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Item No.:
01
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Site:
Medical-AGE Report to CDC
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Violation:
During the cruise from 19 January to 2 February, the 24-hour AGE report to CDC stated there were 38 (1.65%) passengers and six (0.58%) crew members with AGE and the 4-hour AGE report to CDC stated there were 39 (1.69%) passengers and seven (0.67%) crew members with AGE. The AGE surveillance log indicated there were six (0.58%) reportable crew cases and 47 (2.04%) reportable passenger cases, but a special report was not submitted.
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Recommendation:
Ensure the master or designated corporate representative of a vessel with an international itinerary destined for a U.S. port submits a special report at any time during a cruise, including between two U.S. ports, when the cumulative percentage of reportable cases entered in the AGE surveillance log reaches 2% among passengers or 2% among crew and the vessel is within 15 days of expected arrival at a U.S. port. Ensure that a telephone notification to VSP accompanies the special 2% report. Submit a second special report when the cumulative percentage of reportable cases entered in the AGE surveillance log reaches 3% among passengers or 3% among crew and the vessel is within 15 days of expected arrival at a U.S. port. Ensure the AGE report contains the following: (1) name of the vessel; (2) port of embarkation; (3) date of embarkation; (4) port of disembarkation; (5) date of disembarkation; (6) total numbers of reportable cases of AGE among passengers, including those who have disembarked because of illness?even if the number is 0 (zero reporting); (7) total numbers of reportable cases of AGE among crew members, including those who have disembarked because of illness?even if the number is 0 (zero reporting); and (8) total number of passengers and crew members on the cruise.
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Item No.:
01
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Site:
Medical-24-hour AGE Report to CDC
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Violation:
During the cruise from 29 December to 5 January, there was no documentation that a 24-hour AGE report was submitted to CDC and there was no record of a confirmation report onboard. According to staff, they did not know if this report had been submitted. There was confirmation onboard that a 4-hour AGE report had been submitted to CDC and the reportable cases of AGE on the 4-hour AGE report matched the total number of reportable cases on the AGE surveillance log at the time the report was submitted.
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Recommendation:
Ensure the master, medical staff, or other designated staff of a vessel destined for a U.S. port from a foreign port submits at least one standardized AGE report based on the number of reportable cases in the AGE log to VSP no less than 24 hours?but not more than 36 hours?before the vessel?s expected arrival at the U.S. port.
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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 indicated there was a reportable food worker with one episode of vomiting and no other symptoms on 16 January at 0810, but the medical notes indicated this person also had a headache, fever, and muscle aches.
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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-Crew Close Contacts and Interviews
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Violation:
On 25 January at 1600, a food worker was documented as a reportable case on the AGE log. According to the medical documents, this individual had a roommate, but it was unknown if they had any other close contacts. Also, there was no documentation of a 48 hour interview with the ill crew member's roommate.
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Recommendation:
Document if the sympotmatic crew member had any additional close contacts. Maintain the following records on board for 12 months and make them available for review by VSP during inspections and outbreak investigations: (1) medical log/record; (2) AGE surveillance log; (3) 2-hour self-administered questionnaires; (4) interviews with cabin mates and immediate contacts of crew members with AGE [initial, 24-, and 48-hour]; (5) documentation of the 3-day assessment of crew members with AGE symptoms before joining the vessel; (6) documentation of the date and time of last symptom and clearance to return to work for food and nonfood employees; and (7) documentation of the date and time of verbal interviews with asymptomatic cabin mates and immediate contacts of symptomatic crew.
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Item No.:
02
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Site:
Medical-AGE Surveillance Log and Crew Close Contacts
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Violation:
On 28 January, the medical notes indicated a food worker had an illness onset at 0600 with four episodes of diarrhea, abdominal cramps, and a headache, but the AGE surveillance log indicated these symptoms started on 28 January at 1315. On the same day at 1315, this person had their last AGE symptom. There was no documentation indicating how long this person was isolated. This individual had four roommates, but there was no documentation the 48 hour interviews were conducted for three of the four roommates.
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Recommendation:
Maintain the following records on board for 12 months and make them available for review by VSP during inspections and outbreak investigations: (1) medical log/record; (2) AGE surveillance log; (3) 2-hour self-administered questionnaires; (4) interviews with cabin mates and immediate contacts of crew members with AGE [initial, 24-, and 48-hour]; (5) documentation of the 3-day assessment of crew members with AGE symptoms before joining the vessel; (6) documentation of the date and time of last symptom and clearance to return to work for food and nonfood employees; and (7) documentation of the date and time of verbal interviews with asymptomatic cabin mates and immediate contacts of symptomatic crew. Ensure the AGE surveillance log entry for each passenger or crew member contain the following information in separate columns: (12) time of illness onset.
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Item No.:
02
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Site:
Medical-Acute Gastroenteritis (AGE) Surveillance Log
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Violation:
On 4 February, a passenger had an illness onset of three episodes of diarrhea and a fever, but no illness onset time was recorded on the AGE log. There was documentation in the medical records indicating the illness onset time. This individual reported to medical on 13 February at 0900.
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Recommendation:
Ensure the AGE surveillance log entry for each passenger or crew member contain the following information in separate columns: (12) time of illness onset.
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Item No.:
02
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Site:
Medical-Acute Gastroenteritis (AGE) Surveillance Log
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Violation:
On 13 February, two crew members were recorded on the AGE surveillance log as reportable cases, but their crew position was not recorded on the AGE log.
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Recommendation:
Ensure the AGE surveillance log entry for each passenger or crew member contain the following information in separate columns: (8) crew member position or job on the vessel, if applicable.
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Item No.:
02
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Site:
Medical-Acute Gastroenteritis (AGE) Case Definition
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Violation:
On 13 February at 0645, a nonfood worker had an illness onset of one episode of diarrhea and abdominal cramps. According to the medical staff, this person's symptoms were above normal, but they were counted as nonreportable on the AGE log. As a precaution, the medical staff isolated this individual for 8 hours. According to the medical staff, they did not understand the AGE definition in the 2011 VSP Operations Manual. This individual was released from isolation on 13 February at 1530 and according to their work record, this person worked from 1800 to 2030 and from 2100 to 2330 on 13 February.
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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 38C [100.4F]).
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Item No.:
02
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Site:
Medical-Crew Close Contact Interviews
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Violation:
On 13 February, a crew member was documented as a reportable case on the AGE log. This individual had a roommate, but the roommate was only interviewed initially and 24 hours after the reportable crew member became ill. There was no information on whether the close contact was interviewed 48 hours after the crew member's last symptom or if this crew member had any other close contacts.
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Recommendation:
Maintain the following records on board for 12 months and make them available for review by VSP during inspections and outbreak investigations: (1) medical log/record; (2) AGE surveillance log; (3) 2-hour self-administered questionnaires; (4) interviews with cabin mates and immediate contacts of crew members with AGE [initial, 24-, and 48-hour]; (5) documentation of the 3-day assessment of crew members with AGE symptoms before joining the vessel; (6) documentation of the date and time of last symptom and clearance to return to work for food and nonfood employees; and (7) documentation of the date and time of verbal interviews with asymptomatic cabin mates and immediate contacts of symptomatic crew. Document if the sympotmatic crew member has no additional close contacts.
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Item No.:
02
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Site:
Medical-Acute Gastroenteritis (AGE) Case Definition
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Violation:
On 20 January at 2030, a passenger had an illness onset of two episodes of diarrhea and abdominal cramps, was given antidiarrheal medication and was isolated for 24 hours, but this individual was recorded as nonreportable on the AGE log. According to the staff, this individual's symptoms were above normal.
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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 38C [100.4F]).
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Item No.:
02
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Site:
Medical-Crew Close Contact Interviews
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Violation:
A food worker with reportable AGE symptoms on 17 January had three roommates. All roommates were interviewed initially and 24 hours after the reportable crew member became ill, but there was no documentation of the 48 hour interviews for two out of three roommates.
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Recommendation:
When any crew member (food or nonfood employee) meets the case definition for AGE, take the following actions: (1) restrict exposure to symptomatic crew member(s); (2) undergo a verbal interview with medical or supervisory staff, who will confirm their condition, provide facts and a written fact sheet about hygiene and handwashing, and instruct them to report immediately to medical if they develop illness symptoms; (3) complete a verbal interview daily with medical or supervisory staff until 48 hours after the ill crew members? symptoms began. Ensure that the first verbal interview is conducted within 8 hours from the time the ill crew member initially reported to the medical staff. If the asymptomatic immediate contact or cabin mate is at work, ensure that he or she must is contacted by medical or supervisory staff as soon as possible. Document the date and time of verbal interviews.
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Item No.:
02
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Site:
Medical-Medical Records and Crew Close Contact Interviews
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Violation:
A nonfood worker had AGE symptoms including two episodes of diarrhea and abdominal cramps at 1500 on 22 January, but they did not report to the medical center until 2030 on the same day. The medical documentation stated they had additional symptoms at 2000 on 22 January, but the records also indicated the final consult was on 22 January at 2020 and they were released. Also, the medical notes indicated this individual had a roommate, but it was unknown if they had any other close contacts. There was no 48 hour interview conducted of the ill crew member's roommate. According to their work record, this individual worked from 1530 to 1700 and from 1800 to 2000 on 22 January.
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Recommendation:
Document if the sympotmatic crew member has any additional close contacts. Maintain the following records on board for 12 months and make them available for review by VSP during inspections and outbreak investigations: (1) medical log/record; (2) AGE surveillance log; (3) 2-hour self-administered questionnaires; (4) interviews with cabin mates and immediate contacts of crew members with AGE [initial, 24-, and 48-hour]; (5) documentation of the 3-day assessment of crew members with AGE symptoms before joining the vessel; (6) documentation of the date and time of last symptom and clearance to return to work for food and nonfood employees; and (7) documentation of the date and time of verbal interviews with asymptomatic cabin mates and immediate contacts of symptomatic crew. Ensure the medical records for reportable AGE cases are accurate.
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Item No.:
02
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Site:
Medical-AGE Case Definition and Crew Close Contacts
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Violation:
A nonfood worker had an illness onset of two episodes of diarrhea, muscle aches and fever at 1800 on 19 January. They were isolated by medical staff for 24 hours and were given antidiarrheal medication, but were recorded as nonreportable on the AGE log. The underlying illness column for this person stated 'none'. This individual did not have a roommate, but it was unknown if they had any other close contacts.
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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 38C [100.4F]). Document if the sympotmatic crew member has no close contacts.
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Item No.:
10
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Site:
Recreational Water Facilities-Main Pool
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Violation:
The depth markers could not be seen from inside of the pool.
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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. Additionally, install depth markers for every 1 meter (3 feet) change in depth.
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Item No.:
11
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Site:
Medical-Crew Isolation
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Violation:
On 13 February at 0645, a nonfood worker had an illness onset of one episode of diarrhea and abdominal cramps. According to medical staff, this person's symptoms were above normal, but they were counted as nonreportable on the AGE log. As a precaution, the medical staff isolated this individual for 8 hours. According to the medical staff, they did not understand the AGE definition in the 2011 VSP Operations Manual. This individual was released from isolation on 13 February at 1530 and according to their work record, this person worked from 1800 to 2030 and from 2100 to 2330 on 13 February.
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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.
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Item No.:
11
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Site:
Medical-Crew Isolation and Reporting
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Violation:
A nonfood worker had AGE symptoms including two episodes of diarrhea and abdominal cramps at 1500 on 22 January, but they did not report to the medical center until 2030 on the same day. The medical documentation stated they had additional symptoms at 2000 on 22 January, but the records also indicated the final consult was on 22 January at 2020 and they were released. Also, the medical notes indicated this individual had a roommate, but it was unknown if they had any other close contacts. There was no 48 hour interview conducted of the ill crew member's roommate. According to their work record, this individual worked from 1530 to 1700 and from 1800 to 2000 on January 22.
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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 Reporting and Isolation
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Violation:
A nonfood worker had AGE symptoms of three episodes of diarrhea, fever, abdominal cramps, headache, and myalgia on 16 January at 0830, but did not report to the medical center until 1510 on the same day. According to their work record, this individual worked from 0930 until 1130 on the same day.
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Recommendation:
Ensure crew members report to medical immediately after their first AGE symptom. 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.
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Item No.:
11
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Site:
Medical-Crew Reporting and Isolation
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Violation:
A food worker had AGE symptoms of three episodes of diarrhea and abdominal cramps at 2100 on 15 January but they did not report to medical until 1215 on 16 January. According to their work record, this individual worked from 2100 until 2230 on 15 January.
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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. 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 Reporting and Isolation
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Violation:
On 28 January, the medical notes indicated a food worker had an illness onset at 0600 with four episodes of diarrhea, abdominal cramps, and a headache, but the AGE surveillance log indicated these symptoms started on 28 January at 1315. The medical notes indicated their last AGE symptoms were at 1315 on 28 January. This individual reported to medical at 1330 on 28 January, but there was no documentation indicating how long this person was isolated. A follow-up consultation of the ill crew member was conducted on 29 January at 0730 and the documentation stated there were no additional symptoms. The documentation indicated the 'calculated end of isolation should be for January 30 at 0731', but there was no confirmation. According to their work record, they worked from 0700 to 1000 on January 28 and from 1200 to 1230.
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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.
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Item No.:
11
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Site:
Medical-Crew Reporting and Isolation
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Violation:
On 15 January at 0800, a food worker had AGE symptoms including seven episodes of diarrhea, abdominal cramps, headache and myalgia, but they did not report to the medical center until 1725 the same day. According to their work record, this person worked from 0600 to 0930 and from 1200 to 1430 on the same day.
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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. 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 Reporting and Isolation
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Violation:
On 29 December at 0700 a food worker had an illness onset of four episodes of diarrhea, one episode of vomiting, abdominal cramps, headache, and myalgia, but did not report to the medical center until 2015 on the same day. According to their work record, this person worked from 1700 to 1730 on the same day.
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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. Ensure crew members report to medical immediately following their first AGE symptom.
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Item No.:
13
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Site:
Medical-Food Worker Isolation
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Violation:
There were four nonsupervisory food workers that worked while sick with AGE symptoms.
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Recommendation:
Ensure the supervisor or person in charge of food operations on the vessel monitors that: (13) Food employees are informed of their responsibility to report to the supervisor or person in charge information about their health and activities as they relate to diseases that are transmissible through food.
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Item No.:
13
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Site:
Food Service General-Glasswash and Dishwash Machine Maintenance
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Violation:
The crew members responsible for the glasswash and dishwash machines were unaware that the final rinse sensor arms of some machines were blocking some of the final rinse spray nozzles. Also, the manufacturer's data plates contained information that did not match the information posted at the final rinse pressure gauges or did not meet the requirements of the 2011 VSP Operations Manual.
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Recommendation:
Ensure the supervisor or person in charge of food operations on the vessel monitors that: (9) Employees are properly sanitizing cleaned multiuse equipment and utensils before they are reused.
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Item No.:
19
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Site:
Galley-
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Violation:
Two rolling containers of flour and one rolling container of rice were not identified with their product name.
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Recommendation:
Ensure containers holding food or food ingredients that are removed from their original packages for use on the vessel, such as cooking oils, flour, herbs, potato flakes, salt, spices, and sugar are identified with the common name of the food.
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Item No.:
20
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Site:
Preparation Room-Baguette Roller
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Violation:
The conveyor belt of the baguette roller was made of a felt-like material that was not easily cleanable. According to staff, the belt was brushed to remove food particles after each service because it could not be washed or sanitized and that the belt was replaced two times each month.
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Recommendation:
Materials used in the construction of multiuse utensils and food contact surfaces of equipment must be: (1) durable, corrosion resistant, and nonabsorbent; (2) sufficient in weight and thickness to withstand repeated warewashing; (3) finished to have a smooth, easily cleanable surface; and (4) resistant to pitting, chipping, crazing, scratching, scoring, distortion and decomposition.
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Item No.:
22
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Site:
Galley-Moderno / Blue Lagoon - Scullery
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Violation:
Inside the rack-type dishwash machine, the far left final rinse spray nozzle directed water onto the spray activator arm, resulting in an ineffective spray pattern.
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Recommendation:
Ensure a warewashing machine and its auxiliary components are operated in accordance with the machine?s data plate and other manufacturer?s instructions. Ensure a warewashing machine?s conveyor speed or automatic cycle times is maintained accurately timed in accordance with manufacturer?s specifications.
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Item No.:
22
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Site:
Galley-Market Cafe - Starboard Scullery
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Violation:
Inside the rack-type glasswash machine, the far right final rinse spray nozzle directed water onto the spray activator arm, resulting in an ineffective spray pattern.
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Recommendation:
Ensure a warewashing machine and its auxiliary components are operated in accordance with the machine?s data plate and other manufacturer?s instructions. Ensure a warewashing machine?s conveyor speed or automatic cycle times is maintained accurately timed in accordance with manufacturer?s specifications.
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Item No.:
22
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Site:
Galley-Market Cafe - Starboard Scullery
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|
Violation:
Inside the flight-type dishwash machine, the far left and second from the left final rinse spray nozzles directed water onto the spray activator arm, resulting in an ineffective spray pattern.
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Recommendation:
Ensure a warewashing machine and its auxiliary components are operated in accordance with the machine?s data plate and other manufacturer?s instructions. Ensure a warewashing machine?s conveyor speed or automatic cycle times is maintained accurately timed in accordance with manufacturer?s specifications.
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Item No.:
22
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Site:
Galley-La Cucina - Scullery
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|
Violation:
The manufacturer's data plate indicated the conveyor speed as a slow mode of 150 racks per hour and a fast mode of 100 racks per hour.
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Recommendation:
Ensure a warewashing machine is provided with an easily accessible and readable data plate affixed to or posted adjacent to the machine that indicates the machine?s design and operating specifications including the: (1) wash tank, rinse tank(s) if present, and final sanitizing rinse temperatures; (2) pressure required for the fresh water sanitizing rinse unless the machine is designed to use only a pumped sanitizing rinse; (3) conveyor speed in feet per minute or minimum transit time for belt conveyor machines, minimum transit time for rack conveyor machines, and wash and final sanitizing rinse times as specified by the manufacturer for stationary rack machines.
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Item No.:
22
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Site:
Food Service General-Glasswash and Dishwash Machines
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Violation:
On all of the glasswash and dishwash machines, the manufacturer's data plate indicated the final rinse pressure to be 30 psi. Posted below each final rinse gauge was a plate indicating the pressure should be between 15 and 25 psi.
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Recommendation:
Ensure the required final rinse pressure according to the manufacturer is recorded on the data plates and does not conflict with any other information indicated on the warewash machines.
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Item No.:
22
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Site:
Galley-Market Cafe - Port Scullery
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|
Violation:
Inside the flight-type dishwash machine, the second from right final rinse spray nozzle directed water onto the spray activator arm, resulting in an ineffective spray pattern.
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Recommendation:
Ensure a warewashing machine and its auxiliary components are operated in accordance with the machine?s data plate and other manufacturer?s instructions. Ensure a warewashing machine?s conveyor speed or automatic cycle times is maintained accurately timed in accordance with manufacturer?s specifications.
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Item No.:
22
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Site:
Galley-Market Cafe - Port Scullery
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|
Violation:
During active use of the flight-type dishwash machine, the final rinse pressure gauge varied between 10 and 25 psi. The manufacturer's data plate indicated the pressure should be between 15 and 25 psi.
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Recommendation:
Ensure a warewashing machine and its auxiliary components are operated in accordance with the machine?s data plate and other manufacturer?s instructions. Ensure a warewashing machine?s conveyor speed or automatic cycle times is maintained accurately timed in accordance with manufacturer?s specifications.
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Item No.:
22
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Site:
Food Service General-Warewash Machine Data Plates
|
|
Violation:
No manufacturer's data plates were posted on or near the glasswash and dishwash machines in the Market Cafe starboard scullery, Versailles scullery, and the crew galley scullery. Staff stated the data plates had recently been removed to correct the final rinse pressure reading.
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|
Recommendation:
Ensure a warewashing machine is provided with an easily accessible and readable data plate affixed to or posted adjacent to the machine that indicates the machine?s design and operating specifications including the: (1) wash tank, rinse tank(s) if present, and final sanitizing rinse temperatures; (2) pressure required for the fresh water sanitizing rinse unless the machine is designed to use only a pumped sanitizing rinse; (3) conveyor speed in feet per minute or minimum transit time for belt conveyor machines, minimum transit time for rack conveyor machines, and wash and final sanitizing rinse times as specified by the manufacturer for stationary rack machines.
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Item No.:
23
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|
Site:
Galley-Market Cafe - Starboard Scullery
|
|
Violation:
Inside the in-use multi-tank, conveyor, multi-temperature starboard dishwash machine, the wash tank temperatures obtained by the inspector were 133.2 F, 138 F, and 129 F, while at the same time the temperatures obtained by the crew member were 133.6 F, 139 F, and 138 F.
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Recommendation:
Ensure the temperature of the wash solution in spray type warewashers that use hot water to sanitize is not less than: (4) 66C (150F) for a multi-tank, conveyor, multi-temperature machine.
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Item No.:
24
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Site:
Preparation Room-
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|
Violation:
A container of sanitizing solution was measured above 200 ppm chlorine. The solution was remade and measured less than 200 ppm chlorine.
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Recommendation:
Ensure sanitizing solutions are used with the following concentrations: (1) A chlorine solution with a concentration between 50 mg/L (ppm) and 200 mg/L (ppm).
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Item No.:
24
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Site:
Buffet-Officer's Mess
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Violation:
A bucket of sanitizing solution measured less than 10 ppm chlorine. The area was in use during the inspection.
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Recommendation:
Ensure sanitizing solutions are used with the following concentrations: (1) A chlorine solution with a concentration between 50 mg/L (ppm) and 200 mg/L (ppm).
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Item No.:
26
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Site:
Buffet-Staff Mess
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Violation:
At the in-use ice/water dispensing machine, the white plastic ice chute was soiled with a black material along the lower interior rim of the chute.
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Recommendation:
Ensure food only contacts surfaces of equipment and utensils that are cleaned and sanitized.
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Item No.:
26
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Site:
Buffet-Crew Mess
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Violation:
At the in-use ice/water dispensing machine next to the espresso machine, the inside of the white plastic ice chute was soiled with a brown and black material.
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Recommendation:
Ensure food only contacts surfaces of equipment and utensils that are cleaned and sanitized.
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Item No.:
26
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Site:
Galley-Aqua - Ice Machine
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Violation:
Inside the left ice machine, a sticky paper residue was attached to the front of the white plastic cuber deflector panel. Crew members were able to remove this residue. The cuber panel was washed and sanitized prior to reassembly.
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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-Market Cafe - Hot Galley
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Violation:
The food contact surface of the previously cleaned can opener was soiled with 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.:
27
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Site:
Buffet-Crew Mess
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Violation:
At the in-use ice/water dispensing machine next to the espresso machine, the outside of the white plastic ice chute was soiled with a brown and 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.:
28
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Site:
Buffet-Market Cafe
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Violation:
At the port beverage station, some of the plastic cups out for passenger use were stored wet.
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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.:
28
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Site:
Dining Room-Cagney's Steakhouse
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Violation:
A container of previously cleaned knives was stored on the waiter station. The food contact surfaces of the knives were not covered.
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Recommendation:
Store clean equipment and utensils in a self-draining position that allows air drying, and covered or inverted.
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Item No.:
28
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Site:
Galley-Le Bistro - Potwash
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Violation:
A few pieces of equipment were stored on clean storage shelves in pooling water from the shelving above. As a result, the equipment was not adequately air dried.
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Recommendation:
Ensure equipment is stored so that it can air dry.
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Item No.:
28
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Site:
Buffet-Crew Mess
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Violation:
Numerous previously cleaned trays for crew member's use were still wet.
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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:
Pantry-Deck 11, FSD 11-6-054
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Violation:
This cabin steward pantry contained a locker labeled 'Spa Cleaning Chemicals Locker.' Inside this locker were bottles of Rely-On, shampoo and stainless steel cleaner/polish. This cabin steward pantry also contained previously cleaned ice coolers used to transport ice to cabins stored in the clean area. Staff also stated the pantry was used to wash glasses and ice buckets from cabins in the undercounter glasswash machine and to store them once cleaned. None of the spa cleaning chemicals were stored with food or equipment.
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Recommendation:
Ensure only poisonous or toxic materials that are required for the operation and maintenance of a food area of the vessel, such as for the cleaning and sanitizing of equipment and utensils and the control of insects and rodents, are allowed in the food areas of the vessel.
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Item No.:
33
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Site:
Pantry-Deck 11, FSD 11-6-054
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Violation:
Cords and cables from the undercounter glasswash machine were draped across the deck, making cleaning difficult.
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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:
Galley-Teppanyaki Room
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Violation:
Soft sealant was used as coving at the deck/counter juncture on the worker side of the area.
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Recommendation:
Cove the deck/counter juncture with a hard or semi-hard material.
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Item No.:
33
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Site:
Galley-Market Cafe - Hot Galley
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Violation:
Some of the deck tiles were damaged and cracked. Also, some deck tile grout was missing.
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Recommendation:
Ensure decks, bulkheads, and deckheads in food preparation, warewashing, pantries, and storage areas are maintained in good repair. 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:
Galley-Market Cafe - Starboard Scullery
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Violation:
At the soiled end of the dishwash machine, some of the deck tiles were damaged and broken.
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Recommendation:
Ensure decks, bulkheads, and deckheads in food preparation, warewashing, pantries, and storage areas are maintained in good repair.
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Item No.:
33
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Site:
Buffet-Market Cafe
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Violation:
At the starboard consumer side of the self-service buffet line, soft sealant was used as coving at the deck/counter juncture.
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Recommendation:
Cove the deck/counter juncture with a hard or semi-hard material.
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Item No.:
36
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Site:
Buffet-Market Cafe
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Violation:
At the port and starboard inner beverage stations, the light intensity was less than 110 lux between the counter-mounted equipment and less than 220 lux at the consumer side of all the counter-mounted equipment. At the starboard outer beverage station, the light intensity was less than 220 lux at the consumer side of all the counter-mounted equipment.
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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. Ensure the light intensity is at least 110 lux (10 foot candles) at a distance of 75 centimeters (30 inches) above the deck when in use, in walk-in refrigerator units and dry storage areas, and in other areas and rooms during periods of cleaning. 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:
Galley-Teppanyaki Room
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Violation:
The light intensity was less than 220 lux over the teppanyaki grills. This was written on the last inspection.
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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:
Galley-Teppanyaki Room
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Violation:
The light intensity was less than 220 lux at the handwash station.
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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.:
37
|
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Site:
Preparation Room-Deck 3
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Violation:
Excess condensation was on the deckhead above the in-use left combination oven. Condensation was observed dripping onto the deck. No food or clean items were impacted.
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Recommendation:
Ensure ventilation hood systems and devices are sufficient in number and capacity to prevent grease or condensation from collecting on bulkheads and deckheads.
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Item No.:
37
|
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Site:
Galley-Market Cafe Port Scullery
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Violation:
Excess condensation was on the deckhead above the soiled end of the port glasswash machine. Condensation was observed dripping on to the deck. No clean items were impacted.
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|
Recommendation:
Ensure ventilation hood systems and devices are sufficient in number and capacity to prevent grease or condensation from collecting on bulkheads and deckheads.
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Item No.:
40
|
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Site:
Integrated Pest Management-Active Surveillance Log
|
|
Violation:
When pests were found in an area and indicated on the active surveillance log, it was not clear what the follow-up inspection results were. For example, under the follow-up column of the log, staff were selecting the 'repeat' option from the drop down menu when the treatment of the pests was completed and no more follow-up of the area was needed. According to staff, the only options to document the follow-up inspection results were 'first', 'follow-up', and 'repeat'.
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Recommendation:
When pests are noted during an inspection, ensure the log includes action taken and follow-up inspection results.
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Item No.:
41
|
|
Site:
Housekeeping-Spa Changing Rooms
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|
Violation:
Not all of the exit doors in the men's and women's changing rooms were equipped so persons exiting the toilet rooms did not have to touch the door handle with bare hands. In addition, not all of the exit doors were equipped with signs advising users to use a tissue or paper towel to exit.
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Recommendation:
Equip passenger and crew public toilet facilities so persons exiting the toilet room are not required to touch the door handle with bare hands. Where toilet stalls include handwashing facilities, ensure the bare-hands-free contact begins in the toilet stall. Ensure that toilet facilities with multiple exits, such as spa dressing rooms, have bare-hands-free contact at each exit.
Post a sign advising users of toilet facilities to use hand towel, paper towel, or tissue to open the door unless the exit is hands free.
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Item No.:
44
|
|
Site:
Medical-Acute Gastroenteritis (AGE) Surveillance Log and Reports
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Violation:
The medical staff did not understand the case definition of AGE or what information was required in the AGE surveillance log and the AGE reports as written in the 2011 VSP Operations Manual. For example, the staff stated they were writing 'none' in the underlying illness column for all individuals entered onto the AGE surveillance log because they did not understand what to write in this column. In addition, several ill crew members and passengers were misclassified as nonreportable cases on the AGE surveillance log.
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Recommendation:
Ensure the medical staff understand the case definition of AGE and the requirements of the AGE surveillance log and AGE reports as written in the 2011 VSP Operations Manual.
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Item No.:
44
|
|
Site:
Medical-Nonfood Worker Isolation
|
|
Violation:
There were two nonsupervisory nonfood workers that worked while sick with AGE symptoms.
|
|
Recommendation:
Ensure the supervisors monitor and train their employees so that no one works while sick with AGE symptoms.
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