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Item No.:
02
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Site:
Medical-Acute Gastroenteritis (AGE) Surveillance Log
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Violation:
The AGE surveillance log could not be exported into a spreadsheet with the required information in the exact order as Annex 13.2.2 of the 2011 VSP 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.:
06
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Site:
Potable Water-Distant Point Halogen Analyzer Charts
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Violation:
Halogen levels for 7 June and 8 June were recorded on a single chart. Halogen levels for 19 August and 20 August were also recorded on a single chart. There was also a chart with no date or signature located between the charts for 20 June and 22 June.
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Recommendation:
Ensure the halogen analyzer-chart recorder charts have a range of 0.0 to 5.0 mg/L (ppm) and have a recording period of (and limited to) 24 hours. Change, initial, and date halogen analyzer-chart recorder charts daily. Ensure the charts contain notations of any unusual events in the potable water system.
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Item No.:
08
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Site:
Potable Water-Distillate & Permeate Water Lines
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Violation:
The distillate water lines from the evaporators to the potable water halogenation station and the permeate water lines from the reverse osmosis plant to the potable water halogenation station were not striped or painted in accordance with ISO 14726 standards (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).
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Item No.:
10
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Site:
Recreational Water Facilities-Water Chemistry
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Violation:
The flow rates for the forward pool and the Solarium pool were not monitored because the flow meters were defective. New flow meters were ordered. In addition, the RWF's combined halogen levels were not monitored.
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Recommendation:
Replace the flow meters. 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.:
10
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Site:
Recreational Water Facilities-Safety Signs
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Violation:
The safety signs at the pools and whirlpools had no bather load information. In addition, the safety sign for the children's splash pool did not contain all elements of the sign requirements per the 2011 VSP Operations Manual.
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Recommendation:
Ensure the signs, at a minimum, include the following words: (1) do not use these facilities if you are experiencing diarrhea, vomiting, or fever; (2) no children in diapers or who are not toilet trained; (3) shower before entering the facility; and (4) bather load #. For children's RWF signs, include the exact wording "TAKE CHILDREN ON FREQUENT BATHROOM BREAKS" or "TAKE CHILDREN ON FREQUENT TOILET BREAKS."
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Item No.:
10
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Site:
Recreational Water Facilities-Whirlpool Shock Halogenation
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Violation:
The free residual halogen concentration was not recorded at the start and completion of each shock halogenation.
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Recommendation:
Increase the free residual halogen to at least 10.0 mg/L (ppm) and circulate for at least 1 hour every 24 hours. Test the free residual halogen both at the start and completion of shock halogenation. Superhalogenate the water in the entire RWF system to 10 ppm to include the whirlpool spa/spa pool tub, compensation tank, filter housing, and all associated piping before starting the 1-hour timing.
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Item No.:
10
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Site:
Recreational Water Facilities-Antientrapment/Antientanglement Requirements
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Violation:
The forward pool and Solarium pool had gravity drains more than 3 feet apart but no antientrapment drain covers or audible alarms for draining of the pools. New drain covers were planned to be installed in the upcoming weeks.
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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-Solarium Pool Safety Sign
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Violation:
The pool safety sign was installed in a location where it was blocked by lounge chairs.
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Recommendation:
Install the safety sign where it can be visible at all times.
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Item No.:
16
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Site:
Food Service General-Time Control Plans
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Violation:
The set-up times for foods were not specified on the ship's time control plans for buffets.
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Recommendation:
Maintain a written time control plan(s) that ensures compliance with these guidelines on the vessel and make it available for review during inspections. Post a time control plan at each outlet where time control is used. Ensure that plans include set-up and discard times for each outlet.
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Item No.:
17
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Site:
Galley-Hot Galley
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Violation:
A 6-inch pan of galley prepared pepper sauce that was filled 2/3 of its depth was placed in the blast chiller at 5:18 AM with an initial temperature recorded as 43°F according to the log. At 9:15 AM during the inspection, internal temperatures of the sauce were found to range from 46°F to 51°F, as verified by the staff's and inspector's thermometers. The product was discarded.
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Recommendation:
Ensure cooling is accomplished using one or more of the following methods based on the type of food being cooled: (1) Placing the food in shallow pans; (2) Separating the food into smaller or thinner portions; (3) Using blast coolers, freezers, or other rapid cooling equipment; (4) Stirring the food in a container placed in an ice water bath; (5) Using containers that facilitate heat transfer; (6) Adding ice as an ingredient; or (7) Other effective methods. When placed in cooling or cold-holding equipment, ensure food containers in which food is being cooled are arranged in the equipment to provide maximum heat transfer through the container walls and loosely covered-or uncovered if protected from overhead contamination-during the cooling period to facilitate heat transfer from the surface of the food.
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Item No.:
19
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Site:
Provisions-Freezer
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Violation:
Cartons of several different types of frozen vegetables were covered with ice. Crew explained that it was probably from the freezer cleaning operation.
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Recommendation:
Ensure that food remains protected from contamination during and after cleaning operations.
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Item No.:
19
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Site:
Bar-Deck 9 - Pool Bar
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Violation:
Both ice service bins had the lids open exposing the ice to possible contamination. The ice service bins were not in use at the time of the inspection.
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Recommendation:
Protect food from contamination by storing the food covered or otherwise protected.
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Item No.:
20
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Site:
Galley-Deck 4 - Pastry
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Violation:
A cutting board had very rough surfaces, making it difficult to clean.
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Recommendation:
Ensure surfaces such as cutting boards that are subject to scratching and scoring are resurfaced if they no longer can be effectively cleaned and sanitized, or discarded if they are not capable of being resurfaced.
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Item No.:
26
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Site:
Galley-Deck 4 - Pastry
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Violation:
A previously cleaned pie shell press was soiled with dried dough. Also, the head of a previously cleaned counter-mounted mixer was soiled with old food debris.
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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:
Bar-Deck 9 - Pool Bar
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Violation:
The inside of the previously cleaned draft beer tap was soiled with old food 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:
Bar-Deck 6 - Latitudes Bar
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Violation:
The lid of a previously cleaned coffee carafe was soiled with soapy water 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:
Preparation Room-
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Violation:
The interior of a previously cleaned food processor was soiled with dried food particles.
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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 5 - Hot Galley
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Violation:
There was old food residue around the grease chute on the underside of a previously cleaned grill.
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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:
Galley-Deck 6 - Chops - Hot Galley
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Violation:
There was old food residue around the grease chute on the underside of a previously cleaned grill.
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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:
Bar-Fuel
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Violation:
There was a tray with clean drinking cups stored in storage locker 10202 next to the bar. The tray was placed on top of plastic containers used by the children's center to store toys. This locker also had the bar's audio equipment.
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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:
Galley-Hot Galley
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Violation:
Between kettles, a bulkhead profile strip was loose creating a gap.
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Recommendation:
Ensure bulkheads in food preparation areas are maintained in good repair.
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Item No.:
36
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Site:
Food Service General-Lighting
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Violation:
The light intensity behind and around many pieces of counter-mounted and deck-mounted equipment was less than 110 lux in the food areas. A comprehensive lighting survey was conducted by the ship's staff and plans were developed to complete the remaining work in the upcoming weeks.
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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.:
40
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Site:
Integrated Pest Management-Mooring Lines
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Violation:
Not all mooring lines were protected with rat guards.
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Recommendation:
Install rat guards on the mooring lines.
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Item No.:
40
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Site:
Integrated Pest Management-Follow-up Inspections
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Violation:
The integrated pest management log did not include follow-up inspection results.
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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-Public Toilets
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Violation:
The passenger public toilets did not have a sign advising users to wash their hands. In addition, the restroom in the bridge had no sign advising users to use a hand towel, paper towel, or tissue to open the door.
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Recommendation:
Provide the passenger and crew public toilets with a handwashing station that includes a sign advising users to wash hands. 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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Item No.:
42
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Site:
Children Area-
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Violation:
The water temperature at the handwashing sink inside the children's toilet room could be adjusted to greater than 110°F. The temperature was measured at 126°F.
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Recommendation:
Ensure the maximum water temperature for a handwashing station does not exceed 43°C (110°F).
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