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Item No.:
02
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Site:
Medical-Acute Gastroenteritis (AGE) Surveillance Log
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Violation:
The AGE surveillance log could not be put into a spreadsheet with the required information in the exact order as Annex 13.2.2 of the 2011 VSP Operations Manual.
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Recommendation:
Ensure the AGE surveillance log contains the required information in the exact order and is entered in the template in Annex 13.2.2. Ensure that the log data is exported in the exact order as in the example template in Annex 13.2.2 with analyzable formats such as Excel or Access. Ensure that any additional data fields are entered only outside of the form margins when exported to VSP.
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Item No.:
08
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Site:
Potable Water-Distillate & Premeate Water Lines
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Violation:
The distillate water lines from the evaporator to the potable water system and the permeate water lines from the reverse osmosis unit to the potable water system were not striped or painted in accordance with ISO 14726 standards (blue/gray/blue).
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Recommendation:
Stripe or paint potable water lines either in accordance with ISO 14726 (blue/green/blue) or blue only. Stripe or paint distillate and permeate lines directed to the potable water system in accordance with ISO 14726 (blue/gray/blue).
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Item No.:
10
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Site:
Recreational Water Facilities-Safety Signs
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Violation:
The safety signs posted at all of the RWFs did not contain all elements of the 2011 VSP Operations Manual sign requirements. For instance, the sign for the Thalasso spa pool did not include: 'do not use these facilities if you are experiencing diarrhea, vomiting, or fever'; bather load number; cautions against use by individuals who are immunocompromised, individuals having diabetes, and pregnant women; and caution against exceeding 15 minutes of exposure. The signs for the Main and Aft Pools did not include: 'do not use these facilities if you are experiencing diarrhea, vomiting, or fever'; and bather load number. The signs for the spas did not include: 'do not use these facilities if you are experiencing diarrhea, vomiting, or fever'; bather load number; and cautions against use by the elderly.
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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 #. For children's RWF signs, include the exact wording "TAKE CHILDREN ON FREQUENT BATHROOM BREAKS" or "TAKE CHILDREN ON FREQUENT TOILET BREAKS." 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-Hair and Lint Strainer
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Violation:
The hair and lint strainer and hair and lint strainer housing on all the RWFs were cleaned and disinfected according to the staff, but there was no documentation regarding the frequency of cleaning, disinfectant concentration, or contact time.
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Recommendation:
Clean, rinse, and disinfect the hair and lint strainer and hair and lint strainer housing on all RWFs weekly. Ensure disinfection is accomplished with an appropriate halogen-based disinfectant. At a minimum, use a 50-ppm solution for 1 minute, or equivalent CT value. Maintain records on all inspection and cleaning procedures.
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Item No.:
10
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Site:
Recreational Water Facilities-Filter Housing
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Violation:
The filter housing on the RWFs were cleaned and disinfected according to the staff, but there was no documentation regarding the frequency of cleaning, disinfectant concentration, or contact time.
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Recommendation:
Clean, rinse, and disinfect the filter housing before the new filter media is placed in it. Ensure disinfection is accomplished with an appropriate halogen-based disinfectant. At a minimum, use a 50-ppm solution for 1 minute, or equivalent CT value. Maintain records on all inspection and cleaning procedures.
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Item No.:
10
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Site:
Recreational Water Facilities-Turnover Rates
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Violation:
There was no documentation on the turnover rates for all whirlpools.
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Recommendation:
Design recirculation systems and equipment, including chemical control equipment, UV disinfection systems, filter, and pumps to maintain adequate water chemistry control while operating at the following minimum turnover rates: (1) swimming pool (VSP 2005 Construction Guidelines or earlier): 6 hours; (2) swimming pool (VSP 2011 Construction Guidelines or later): 4 hours; (3) children's pool: 0.5 hours; (4) wading pool: 1 hour; (5) whirlpool spa: 0.5 hours; (6) spa pool: 2 hours; (7) interactive RWF or activity pool less than 610 millimeters (24 inches) deep: 1 hour; (8) interactive RWF or activity pool greater than 610 millimeters (24 inches) deep: 2 hours; and (9) baby-only water facility: 0.5 hours. Ensure an RWF slide that is combined with a pool has a turnover rate that matches the rate for the pool.
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Item No.:
10
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Site:
Recreational Water Facilities-Bather Load
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Violation:
There was no documentation on the bather load calculation for each recreational water facility.
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Recommendation:
Maintain documentation on the maximum bather load for each RWF. Ensure the maximum bather load is based on the following factor: one person per five gallons (19 liters) per minute of recirculation flow.
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Item No.:
10
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Site:
Recreational Water Facilities-
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Violation:
There was no test kit for measuring the water quality parameter of total alkalinity in the recreational water facilities.
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Recommendation:
Ensure a test kit is available for testing water quality parameters, including free and total halogen levels (chlorine and bromine, where applicable), pH, and total alkalinity. Ensure that test kits are accurate to within 0.2 mg/L (ppm) for halogen and have a testing range of free residual halogen normally maintained in the RWF. Ensure test kits for pH are accurate to within 0.2. Ensure all reagents are not past their expiration dates.
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Item No.:
11
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Site:
Medical-Isolation Procedures
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Violation:
A team headwaiter had an onset of acute gastroenteritis (AGE) symptoms on 27 October 2011 at 21:00 during the flight from his previous Carnival assignment to this ship. He reported to the medical center on 28 October 2011 at 17:40 after in-processing, and did not report to work. According to his medical document, his last AGE symptom was on 29 October 2011 at 11:00. The crew member stated he was still having symptoms on 30 October 2011 at 15:11. However, isolation ended on 31 October 2011 at 14:12. This food employee was not isolated for at least 48 hours after his last AGE symptom.
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Recommendation:
When food employees meet the case definition for AGE, ensure the following actions are taken: (1) isolate in cabin or designated restricted area until symptom-free for a minimum of 48 hours; (2) follow-up with and receive approval by designated medical personnel before returning crew to work; (3) document date and time of last symptom and clearance to return to work.
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Item No.:
19
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Site:
Other-Cherry On Top
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Violation:
The lids on the candy self-service display case were not self-closing. These lids could be left open and leave the food unprotected.
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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:
Galley-Center
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Violation:
There were cracks on the food contact surface of the plastic press plate of the slicer, making it difficult to clean.
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Recommendation:
Ensure multiuse food-contact surfaces are: (1) Smooth; (2) Free of breaks, open seams greater than 0.8 mm (1/32 inch), cracks, chips, inclusions, pits, and similar imperfections; (3) Free of sharp internal angles, corners, and crevices; (4) Finished to have smooth welds and joints.
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Item No.:
21
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Site:
Galley-Warewash
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Violation:
There were cracks at the bottom of the clean plate trolley, making it difficult to clean.
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Recommendation:
Ensure nonfood-contact surfaces are free of unnecessary ledges, projections, and crevices, and designed and constructed to allow easy cleaning and to facilitate maintenance.
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Item No.:
21
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Site:
Galley-Bakery
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Violation:
There was a gap along the bottom edge of the marble top/stainless steel counter juncture, making it difficult to clean.
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Recommendation:
Ensure nonfood-contact surfaces are free of unnecessary ledges, projections, and crevices, and designed and constructed to allow easy cleaning and to facilitate maintenance. Close the gap.
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Item No.:
21
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Site:
Galley-Plate Trolleys
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Violation:
At least five plate trolleys located throughout the main galley had large cracks and gaps, making them difficult to clean.
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Recommendation:
Ensure nonfood-contact surfaces are free of unnecessary ledges, projections, and crevices, and designed and constructed to allow easy cleaning and to facilitate maintenance.
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Item No.:
23
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Site:
Galley-Warewash
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Violation:
There were large pieces of lettuce, paper napkins, and other food debris in the wash, rinse, and final rinse tanks of the in-use flight-type warewash and glasswash machines.
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Recommendation:
Ensure food debris on equipment and utensils is scrapped over a waste disposal unit, pulper, or garbage receptacle or removed in a warewashing machine with a prewash cycle.
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Item No.:
26
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Site:
Galley-Garde Manager
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Violation:
There was food residue on the back plate of the slicer. This equipment was previously cleaned and not in operation at the time of the inspection.
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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.:
26
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Site:
Galley-Center
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Violation:
There was food debris in the cracks of the plastic press plate of the slicer. This equipment was previously cleaned and not in operation at the time of the inspection.
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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-Warewash
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Violation:
There was food debris on the plate contact surfaces of the previously cleaned plate trolley.
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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.:
27
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Site:
Bar-Red Frog Pub
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Violation:
Some of the decorations on the bulkhead-mounted shelves were soiled with dust. Also, the deckhead-mounted bell was soiled.
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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.:
27
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Site:
Galley-Warewash - Clean Plate Storage
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Violation:
The stainless steel counter used to store clean plates was soiled with food debris.
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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.:
27
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Site:
Galley-Bakery
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Violation:
The gap between the previously cleaned marble top/stainless steel counter juncture was soiled with food debris and grease.
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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:
Provisions-Room 8 and Vegetable Preparation
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Violation:
At least fourteen gray plastic boxes used to transport provisions were stored directly on the deck.
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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; (3) at least 150 millimeters (6 inches) above the deck.
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Item No.:
28
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Site:
Galley-Warewash
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Violation:
Previously cleaned plates were stored in the soiled clean plate trolley.
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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; (3) at least 150 millimeters (6 inches) above the deck.
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Item No.:
36
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Site:
Galley-Pastry Preparation Station Forward
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Violation:
The light intensity on the food preparation counter immediately above undercounter refrigerator 3PA-3 was less than 220 lux.
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Recommendation:
Ensure the light intensity is at least 220 lux (20 foot candles) on food preparation surfaces, and at a distance of 75 centimeters (30 inches) above the deck in food preparation areas, handwashing facilities, warewashing areas, equipment, and utensil storage, pantries, toilet rooms, and consumer self-service areas.
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Item No.:
36
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Site:
Preparation Room-Potato
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Violation:
The light intensity along the right side of the right potato peeler was less than 110 lux.
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Recommendation:
Ensure the light intensity is at least 110 lux (10 foot candles) at a distance of 75 centimeters (30 inches) above the deck when in use, in walk-in refrigerator units and dry storage areas, and in other areas and rooms during periods of cleaning. 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.:
38
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Site:
Provisions-Ice Cream Freezer
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Violation:
A broom was stored on a deck stand inside the walk-in ice cream freezer.
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Recommendation:
Ensure maintenance tools such as mops, brooms, and similar items are stored in a designated locker so they do not contaminate food, food-contact surfaces of utensils, and equipment, linens, and single-service and single-use articles.
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Item No.:
40
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Site:
Integrated Pest Management-Active Monitoring
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Violation:
The time of the active monitoring inspections was not recorded in the pest management log.
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Recommendation:
Record the time of the active monitoring inspections in the log.
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Item No.:
40
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Site:
Integrated Pest Management-Mooring Lines
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Violation:
The rat guards on the starboard mooring lines were not closed, making them ineffective to prevent the passage of vermin crawling along the lines from the pier to the ship.
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Recommendation:
Install rat guards on the mooring lines according to the recommendations of the manufacturer. Protect entry points where pests may enter the food areas.
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Item No.:
41
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Site:
Housekeeping-Public Toilet Rooms
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Violation:
Passenger and crew toilet rooms did not have signs advising users to wash hands after using the toilet. In addition, there were no signs advising users to use hand towels, paper towel, or tissue to open the door when exiting.
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Recommendation:
Provide the passenger and crew public toilets with a handwashing station that includes a sign advising users to wash hands. Post a sign advising users of toilet facilities to use hand towel, paper towel, or tissue to open the door unless the exit is hands free.
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Item No.:
41
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Site:
Housekeeping-Outbreak Prevention and Response Plan
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Violation:
The outbreak prevention and response plan did not include procedures for informing current and embarking passengers and crew members of an outbreak or procedures for returning the vessel to normal operating conditions after an outbreak.
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Recommendation:
Ensure each vessel has a written OPRP that details standard procedures and policies to specifically address AGE onboard. Include in the written OPRP procedures for informing passengers and crew members of the outbreak. Ensure this section also includes procedures for notification of passengers embarking the vessel following an outbreak voyage or segment of a voyage; and procedures for returning the vessel to normal operating conditions after an outbreak.
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Item No.:
42
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Site:
Children Area-
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Violation:
In the forward 2-5 year old toilet room, the maximum water temperature at the handwash station measured 115F using the inspector's thermometer.
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Recommendation:
Ensure the maximum water temperature for a handwashing station does not exceed 43C (110F).
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Item No.:
42
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Site:
Children Area-
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Violation:
In the forward 2-5 year old toilet room, the height of the child-size toilet measured 16 inches and the height of the handwashing sink measured 22 1/2 inches. No step stool was available.
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Recommendation:
If toilet rooms are located in a child-activity center, provide a child-size toilet(s) or child-accessible toilet(s) (child-size seat and step stool) and handwashing facilities. Ensure child-size toilets (to include the toilet seat) have a maximum height of 280 millimeters (11 inches) and a toilet seat opening no greater than 203 millimeters (8 inches). Ensure handwashing sinks have a maximum height of 560 millimeters (22 inches) above the deck or a step stool.
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Item No.:
42
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Site:
Children Area-
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Violation:
In the toilet room with accessibility features, the maximum water temperature at the handwash station measured 117F using the inspector's thermometer.
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Recommendation:
Ensure the maximum water temperature for a handwashing station does not exceed 43C (110F).
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Item No.:
42
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Site:
Children Area-
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Violation:
The maximum water temperature at the handwash station outside of the child toilet rooms measured 114F using the inspector's thermometer.
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Recommendation:
Ensure the maximum water temperature for a handwashing station does not exceed 43C (110F).
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Item No.:
42
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Site:
Children Area-
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Violation:
In the aft 2-5 year old toilet room, the height of the child-size toilet measured 16 inches. No step stool was available.
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Recommendation:
If toilet rooms are located in a child-activity center, provide a child-size toilet(s) or child-accessible toilet(s) (child-size seat and step stool) and handwashing facilities. Ensure child-size toilets (to include the toilet seat) have a maximum height of 280 millimeters (11 inches) and a toilet seat opening no greater than 203 millimeters (8 inches). Ensure handwashing sinks have a maximum height of 560 millimeters (22 inches) above the deck or a step stool.
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Item No.:
42
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Site:
Children Area-
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Violation:
In the aft 2-5 year old toilet room, the maximum water temperature at the handwash station measured 117F using the inspector's thermometer.
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Recommendation:
Ensure the maximum water temperature for a handwashing station does not exceed 43C (110F).
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Item No.:
43
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Site:
Ventilation-Air Handling Units
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Violation:
The water used for the cleaning of air handling units was technical water.
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Recommendation:
Use only potable water for cleaning HVAC distribution systems.
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