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Item No.:
02
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Site:
Medical-Acute Gastroenteritis (AGE) Surveillance Log
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Violation:
The electronic AGE surveillance log was not identical to the VSP version in section 13.2 of the 2011 VSP Operations Manual. A title was added on the top right banner which read: Reportable AGE Cases. Another banner just below this heading read: Total Number of Passengers and Crew, followed by a value and another heading: Total Number of Passengers and Crew Ill.
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Recommendation:
The electronic AGE surveillance log should be corrected so it matches exactly the log provided in section 13.2 of the 2012 VSP Operations Manual. This would mean removal of the titles: Reportable AGE Cases, Total Number of Passengers and Crew, and Total Number of Passengers and Crew Ill.
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Item No.:
08
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Site:
Food Service General-Ice Machine Chilled Water Piping
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Violation:
There was no unique identification on the chilled water pipes connected to the ice machines throughout the food areas, including the housekeeping deck pantries.
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Recommendation:
Uniquely identify all refrigerant brine lines in all galleys, pantries, and cold rooms to prevent cross-connections.
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Item No.:
08
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Site:
Potable Water-Tank Coating
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Violation:
In reviewing the March 2012 potable water tank records, there was some conflicting information provided on the history comments from the AMOS system record form and another form attached with photos of the tanks. Specifically the #6 port tank was said to be touch-up painted in areas of rust which were repaired, but the other record indicated the tank was fully coated and the photo clearly showed the entire tank was repainted. Additionally, there was no statement in either record that the coating was applied according to the manufacturers instructions.
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Recommendation:
Ensure the interior coatings on potable water tanks are approved for potable water contact by a certification organization. Follow all manufacturers? recommendations for application, drying, and curing. For the tank coatings used, maintain the following onboard: (1) written documentation of approval from the certification organization (independent of the coating manufacturer); (2) manufacturers? recommendations for application, drying, and curing; and (3) written documentation that the manufacturers? recommendations have been followed for application, drying, and curing.
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Item No.:
08
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Site:
Potable Water-Inspection Records
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Violation:
The inspection record of non-testable backflow preventers was inconsistently recorded, in that some records indicated the date of inspection and the result, while several pages of records on air-gap inspections, cabin toilets, food preparation equipment, laundry equipment, and more were simply a list of those preventers with the year written at the top of the page and no result of the inspection noted.
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Recommendation:
Ensure that it's clear for each device listed that an inspection was conducted and a result is entered in the log.
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Item No.:
08
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Site:
Potable Water-Suite Cabins
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Violation:
The cross-connection control records indicated that each of the 23 suite cabin hot tubs had potable water filling lines protected with what was a non-continuous pressure model backflow preventer. These preventers were listed as inspected annually. Upon examining the connection it was clear that these backflow preventers were installed between two valves to the hot tubs and were subject to continuous pressure.
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Recommendation:
Install a continuous pressure-type backflow preventer when a valve is located downstream from the backflow preventer.
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Item No.:
10
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Site:
Recreational Water Facilities-All Pools and Whirlpool Spas
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Violation:
There was no automated monitoring analyzer and chart recorder installed on either the return line or on a separate line from each whirlpool spa tub and before the compensation tank. There were also no automated analyzers or chart recorders installed from either pool prior to the compensation tanks.
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Recommendation:
Install chart recorders or electronic data loggers with security features that record pH and halogen measurements for each individual RWF. Ensure the sample line for the analyzer probe (monitoring) is either directly from the RWF or on the return line from each RWF and before the compensation tank. Install appropriate sample taps for analyzer calibration. In the event of equipment failure, measure free residual halogen and pH by a manual test kit at the RWF or return line at least hourly for whirlpool spas, spa pools, children?s pools, and wading pools and every 4 hours for all other RWFs. Record manual readings on a chart or log, retain for at least 12 months, and ensure that they are available for review during inspections. Complete repairs on malfunctioning halogen analyzer-chart recorders within 30 days of equipment failure. Provide an audible alarm in a continuously occupied watch station to indicate low and high free halogen and pH readings in each RWF.
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Item No.:
10
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Site:
Recreational Water Facilities-Terrace and Calypso Pools
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Violation:
The shepherds hook for each of the pools was a telescoping type.
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Recommendation:
Provide a rescue or shepherd?s hook and an approved flotation device at a prominent location (visible from the full perimeter of the pool) at each RWF that has a depth of 1 meter (3 feet) or greater. Mount these devices in a manner that allows for easy access during an emergency. Ensure the pole of the rescue or shepherd?s hook is long enough to reach the center of the deepest portion of the pool from the side plus 2 feet. Ensure it is a light, strong, nontelescoping material with rounded, nonsharp ends. Ensure the approved flotation device includes an attached rope that is at least 2/3 of the maximum pool width.
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Item No.:
10
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Site:
Recreational Water Facilities-Antientrapment Drains and Suction Covers
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Violation:
The terrace and calypso pools had dual gravity drains with non-compliant covers, and no alarms installed at the pool deck and the bridge or engine control room. The whirlpool spas had single gravity drains in the floor of the tubs which were not compliant with ASME A112.19.8. Additionally, the dual suction covers on the side walls of each whirlpool spa were also not compliant with A112.19.8.
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Recommendation:
For RWFs with gravity drainage and multiple drains (2 or more drains greater than 3 feet apart), provide either a standard design (not compliant with ASME A112.19.8) drain cover and an alarm, or an ASME A112.19.8 compliant antientrapment/antientanglement drain cover. Ensure the alarm is audible and sounds in both a continuously manned space and at the RWF. Ensure this alarm is for all draining: accidental, routine, and emergency. For RWFs with gravity drainage and a single unblockable drain (per ASME A112.19.8), provide either a standard design (not compliant with ASME A112.19.8) drain cover and an alarm, or an ASME A112.19.8 compliant antientrapment/antientanglement drain cover. Ensure the alarm is audible and sounds in both a continuously manned space and at the RWF. Ensure this alarm is for all draining: accidental, routine, and emergency. For RWFs with suction fittings and a single blockable drain or multiple drains (less than 3 feet apart), provide an ASME A112.19.8 compliant antientrapment/antientanglement drain cover and a safety vacuum release system or automatic pump shut-off system.
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Item No.:
11
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Site:
Medical-Crew GI Illness Reporting
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Violation:
A new crew member boarded the ship on 6 May, 2012 who developed gastrointestinal (GI) illness symptoms at 4 am on 5 May. The crew member did not declare their symptoms on the pre-boarding crew illness questionnaire and did not report to the medical center until 5:30 pm on 6 May.
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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.:
16
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Site:
Dining Room-Consumer Advisories
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Violation:
Animal-derived foods are served at different meal services by order of the guest or by recipe undercooked and the menus have not been updated yet with consumer advisories and the asterisk at each food served in an undercooked form.
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Recommendation:
If an animal food such as beef, eggs, fish, lamb, milk, pork, poultry, or shellfish that is raw, undercooked, or not otherwise processed to eliminate pathogens is offered in a ready-to-eat form or as a raw ingredient in another ready-to-eat food, ensure the consumer is informed by way of disclosure using menu advisories, placards, or other easily visible written means of the significantly increased risk to certain especially vulnerable consumers eating such foods in raw or undercooked form. Locate the advisory at the outlets where these types of food are served. Ensure that raw shell egg preparations are not used in uncooked products as described in section 7.3.3.2.3. Ensure that disclosure is made by one of the two following methods: (1) On a sign describing the animal-derived foods (e.g., ?oysters on the half-shell,? ?hamburgers,? ?steaks,? or ?eggs?); AND that they can be cooked to order and may be served raw or undercooked; AND a statement indicating that consuming raw or undercooked meats, seafood, shellfish, eggs, milk, poultry may increase your risk for foodborne illness, especially if you have certain medical conditions. Ensure the advisory is posted at the specific station where the food is served raw, undercooked, or cooked to order OR (2) On a menu using an asterisk at the animal-derived foods requiring disclosure and a footnote with a statement indicating that consuming raw or undercooked meats, seafood, shellfish, eggs, milk, or poultry may increase your risk for foodborne illness, especially if you have certain medical conditions.
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Item No.:
21
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Site:
Food Service General-Galleys and Other Food Areas
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Violation:
In the various galleys and other food areas listed there were one or more undercounter reach-in refrigerator doors were warped and did not fully close along the lower half when the door was shut. The undercounter refrigerators were as follows: deck 5 galley - pastry #51311 - four of six doors and 51313 - three of six doors, fruit pantry - #50218 - two doors and #50215 - two doors, deck 6 galley - pasta section #60024 - one of two doors and opposite the soup kettles - one of three doors, horizon court - port #140602 door 08 of three and #140608 both doors, hamburger bar - left of two doors on #14301, and on the starboard side the right door on the two door undercounter refrigerator.
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Recommendation:
Ensure nonfood contact equipment is maintained in good repair and proper adjustment including: (1) Equipment maintained in a state of repair and condition that meets the materials, design, construction, and operation specifications of these guidelines; (2) Equipment components such as doors, seals, hinges, fasteners, and kick plates are kept intact, tight, and adjusted in accordance with manufacturer's specifications.
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Item No.:
27
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Site:
Buffet-Horizon Court - Port
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Violation:
The top exterior of the two juice dispensers were coated with a layer of dust debris at the beginning of the dinner 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.:
36
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Site:
Galley-Deck 5 Galley - Pot Wash
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Violation:
The artificial light level behind the pot wash machine was below the minimum 110 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:
Pantry-Deck Pantries - All
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Violation:
There were different light arrangements in the pantries in the area of the two ice machines installed in each. Some had a light fixture behind one ice machine, while others had no light installed behind, and the artificial light level behind and beside those ice machines without an installed light was below the minimum 110 lux (10 foot candles).
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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.:
39
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Site:
Galley-Deck 5 Galley - Pastry
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Violation:
One live fruit fly was found on the deckhead near the dough sheeter during 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.:
41
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Site:
Housekeeping-Outbreak Prevention and Response Plan (OPRP)
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Violation:
The electronic OPRP listed no procedure for the notification to embarking passengers in the event of a GI illness outbreak on the previous voyage. There was also no notification procedure for those passengers embarking as part of a segmented voyage where an outbreak was occurring on that voyage.
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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-Engine Room Crew Toilet
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Violation:
The crew toilet in the engine room did not have a sign posted advising use of paper towel to open the door upon exit.
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Recommendation:
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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