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Item No.:
41
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Site:
Housekeeping-Outbreak Prevention and Response Plan (OPRP)
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Violation:
The OPRP indicated that hard surfaces could be disinfected with 1000 ppm chlorine for a 30 second contact time. The minimum contact time should be 5 minutes.
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Recommendation:
Ensure each vessel has a written OPRP that details standard procedures and policies to specifically address AGE onboard. Include the following in the written OPRP: (1) Duties and responsibilities of each department and their staff for all the passenger and crew public areas; (2) Steps in outbreak management and control and the trigger for required action at each step. Ensure the triggers address a graduated approach to outbreak management in response to increasing case counts; (3) Disinfectant products or systems used, including the surfaces or items the disinfectants will be applied to, concentrations, and required contact times. Ensure the disinfectant products or systems are effective against human norovirus or an acceptable surrogate (e.g., caliciviruses); (4) Procedures for informing passengers and crew members of the outbreak. Ensure this section also includes procedures for notification of passengers embarking the vessel following an outbreak voyage or segment of a voyage; (5) Procedures for returning the vessel to normal operating conditions after an outbreak; (6) Procedures to protect the passengers and crew from exposure to disinfectants, if not already included in the vessel?s safety management system. Ensure this protection includes: (a) Material safety data sheets (MSDSs); (b) Personal protective equipment for crew; (c) Health and safety procedures to minimize respiratory and dermal exposures to both passengers and crew.
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Item No.:
41
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Site:
Housekeeping-Outbreak Prevention and Response Plan (OPRP)
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Violation:
The OPRP did not have procedures for notifying passengers embarking the vessel following an outbreak voyage. The vessel did have example letters for notifying passengers. A corporate office representative who was on board the day of the inspection stated that the OPRP had recently been revised to include these procedures but had not been issued to the vessel yet.
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Recommendation:
Ensure each vessel has a written OPRP that details standard procedures and policies to specifically address AGE onboard. Include the following in the written OPRP: (4) Procedures for informing passengers and crew members of the outbreak. Ensure this section also includes procedures for notification of passengers embarking the vessel following an outbreak voyage or segment of a voyage;
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Item No.:
11
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Site:
Medical-Crew Member Late Reporting of Acute Gastroenteritis (AGE)
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Violation:
On 13 December, a junior utility cleaner (food worker) had an onset of AGE symptoms at 0930, reported to medical at 2115 and worked while symptomatic. On 4 December, a waitress (food worker) had on onset of AGE symptoms at 0930, reported to medical at 1700, and worked while symptomatic. On 4 December, an assistant buffet waiter (food worker) had an onset of AGE symptoms at 1800, reported to medical on 5 December at 1015, and worked and ate at the crew mess while symptomatic. On 24 November, an assistant cabin steward had on onset of AGE symptoms at 0230, reported to medical at 1530, and worked and ate at the crew mess while symptomatic. All four food workers were disciplined for late reporting of AGE symptoms.
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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. 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.:
01
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Site:
Medical-2% Special Report
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Violation:
During the 18 November to 2 December cruise, when the vessel reached 2% of passengers diagnosed with acute gastroenteritis a telephone call was made to the Vessel Sanitation Program (VSP), but the 2% report was not submitted to VSP through the electronic reporting system or by email.
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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.
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Item No.:
13
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Site:
Medical-Crew Member Late Reporting of Acute Gastroenteritis (AGE)
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Violation:
On 13 December, a junior utility cleaner (food worker) had an onset of AGE symptoms at 0930, reported to medical at 2115 and worked while symptomatic. On 4 December, a waitress (food worker) had on onset of AGE symptoms at 0930, reported to medical at 1700, and worked while symptomatic. On 4 December, an assistant buffet waiter (food worker) had an onset of AGE symptoms at 1800, reported to medical on 5 December at 1015, and worked and ate at the crew mess while symptomatic. On 24 November, an assistant cabin steward had on onset of AGE symptoms at 0230, reported to medical at 1530, and worked and ate at the crew mess while symptomatic. This AGE illness occurred during the outbreak voyage from 18 November to 2 December. All four food workers were disciplined for late reporting of 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.:
26
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Site:
Galley-Main Galley - Cold Galley
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Violation:
The previously cleaned slicer had food residue along the plastic food holder between the small prongs along the surface.
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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.:
16
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Site:
Galley-Main Galley - Cold Galley
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Violation:
In undercounter reach-in refrigerator #4 (forward/port corner) there was a container with two cut pieces of prosciutto and there was no 7 day discard label for this meat. Staff brought an unopened package of the prosciutto and there was a statement to keep refrigerated on the label.
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Recommendation:
Ensure refrigerated, ready-to-eat, potentially hazardous food: (1) Prepared on a vessel and held refrigerated for more than 24 hours is clearly marked at the time of preparation to indicate the date or day by which the food must be consumed (7 calendar days or fewer from the day the food is prepared). The day of preparation is counted as day 1. (2) Prepared and packaged by a food-processing plant and held on the vessel after opening for more than 24 hours must be clearly marked at the time the original container is opened to indicate the date by which the food must be consumed (7 calendar days or fewer after the original container is opened). The day of opening is counted as day 1.
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Item No.:
39
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Site:
Galley-Main Galley - Cold Galley
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Violation:
A live fruit fly was circling the slicer, and three live fruit flies were observed in the area on both deckhead and bulkhead panel seams.
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Recommendation:
Effectively control the presence of insects, rodents, and other pests to minimize their presence in the food storage, preparation, and service areas and warewashing and utensil storage areas aboard a vessel.
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Item No.:
22
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Site:
Galley-Main Galley - Dishwash and Potwash
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Violation:
The #4 conveyor glasswash machine was out of order from a problem identified the morning of the inspection. In the pot wash area the machine was also in disrepair from a problem that happened during the inspection. Staff were working on the machine as the inspector approached.
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Recommendation:
Maintain warewashing equipment in good repair and proper adjustment, including: (1) warewashing equipment is maintained in a state of repair and condition that meets the standards of the materials, design, and construction of these guidelines; (2) water pressure and water temperature-measuring devices are maintained in good repair and accurate within the intended range of use.
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Item No.:
39
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Site:
Galley-Main Galley - Pastry and Bakery
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Violation:
Five live fruit flies were observed on the deckhead panel seams throughout the bakery and pastry area during active preparation.
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Recommendation:
Effectively control the presence of insects, rodents, and other pests to minimize their presence in the food storage, preparation, and service areas and warewashing and utensil storage areas aboard a vessel.
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Item No.:
21
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Site:
Galley-Main Galley - Room Service
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Violation:
Inside the crushed ice machine technical compartment there was a gap surrounding the square plastic ice chute as it penetrated the lower interior panel and passed through to the bin below.
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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. A properly fitted profile or gasket should be installed to completely close the gap present around the chute penetration in the technical compartment.
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Item No.:
27
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Site:
Galley-Main Galley - Room Service
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Violation:
There was oil from the motor within the technical compartment lower interior surface of the crushed ice machine that was pooling and dripping into the open seam where the outside of the plastic chute passed from the technical area above to the ice bin below.
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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.:
26
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Site:
Galley-Main Galley - Room Service
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Violation:
There was oil residue on the top interior panel of the crushed ice bin surrounding the ice chute area. This same oil residue was also observed along the stainless steel conduit that surrounded the ice chute as it penetrated the lower bin.
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Recommendation:
Ensure food contact surfaces of equipment and utensils are clean to sight and touch. Ensure materials used in the construction of multiuse utensils and food-contact surfaces of equipment do not allow the migration of deleterious substances or impart colors, odors, or tastes to food and are safe under normal use conditions.
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Item No.:
27
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Site:
Provisions-Provisions/Preparation Area - Potwash
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Violation:
The top exterior surface of the in-use pot washing machine was heavily soiled. There was a pair of yellow gloves stored on top of the pot wash machine.
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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.:
39
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Site:
Preparation Room-Provisions
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Violation:
One live fruit fly was observed on the back bulkhead of this space.
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Recommendation:
Effectively control the presence of insects, rodents, and other pests to minimize their presence in the food storage, preparation, and service areas and warewashing and utensil storage areas aboard a vessel.
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Item No.:
39
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Site:
Buffet-Terrace Cafe - Hot Line Starboard
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Violation:
One live fruit fly was observed on the deckhead over the buffet.
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Recommendation:
Effectively control the presence of insects, rodents, and other pests to minimize their presence in the food storage, preparation, and service areas and warewashing and utensil storage areas aboard a vessel.
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Item No.:
26
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Site:
Pantry-Terrace Cafe - Port Service Bar Pantry
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Violation:
There was a black mold residue along the right side upper interior cuber panel of the ice machine. As well there was mold present on the left metal clip holding the drip tube in place over the cuber.
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Recommendation:
Ensure food only contacts surfaces of equipment and utensils that are cleaned and sanitized. Ensure food contact surfaces of equipment and utensils are clean to sight and touch.
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Item No.:
33
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Site:
Pantry-Waves Bar Pantry
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Violation:
There was a dead filth fly on the deckhead directly above the clean glass rack. Staff removed the fly.
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Recommendation:
Ensure a restricted-use pesticide is only applied by a certified applicator or a person with training and testing equivalent to that of a certified applicator. Ensure a restricted-use pesticide is only applied by a certified applicator or a person with training and testing equivalent to that of a certified applicator.
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Item No.:
21
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Site:
Bar-Waves Bar
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Violation:
The power cable to the back bar counter frozen drink machine was draped on the counter making cleaning difficult.
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Recommendation:
Elevate the power cable from the frozen drink machine.
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Item No.:
28
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Site:
Provisions-Provisions/Preparation Area - Potwash
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Violation:
A pair of warewash/potwash yellow gloves was stored on top of the in-use potwash machine. The top exterior surface of the machine was heavily soiled.
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Recommendation:
Store cleaned equipment and utensils, laundered linens, and single-service and single-use articles: (1) in a clean, dry location; (2) in a location where they are not exposed to splash, dust, or other contamination; (3) at least 150 millimeters (6 inches) above the deck.
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