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Item No.:
02
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Site:
Medical-Reportable Case Definition
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Violation:
A crew member reported to medical on 23 September with 1 episode of diarrhea, no other symptoms, and no underlying illness. Anti-diarrheal medication was dispensed and the evaluation form listed this symptom as above normal for the individual. The crew member was placed in precautionary isolation but was not listed as a reportable case on the acute gastroenteritis (AGE) log.
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Recommendation:
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. See section 4.1.2.1.3, illness symptoms); or (2) vomiting and one additional symptom including one or more episodes of loose stools in a 24-hour period, or abdominal cramps, or headache, or muscle aches, or fever (temperature of greater than or equal to 38°C [100.4°F]).
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Item No.:
06
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Site:
Potable Water-Microbiologic Water Testing
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Violation:
The vessel was using an 18-hour microbiologic test for E.coli monitoring but did not have a water bath to warm the water sample before placing it into the incubator as per the manufacturer's instructions. Staff stated they place the sample in the incubator immediately but waited 24 hours to analyze the sample instead of 18 hours. Staff provided documentation showing a water bath was ordered on 6 August but no delivery date was listed.
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Recommendation:
Analyze samples using a method accepted in Standard Methods for the Examination of Water and Wastewater. Operate and maintain test kits, incubators, and associated equipment in accordance with the manufacturers' specifications.
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Item No.:
10
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Site:
Recreational Water Facilities-Filter Housing Sanitation
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Violation:
According to the ship's records, the cartridge filters on all the recreational water facilities were change on a monthly basis but the sanitization of the filter housing before the new filter was installed was not documented. The vessel conducted a thorough cleaning and sanitizing of the entire system for all the recreational water facilities every 3 months and had documentation that the filter housing was properly sanitizing before the new filter was installed.
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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.:
16
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Site:
Room Service-Deck 11 Room Service Pantry
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Violation:
In reviewing the suite cabin room service menu it was noted that the asterisk for undercooked animal foods was placed beside the words hot selection and not at the undercooked animal foods the advisory applied to. Below hot selection was a list of foods including link sausages, potatoes, bacon and an egg muffin sandwich. Of those items only the eggs for the sandwich could be undercooked according to passenger request.
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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 raw shell egg preparations are not used in uncooked products as described in section 7.3.3.2.3. 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:
Provisions-Provision Corridors at Shell Doors
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Violation:
There was exposed overhead water supply and wastewater piping and cable bundles in trays over packaged drinks and bags of flour at the port shell doors in provisions. At the aft shell door there were water supply, wastewater, and insulated piping for chilled water exposed at the deckhead, combined with sprinkler piping and bundled cables with several net bags of raw onions on pallets below. There were several bags of raw potatoes stored in this same area, including one bag which was ripped open with loose potatoes spread across it, and another bag set upright and opened at the top seam, exposing the potatoes inside to any contamination falling from above. Some of the exposed food was moved to corridors where a closed deckhead was present.
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Recommendation:
Do not store foods: (9) Under other sources of contamination from nonfood items such as ice blocks, ice carvings and flowers; or (10) In areas not finished in accordance with 7.7.4 and 7.7.5 for food storage areas.
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Item No.:
27
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Site:
Galley-Main Galley - Da Vinci Beverage Station
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Violation:
There was a layer of dust debris on the top exterior surfaces of the conveyor toaster oven, juice dispenser, milk dispenser, and coffee dispenser.
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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.:
33
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Site:
Provisions-Provision Corridors at Shell Doors
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Violation:
There was exposed overhead water supply and wastewater piping and cable bundles in trays over packaged drinks and bags of flour at the port shell doors in provisions. At the aft shell door there were water supply, wastewater, and insulated piping for chilled water exposed at the deckhead, combined with sprinkler piping and bundled cables with several net bags of raw onions on pallets below. There were several bags of raw potatoes stored in this same area, including one bag which was ripped open with loose potatoes spread across it, and another bag set upright and opened at the top seam, exposing the potatoes inside to any contamination falling from above. Some of the exposed food was moved to corridors where a closed deckhead was present.
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Recommendation:
Ensure light fixtures, vent covers, and similar equipment attached to the bulkheads or deckheads are easily cleanable.
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Item No.:
33
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Site:
Dining Room-Da Vinci Dining Room
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Violation:
During active breakfast service there were several wheeled trolleys with containers of individual pastry items or fruit jams and other foods for waiter service to tables stored at the backside of the waiter stations. There were also small wooden tables set beside these trolleys with food trays on top and menu's on the shelf below the table top. Each of these were positioned on carpet with a small 150 mm strip of coved deck at the foundation behind the waiter stations.
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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. Do not use carpet in these areas.
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Item No.:
36
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Site:
Dining Room-Da Vinci Dining Room
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Violation:
During active breakfast service there were several wheeled trolleys with containers of individual pastry items or fruit jams and other foods for waiter service to tables stored at the backside of the waiter stations. There were also small wooden tables set beside these trolleys with food trays on top and menu's on the shelf below the table top. Each of these were positioned on carpet with a small 150 mm strip of coved deck at the foundation behind the waiter stations. There was less than 220 lux of artificial light at these trolleys and tables.
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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-Mermaid's Tail Bar
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Violation:
There was no dedicated light on at the handwash station to ensure 110 lux of light was provided during service when the bar counter lights were not turned on.
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Recommendation:
Ensure the light intensity is at least 110 lux (10 foot candles) at handwashing stations in bars. In bars and dining room waiter stations, provide 220 lux (20 foot candles) light intensity during cleaning operations.
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Item No.:
39
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Site:
Galley-Main Galley - Port/forward Wine Station
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Violation:
One live fruit fly was observed on a deckhead panel juncture above liquor bottles on a counter overshelf.
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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.:
39
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Site:
Provisions-Provision Corridors at Shell Doors
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Violation:
Two live fruit flies were observed at the aft shell door around the numerous bags of onions and potatoes stored there.
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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.:
39
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Site:
Preparation Room-Vegetable Preparation Room
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Violation:
During active food preparation one live fruit fly was observed at a deckhead panel seam directly above the food preparation counter located near the dishwash area.
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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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