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Item No.:
02
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Site:
Medical-Acute Gastroenteritis Logs (AGE)
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Violation:
There was an 8 hour discrepancy in the report times to medical between the AGE logs and the actual report times annotated on the handwritten patient record. The medical staff was aware of this problem and had already reported this computer program issue to management and continued follow-up with discussion with corporate while the inspector was on board was on board.
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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:
Pantry-Forward Deck 9 and Port Deck Starboard Housekeeping Ice Machines
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Violation:
The potable water line on the ice machine had a single check backflow preventer installed on the line. Since the ice machine is used over 12 hours in a day, a continuous pressure device is required.
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Recommendation:
Install a continuous pressure-type backflow preventer when a valve is located downstream from the backflow preventer. Install a backflow prevention device for continous pressure on the water supply line.
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Item No.:
10
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Site:
Recreational Water Facilities-Main and Aft Pool Records
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Violation:
Many of the pool records showed that the halogen residual levels in the pools were below 1.0 ppm for 1-2 hours in the evenings between 1500 to 1900. Staff explained this happened when the pools shift from recirculation mode to sea-to-sea mode. Staff explained they switched to sea-to sea for a short time to change the water. The times for switchover from recirculation to sea-to-sea mode were not recorded on any logs or charts and no notations were documented to indicate why the halogen residual levels were below 1.0 ppm. Staff was extremely knowledgeable about when the pools were switched to sea-to-sea mode, but this was not documented. The halogen residual average over 4 hours was above 1.0 ppm during these periods when the pool was open.
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Recommendation:
Ensure logs and charts contain notations outlining actions taken when the free halogen residual or pH levels are outside of the acceptable ranges in this manual.
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Item No.:
10
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Site:
Recreational Water Facilities-Aft Pool Record
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Violation:
On June 12, the Aft Pool record showed a halogen residual above 5 ppm for 15 minutes between 1000-1100, and no notations were recorded to indicate the reason the pool was outside of the acceptable range.
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Recommendation:
Ensure logs and charts contain notations outlining actions taken when the free halogen residual or pH levels are outside of the acceptable ranges in this manual. Additionally, ensure the records include any major maintenance work on the filtration and halogenation systems and UV disinfection systems. Ensure a written or electronic log of RWF filter inspection results, granular filter sedimentation test results, backwashing frequency and length of backwashing, and date and time of water dumping is available for review during inspections.
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Item No.:
10
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Site:
Recreational Water Facilities-Waterpark Records
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Violation:
On April 11th, the records for recirculation mode and Slides B and C showed that the halogen residual levels were above 5 ppm from 0945-1015, and no notations were recorded.
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Recommendation:
Ensure logs and charts contain notations outlining actions taken when the free halogen residual or pH levels are outside of the acceptable ranges in this manual. Additionally, ensure the records include any major maintenance work on the filtration and halogenation systems and UV disinfection systems. Ensure a written or electronic log of RWF filter inspection results, granular filter sedimentation test results, backwashing frequency and length of backwashing, and date and time of water dumping is available for review during inspections.
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Item No.:
19
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Site:
Preparation Room-Cooler
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Violation:
During provisioning, two heavily soiled wooden pallets were stored resting against two different containers of cantaloupes. No one was actively moving produce in the area at the time of inspection.
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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; and (4) At least 15 centimeters (6 inches) above the deck.
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Item No.:
19
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Site:
Buffet-Tandor
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Violation:
Water was observed dripping onto food on the hot buffet line and the rain was so strong that it was blowing the water on the hot foods. A passenger was observed taking food from the line. A manager instructed the food employees to shut down the line prior to the passenger taking food, but the food employees did not shut down the line until another manager came up to approve shutting down the outlet. It was discussed if food employees observed food contamination, such as dripping onto food from a deckhead, rain, or other source of contamination, the food employees should take immediate action to discard the food and not wait for approval to discard food items or shut down a food line.
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Recommendation:
During preparation, ensure unpackaged food is protected from environmental sources of contamination such as rain. 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; and (4) At least 15 centimeters (6 inches) above the deck. Protect food from contamination that may result from a physical, chemical, biological origin.
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Item No.:
20
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Site:
Galley-Center Galley
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Violation:
Room 50 walk in refrigerator was not in service during the inspection. There was an out of order sign posted. The work order was placed three days prior to the inspection.
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Recommendation:
Food contact equipment must be maintained in good repair and proper adjustment: (1) Equipment must be maintained in a state of repair and condition that meets the materials, design, construction, and operating specifications of these guidelines; and (2) Cutting or piercing parts of can openers must be kept sharp to minimize the creation of metal fragments that can contaminate food when the container is opened.
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Item No.:
22
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Site:
Buffet-Lido Extension Galley
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Violation:
The dishwasher was not working at the time of the inspection. The staff engineer stated that the machine had stopped working earlier in the morning of the inspection. Crew members were working on the machine during the inspection. Soiled dishes from breakfast were being sent to another dishwasher in the galley.
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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; (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:
Buffet-Lido Pot wash
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Violation:
The potwash machine was not in service at the time of the inspection. Staff stated that a breaker kept triggering and shutting off the machine. The inspector revisited the potwash area 30 minutes after the initial inspection and the machine was working. The inspector stayed in the area for another 30 minutes and inspected the bar areas, then came back to the potwash machine and it was working. Staff stated that they had replaced the breaker and the machine was working consistently. During the down time, staff made sure the soiled pots were stacked and stored appropriately.
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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; (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-Dishwash
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Violation:
The final spray rinse pattern was noticeably weak in conveyor plate washer #86551086 potentially not effectively spraying all of the plate surfaces and a leak was observed where the spray manifold connects to the dishwasher. However, the final rinse temperature was measured at 167F. This was quickly repaired.
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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; (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.:
26
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Site:
Dining Room-Modern Dining Room
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Violation:
The water recirculation bath had an excess of black sediment in the ice maker unit. Staff stated that new machines are being requested.
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Recommendation:
Ensure food only contacts surfaces of equipment and utensils that are cleaned and sanitized.
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Item No.:
26
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Site:
Buffet-Mongolian Area
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Violation:
The ice machine had an excess accumulation of black debris in the recirculating water bath.
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Recommendation:
Ensure food only contacts surfaces of equipment and utensils that are cleaned and sanitized.
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Item No.:
27
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Site:
Dining Room-Modern Dining Room
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Violation:
Several stacks of plates and plate covers were stored in appropriate holding carts and inverted in the restaurant prior to dinner serving. However, the top plate on five of the stacks were soiled on the bottom/inverted side with some type of a film. The plates were removed and sent to the dishwasher. Staff stated that the entire group of plates are routinely washed prior to 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.:
28
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Site:
Buffet-Tandor
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Violation:
During a rain downpour, water was pooled on the inverted plates next to the self-service buffet on the food service counters, and on top of the sneeze guard. These plates were removed immediately.
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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.:
32
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Site:
Galley-Galley Entrance
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Violation:
The handwash adjacent to door SD3.083 contained a partial carton of chocolate milk that was disposed of in the paper waste bin. This food debris was uncovered allowing a potential location for pest harborage.
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Recommendation:
Ensure receptacles and waste-handling containers for refuse and recyclables and for use with materials containing food residue are insect and rodent resistant and have tight-fitting lids.
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Item No.:
33
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Site:
Galley-Blue Iguana
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Violation:
The fire shutter control box above the hot grill area had an excess accumulation rust and grease on the front and undersides. Also, there were gaps on either side of the box that created areas difficult to clean.
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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. 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.
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Item No.:
33
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Site:
Buffet-Mongolian Area
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Violation:
Three panels on the deckhead above the beverage station had an excess of accumulation of grease and dust.
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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.:
33
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Site:
Dining Room-Modern Dining Room
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Violation:
Five pieces of glass were found on the deck inside the pantry. Staff stated a glass had broken earlier on the deck.
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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.:
33
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Site:
Buffet-Lido Coffee Station
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Violation:
Three deckhead panels above the coffee station were bent, creating an area difficult to clean.
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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.
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Item No.:
33
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Site:
Buffet-Lido Extension Galley
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Violation:
Water was steadily dripping from Fire alarm #B0925 mounted on the deckhead. The staff engineer stated that the water was coming from piping above the deckhead.
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Recommendation:
Ensure decks, bulkheads, and deckheads in food preparation, warewashing, pantries, and storage areas are maintained in good repair.
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Item No.:
33
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Site:
Buffet-Lido Center Galley
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Violation:
The door tracks of an elevator adjacent to the combination oven had more than a days' worth of food debris accumulated in the door tracks.
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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:
Galley-Dishwash
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Violation:
Water was dripping from a ventilation duct across from machine P86009248. Upon examination this was found to be attributed to a leaking fresh water line that was quickly repaired.
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Recommendation:
Ensure a plumbing system in a food area is maintained in good repair.
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Item No.:
34
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Site:
Galley-Soup Kitchen
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Violation:
While the area was in operation water was leaking from a plumbing fixture beside kettle M10163332 and a second leak on the adjacent kettle. Both leaks were channeled onto the deck drain.
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Recommendation:
Ensure a plumbing system in a food area is maintained in good repair.
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Item No.:
39
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Site:
Galley-Preparation Counter
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Violation:
A crawling insect was observed on the bulkhead above the sign for the Steakhouse Equipment Status. The insect did not resemble a tri-segmented ant.
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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.:
39
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Site:
Galley-Dishwash
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Violation:
The light fixture above the handwash sink adjacent to the clean end of the conveyor dishwash contained an infestation of live fruit flies greater than 10 insects.
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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.:
39
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Site:
Preparation Room-Knife Locker
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Violation:
One fruit fly was observed above the knife locker. The area was not in service.
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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.:
39
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Site:
Galley-Blue Iguana
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Violation:
One fruit fly was observed in the pantry area.
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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.:
39
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Site:
Preparation Room-Potato
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Violation:
One fruit fly was observed on the deckhead in the potato preparation area. The area was not in operation.
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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.:
40
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Site:
Buffet-Mongolian Area
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Violation:
The two electric fly traps behind the cooking area had over 100 dead flies on the glue trap board and on the electric light. The glue trap boards and logs stated that the glue trap boards were changed on 21 June and 21 July. Staff and inspector discussed that these areas need to be checked more than once per month in this location.
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Recommendation:
Remove dead or trapped insects, rodents, and other pests from control devices and the vessel at a frequency that prevents their accumulation or decomposition or the attraction of other pests.
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Item No.:
43
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Site:
Ventilation-Station 7.9
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Violation:
The condensate collection pan was not easily accessible for inspection for Unit 792.
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Recommendation:
Ensure air handling unit condensate drain pans and collection systems are able to be accessed for inspection, maintenance, and cleaning. Install sight windows or use other effective methods to allow for full inspection of condensate collection pans when original equipment access makes evaluation during operational inspections impractical.
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Item No.:
43
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Site:
Ventilation-Station 4.1
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Violation:
A slimy white substance was in the condensate collection pan.
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Recommendation:
Keep air handling units clean.
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