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Item No.:
02
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Site:
Medical-Acute Gastroenteritis (AGE) Surveillance Log
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Violation:
According to the acute gastroenteritis (AGE) surveillance log, one food worker had an illness onset on October 23 at 7:00 pm of two episodes of diarrhea and no other symptoms, but according to additional medical documentation, this individual also had abdominal cramps.
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Recommendation:
Ensure the AGE surveillance log entry for each passenger or crew member contain the following information in separate columns: (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.
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Item No.:
02
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Site:
Medical-Acute Gastroenteritis (AGE) Surveillance Log
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Violation:
During the cruise from November 7 - 22, 2013, a passenger had two episodes of diarrhea, was given antidiarrheal medication and was documented as nonreportable. 'None' was written in the underlying illness column, but the medical database stated that this person was lactose intolerant and that was what caused their symptoms.
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Recommendation:
Ensure the AGE surveillance log entry for each passenger or crew member contain the following information in separate columns: of illness onset; (16) presence of underlying medical conditions that may affect interpretation of AGE.
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Item No.:
08
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Site:
Potable Water-Cross-Connection Control Log
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Violation:
The cross-connection control log stated the mineralizer had four backflow prevention devices and four air gaps. Upon inspection, there were four air gaps on the drain lines for each of the four mineralizers and one backflow prevention device on the potable water supply line to the mineralizers. On the air gap list, four air gaps were listed for the buffer tank in the deck 9 pool machinery room, but there were also two backflow prevention devices listed for the same plumbing connection. According to staff, there were no air gaps for this buffer tank. Also, there were two air gaps listed for the 'sanitary fresh water section' and there were two backflow prevention devices listed for these same areas. According to staff, these devices and air gaps were for the analyzers for bunkering and production. On the cross-connection list, this same area was indicated as the technical water chlorine station. Upon inspection, there were no air gaps for the production sample lines in pump room 5 starboard and there were two backflow prevention devices, one for the lower loop and one for the upper loop. Also, the backflow prevention devices were heavily corroded. There was a backflow prevention device for the deck 10 Persian Garden fountain in the spa area, but upon inspection this fountain was no longer used and staff confirmed the plumbing components had been disconnected. Also, the cross-connection log indicated a backflow prevention device on the potable water line to the Hi Fog line, but upon inspection, only technical water was connected to this line. Finally, four backflow prevention devices were listed to be outside of the deck 9 cabin numbers 9098 and 9096 and on deck 8 outside cabins 8104 and 8106. The log stated these devices were for a Jacuzzi, but staff did not know what the devices were for and it was not clear if the devices were for a private whirlpool spa or if it was for individual tubs inside of each cabin. Upon inspection, it was confirmed that these devices were on the hot and cold water lines of the individual tubs in each of the cabins.
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Recommendation:
Maintain backflow prevention devices in good repair. 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. Update the cross-connection control log.
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Item No.:
08
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Site:
Potable Water-Striping
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Violation:
The potable water line from the reverse osmosis system was not striped blue or blue/green/blue every 15 feet after the chlorine injection point. Also, the permeate line from the reverse osmosis system to the chlorine injection point was not striped blue/gray/blue every 15 feet. Finally, the potable water line in the deck 3 fan room #430 was not striped for 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 distillate and permeate lines directed to the potable water system in accordance with ISO 14726 (blue/gray/blue). Ensure no other lines have the above color designations. 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.:
10
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Site:
Recreational Water Facilities-Antientrapment Drain Covers
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Violation:
The gravity emergency drain covers in the aft and forward swimming pools and the hydropool were not properly installed according to the manufacturer's instructions. Upon inspection, there was a large gap between each of these drain covers and the surfaces of the pools that could cause a potential entrapment hazard.
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Recommendation:
Install the gravity drain covers in the RWFs according to the manufacturer's instructions.
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Item No.:
10
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Site:
Recreational Water Facilities-Filter Housing Sanitation
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Violation:
On October 9, the sand for the forward swimming pool sand filter was replaced, but there was no documentation that the filter housing was cleaned and sanitized before replacing the sand. According to the staff, the housing was cleaned and disinfected with a 200 ppm chlorine solution.
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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.:
11
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Site:
Medical-Crew Acute Gastroenteritis (AGE) Reporting and Isolation
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Violation:
A nonfood worker had an AGE illness onset at 7:30 am on November 17 and reported to medical at 11:17 am on the same day. According to their work record, this individual worked from 8:21 am until 9:58 am on November 17 before reporting to medical.
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Recommendation:
When nonfood employees meet the case definition for AGE, ensure the following actions are taken: (1) isolate in cabin or designated restricted area until symptom-free for a minimum of 24 hours; (2) follow-up with and receive approval by designated medical personnel before returning crew to work; (3) document the date and time of last symptom and clearance to return to work. Ensure crew members report to medical immediately after their first AGE symptom.
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Item No.:
11
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Site:
Medical-Crew AGE Reporting and Isolation
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Violation:
According to the AGE surveillance log, one food worker had an illness onset on October 23 at 7:00 pm of two episodes of diarrhea and no other symptoms, but they did not report to medical until 10:00 am on October 24. The medical documentation also indicated this individual had stomach cramps. According to the medical staff, they were not sure if this individual's diarrhea symptoms were above normal or not. The medical records indicated this individual was released from isolation at 7:45 am on October 25, but their documented last symptom was at 9:00 pm on October 23. According to their work record, this individual worked from 5:30 pm until 10:30 pm on October 25.
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Recommendation:
When food employees meet the case definition for AGE, ensure the following actions are taken: (1) isolate in cabin or designated restricted area until symptom-free for a minimum of 48 hours; (2) follow-up with and receive approval by designated medical personnel before returning crew to work; (3) document date and time of last symptom and clearance to return to work. Crew members should report to medical immediately after their first AGE symptom.
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Item No.:
16
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Site:
Galley-Bistro on 5
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Violation:
The recessed well compartment on counter 'A' was included in the time control plan, but the unit was not labeled for time control.
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Recommendation:
(2) Listed refrigeration units (compartments and cabinets) on time control plan must also be labeled as Time Control".
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Item No.:
19
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Site:
Other-Bridge
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Violation:
There were approximately 10 boxes of 12 bottles of water each stored on the carpeted deck on the bridge. Also, there was no coving at the bulkhead/deck juncture.
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Recommendation:
Protect food from contamination by storing the food: (1) Covered or otherwise protected; (2) In a clean, dry location; (3) Where it is not exposed to splash, dust, or other contamination; and (4) At least 15 centimeters (6 inches) above the deck. Do not store foods: (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.:
21
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Site:
Galley-Seaview Cafe - Pizza Preparation Pantry
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Violation:
Trolley 'A' had a lower door gasket that was in poor repair, holding water and difficult to clean. It was replaced while the team was still in the area.
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Recommendation:
Ensure nonfood contact equipment is maintained in good repair and proper adjustment including: (1) Equipment maintained in a state of repair and condition that meets the materials, design, construction, and operation specifications of these guidelines; (2) Equipment components such as doors, seals, hinges, fasteners, and kick plates are kept intact, tight, and adjusted in accordance with manufacturer's specifications.
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Item No.:
22
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Site:
Galley-Seaview Cafe Dishwashing
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Violation:
The bowls were not loaded into the glasswash machine properly and some of the bowls were not able to stay in a position that exposed the bowls to the sprays from all the cycles in the glasswash machine. The bowls were full of soapy water when they exited the machine. This ineffective washing process continued for all racks of bowls passing through the machine while the team was in the area.
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Recommendation:
Ensure soiled items to be cleaned in a warewashing machine are loaded into racks, trays, or baskets or onto conveyors in a position that (1) exposes the items to the unobstructed spray from all cycles; (2) allows the items to drain.
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Item No.:
26
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Site:
Buffet-Officers Mess
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Violation:
A large amount of slime mold was noted in and around the ice bin where the ice was discharged from the ice maker into the bin from the clear plastic chute.
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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-Aqua Spa
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Violation:
A single portion food scoop in the clean storage area had dried food particles on it.
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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-Seaview Cafe - Pasta Preparation Area
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Violation:
The left deep fat fryer that had been previously cleaned had old dough in the drain hole above the valve.
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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:
Buffet-Seaview Cafe - Beverage Station
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Violation:
A large amount of slime mold was noted in and around the ice bin where the ice was discharged from the counter-mounted ice maker into the bin from the clear vinyl hose.
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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-Seaview Cafe
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Violation:
A large plastic lined platter in clean storage had a grease film on it.
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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.:
28
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Site:
Buffet-Seaview Cafe - Beverage Station
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Violation:
Clean beverage glasses were stored wet with no way for excess water to drain when inverted onto a plastic tray.
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Recommendation:
After cleaning and sanitizing, ensure equipment and utensils are air dried or adequately drained before contact with food.
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Item No.:
31
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Site:
Dining Room-Seaview Cafe - Waiter Station
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Violation:
Two spray bottles of disinfectant used for nonfood contact were stored on the top of the two different waiter stations in the soiled area, rather than in the cabinets marked for their storage.
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Recommendation:
Store poisonous or toxic materials used in the cleaning and maintenance of food areas in a cleaning materials locker so they cannot contaminate food, equipment, utensils, linens, and single-service and single-use articles.
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Item No.:
33
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Site:
Bar-Seaview Cafe - Port Side Service Bar
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Violation:
The wooden frame around the bulkhead access panel was in very poor repair with wooden laminate layers exposed, making it difficult to clean.
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Recommendation:
Ensure bulkheads in bars are constructed and maintained for easy cleaning.
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Item No.:
36
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Site:
Galley-Aqua Spa
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Violation:
The light intensity behind the counter-mounted combination steamer oven was less than 110 lux. Paperwork was shown to the inspector including where the light had been ordered and that it was due for pickup at the end of the cruise.
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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.:
39
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Site:
Galley-Seaview Cafe Dishwashing
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Violation:
Four fruit flies were found in the clean dish storage area.
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Recommendation:
Effectively control the presence of insects to minimize their presence in the warewashing and utensil storage areas aboard a vessel.
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Item No.:
40
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Site:
Integrated Pest Management-Active Surveillance Inspections
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Violation:
Active surveillance inspections were conducted in the garbage handling area on November 19 and 21, but there were no inspection times recorded.
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Recommendation:
Ensure the IPM Plan includes provisions for logs for active monitoring of pest sightings in operational areas of the vessel. Ensure the IPM plan includes provisions for training of crew members in charge of log completion. Record the time of the active monitoring inspections in the log.
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Item No.:
43
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Site:
Ventilation-Air Handling Unit #410
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Violation:
This air handling unit was not able to be opened during the inspection because it would take too long to get to the back of this unit and then open the compartment where the unit was housed. This unit did not have a sight window to see the condensate drain pan area.
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Recommendation:
Ensure air handling unit condensate drain pans and collection systems are able to be accessed for inspection, maintenance, and cleaning. Install sight windows or use other effective methods to allow for full inspection of condensate collection pans when original equipment access makes evaluation during operational inspections impractical.
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