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Item No.:
02
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Site:
Medical-Acute Gastroenteritis Surveillance Log
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Violation:
The acute gastroenteritis (AGE) surveillance log indicated a photographer had an onset of AGE symptoms on 16 June at 23:00. His symptoms included diarrhea and vomiting, but he was listed as non-reportable. According to his medical documents, his onset of symptoms was that same day at 20:00 and his most recent episode of diarrhea or vomiting was at 23:00. The information on the AGE surveillance log and this patient's medical documents did not match, but he was properly reported as an AGE reportable case.
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Recommendation:
Ensure the AGE surveillance log includes accurate information, to include symptom onset and reporting time and reportable or nonreportable case count, as compared to a person's medical documents.
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Item No.:
08
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Site:
Potable Water-
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Violation:
There were no backflow prevention devices installed on the shower hoses in the stand-up shower stalls of the newly renovated cabins on deck 12. The shower hoses were able to touch the deck.
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Recommendation:
Install a noncontinuous pressure backflow prevention device on the shower hose in each of the stand-up shower stalls.
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Item No.:
10
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Site:
Recreational Water Facilities-Sample Lines
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Violation:
The sample lines for the electronic data loggers for all of the recreational water facilities were located after the compensation tank.
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Recommendation:
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.
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Item No.:
10
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Site:
Recreational Water Facilities-Swimming Pool Antientrapment
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Violation:
Each swimming pool had two or more gravity drains greater than three feet apart constructed of a standard design and no alarms were installed. The purchase order indicated new drain covers were ordered on 5 July and were scheduled to be delivered on 9 July.
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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.
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Item No.:
10
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Site:
Recreational Water Facilities-Water Chemistry
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Violation:
The staff was not monitoring the combined chlorine for the recreational water facilities.
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Recommendation:
Monitor and adjust the RWF's flow rates, free and combined halogen levels, pH, total alkalinity, and clarity as recommended by the manufacturer and to maintain optimum public health protection and water chemistry.
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Item No.:
19
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Site:
Other-Deck 2 Stairway
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Violation:
A trolley of six plastic bins of cut vegetables was stored in the stairway leading to the forward hotel stores.
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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.
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Item No.:
20
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Site:
Galley-Deck 12 Hot Line
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Violation:
The counter-mounted dough press, next to the tilting brazing pan and the tilting kettle, had numerous spots of pitting on the food-contact area of the metal press.
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Recommendation:
Ensure multiuse food-contact surfaces are: (1) Smooth; (2) Free of breaks, open seams greater than 0.8 mm (1/32 inch), cracks, chips, inclusions, pits, and similar imperfections.
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Item No.:
21
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Site:
Food Service General-Beverage Stations
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Violation:
There was a gap where the juice dispensing lines of the counter-mounted four-button juice dispensing tower penetrated the counter. In addition, the black insulation on the dispensing lines was loose, making cleaning difficult. These dispensers were located in the Market Cafe, Crew Mess, and Staff Mess.
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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.:
21
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Site:
Buffet-Service Line
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Violation:
The door gaskets on refrigerator #4 were loose and did not make a tight seal.
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Recommendation:
Repair or replace the loose door gaskets.
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Item No.:
22
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Site:
Galley-Warewash Area
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Violation:
The final sanitizing rinse temperature gauge of the in-use flight-type warewash machine was out of calibration. The gauge indicated 170F. However, when the final sanitizing rinse manifold was tested using a heat sensitive wax crayon (182F), the wax melted, indicating the manifold temperature was at least 182F.
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Recommendation:
Ensure water temperature-measuring devices are scaled: (1) in Celsius or dually scaled in Celsius and Fahrenheit are designed to be accurate to within 1.5C (within 3F) in the intended range of use; (2) only in Fahrenheit are designed to be accurate to within 3F in the intended range of use. 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.:
24
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Site:
Galley-Deck 12 Starboard Warewash Area
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Violation:
The final sanitizing rinse temperature of the in-use flight-type warewash machine measured less than 160F by the inspector's thermal label located at the utensil surface. The final sanitizing rinse temperature gauge indicated the temperature was 165F.
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Recommendation:
In a mechanical operation, ensure the temperature of the fresh hot water sanitizing rinse as it enters the manifold is not more than 90C (194F) or less than: (1) 74C (165F) for a stationary rack, single-temperature machine; (2) 82C (180F) for all other machines. Ensure the utensil surface temperature is not less than 71C (160F) as measured by an irreversible registering temperature indicator.
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Item No.:
26
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Site:
Galley-Deck 12 Market Cafe
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Violation:
The stainless steel louver/grate along the top interior of the time control refrigerator located between the hot galley and the corridor was soiled with a sticky brown residue.
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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:
Food Service General-Beverage Stations
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Violation:
The inside of the juice dispensing nozzles of the counter-mounted four-button juice dispensing towers were soiled with juice residue and a black sticky substance.
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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-Deck 6 La Cucina
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Violation:
The previously-cleaned flat grill was soiled with food residue and grease.
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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-Deck 6 LaCucina Show Galley
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Violation:
The previously cleaned flat grill and groove griddle was soiled with food residue and grease.
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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:
Galley-Deck 6 La Cucina
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Violation:
The nonfood-contact area of the hot plate next to the small counter-mounted stacked oven was corroded.
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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:
Food Service General-Beverage Stations
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Violation:
The juice dispensing lines from the juice concentrate machine located in the technical compartments leading to the counter-mounted juice dispensing towers were soiled with old juice and a black residue.
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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:
Other-Deck 3 Staircase 40
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Violation:
A cart of empty stainless steel containers, plastic containers, and an uncovered container of plastic spoons was stored in the corridor of deck 3 staircase 40.
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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.
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Item No.:
28
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Site:
Other-Deck 2 Stairway
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Violation:
Three boxes of food equipment was stored on the deck in the stairway leading to the forward hotel stores.
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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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Item No.:
33
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Site:
Buffet-Deck 12 Aft Starboard Beverage Station
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Violation:
The deck drain in the technical compartment of the beverage station at the juice machine was soiled with sticky juice residue, dust, and a black material.
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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.:
34
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Site:
Provisions-Poultry Cold Room
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Violation:
Water leaked from the deckhead hatch. No food items were impacted.
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Recommendation:
Ensure the plumbing system in a food area is maintained in good repair.
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Item No.:
36
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Site:
Buffet-Beverage Counters
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Violation:
The light intensity was below 110 lux behind and around many pieces of deck- and counter-mounted equipment. This was observed at the ice machines, bulk milk dispensers, coffee makers, and the soft-serve ice cream machine.
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Recommendation:
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.:
37
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Site:
Galley-Deck 12 Hot Line
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Violation:
Condensation was on the ventilation hood above the two deck-mounted combination ovens.
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Recommendation:
Ensure ventilation hood systems and devices operate effectively to prevent grease and condensate from collecting on the bulkheads and deckheads and remove contaminants generated by equipment located under them.
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Item No.:
38
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Site:
Preparation Room-
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Violation:
Staff stated the hamburger patty maker had been out of service for several months and would not be used in the future.
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Recommendation:
Ensure only articles necessary for the food service operation are stored in food preparation, food storage, and warewashing areas.
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Item No.:
40
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Site:
Integrated Pest Management-Follow-Up Results
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Violation:
The integrated pest management logs did not indicate the results of follow-up inspections when pests were noted during an inspection.
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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
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Site:
Housekeeping-Outbreak Prevention and Response Plan
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Violation:
The outbreak prevention and response plan did not include procedures for informing passengers and crew embarking the vessel following an outbreak 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: (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.:
42
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Site:
Children Area-
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Violation:
In the 2-5 year old's toilet room, the height of the child-size toilet was greater than 280 millimeters (11 inches) and there was no step stool available for the toilet.
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Recommendation:
Ensure child-size toilets (to include the toilet seat) have a maximum height of 280 millimeters (11 inches) and a toilet seat opening no greater than 203 millimeters (8 inches).
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Item No.:
43
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Site:
Ventilation-Air Handling Units
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Violation:
Staff stated that technical water was used to clean the HVAC distribution systems.
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Recommendation:
Use only potable water for cleaning HVAC distribution systems.
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