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Item No.:
02
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Site:
Medical-Acute Gastroenteritis (AGE) Surveillance Log
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Violation:
On the 19-29 September cruise, a passenger with two episodes of diarrhea was listed on the AGE surveillance log and the column for whether antidiarrheal medication was issued was listed as no. However, a review of the passenger's case file indicated that they had been issued antidiarrheal medication.
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Recommendation:
Ensure the AGE surveillance log entry for each passenger or crew member contain the following information in separate columns: (1) Date of the first medical visit or report to staff of illness; (2) time of the first medical visit or report to staff of illness; (3) case identification number; (4) person's name; (5) person's age; (6) person's sex; (7) designation as passenger or crew member; (8) crew member position or job on the vessel, if applicable; (9) cabin number; (10) meal seating information; (11) date of illness onset; (12) time of illness onset; (13) illness symptoms, including the presence or absence of the following selected signs and symptoms, with a separate column for each of the following: (a) number of episodes of diarrhea in a 24-hour period; (b) number of episodes of vomiting in a 24-hour period; (c) bloody stools; (d) recorded temperature; (e) abdominal cramps; (f) headaches; (g) muscle aches; (14) entry (yes/no) for whether this was a reportable case; (15) entry (yes/no) for antidiarrheal medications sold or dispensed by designated medical staff; (16) presence of underlying medical conditions that may affect interpretation of AGE. Ensure the AGE surveillance log contains the above information in the exact order and is entered in the template in Annex 13.2.2. Ensure that the log data is exported in the exact order as in the example template in Annex 13.2.2 with analyzable formats such as Excel or Access. Ensure that any additional data fields are entered only outside of the form margins when exported to VSP.
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Item No.:
08
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Site:
Potable Water-Pipe Identification
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Violation:
The water from the mineralizer just before the chlorine injection was striped blue/green/blue, indicating potable water, instead of blue/gray/blue indicating permeate/distillate 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. Do not stripe or paint potable water lines after reduced pressure assemblies as potable water. Uniquely identify all refrigerant brine lines in all galleys, pantries, and cold rooms to prevent cross-connections.
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Item No.:
19
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Site:
Galley-Deck 10 - Weite Welt (Wide World)
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Violation:
At the passenger self-service beverage condiment station, the covers to the kaffe and kakoa grinds were not self-closing.
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Recommendation:
Protect food on display from contamination by the use of packaging; counter, service line, or salad bar food guards; display cases; self-closing hinged lids; or other effective means. Install side protection for sneeze guards if the distance between exposed food and where consumers are expected to stand is less than 1 meter (40 inches).
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Item No.:
21
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Site:
Galley-Bella Vista
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Violation:
Behind the espresso/cappuccino machine, the electrical cord and water line were laying on the counter, making cleaning difficult.
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Recommendation:
Ensure nonfood-contact surfaces are free of unnecessary ledges, projections, and crevices, and designed and constructed to allow easy cleaning and to facilitate maintenance.
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Item No.:
23
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Site:
Galley-Deck 9 - Dishwash
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Violation:
The dishwash machine wash tank measured 50.5°C (123 °F) and 58.3°C (137°F) during two cycles. The gauge indicated 64-65°C. The manufacturer's data plate required a minimum of 66°C.
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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: (1) 74°C (165°F) for a stationary-rack, single-temperature machine; (2) 66°C (150°F) for a stationary-rack, dual-temperature machine; (3) 71°C (160°F) for a single-tank, conveyor, dual-temperature machine; (4) 66°C (150°F) for a multi-tank, conveyor, multi-temperature machine.
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Item No.:
23
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Site:
Galley-Deck 9 - Dishwash
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Violation:
Numerous large pieces of food were on the prewash tank covers. No food residue was inside the machine's tanks.
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Recommendation:
Ensure food debris on equipment and utensils is scrapped over a waste disposal unit, pulper, or garbage receptacle or removed in a warewashing machine with a prewash cycle.
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Item No.:
27
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Site:
Galley-Bella Vista
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Violation:
Underneath flat griddle 115003, grease residue was along the grease trap pan sliding tracks.
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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.:
29
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Site:
Galley-Deck 10 - Dishwash
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Violation:
At the entrance to the dishwash area, the minimum temperature of the handwash station measured 62.8°C (145°F). At the waiter drop-off area, the minimum temperature of the 4-faucet handwash station measured 58.3°C (137°F). The user could adjust the water temperatures, but these were the coldest temperatures measured.
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Recommendation:
Ensure handwashing sinks are equipped to provide water at a temperature of at least 38°C (100°F) through a mixing valve or combination faucet. For handwash sinks with electronic sensors, and other types of handwash sinks where the user cannot make temperature adjustments, ensure the temperature provided to the user after the mixing valve does not exceed 49°C (120°F).
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Item No.:
30
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Site:
Galley-Deck 9 - Chemical Locker
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Violation:
There was no waste receptacle at the handwash station inside the chemical locker.
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Recommendation:
Ensure a handwashing facility includes a sink, soap dispenser, single-use towels dispenser, and waste receptacle.
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Item No.:
33
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Site:
Galley-Deck 9 - Bakery Show Galley
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Violation:
Soil residue was along the recessed fire door of the proofer.
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Recommendation:
Ensure decks, bulkheads, deckheads, and attached equipment in food preparation, warewashing, pantries, and storage areas are cleaned as often as necessary.
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Item No.:
33
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Site:
Galley-Deck 9 - Bakery Show Galley
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Violation:
At the lower access hatch near the proofer, the tiled bulkhead material was loose around the edge and not easily cleanable.
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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:
Galley-Deck 10 - Weite Welt (Wide World)
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Violation:
In the Brazil station, the white stone bulkhead at the buffet area was not easily cleanable. Also in the China station, the red fabric light fixtures were not easily cleanable.
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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. Ensure surfaces subject to routine splashes, spillage, or other soiling during normal use have easily cleanable features. 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:
Galley-Deck 10 - Weite Welt (Wide World)
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Violation:
In the Brazil station, the two large decorative animal skulls on the bulkheads were sticky and soiled with dust. Pieces of one skull fell off as the inspection team handled it.
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Recommendation:
Ensure surfaces subject to routine splashes, spillage, or other soiling during normal use have easily cleanable features. Ensure decks, bulkheads, deckheads, and attached equipment in food preparation, warewashing, pantries, and storage areas are cleaned as often as necessary. 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:
Galley-Bella Vista
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Violation:
Inside undercounter refrigerator technical compartment #8, there was a large hole where the electrical cord penetrated the back bulkhead.
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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.:
34
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Site:
Galley-Bella Vista - Dishwash Area
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Violation:
The handwash station bucket fill tap was continuously leaking.
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Recommendation:
Ensure a plumbing system in a food area is maintained in good repair.
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Item No.:
40
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Site:
Pantry-Pool
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Violation:
The pantry was on an open deck and the door to pantry was pinned open during operation.
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Recommendation:
Protect entry points where pests may enter the food areas.
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Item No.:
40
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Site:
Pantry-Beach
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Violation:
The pantry was on an open deck and the door to pantry was pinned open during operation.
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Recommendation:
Protect entry points where pests may enter the food areas.
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