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Item No.:
02
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Site:
Medical-Acute Gastroenteritis Surveillance Log
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Violation:
The acute gastroenteritis (AGE) surveillance log did not contain the time of the first medical visit or report to staff of illness, meal seating information, or underlying medical conditions. Also, the log automatically included passengers or crew members who reported three or more episodes of diarrhea in a 24 hour period as reportable cases, and not what was above normal for that individual. This could result in inaccurate reporting of AGE information.
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Recommendation:
Ensure the AGE surveillance log entry for each passenger or crew member contain the following information in separate columns: (2) time 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 a reportable case of AGE is a case reported to the master of the vessel, the medical staff, or other designated staff by a passenger or a crew member and meets the case definition based on the following symptoms: (1) Diarrhea (three or more episodes of loose stools in a 24 hour period or what is above normal for the individual.
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Item No.:
08
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Site:
Potable Water-Bunker Stations
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Violation:
In the port aft bunker station, the cap for the upper potable water filling line did not have a chain, and the chains for the middle and lower filling lines were only attached to the cap. In the starboard forward bunker station, the blue potable water hose was not labeled 'Potable Water Only' at each connecting end, and the chain for the lower potable water filling line was only attached to the cap. In the starboard aft bunker station, the yellow potable water hose was not labeled 'Potable Water Only' at each connecting end.
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Recommendation:
Ensure the potable water filling line has a screw cap fastened by a noncorroding cable or chain to an adjacent bulkhead or surface in such a manner that the cap cannot touch the deck when hanging free. Label potable water hoses with the words "POTABLE WATER ONLY" in letters at least 13 millimeters (0.5 inch) high at each connecting end.
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Item No.:
08
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Site:
Potable Water-Storage Tank Coating
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Violation:
The potable water storage tanks were coated with Sigma Phenguard 930 and 940. There was no written documentation of approval from a certification organization for this coating.
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Recommendation:
For the tank coatings used, maintain the following onboard: (1) written documentation of approval from the certification organization (independent of the coating manufacturer).
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Item No.:
08
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Site:
Potable Water-Sluice
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Violation:
The pipes before the reduced pressure assemblies for the sluice were not striped blue to indicate potable water.
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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 these lines at 5 meters (15 feet) intervals and on each side of partitions, decks, and bulkheads, except where decor would be marred by such markings, including potable water supply lines in technical lockers.
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Item No.:
08
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Site:
Food Service General-Chilling and Brine Lines
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Violation:
The ice machine chilling lines and the refrigerator brine lines were not uniquely identified.
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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-Swimming Pool Safety Signs
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Violation:
The safety signs for the swimming pools did not include: 'do not use the facilities if you are experiencing diarrhea, vomiting, or fever,' or the bather load number.
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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 and (4) bather load #.
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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 the whirlpool spas did not include the bather load number. The signs also did not caution against exceeding 15 minutes of exposure.
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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-Depth Markers
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Violation:
The depth markers for the recreational water facilities were not labeled in both feet and meters.
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Recommendation:
Prominently display the depth of each RWF that is deeper than 1 meter (3 feet) so that it can be seen from the deck and in the pool. Label depth markers in both feet and meters.
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Item No.:
10
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Site:
Recreational Water Facilities-Life Saving Equipment
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Violation:
The poles of the shepherd's hooks for the recreational water facilities were made of a telescoping material.
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Recommendation:
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.:
10
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Site:
Recreational Water Facilities-Swimming Pool Antientrapment
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Violation:
It was not clear if the swimming pool drain covers met the standards for antientrapment. The documentation from the manufacturer did not indicate if all of the required information was stamped on the drain covers. The pools were full and there were no spare drain covers onboard. The pools had either one gravity drain or multiple gravity drains greater than 3 feet apart and no alarms were installed.
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Recommendation:
For RWFs with gravity drainage 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 gravity drainage 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. 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. 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.
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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 the analyzer chart recorders for all of the recreational water facilities were located after 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.
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Item No.:
10
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Site:
Recreational Water Facilities-Filter Housing Disinfection
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Violation:
Documentation for the port Neptune Spa indicated the sand filter housing was disinfected on 13 January 2011 with 50 ppm chlorine before the filter media was replaced, but the contact time was not documented.
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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-Hair and Lint Strainer
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Violation:
Documentation for the hair and lint strainers and the hair and lint strainer housings for the recreational water facilities indicated they were disinfected with 50 ppm chlorine, but the contact time was not documented.
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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-Total Alkalinity and Combined Chlorine
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Violation:
There was no indication the total alkalinity or combined chlorine for the recreational water facilities were monitored.
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Recommendation:
Monitor and adjust the RWF's flow rates, free and combined halogen levels, pH, total alkalinity, and clarity as recommended by the manufacturer and to maintain optimum public health protection and water chemistry.
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Item No.:
11
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Site:
Medical-Crew Member Reporting
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Violation:
During the 26 December 2011 - 2 January 2012 cruise, a dishwasher had an onset of acute gastroenteritis symptoms on 30 December at 18:00, but did not report to the medical center until 31 December at 09:00. It was determined this crew member worked while symptomatic.
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Recommendation:
Ensure food employees who have symptoms of AGE report to the vessel's medical center and are restricted from working.
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Item No.:
16
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Site:
Food Service General-Consumer Advisory
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Violation:
There was no consumer advisory for the cold smoked salmon or eggs cooked to order at the buffet. There was also no consumer advisory in the menus of any restaurant.
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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 OR (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:
Provisions-Vegetable Room
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Violation:
Radish sprouts were measured at 49°F. Several boxes of sprouts had arrived during provisioning on the day of the inspection. The sprouts were taken to a blast chiller.
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Recommendation:
Except during preparation, cooking, or cooling, or when time is used as the public health control, maintain potentially hazardous foods at 5°C (41°F) or less.
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Item No.:
16
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Site:
Buffet-Crew Mess
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Violation:
The undercounter warmer units were listed on the time control plan, but the units were not labeled.
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Recommendation:
Post a time control plan at each outlet where time control is used. Ensure plan(s): (2) List 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.:
20
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Site:
Galley-Deck 6 - Garde Manger
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Violation:
On the deli slicer, there was a seam on the lower edge of the area where sliced foods contact the back plate.
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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; and (5) Accessible for cleaning and inspection by one of the following methods without being disassembled, by disassembling without the use of tools, or by easy disassembling with the use of handheld tools commonly available to maintenance and cleaning personnel.
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Item No.:
20
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Site:
Buffet-Aft of Gazebo
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Violation:
The tube on the bulk milk dispenser was approximately 3 inches in length. This was corrected.
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Recommendation:
Cut bulk milk dispensing tubes 45 degrees on the diagonal, leaving no more than 25 mm (1 inch) protruding from the chilled dispensing head.
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Item No.:
20
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Site:
Galley-Deck 14 - Cold Galley
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Violation:
On the deli slicer, there was a seam on the lower edge of the area where sliced foods contact the back plate.
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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; and (5) Accessible for cleaning and inspection by one of the following methods without being disassembled, by disassembling without the use of tools, or by easy disassembling with the use of handheld tools commonly available to maintenance and cleaning personnel.
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Item No.:
20
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Site:
Room Service-
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Violation:
The tube on the bulk milk dispenser was approximately 2 inches in length. This was corrected.
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Recommendation:
Cut bulk milk dispensing tubes 45 degrees on the diagonal, leaving no more than 25 mm (1 inch) protruding from the chilled dispensing head.
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Item No.:
21
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Site:
Pantry-Captain's Pantry
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Violation:
The espresso machine was mounted on legs less than 2 inches in length.
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Recommendation:
Elevate the espresso machine on legs at least 3 inches in length.
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Item No.:
27
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Site:
Bar-Tradewinds
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Violation:
In the technical compartment below the port side cocktail station, some of the equipment in the right side of the compartment was soiled with a black material.
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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-Deck 6 - Sauce Station
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Violation:
On the port side tilting pan, the back of the turning handle 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-Sabitini - Hot Galley
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Violation:
In the technical compartment below the utility sink, the top of the pipe insulation was soiled with a black and white material.
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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.:
29
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Site:
Buffet-Forward of Gazebo
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Violation:
The handwashing station forward of the gazebo in the buffet area was not operational. When the inspector arrived, the water was turned off at the valve below the sink. The water was turned on, and while waiting to test the temperature, the water stopped flowing. The area was open during the inspection. There were other handwashing stations in the gazebo and aft of the gazebo.
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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 6
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Violation:
In the port aft galley toilet room, the 'Wash Hands After Using the Toilet' sign was not posted by 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:
Bar-Tradewinds
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Violation:
Above the service side of the bar, there were canvas panels between wooden frames. The F&B Manager provided documentation that a replacement material had been ordered, an incorrect material was received, and the order for the new material had been expedited.
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Recommendation:
Ensure bulkheads and deckheads have smooth, hard finishes and light colored surfaces. Exception: bars may have decorative surfaces provided that they are easily cleanable.
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Item No.:
33
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Site:
Bar-Tradewinds
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Violation:
In the technical compartment below the port side cocktail station, the deck penetration for the multi-flow hoses was very rough and difficult to clean.
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Recommendation:
Ensure decks, bulkheads, and deckheads in food preparation, warewashing, pantries, bars, and food and equipment storage areas are constructed and maintained for easy cleaning.
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Item No.:
33
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Site:
Dining Room-Crown Grill
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Violation:
At the large waiter station area inside the dining room, the cabinet/deck juncture was not coved.
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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.:
36
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Site:
Buffet-Aft of Gazebo
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Violation:
The light intensity on the counter in front of the juice machines and bulk milk dispenser 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:
Food Service General-Lighting
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Violation:
The light intensity was less than 110 lux behind and around many pieces of counter- and deck-mounted equipment. This included beverage stations, stack ovens, combination ovens, espresso machines, and ice machines in the galleys, bar pantries and deck pantries.
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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:
Pantry-International Cafe
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Violation:
The light intensity was less than 220 lux at the handwash station by the exit to the service area.
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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:
Bar-Handwash Lighting
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Violation:
The light intensity was less than 110 lux during normal service lighting in several bars.
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Recommendation:
Ensure the light intensity is at least 110 lux (10 foot candles) at handwashing stations in bars.
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Item No.:
41
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Site:
Housekeeping-Outbreak Prevention and Response Plan (OPRP)
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Violation:
The sanitation response level section of the OPRP indicated that one of the red level trigger points was greater than or equal to 2% illness in passengers or crew members within 72 hours. Also, there was no information on informing embarking passengers and crew members of an outbreak during the previous cruise.
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Recommendation:
Update the OPRP to indicate a red level trigger point of greater than or equal to 2% illness in passengers and crew members at any time during the cruise. 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: (4) 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.
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