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Item No.:
02
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Site:
Medical-Reportable Case
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Violation:
A passenger reported to the medical center on April 3 with two episodes of diarrhea and was issued antidiarrheal medication. The passenger was listed on the acute gastroenteritis surveillance log as nonreportable, but there was no information in the electronic medical database record about whether these symptoms were above 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-Immediate Contacts
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Violation:
It was not being documented that there were no additional immediate contacts for symptomatic reportable case crew members.
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Recommendation:
Document if the symptomatic crew member has no cabin mate or other immediate contact.
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Item No.:
08
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Site:
Potable Water-Engine Room Forward Sewage Treatment Port Side
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Violation:
The hot and cold potable water hose bibbs had Watts N9 backflow preventers installed, but the cross-connection control plan indicated that Watts 8 backflow preventers were installed.
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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, 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:
Potable Water-Beatry Salon Therarium Cleopatra Bath
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Violation:
The backflow preventer on the potable water line for the Cleopatra Bath did not have an air gap below the pressure relief vent.
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Recommendation:
Ensure there is an air gap below the pressure relief vent.
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Item No.:
20
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Site:
Food Service General-Ice Machines
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Violation:
Multiple ice machines throughout the food areas had openings on the inside of the cover panel which faced the cuber and ice drop. Some of the openings were solitary perforations made by screws and others were screws which had openings around them. These machines included: the deck 6 galley (both units top and bottom), the bell box (top and bottom panels) and the Provence dining room.
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Recommendation:
Materials used in the construction of multiuse utensils and food contact surfaces of equipment must be: (1) durable, corrosion resistant, and nonabsorbent; (2) sufficient in weight and thickness to withstand repeated warewashing; (3) finished to have a smooth, easily cleanable surface; and (4) resistant to pitting, chipping, crazing, scratching, scoring, distortion and decomposition.
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Item No.:
22
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Site:
Room Service-
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Violation:
The manifold of the dishwash measure via thermometer was 204F. The outside display gauge was reading 194F.
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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 Machine
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Violation:
This unit had signage indicating that it was out of order during the inspection. Staff stated that this unit had been out of order since 12 May. The staff were using three compartment sink to process the dirty dishes.
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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:
Buffet-Horizon Court Dish Wash
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Violation:
The manifold temperature measured via thermometer at the spray nozzle surface was 206F and 200F. The display gauge was reading 188F.
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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.:
24
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Site:
Room Service-
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Violation:
The manifold of the dishwash measure via thermometer was 204F. The outside display gauge was reading 194F.
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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).
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Item No.:
24
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Site:
Buffet-Horizon Court Dish Wash Machine
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Violation:
The manifold temperature measured via thermometer at the spray nozzle surface was 206F and 200F. The display gauge was reading 188F.
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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).
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Item No.:
26
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Site:
Galley-Ice Machine No. 53503A
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Violation:
There was a small accumulation of brown debris on the plastic arm that released the cuber cover. The debris was easily wiped away with an alcohol wipe.
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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.:
34
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Site:
Galley-Bain Marie - Deck 5 - Technical Space
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Violation:
The plumbing in the technical spaces on each end of the bain marie were actively leaking onto the deck and accumulated puddles under each which covered approximately 3-4 feet of an area beneath the equipment.
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Recommendation:
Ensure a plumbing system in a food area is maintained in good repair.
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