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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 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; (2) time of the first medical visit or report to staff of illness; (3) case identification number; (4) person's name; (5) person's age; (6) person's sex; (7) designation as passenger or crew member; (8) crew member position or job on the vessel, if applicable; (9) cabin number; (10) meal seating information; (11) date of illness onset; (12) time of illness onset; (13) illness symptoms, including the presence or absence of the following selected signs and symptoms, with a separate column for each of the following: (a) number of episodes of diarrhea in a 24-hour period; (b) number of episodes of vomiting in a 24-hour period; (c) bloody stools; (d) recorded temperature; (e) abdominal cramps; (f) headaches; (g) muscle aches; (14) entry (yes/no) for whether this was a reportable case; (15) entry (yes/no) for antidiarrheal medications sold or dispensed by designated medical staff; (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:
The ship's cross-connection control program lacked a number of the plumbing system component that installed backflow preventers were protecting. As a result, it was difficult to find the actual installations of these backflow preventers. In addition, the ship had an antisiphon loop that was above the seawater level on the high salinity discharge line of the evaporator in forward engine room deck 2, but the plan listed a Watts NFP 43009 backflow preventer as installed in that place. Also, the log of backflow preventers did not include an air gap at the mineralizer backwash drain.
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Recommendation:
Ensure the cross-connection control program includes at a minimum: a complete listing of cross-connections and the backflow prevention method or device for each, so there is a match to the plumbing system component and location. Include air gaps on the listing. Ensure a schedule for inspection frequency is set. Maintain a log documenting the inspection and maintenance in written or electronic form, and ensure it is available for review during inspections.
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Item No.:
08
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Site:
Potable Water-Permeate Water Lines
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Violation:
The permeate water lines from the reverse osmosis equipment 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 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 recreational water facilities did not contain all elements of the 2011 VSP Operations Manual sign requirements. The staff explained that a work order exists for new signs.
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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-Antientrapment Requirements
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Violation:
The deck 8 main swimming pool had gravity drains more than 3 feet apart, but there were no antientrapment drain covers or an alarm for draining. The deck 5 aft swimming pool had gravity drains more than 3 feet apart, but there was only one antientrapment drain cover and no alarm for draining.
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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. 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.
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Item No.:
10
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Site:
Recreational Water Facilities-Analyzer Chart Recorders
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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.
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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 recreational water facilities 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 recreational water facilities were cleaned and disinfected as often as required, but there was no documentation regarding the 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:
The 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-Private Whirpools
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Violation:
The records for the cleaning and sanitation of whirlpools located in the suites stated that they were sanitized with 10 ppm for 5 minutes. The record did not specify the sanitizer used. The staff explained that they were using100 ppm of chlorine for 6 minutes, but the form where they recorded the information was outdated.
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Recommendation:
Clean and disinfect private whirlpool spas located in individual passenger cabins, including associated recirculation systems, between occupancies or weekly, whichever is more frequent. Ensure disinfection is accomplished with an appropriate halogen-based disinfectant at 10 ppm for 60 minutes, or an equivalent CT value.
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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 posted indicating that consuming raw or undercooked animal-derived foods may increase the risk for foodborne illness, especially to consumers with certain medical conditions. There were animal-derived products at the buffet lines that could be ordered by the consumer in an undercooked form. In addition, the restaurant menus had the consumer advisory but did not have asterisks at the animal-derived foods 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: (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.:
19
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Site:
Buffet-Collonade
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Violation:
Trays of sliced bread, bagels, croissants, and pastries were not protected under sneeze guards.
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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.
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Item No.:
20
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Site:
Food Service General-Food Thermometers
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Violation:
Most of the staff in the cooking areas where thin foods were prepared or cooked were not equipped with tip-sensitive food thermometers.
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Recommendation:
Ensure food temperature-measuring devices are provided and readily accessible for use in ensuring attainment and maintenance of food temperatures. Use tip-sensitive temperature-measuring devices, such as a thermocouple or thermistor, for measuring thin food products.
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Item No.:
21
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Site:
Galley-Cold Galley
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Violation:
A long extension cord used for the wall mounted microwave oven was coiled around support arms for other wall mounted equipment, making cleaning difficult.
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Recommendation:
Shorten the extension cord to allow for easy cleaning.
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Item No.:
23
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Site:
Galley-Dishwash
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Violation:
There was an accumulation of food residue, butter wrappings, and plastic wraps in the wash, rinse, and final rinse water tanks of the in-use conveyor dishwash machine.
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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-Port & Starboard Beverage Stations
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Violation:
There was an accumulation of a black powder in the return water bath below the ice cubers in both ice machines.
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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:
Food Service General-Ice Machines
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Violation:
There was an accumulation of a black powder in the return water bath below the ice cubers in the ice machines located at: Club Bar, Patio Bar, Collonade Galley, and Main Galley Port and Starboard Beverage Stations. The crew members stated that the ice baths were scheduled to be cleaned once every two months but did not know exactly when the last cleaning took place. The staff also stated that they believed the fine powder was a direct result of new water filters being installed on the ice machines.
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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-Potwash
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Violation:
A previously cleaned and sanitized small hotel pan left to air dry on the clean area deck stands was soiled with food residue.
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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-Potwash
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Violation:
A previously cleaned and sanitized hotel tray left to air dry on the clean area deck stands was soiled with grease.
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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-Cold Galley
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Violation:
There was dried food residue on the backplate and knobs of the previously cleaned and sanitized deli slicer. This piece of equipment was not in use 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.:
29
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Site:
Galley-Potwash
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Violation:
Access to a handwash station was blocked by a stack of soiled pots and pans. Another handwash station was accessible within 8 meters. The area was in use at the time of the inspection.
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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-Handwash Station
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Violation:
There was no soap at the handwash station next to the tilting kettles.
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Recommendation:
Ensure each handwashing facility has a supply of hand-cleansing soap or detergent and a supply of single-service paper towels available.
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Item No.:
36
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Site:
Bar-Restaurant 2
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Violation:
The light intensity over the handwash station could not be raised to 110 lux.
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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.:
37
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Site:
Galley-Potwash
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Violation:
Condensate was accumulating on the deckhead immediately above the in-use hood-type potwash machine. No clean items were impacted.
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Recommendation:
Ensure ventilation hood systems and devices operate effectively to prevent grease and condensate from collecting on the bulkheads and deckheads and remove contaminants generated by equipment located under them.
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Item No.:
40
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Site:
Integrated Pest Management-Loading Inspections
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Violation:
It was unclear from the loading inspection records if food and nonfood incoming goods were inspected. The records had a column to enter the type of shipment inspected but 'no found' was written in that place.
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Recommendation:
Routinely inspect incoming shipments of food and all other supplies for evidence of insects, rodents, and other pests. Ensure all incoming supplies are inspected and the inspections are documented.
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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 two OPRPs with conflicting information. The OPRP showed by the housekeeping staff indicated a frequency of disinfection of all public areas every 2 hours during an outbreak management response. The Captain showed the current OPRP that this ship had to follow during an outbreak; this plan instructed continuous sanitation of public areas.
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Recommendation:
Ensure that only the most updated version of the outbreak prevention and response plan is available to the staff.
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Item No.:
41
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Site:
Housekeeping-Public Toilets
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Violation:
The deck 5 accessible passenger public toilet did not have a sign advising users to wash their hands.
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Recommendation:
Provide the passenger public toilets with a handwashing station that includes a sign advising users to wash hands.
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Item No.:
43
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Site:
Housekeeping-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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