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Item No.:
02
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Site:
Medical-Acute Gastroenteritis (AGE) Log
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Violation:
A passenger was given an antidiarrheal medication after he reported to medical for 2 soft stools and 2 watery stools, which was normal for the person, on the January 4-8 voyage. The AGE log and medical records indicated antidiarrheal medication was not dispensed. It was discussed with medical staff that the dispensed medicine was a type of antidiarrheal medication and should always be recorded on the AGE log.
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Recommendation:
List in the AGE surveillance log (3) all passengers and crew members who are dispensed antidiarrheal medication from the master of the vessel, medical staff, or other designated staff.
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Item No.:
02
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Site:
Medical-Acute Gastroenteritis (AGE) Log
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Violation:
A passenger experiencing AGE symptoms, due to an underlying condition, was nonreportable on the AGE log for the December 28-31 voyage, but 'None unknown' was stated in the underlying illness column. The passenger was taking an antibiotic for a tooth-related procedure, which caused diarrhea. According to staff, the underlying illness column is populated from a box called 'significant background medical condition,' and must be entered when a new AGE case is entered in the medical software system. It was discussed with medical staff how to properly solve this issue, and enter the underlying conditions/illnesses into the medical software, for future data management, in order for the correct information to be displayed 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: (16) presence of underlying medical conditions that may affect interpretation of AGE.
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Item No.:
02
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Site:
Medical-AGE Log
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Violation:
The sex column was incomplete for the two crew members listed on the AGE log for the December 28-31 voyage.
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Recommendation:
Ensure the AGE surveillance log entry for each passenger or crew member contain the following information in separate columns: (6) person?s sex.
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Item No.:
06
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Site:
Medical-Microbial Test Kit
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Violation:
The comparator for the microbial test kit expired 7 January. Staff reported a new comparator had been ordered.
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Recommendation:
If water samples are collected and analyzed by the vessel for the presence of E. coli, analyze the samples using a method accepted in Standard Methods for the Examination of Water and Wastewater. Ensure test kits, incubators, and associated equipment are operated and maintained in accordance with the manufacturers? specifications.
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Item No.:
08
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Site:
Potable Water-Engine Room - Forward Bunker Station Analyzer
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Violation:
The potable water line for the hose connection was not striped blue green blue or blue. This was corrected.
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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 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.:
08
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Site:
Potable Water-Engine Room - Aft Bunker Station Analyzer
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Violation:
The potable water line for the hose connection and eye wash was not striped blue green blue or blue. This was corrected.
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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 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.:
08
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Site:
Potable Water-Engine Room - Starboard Evaporator
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Violation:
An unprotected cross connection was observed on a distillate water line between the salinometer and backflow preventer for the saline discharge overboard. First, a hose was connected to this line and the hose was able to reach beyond the bilge overflow. Second, a line to measure the pressure of the distillate water produced, which traveled to the tank along the bilge. Staff reported they would install backflow preventers immediately.
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Recommendation:
Provide a comprehensive cross-connection control program. Protect the following connections to the potable water system against backflow with air gaps or mechanical backflow prevention devices: (26) other connections between the potable water system and a nonpotable water system, such as the gray water system, laundry system, or technical water system (install an air gap or a reduced pressure assembly); (28) any other connection to the potable water system where contamination or backflow can occur.
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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 for the hotel operations did not state the manufacturer/make for the backflow preventers listed on the log all decks. The log only listed the type of backflow preventer.
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Recommendation:
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. According to the 2011 VSP Operations Manual Annex 13.6.5.1:
A log listing of all CROSS-CONNECTIONS on the vessel must be developed. At a minimum the log should contain the data elements listed in numbers 2, 3, 6, 7, and 8. The inclusion of the additional data listed in numbers 1, 4, and 5 is recommended.
1. Deck (A, B, C, 1, 2, 3?).
2. Location (of connection and of device, if different).
3. Connection description (e.g., hose, chemical tank, coffee machine, detergent dispenser).
4. Connection subjected to CONTINUOUS PRESSURE (CP) or noncontinuous pressure (NCP).
5. Connection subjected to [BACKSIPHONAGE only or BACKSIPHONAGE and BACKPRESSURE].
6. Protection used (AIR GAP or manufacturer name and designation for device).
7. Inspection date.
8. Inspection results (passed, replaced, psi results).
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Item No.:
08
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Site:
Potable Water-Cross Connection Control Log
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Violation:
The Windjammer automatic hood cleaning system was listed on the log, but no information regarding the type of backflow preventer installed or inspection date was available.
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Recommendation:
Provide a comprehensive cross-connection control program. Protect the following connections to the potable water system against backflow with air gaps or mechanical backflow prevention devices: (9) automatic galley hood washing systems. 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.
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Item No.:
08
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Site:
Galley-Deck 5 Handwash Adjacent to Izumi.
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Violation:
The backflow preventer on the bucket filling attachment on this station was leaking on the deck, indicating possible malfunction.
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Recommendation:
Maintain backflow prevention devices in good repair.
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Item No.:
11
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Site:
Medical-Crew Late Acute Gastroenteritis (AGE) Reporting
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Violation:
Two crew members reported late to medical after experiencing AGE symptoms. A food handler had an AGE onset on 12/30 at 0630 and reported to medical at 1615 later that day; the waiter worked all day before reporting to medical. A crew member had an AGE onset on 12/30 at 1500 and reported to medical at 1912 later that day. Both crew members were disciplined and re-trained.
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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.:
19
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Site:
Buffet-Deck 9 Starboard Salad Bar
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Violation:
A 4 inch deep plastic box of cut lettuce was placed on a undercounter refrigerator shelf uncovered and unprotected behind the passenger buffet service line.
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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.
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Item No.:
22
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Site:
Galley-Deck 4 Sanitizer Bucket
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Violation:
The sanitizer solution in the bucket, located beside the three station handwash, was soiled.
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Recommendation:
Ensure the sanitize solutions are maintained clean.
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Item No.:
22
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Site:
Pantry-L Fire Zone Deck 3 Pantry
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Violation:
A dishware rack was placed directly on the deck in front of the dish rack stand. Open positions were observed on the rack stand, but this rack was stored incorrectly. Staff corrected this during the inspection.
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Recommendation:
Ensure drainboards, utensils, racks, or tables large enough to accommodate all soiled and cleaned items that may accumulate during hours of operation are provided for necessary utensil holding before cleaning and after sanitizing.
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Item No.:
26
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Site:
Galley-Deck 5 Dishwash
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Violation:
A previously cleaned drinking glass in a rack of 25 clean glasses had chocolate on the base. The glass was removed and rewashed.
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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.:
27
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Site:
Galley-Deck 4 Port Side
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Violation:
The rack type glasswasher in this area had a soiled red rag on the top of the machine while in service.
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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.:
27
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Site:
Buffet-Deck 9 Beverage Station
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Violation:
Standing water and soil was noted in the technical space under the juice dispenser adjacent to fire door FD09R03.
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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.:
31
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Site:
Bar-Deck 6 Schooner
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Violation:
Oxivir was stored in the chemical storage cabinet in this bar. The bottle was labeled, but the outside of the cabinet or the shelf inside the cabinet was not identified as disinfectant 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:
Preparation Room-Deck 1
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Violation:
The aft plastic deckhead speaker had a green slimy buildup on the edges, and water was dripping on the deck. No food was impacted.
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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. 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 9
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Violation:
The grouting on the deck in front of the deep fat fryer was recessed and in disrepair.
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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 4 Soup Preparation
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Violation:
The grouting in this deck area was recessed and in disrepair.
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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.:
36
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Site:
Buffet-Deck 9 Starboard Salad Self-Service Counter
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Violation:
The light intensity at the forward area of this counter, across from the sink, was191 lux.
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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:
Buffet-Deck 9 Follette Ice Machine
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Violation:
The light intensity around the ice machine in the Park Cafe was 80 lux.
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Recommendation:
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:
Buffet-Deck 9 Lido
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Violation:
The light intensity on the port self-service salad counter in the Park Cafe was 133 lux.
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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:
Galley-Deck 5 Dishwash
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Violation:
The rack type dishwasher PB0562 had condensate on the deckhead ventilation duct over the clean end of the machine, and dripping was observed onto the clean landing area. No dishware was impacted.
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Recommendation:
Ensure exhaust ventilation hood systems in food preparation and warewashing areas--including components such as hoods, fans, guards, and ducting--are designed to prevent grease or condensation from draining or dripping onto food, equipment, utensils, linens, and single-service and single-use articles.
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Item No.:
38
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Site:
Galley-Deck 4 Port Side
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Violation:
The flight type dishwasher PB0462 had a dirty broom stored on top of the machine during operation.
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Recommendation:
Ensure maintenance tools such as mops, brooms, and similar items are stored in a designated locker so they do not contaminate food, food-contact surfaces of utensils, and equipment, linens, and single-service and single-use articles.
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Item No.:
38
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Site:
Galley-Deck 4 Entrance to My Fair Lady
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Violation:
A mop was stored in a bucket of dirty water at this entrance. No crew were observed moping in the area.
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Recommendation:
Ensure maintenance tools such as mops, brooms, and similar items are stored in a designated locker so they do not contaminate food, food-contact surfaces of utensils, and equipment, linens, and single-service and single-use articles.
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Item No.:
38
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Site:
Galley-Deck 4 Port Side Dishwash Area
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Violation:
A broom and rag were stored improperly, and placed on the top of the warewashers.
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Recommendation:
Ensure maintenance tools such as mops, brooms, and similar items are stored in a designated locker so they do not contaminate food, food-contact surfaces of utensils, and equipment, linens, and single-service and single-use articles.
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Item No.:
39
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Site:
Buffet-Deck 2 Crew Mess
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Violation:
Two fruit flies were observed at the soiled drop-off adjacent to the buffet line.
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Recommendation:
Effectively control the presence of insects 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.:
41
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Site:
Housekeeping-Outbreak Prevention and Response Plan (OPRP)
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Violation:
The OPP level 3 sections 2.07 and 9.06 for gastrointestinal illness outbreak prevention/control specified all ships designate one housekeeping pantry for the collection, soaking and dishwashing of cutlery, glasses and china returned from cabins of passengers who were ill and received room service. Although the procedure demands that USPH regulations be followed, the procedure details a drum of 1,000 ppm sanitizing solution be placed in the pantry and all dishware soaked in it prior to dishwashing. All food areas have a specified limit of 200 ppm for any chlorine solutions.
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Recommendation:
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Item No.:
43
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Site:
Ventilation-L Fire Zone Air Conditioning (AC) Units
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Violation:
The 7 AC units, installed in fire zone L, had small holes installed on the plate over the condensate collection pans, which were not large enough for a proper inspection. These small holes did not appear large enough for using a fiber optic device to inspect the pans either.
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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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