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Item No.:
*
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Site:
Medical-Acute Gastroenteritis (AGE) Log
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Violation:
The underlying illness column was left blank for 6 cases during the voyage from 9/23-10/4 and for 5 cases during the voyage from 9/13-9/23.
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Recommendation:
The underlying illness column for each AGE log entry must always been completed. If no underlying illness is present then "none" or an equivalent term must be written in this column. Any additional information can be place in this column only after the underlying illness question is addressed.
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Item No.:
02
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Site:
Medical-Electronic Reporting System
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Violation:
The patient case file and the summary page did not always match regarding isolation times. For example, a crew member's file stated the last symptom was on 9/30 at 17:30 and he/she was released from isolation on 10/2 at 17:30. This crew member was a food worker and met the 48-hour isolation requirement. However, the summary page for this case indicated the isolation ended on 10/2 at 7:29, which is less than 48-hours from last symptom. Medical staff was aware of this issue and had already contacted corporate to correct.
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Recommendation:
Ensure all sections of the electronic reporting system contain the summary information for each case.
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Item No.:
02
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Site:
Medical-Acute Gastroenteritis (AGE) Log
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Violation:
A test case was entered into the AGE log for the voyage from 9/13-9/23 by the corporate office. This case was never removed from the AGE log and was counted as a reportable case in the submitted 24 hour report. The AGE log listed 17 ill passengers for the voyage when the total was actually 16.
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Recommendation:
Ensure only actual reportable AGE cases are counted for the total number of ill passengers and/or crew on the AGE log and 24 hour report.
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Item No.:
02
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Site:
Medical-Acute Gastroenteritis (AGE) Log
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Violation:
A passenger reported to medical on 9/3 with one loose stool and informed staff this was above normal for him. 'Above normal for individual' was listed in the underlying illness column. This case was listed as nonreportable on the AGE log for the voyage.
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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.:
08
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Site:
Potable Water-Portside Midship Bunker Station
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Violation:
The bottom fill line was not capped during the inspection. No bunkering was taking place at the time.
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Recommendation:
Ensure all fill lines are capped when not in use.
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Item No.:
26
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Site:
Galley-Pot Washing
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Violation:
A large wire beater, a large mixing bowl and a large pot in the clean utensil storage area had a small amount of dry food soil on them.
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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-Silk Harvest / Tuscan Grill
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Violation:
One bowl in the clean utensil storage area was found soiled with old food debris.
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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:
A cleaned meat slicer had a small amount of dried food debris on lower side of the backplate. The slicer was immediately recleaned.
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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:
Bar-Coffee Bar
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Violation:
One coffee cup and one saucer in the clean utensil storage area had dried food soil in them.
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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:
Food Service General-Juice Machines in Lido and Other Beverage Stations
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Violation:
The newer style juice machines had old juice residue in most of the small tight areas to the right and left of the closed technical compartments at the front of the machine.
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Recommendation:
Ensure nonfood-contact surfaces of equipment are kept free of an accumulation of dirt, food residue, and other debris. Ask the company service technicians to open these closed compartments for the ship staff to observe for possible cleaning problems in these areas and provide the ship with recommendations on how to prevent the buildup of soil in the areas and clean these areas when soil is found.
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Item No.:
28
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Site:
Bar-Coffee Bar
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Violation:
In the clean utensil storage area in the pantry, wet coffee cups were found nested together in a manner that precluded effective air drying.
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Recommendation:
Store clean utensils in a self-draining position that allows air drying.
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Item No.:
30
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Site:
Buffet-Lido Starboard Waffle Station
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Violation:
The preparation area handwashing sink automatic water valve control would not activate when the inspection team entered the area. The sink started working immediately when the engineer examined it.
Another handwashing sink was available around the corner in the pizza preparation station. A crew member at the waffle station was using the adjacent preparation sink for handwashing. No food preparation activities which required the use of this sink were occurring at this time.
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Recommendation:
Keep handwashing facilities in good repair.
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Item No.:
33
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Site:
Galley-Dining Room Entrances
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Violation:
The deck was worn and difficult to clean in the port and starboard passage ways between the dining room and the galley.
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Recommendation:
Ensure decks in food areas are maintained in good repair.
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Item No.:
33
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Site:
Buffet-Lido Pizza Station
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Violation:
Standing water and food soil was noted in the deck recess of the fire shutter door channels.
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Recommendation:
Ensure decks in food areas are cleaned as often as necessary.
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Item No.:
40
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Site:
Integrated Pest Management-Rat Guards
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Violation:
The rat guards on the aft mooring lines were not properly installed and were ineffective. One rat guard was used to cover multiple mooring lines which left multiple openings were rats could enter. Other mooring lines did not have any rat guards.
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Recommendation:
Protect entry points where pests may enter the food areas.
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