:
The sample lines for all of the whirlpool spas except the aft whirlpool spa were not directly from the RWF or on the return line before the compensation tank.
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Recommendation:
Ensure the sample line for the analyzer probe (monitoring) is either directly from the RWF or on the return line from each RWF and before the compensation tank. Install appropriate sample taps for analyzer calibration. In the event of equipment failure, measure free residual halogen and pH by a manual test kit at the RWF or return line at least hourly for whirlpool spas, spa pools, children?s pools, and wading pools and every 4 hours for all other RWFs.
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Item No.:
10
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Site:
Recreational Water Facilities-Antientrapment
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Violation:
The mid-ship swimming pool and aft swimming pool had two gravity drains greater than 3 feet apart but the drain covers were of a standard design and there were no alarms installed. Also, these pools had two suction fittings, but one of the two drain covers in each RWF were of a standard design. In addition, the mid-ship swimming pool, aft swimming pool, and hydropool had two suction fittings at each RWF that were less than 3 feet apart and there was no safety vacuum release system (SVRS) or automatic pump shut-off system (APS) on any of the pools. For the hydropool, there was a single unblockable gravity drain cover of a standard design and no alarm was installed. According to the staff, all of the parts needed are on order.
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Recommendation:
For RWFs with gravity drainage and multiple drains (2 or more drains greater than 3 feet apart), provide either a standard design (not compliant with ASME A112.19.8) drain cover and an alarm, or an ASME A112.19.8 compliant antientrapment/antientanglement drain cover. Ensure the alarm is audible and sounds in both a continuously manned space and at the RWF. Ensure this alarm is for all draining: accidental, routine, and emergency. For RWFs with suction fittings and multiple drains (2 or more drains per pump with drains greater than 3 feet apart), provide an ASME A112.19.8 compliant antientrapment/antientanglement drain cover. For RWFs with suction fittings and a single blockable drain or multiple drains (less than 3 feet apart), provide an ASME A112.19.8 compliant antientrapment/antientanglement drain cover and a safety vacuum release system or automatic pump shut-off system. For RWFs with gravity drainage and a single unblockable drain (per ASME A112.19.8), provide either a standard design (not compliant with ASME A112.19.8) drain cover and an alarm, or an ASME A112.19.8 compliant antientrapment/antientanglement drain cover. Ensure the alarm is audible and sounds in both a continuously manned space and at the RWF. Ensure this alarm is for all draining: accidental, routine, and emergency.
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Item No.:
10
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Site:
Recreational Water Facilities-Turnover Rates and Bather Loads
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Violation:
The turnover rates and bather loads for the whirlpool spas were calculated without using a flow meter. According to the staff, there were no flow meters for the whirlpool spas but they had been ordered.
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Recommendation:
Install flow meters on the whirlpool spas. Use flow meters to calculate the turnover rates and bather loads.
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Item No.:
10
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Site:
Recreational Water Facilities-Hydropool Safety Sign
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Violation:
The hydropool did not meet the safety sign requirements of the 2011 VSP Operations Manual.
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Recommendation:
Provide safety signs for all RWFs, except for baby-only water facilities. Ensure the signs, at a minimum, include the following words: (1) do not use these facilities if you are experiencing diarrhea, vomiting, or fever; (2) no children in diapers or who are not toilet trained; (3) shower before entering the facility; and (4) bather load #. In addition to the safety sign requirements in section 6.7.1.1.1, install a sign at each whirlpool spa and spa pool entrance listing precautions and risks associated with the use of these facilities. Include, at a minimum, cautions against use by the following: (1) individuals who are immunocompromised; (2) individuals on medication or who have underlying medical conditions such as cardiovascular disease, diabetes, or high or low blood pressure; and (3) pregnant women, elderly persons, and children. Additionally, caution against exceeding 15 minutes of exposure.
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Item No.:
10
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Site:
Recreational Water Facilities-Shepherd's Hook
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Violation:
The shepherd's hook for the aft swimming pool was not long enough to meet the requirements of the 2011 VSP Operations Manual.
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Recommendation:
Provide a rescue or shepherd?s hook and an approved flotation device at a prominent location (visible from the full perimeter of the pool) at each RWF that has a depth of 1 meter (3 feet) or greater. Mount these devices in a manner that allows for easy access during an emergency. Ensure the pole of the rescue or shepherd?s hook is long enough to reach the center of the deepest portion of the pool from the side plus 2 feet. Ensure it is a light, strong, nontelescoping material with rounded, nonsharp ends.
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Item No.:
16
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Site:
Buffet-Consumer Advisories
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Violation:
The consumer advisory for the buffet area was not placed at the station where the raw or undercooked animal-derived food was served. Also, the advisory was not specific to the appropriate foods such as eggs cooked to order or cold smoked salmon.
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Recommendation:
If an animal food such as beef, eggs, fish, lamb, milk, pork, poultry, or shellfish that is raw, undercooked, or not otherwise processed to eliminate pathogens is offered in a ready-to-eat form or as a raw ingredient in another ready-to-eat food, ensure the consumer is informed by way of disclosure using menu advisories, placards, or other easily visible written means of the significantly increased risk to certain especially vulnerable consumers eating such foods in raw or undercooked form. Locate the advisory at the outlets where these types of food are served. Ensure that disclosure is made by one of the two following methods: (1) On a sign describing the animal-derived foods (e.g., ?oysters on the half-shell,? ?hamburgers,? ?steaks,? or ?eggs?); AND that they can be cooked to order and may be served raw or undercooked; AND a statement indicating that consuming raw or undercooked meats, seafood, shellfish, eggs, milk, poultry may increase your risk for foodborne illness, especially if you have certain medical conditions. Ensure the advisory is posted at the specific station where the food is served raw, undercooked, or cooked to order.
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Item No.:
16
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Site:
Food Service General-Menu Consumer Advisories
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Violation:
There was a consumer advisory at the bottom of each page of all inspected menus, but it did not include that consuming the foods 'may increase your risk for foodborne illness, especially if you have certain medical conditions.' There was also not an asterisk by the advisory or by the animal-derived products that could be served raw or undercooked.
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Recommendation:
If an animal food such as beef, eggs, fish, lamb, milk, pork, poultry, or shellfish that is raw, undercooked, or not otherwise processed to eliminate pathogens is offered in a ready-to-eat form or as a raw ingredient in another ready-to-eat food, ensure the consumer is informed by way of disclosure using menu advisories, placards, or other easily visible written means of the significantly increased risk to certain especially vulnerable consumers eating such foods in raw or undercooked form. Locate the advisory at the outlets where these types of food are served. Ensure that disclosure is made by one of the two following methods: (2) On a menu using an asterisk at the animal-derived foods requiring disclosure and a footnote with a statement indicating that consuming raw or undercooked meats, seafood, shellfish, eggs, milk, or poultry may increase your risk for foodborne illness, especially if you have certain medical conditions.
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Item No.:
16
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Site:
Bar-Neptune Lounge
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Violation:
There was no consumer advisory for the cold smoked salmon served at the buffet.
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Recommendation:
If an animal food such as beef, eggs, fish, lamb, milk, pork, poultry, or shellfish that is raw, undercooked, or not otherwise processed to eliminate pathogens is offered in a ready-to-eat form or as a raw ingredient in another ready-to-eat food, ensure the consumer is informed by way of disclosure using menu advisories, placards, or other easily visible written means of the significantly increased risk to certain especially vulnerable consumers eating such foods in raw or undercooked form. Locate the advisory at the outlets where these types of food are served. Ensure that disclosure is made by one of the two following methods: (1) On a sign describing the animal-derived foods (e.g., ?oysters on the half-shell,? ?hamburgers,? ?steaks,? or ?eggs?); AND that they can be cooked to order and may be served raw or undercooked; AND a statement indicating that consuming raw or undercooked meats, seafood, shellfish, eggs, milk, poultry may increase your risk for foodborne illness, especially if you have certain medical conditions. Ensure the advisory is posted at the specific station where the food is served raw, undercooked, or cooked to order.
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Item No.:
19
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Site:
Buffet-Dessert Display Cabinets
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Violation:
The doors to the self-service dessert display cabinets were not self-closing.
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Recommendation:
Protect food on display from contamination by the use of packaging; counter, service line, or salad bar food guards; display cases; self-closing hinged lids; or other effective means. Install side protection for sneeze guards if the distance between exposed food and where consumers are expected to stand is less than 1 meter (40 inches).
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Item No.:
20
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Site:
Food Service General-Toasters
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Violation:
There were slotted fasteners on the food contact surfaces on both sides of the conveyor at the entrance of the toasters.
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Recommendation:
Use only low profile, nonslotted, noncorroding, and easy-to-clean fasteners on food-contact surfaces and in splash zones. Prohibit the use of exposed slotted screws, Phillips head screws, or pop rivets in these areas.
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Item No.:
20
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Site:
Preparation Room-
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Violation:
There was a seam between the two pieces of the back plate of the slicer at the food contact surface where the food exits the slicer.
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Recommendation:
Seal the seam on the back plate of the slicer.
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Item No.:
21
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Site:
Buffet-Crew Mess
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Violation:
Below the coffee machine, the top of the pipe for the cable penetration into the bottom of the compartment was not sealed.
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Recommendation:
Seal the cable penetration below the coffee machine.
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Item No.:
21
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Site:
Housekeeping-Steward Station S.6.3.01
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Violation:
The metal shelf containing paperwork, personal care supplies, and a few clean water glasses, bread baskets, utensils, and napkins was corroded in a few areas.
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Recommendation:
Ensure nonfood-contact surfaces of equipment that are exposed to splash, spillage, or other food soiling or that require frequent cleaning are constructed of a corrosion-resistant, nonabsorbent, and smooth material.
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Item No.:
21
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Site:
Galley-Deck 2 Hot Galley
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Violation:
In the technical compartment for undercounter refrigeration unit 2.38C, there was a large hole where the refrigeration lines penetrated the side of the compartment.
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Recommendation:
Close the hole in the technical compartment.
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Item No.:
22
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Site:
Galley-Deck 3 Warewashing
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Violation:
The data plate on the rack type glasswash machine was very worn and difficult to read.
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Recommendation:
Ensure a warewashing machine is provided with an easily accessible and readable data plate affixed to or posted adjacent to the machine that indicates the machine?s design and operating specifications including the: (1) wash tank, rinse tank(s) if present, and final sanitizing rinse temperatures; (2) pressure required for the fresh water sanitizing rinse unless the machine is designed to use only a pumped sanitizing rinse; (3) conveyor speed in feet per minute or minimum transit time for belt conveyor machines, minimum transit time for rack conveyor machines, and wash and final sanitizing rinse times as specified by the manufacturer for stationary rack machines.
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Item No.:
22
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Site:
Preparation Room-
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Violation:
The data plate on the hood type stationary rack warewash machine indicated 160F for the final rinse temperature.
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Recommendation:
Ensure a warewashing machine is provided with an easily accessible and readable data plate affixed to or posted adjacent to the machine that indicates the machine?s design and operating specifications including the: (1) wash tank, rinse tank(s) if present, and final sanitizing rinse temperatures.
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Item No.:
22
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Site:
Housekeeping-Steward Station S.6.3.01
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Violation:
There were a few soiled glasses, utensils, and plates stored on top of the garbage bin. Also, there were a few soiled utensils, glasses, and plates stored on a metal shelving unit.
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Recommendation:
Ensure drainboards, utensils, racks, or tables large enough to accommodate all soiled and cleaned items that may accumulate during hours of operation are provided for necessary utensil holding before cleaning and after sanitizing.
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Item No.:
26
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Site:
Galley-Deck 2 Ice Machines
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Violation:
There was a brown sand-like sediment in the right side of the water bath below the ice cubers.
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Recommendation:
Ensure food contact surfaces of equipment and utensils are clean to sight and touch.
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Item No.:
27
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Site:
Galley-Deck 2 Hot Line
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Violation:
The underside of the three flat grills were soiled with old grease residue.
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Recommendation:
Ensure nonfood-contact surfaces of equipment are kept free of an accumulation of dust, dirt, food residue, and other debris.
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Item No.:
28
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Site:
Galley-Deck 2 Ice Machines
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Violation:
The technician who removed the covers to the ice cubers placed the covers directly on the deck.
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Recommendation:
Store cleaned equipment and utensils, laundered linens, and single-service and single-use articles: (2) in a location where they are not exposed to splash, dust, or other contamination; (3) at least 150 millimeters (6 inches) above the deck.
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Item No.:
28
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Site:
Housekeeping-Steward Station S.6.3.01
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Violation:
There were a few clean water glasses, bread baskets, utensils and napkins stored on a metal shelf that was corroded in some areas. These clean items were stored on the same shelf as paperwork and personal care supplies such as lotions and shower caps.
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Recommendation:
Store cleaned equipment and utensils, laundered linens, and single-service and single-use articles: (1) in a clean, dry location; (2) in a location where they are not exposed to splash, dust, or other contamination.
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Item No.:
29
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Site:
Housekeeping-Steward Station S.6.3.01
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Violation:
There were flowers, wine and juice glasses, soiled butter knives, and a cruise log document in the handwashing sink.
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Recommendation:
Ensure handwashing facilities are used for no other purpose and are accessible at all times.
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Item No.:
30
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Site:
Galley-Deck 3 Galley Crew Toilet Rooms
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Violation:
There was no 'wash hands after using toilet' sign posted adjacent to the exit door.
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Recommendation:
Ensure signs are conspicuously posted on the bulkhead adjacent to the door of the toilet, reading "WASH HANDS AFTER USING TOILET " in a language that the food employees understand.
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Item No.:
33
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Site:
Pantry-Neptune Lounge
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Violation:
The deck/bulkhead juncture was not coved in the dry storage room where food and food-related items were stored.
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Recommendation:
Cove all bulkhead/deck, equipment/deck, cabinet/deck, and deck sink coaming/deck junctures (including galleys, pantries, buffets, bars, waiter stations, dining room work counters, provisions, food storage rooms, equipment/utensil storage rooms, and toilet rooms intended for use by galley personnel).
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Item No.:
33
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Site:
Galley-Deck 3 Beverage Station
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Violation:
In the technical compartment below the left juice dispenser, the potable water line penetration in the bulkhead was not completely sealed.
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Recommendation:
Seal the penetration in the bulkhead.
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Item No.:
33
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Site:
Buffet-Starboard Bistro Line
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Violation:
At the far left side of the rolling shutter, the metal panel on the inside of the shutter was bent near the bottom, causing a large gap.
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Recommendation:
Ensure decks, bulkheads, and deckheads in food preparation, warewashing, pantries, and storage areas are maintained in good repair.
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Item No.:
33
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Site:
Food Service General-Light Blue Decks
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Violation:
The light blue resin deck material was worn in some areas and not smooth near the junctures with stainless steel foundations and gutterways. This was especially noticed in the passenger buffet areas.
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Recommendation:
Ensure decks, bulkheads, and deckheads in food preparation, warewashing, pantries, and storage areas are maintained in good repair.
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Item No.:
33
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Site:
Galley-Deck 2 Pastry
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Violation:
In the technical compartment for undercounter refrigeration unit 2.17A, there was a hole where the refrigeration lines penetrated the bulkhead.
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Recommendation:
Close the hole in the bulkhead.
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Item No.:
34
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Site:
Galley-Potwash
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Violation:
The water fountain was not working.
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Recommendation:
Ensure the plumbing system in a food area is maintained in good repair.
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Item No.:
36
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Site:
Pantry-Crow's Nest
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Violation:
The light intensity was less than 110 lux behind and beside the ice machine.
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Recommendation:
Ensure the light intensity is at least 110 lux (10 foot candles) behind and around mounted equipment, including counter-mounted equipment.
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Item No.:
36
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Site:
Buffet-Light Intensity
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Violation:
There was less than 110 lux of light intensity behind some of the counter-mounted equipment such as the juice machines at the dessert stations.
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Recommendation:
Ensure the light intensity is at least 110 lux (10 foot candles) behind and around mounted equipment, including counter-mounted equipment.
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Item No.:
36
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Site:
Housekeeping-Ice Station Pantry P.6.3.01
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Violation:
The light intensity was less than 110 lux behind the deck-mounted ice machine.
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Recommendation:
Ensure the light intensity is at least 110 lux (10 foot candles) behind and around mounted equipment, including counter-mounted equipment.
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Item No.:
37
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Site:
Galley-Deck 2 Hot Galley
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Violation:
There was heavy condensation in the hood above the tilting kettles. In some areas water was dripping from the front edge of the hood to the deck in front of the kettles.
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Recommendation:
Ensure ventilation hood systems and devices are sufficient in number and capacity to prevent grease or condensation from collecting on bulkheads and deckheads.
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Item No.:
41
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Site:
Housekeeping-Outbreak Prevention and Response Plan (OPRP)
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Violation:
There were no health and safety procedures in the OPRP or in the vessel's safety management system to protect passengers from exposure to disinfectants.
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Recommendation:
Ensure each vessel has a written OPRP that details standard procedures and policies to specifically address AGE onboard. Include the following in the written OPRP: (6) Procedures to protect the passengers and crew from exposure to disinfectants, if not already included in the vessel?s safety management system. Ensure this protection includes: (a) Material safety data sheets (MSDSs); (b) Personal protective equipment for crew; (c) Health and safety procedures to minimize respiratory and dermal exposures to both passengers and crew.
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Item No.:
43
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Site:
Ventilation-Air Handling Units
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Violation:
According to the staff, technical water was used to clean the air handling units.
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Recommendation:
Use only potable water for cleaning HVAC distribution systems.
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