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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 did not contain the following information in separate columns: time of the first medical visit or report to staff of illness; meal seating information; presence of underlying medical conditions that may affect interpretation of AGE. Also, the log did not contain the required information in the same format and order as prescribed in section 13.2.2 of the 2011 VSP Operations Manual.
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Recommendation:
Ensure the AGE surveillance log entry for each passenger or crew member contain the following information in separate columns: (1) Date of the first medical visit or report to staff of illness; (10) meal seating information; (16) presence of underlying medical conditions that may affect interpretation of AGE. Ensure the AGE surveillance log contains the above 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-Cross-Connection Control Program
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Violation:
There were Watts S8 backflow preventers installed in the 2 shower flexible hoses of the medical center. However, the cross-connection control program listed these devices as being ORAS backflow preventers.
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Recommendation:
Update the cross-connection control program.
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Item No.:
08
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Site:
Potable Water-Tank Maintenance
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Violation:
Potable water tank 7AS was inspected on 8 October 2011 and tank 4AP was inspected on 15 October 2011. A notation stating that the free halogen residual was below 5.00 ppm before the tanks were put back in service was recorded. However, the actual value of the free halogen test result was not documented.
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Recommendation:
Flush the disinfected parts of the system with potable water or otherwise dechlorinate until the free residual halogen is less than or equal to 5.00 mg/L (ppm). Document the free halogen test result.
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Item No.:
10
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Site:
Recreational Water Facilities-Chart Recorders/Data Loggers
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Violation:
There were no chart recorders or electronic data loggers with security features that recorded pH and halogen measurements for each individual recreational water facility.
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Recommendation:
Install chart recorders or electronic data loggers with security features that record pH and halogen measurements for each individual RWF. 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.
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Item No.:
10
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Site:
Recreational Water Facilities-Antientrapment Drain Requirements
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Violation:
The drains for the swimming pools did not meet the antientrapment drain requirements per the 2011 VSP Operations Manual. There were no antientrapment covers and no alarm.
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Recommendation:
Ensure the testing of manufactured drain covers is by a nationally or internationally recognized testing laboratory. Ensure the following information is stamped on each manufactured antientrapment drain cover: (1) certification standard and year; (2) type of drain use (single or multiple); (3) maximum flow rate (in gallons or liters per minute); (4) type of fitting (suction outlet); (5) life expectancy of cover; (6) mounting orientation (wall, floor, or both); (7) manufacturer's name or trademark; and (8) model designation. Ensure the design of custom/shipyard constructed (field fabricated) drain covers and suction fittings is fully specified by a registered design professional in accordance with ASME A112.19.8-2007. Ensure the specifications fully address cover/grate loadings, durability, hair, finger and limb entrapment issues, cover/grate secondary layer of protection, related sump design, and features specific to the RWF. Provide a letter from the shipyard for each custom/shipyard constructed (field fabricated) drain cover fitting. At a minimum, ensure the letter specifies the shipyard, name of the vessel, specifications and dimensions of the drain cover, as well as the exact location of the RWF for which it was designed. Ensure the name of and contact information for the registered design professional and signature are on the letter.
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Item No.:
10
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Site:
Recreational Water Facilities-Turnover Rates
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Violation:
Turnover rates were not calculated for each recreational water facility.
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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-Whirlpool Safety Signs
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Violation:
The safety signs for whirlpools did not include cautions against use by individuals on medication or who have underlying medical conditions, such as diabetes.
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Recommendation:
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 individuals who have underlying medical conditions, such as diabetes.
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Item No.:
13
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Site:
Pantry-Medical Center
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Violation:
Many food safety violations were observed in the pantry located in the medical center. It was unclear from the discussion with the medical staff if they understood the public health significance of the issues found.
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Recommendation:
Ensure that the food operations in the pantry located in the medical center are monitored as in any other pantry.
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Item No.:
16
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Site:
Galley-Cold Pantry
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Violation:
The cold holding unit where the food items were stored on time control was not labeled, but it was listed on the time control plan.
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Recommendation:
Maintain a written time control plan(s) that ensures compliance with these guidelines on the vessel and make it available for review during inspections. Post a time control plan at each outlet where time control is used. Ensure the plan lists refrigeration and hot holding units (compartments and cabinets) on time control (the physical units must also be labeled as such).
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Item No.:
21
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Site:
Pantry-Medical Center
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Violation:
There was no ambient temperature measuring device in the undercounter refrigerator. Yogurts and ice cream mix were stored in this unit. The temperature of these foods were below 41F.
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Recommendation:
Ensure temperature-measuring devices conform to the following guidelines: (1) In a mechanically refrigerated or hot-food storage unit, the sensor of a temperature-measuring device is located to measure the air temperature in the warmest part of a mechanically refrigerated unit and in the coolest part of a hot-food storage unit; (2) Cold or hot holding equipment used for potentially hazardous food is designed to include and equipped with at least one integral or affixed temperature-measuring device that is located to allow easy viewing of the device's temperature display; (3) Temperature-measuring device is easily readable.
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Item No.:
22
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Site:
Pantry-Medical Center
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Violation:
There was no place to accommodate all soiled and cleaned items in the pantry. Two covered soiled plates were on the food preparation counter next to the coffee machine. The medical staff explained that the plates had the food remnants of the food given to one of the patients in the wards. The staff also explained that the coffee maker is used by them and the soiled plates were going to be picked up by the housekeeping staff at some point.
In addition, there were trays with cups and utensils by the utility sink. These cups and utensils were clean according to the staff, but a cup with water was among the other utensils in the bottom tray. According to the staff, these cups and utensils were used only by the medical staff and were cleaned in the sink with dishwash detergent and not sanitized.
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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.:
22
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Site:
Galley-Crossings Warewashing
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Violation:
The final rinse upper spray arm of the in-use flight type warewash machine was not spraying water in an effective pattern. The temperature measured at the utensil surface was greater than 160F. The spray arm was immediately repaired during the inspection.
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Recommendation:
Ensure that all final sanitizing spray nozzles of the upper spray arm form effective spray patterns.
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Item No.:
22
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Site:
Galley-Warewashing
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Violation:
The pre-wash and wash tank gauges were not operating properly on the conveyor flight-type warewash machine. During the operation of the machine and when the machine was not in-use, the temperatures on the gauges did not change. The temperatures of the machine as measured by the inspector were within the required ranges.
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Recommendation:
Maintain warewashing equipment in good repair and proper adjustment, including: (1) warewashing equipment is maintained in a state of repair and condition that meets the standards of the materials, design, and construction of these guidelines; (2) water pressure and water temperature-measuring devices are maintained in good repair and accurate within the intended range of use.
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Item No.:
24
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Site:
Bar-Breakers
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Violation:
The bucket of sanitizing solution was less than 50 ppm free residual chlorine.
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Recommendation:
Ensure sanitizing solutions are used with the following concentration: a chlorine solution with a concentration between 50 mg/L (ppm) and 200 mg/L (ppm).
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Item No.:
26
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Site:
Room Service-Ice Machine
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Violation:
There was excess sediment in the water bath of the ice machine. The machine was taken out of service to be cleaned and sanitized.
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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.:
30
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Site:
Galley-Pastry
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Violation:
The handwashing sink next to the entrance had been out of service for 7 days. A work order was placed and there was another handwashing sink in operation within 26 feet.
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Recommendation:
Keep handwashing facilities clean and in good repair.
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Item No.:
30
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Site:
Other-Food Worker Toilet Rooms
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Violation:
The men's and women's toilet room doors adjacent to the crew mess were not self-closing.
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Recommendation:
Ensure toilet rooms are completely enclosed and have tight-fitting, self-closing doors which are kept closed except during cleaning or maintenance.
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Item No.:
33
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Site:
Buffet-
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Violation:
There was missing and recessed coving at the counter/deck juncture of the food worker side of the lido buffet.
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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). 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:
Bar-Italian
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Violation:
Soft sealant was used as coving at the counter/deck juncture of the worker side of the bar.
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Recommendation:
Use a semi-hard or hard material on all junctures requiring coving.
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Item No.:
33
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Site:
Pantry-Medical Center
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Violation:
The deck under the cleaning locker was extremely soiled.
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Recommendation:
Ensure decks, bulkheads, deckheads, and attached equipment in food preparation, warewashing, pantries, and storage areas are cleaned as often as necessary.
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Item No.:
33
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Site:
Dining Room-Crossings
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Violation:
Soft sealant was used as coving on the clean and soiled waiter stations at the counter/deck junctures.
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Recommendation:
Use a semi-hard or hard material on all junctures requiring coving.
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Item No.:
36
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Site:
Pantry-# 80183
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Violation:
The light intensity behind and around the ice machine 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.:
36
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Site:
Pantry-Medical Center
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Violation:
The light intensity over the handwash station was less than 220 lux. In addition, the light intensity behind and around the mounted microwave oven and the ice machine was less than 110 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. 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:
Pantry-Medical Center
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Violation:
The undercounter dishwash machine was posted 'not in service'. It was unclear if this piece of equipment was out of order or just not in service. The medical staff did not use it and did not know if it was operational.
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Recommendation:
Determine the operational condition of the undercounter dishwash machine. Repair or replace if it is out of order.
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Item No.:
38
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Site:
Pantry-Medical Center
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Violation:
A mop bucket was stored under the food preparation counter.
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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.:
39
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Site:
Provisions-Flour Storage
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Violation:
One live small fly was in the flour storage room.
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Recommendation:
Effectively control the presence of insects, rodents, and other pests to minimize their presence in the food storage, preparation, and service areas and warewashing and utensil storage areas aboard a vessel.
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Item No.:
40
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Site:
Pantry-Breaker Bar
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Violation:
The door leading to the pantry of this outdoor food outlet was wide open allowing entry for pests into the pantry. This area was in operation at the time of the inspection.
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Recommendation:
Protect entry points where pests may enter the food areas.
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Item No.:
42
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Site:
Children Area-
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Violation:
The height of the handwashing sink in the toilet room was over 22 inches above the deck and the height of the child-size toilet was over 11 inches. No step stools were provided.
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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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