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Item No.:
02
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Site:
Medical-Acute Gastroenteritis Case Definition
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Violation:
For determining an AGE case, the case definition in the electronic database did not consider underlying medical conditions or if the number of diarrhea episodes was normal for the individual.
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Recommendation:
Ensure a reportable case of AGE is a case reported to the master of the vessel, the medical staff, or other designated staff by a passenger or a crew member and meets the case definition based on the following symptoms: (1) Diarrhea (three or more episodes of loose stools in a 24 hour period or what is above normal for the individual. See section 4.1.2.1.3, illness symptoms); or (2) vomiting and one additional symptom including one or more episodes of loose stools in a 24-hour period, or abdominal cramps, or headache, or muscle aches, or fever (temperature of greater than or equal to 38C [100.4F]).
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Item No.:
02
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Site:
Medical-Acute Gastroenteritis Surveillance Log
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Violation:
The log did not include all of the information in the exact order as specified in the 2011 Operations Manual.
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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-Whirlpool Machinery Rooms
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Violation:
The recirculated water lines for the whirlpools were striped blue/gray/blue.
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Recommendation:
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.
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Item No.:
08
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Site:
Potable Water-Tank Maintenance Records
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Violation:
The records indicated that after tank disinfection the water in the tanks was less than 5 ppm chlorine before being put back into service, but the actual chlorine level was not recorded.
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Recommendation:
Maintain documentation of all inspections, maintenance, cleaning, and disinfection for 12 months and ensure it is available for review during inspections. Ensure records include a method of disinfection, concentration and contact time of the disinfectant, and a halogen value of less than or equal to 5 ppm before the tank is put back into service.
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Item No.:
08
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Site:
Bar-Oceanview
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Violation:
The backflow prevention device on the carbonator for the soda dispenser was leaking from the intermediate atmospheric vent. Evidence of corrosion from the carbonated water was evident on the valve and the rusted surfaces of the carbonator frame below, indicating this had been a long standing problem. In addition, the backflow prevention device on the main potable water supply line to the soda multi-flow system was leaking and had evidence of copper leachate in the staining of the line below it.
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Recommendation:
Maintain backflow prevention devices in good repair. Inspect backflow prevention devices periodically and replace any failed units.
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Item No.:
10
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Site:
Recreational Water Facilities-Pool Sand Filters
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Violation:
The sand filters for the aft, forward and hydro pools were not equipped with sight glasses to ensure the water ran clear during backwashing. According to the staff, a team will be on board the vessel in August to modify the recreational water facilities for compliance with the 2011 Operations Manual.
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Recommendation:
Backwash granular filter media until the water viewed through a sight glass runs clear.
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Item No.:
10
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Site:
Recreational Water Facilities-Filter Housings, and Hair and Lint Strainers and Housings
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Violation:
The documentation indicated that the cartridge filter housings were cleaned and disinfected according to the procedures when the cartridge was changed, but the documentation did not include the concentration or contact time of the disinfectant. In addition, the documentation indicated that the hair and lint strainers and housings were cleaned, rinsed, and disinfected, but the documentation did not include the concentration or contact time of the disinfectant.
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Recommendation:
Clean, rinse, and disinfect the filter housing before the new filter media is placed in it. Ensure disinfection is accomplished with an appropriate halogen-based disinfectant. At a minimum, use a 50-ppm solution for 1 minute, or equivalent CT value. Maintain records on all inspection and cleaning procedures. Clean, rinse, and disinfect the hair and lint strainer and hair and lint strainer housing on all RWFs weekly. Ensure disinfection is accomplished with an appropriate halogen-based disinfectant. At a minimum, use a 50-ppm solution for 1 minute, or equivalent CT value. Maintain records on all inspection and cleaning procedures.
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Item No.:
10
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Site:
Recreational Water Facilities-Automated Monitoring Sample Lines
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Violation:
The sample lines for the analyzer probes were after the compensation tanks on all of the recreational water facilities. According to the staff, a team will be on board the vessel in August to modify the recreational water facilities for compliance with the 2011 Operations Manual.
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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-Automated Monitoring for Combined Whirlpools
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Violation:
The two whirlpools near the hydro pool were on one combined system and there was only one analyzer and chart recorder. The four whirlpools on the open pool deck were combined on one system and there was only one analyzer and chart recorder. According to the staff, a team will be on board the vessel in August to modify the recreational water facilities for compliance with the 2011 Operations Manual.
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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.
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Item No.:
10
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Site:
Recreational Water Facilities-Flow Meters, Turnover Rates, and Bather Loads
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Violation:
There were no flow meters installed on the recreational water facilities. The turnover rates and bather loads were calculated using the pump capacity. According to the staff, a team will be on board the vessel in August to modify the recreational water facilities for compliance with the 2011 Operations Manual.
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Recommendation:
Install flow meters and calculate turnover rates and bather loads with the rates from the flow meters.
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Item No.:
10
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Site:
Recreational Water Facilities-Whirlpool Antientrapment Protection
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Violation:
The multiple suction fittings for the massage therapy jets in each whirlpool were less than 1 meter apart and had certified covers, but there were no safety vacuum release systems or automatic pump shut-off systems installed. According to the staff, a team will be on board the vessel in August to modify the recreational water facilities for compliance with the 2011 Operations Manual.
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Recommendation:
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.:
10
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Site:
Housekeeping-Cabin Whirlpool Disinfection Log
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Violation:
The log did not include the concentration or contact time of the disinfectant.
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Recommendation:
Clean and disinfect private whirlpool spas located in individual passenger cabins, including associated recirculation systems, between occupancies or weekly, whichever is more frequent. Ensure disinfection is accomplished with an appropriate halogen-based disinfectant at 10 ppm for 60 minutes, or an equivalent CT value. Maintain a record outlining the frequency of cleaning and disinfection. Ensure the record includes the type, concentration, and contact time of the disinfectant. Retain records on the vessel for 12 months.
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Item No.:
19
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Site:
Bar-Oceanview
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Violation:
In-use bar utensils were stored in a glass of water at the service counter. The water was soiled with old beverage residue.
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Recommendation:
During pauses in food preparation or dispensing, ensure food preparation utensils are stored: (3) On a clean portion of the food preparation table or cooking equipment only if the in-use utensil and the food-contact surface of the food preparation table or cooking equipment are cleaned and sanitized at least every 4 hours; (4) In running water of sufficient velocity to flush particulates to the drain (if used with moist food such as ice cream or mashed potatoes); or (5) In a clean, protected location (if the utensils, such as ice scoops, are used only with a food that is not potentially hazardous).
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Item No.:
19
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Site:
Bar-Coffee/Cafe Al Baco
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Violation:
An open container of cocoa was on the service counter adjacent to the coffee machine.
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Recommendation:
Protect food from contamination by storing the food: (1) Covered or otherwise protected; and (3) Where it is not exposed to splash, dust, or other contamination.
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Item No.:
22
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Site:
Galley-Pot Wash
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Violation:
The automatic pot wash machine had been out of order since 7 July 2012. Spare parts had been ordered.
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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.
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Item No.:
22
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Site:
Galley-Oceanview Pot Wash
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Violation:
The wash and final rinse temperature gauge covers on the potwash machine were clouded over with condensate and the temperatures of these cycles were not readable.
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Recommendation:
Ensure a warewashing machine is equipped with a temperature-measuring device that indicates the temperature of the water in each wash tank, and rinse tank(s) if present, and the final sanitizing rinse manifold. 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.:
22
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Site:
Galley-Pot Wash
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Violation:
The wash temperature gauge on the small automatic potwash machine read a constant 174F. The actual tank temperature was 153F. The final sanitizing rinse manifold temperature gauge read a constant 238F, but the machine did not achieve sanitizing temperatures in multiple measurements and there was no steam coming from the nozzles.
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Recommendation:
Maintain warewashing equipment in good repair and proper adjustment, including: (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.:
22
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Site:
Galley-Pot Wash
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Violation:
The inboard trolley-style pot wash machine was out of order. Spare parts had been ordered.
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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.
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Item No.:
22
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Site:
Galley-Pot Wash
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Violation:
The soiled pot and pan storage extended on deck stands into the hot galley food preparation area.
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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.:
22
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Site:
Galley-Oceanview Pot Wash
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Violation:
A large deck stand with soiled pots and pans was located immediately adjacent to a counter with food preparation operations underway to the left of the grill station.
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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.:
22
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Site:
Galley-Oceanview Dishwash Area
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Violation:
The glasswash machine had been out of order since 4 June 2012. Spare parts had been ordered.
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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. For this and many other warewash machines out of repair on the ship, VSP would encourage ship staff and fleet management to institute a preventative maintenance program to reduce this frequency of occurance of warewash machines being out of order. These are critical machines for protecting the health of the passengers and crew members.
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Item No.:
24
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Site:
Galley-Pot Wash
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Violation:
The small automatic pot wash machine final sanitizing rinse was measured several times at temperatures between 152F and 157F at the utensil surface. The machine was repaired during the inspection.
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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:
Dining Room-Olympia Restuarant
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Violation:
Food soil was on three plates in the clean plate storage trolleys.
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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.:
28
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Site:
Room Service-Ice Machine
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Violation:
After removing the front panel for inspection, the lower edge of the front panel was placed directly on the deck.
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Recommendation:
Store cleaned equipment: (2) in a location where they are not exposed to splash, dust, or other contamination; and (3) at least 150 millimeters (6 inches) above the deck.
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Item No.:
28
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Site:
Pantry-Pool
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Violation:
Wet plastic glasses were stored inverted directly on the steel shelf, impeding air drying. Moisture was trapped inside.
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Recommendation:
After cleaning and sanitizing, ensure utensils are air dried or adequately drained before contact with food.
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Item No.:
33
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Site:
Room Service-
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Violation:
The water line behind the counter-mounted combination oven was heavily soiled with grease residue and dust.
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Recommendation:
Ensure attached equipment in food preparation areas are cleaned as often as necessary.
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Item No.:
33
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Site:
Dining Room-Olympia Restuarant
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Violation:
The 8-meter-wide threshold between the dining room and door to the galley had a open weave metal and fiber floor mat. The mat and the area beside and underneath the mat was heavily soiled with food debris.
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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 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-Oceanview Dishwash Area
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Violation:
A profile strip on the bulkhead behind the glasswash machine was loose.
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Recommendation:
Ensure bulkheads in warewashing areas are maintained in good repair.
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Item No.:
33
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Site:
Pantry-Oceanview Pizza Preparation
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Violation:
There was a seam in the bulkhead near the door to the service area.
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Recommendation:
Ensure bulkheads in food preparation pantries are maintained in good repair.
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Item No.:
36
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Site:
Pantry-Oceanview Pizza Preparation/Grill Station
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Violation:
The light level was less than 50 lux in the middle of the grill station area. A spotlight was hanging down above the grill and was reattached to the deckhead. The light level immediately increased to more than 220 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-Oceanview Pot Wash
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Violation:
Condensate was on the deckhead above the automatic pot washing machine.
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Recommendation:
Ensure ventilation hood systems operate effectively to prevent condensate from collecting on the deckheads and remove contaminants generated by equipment located under them.
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Item No.:
37
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Site:
Galley-Dishwash Area
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Violation:
There was heavy humidity in this area and condensate was dripping from the deckhead at both the cleaned and soiled ends of the dishwash machine. In addition, the workers in this area were perspiring heavily. No clean items were impacted.
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Recommendation:
Ensure ventilation hood systems and devices are sufficient in number and capacity to prevent grease or condensation from collecting on bulkheads and deckheads.
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Item No.:
38
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Site:
Galley-Oceanview Dishwash Area
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Violation:
Dirty mops were stored in mop buckets behind the out of order glasswash machine.
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Recommendation:
Store maintenance tools such as mops, brooms, and similar items in an orderly manner that facilitates cleaning of the area used for storing the maintenance tools.
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Item No.:
39
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Site:
Galley-Hot Galley
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Violation:
A live adult German cockroach with an egg sack and a live juvenile German cockroach were found inside the hood cleaning cabinet adjacent to the pot wash area.
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Recommendation:
Effectively control the presence of insects to minimize their presence in the food preparation and service areas and warewashing and utensil storage areas aboard a vessel.
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Item No.:
40
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Site:
Integrated Pest Management-Follow-Up
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Violation:
The logs did not include follow-up inspection results. Revised logs were available and staff stated that they would be implemented immediately.
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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.:
42
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Site:
Children Area-Handwashing StationTemperature
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Violation:
The maximum water temperature at the handwashing station was 124F in the toilet room for children 5 and under.
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Recommendation:
Ensure the maximum water temperature for a handwashing station does not exceed 43C (110F).
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Item No.:
43
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Site:
Housekeeping-Showerhead Disinfection Log
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Violation:
The log did not include the concentration or contact time of the disinfectant.
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Recommendation:
Clean and disinfect shower heads every 6 months. Disinfect with an appropriate halogen-based disinfectant at 10 ppm for 60 minutes, or an equivalent CT value. Document the concentration and contact time of the disinfectant.
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