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Item No.:
02
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Site:
Medical-GI Surveillance Log
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Violation:
The existing computer generated GI surveillance logs does not contain all required information in Annex 13.2.2. (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 anti-diarrheal 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.:
03
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Site:
Potable Water-Bunkering
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Violation:
Bunkered potable water was not continuously halogenated to 2.0 mg/L free halogen residual. According to the ship's records, bunkering started at 7:20 AM. At 8:05 AM, the ship's staff and the inspector manually tested the free halogen residual with portable meters. The ship's staff manual free halogen residual was 1.53 mg/L. The inspector's portable meter measured less than 0.01 mg/L free residual halogen. A second manual test taken by the ship's staff measured 3.8 mg/L free residual halogen and the inspector measured 0.78 mg/L free residual halogen.
According to the ship's staff, potable water from the shore source was bunkered to fresh water tank number 6. The inspector took a manual test from potable water tank number 6 and measured a free halogen residual of 0.87 mg/L.
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Recommendation:
Continuously halogenate potable water to at least 2.0 mg/L (ppm) free residual halogen at the time of bunkering or production with an automatic halogenation device that is controlled by a flow meter and adjust the pH so it does not exceed 7.8. Ensure the amount of halogen injected during bunkering or production is controlled by a flow meter or a free halogen analyzer.
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Item No.:
05
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Site:
Potable Water-Far Point Analyzer
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Violation:
The free halogen residual measured by the far point analyzer was 1.71 mg/L. The ship's staff manual free halogen residual measured 0.83 mg/L. The inspector's manual free halogen residual measured 0.86 mg/L.
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Recommendation:
Ensure the free residual halogen measured by the halogen analyzer is within 0.2 mg/L (ppm) of the free residual halogen measured by the manual test.
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Item No.:
08
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Site:
Potable Water-Bunker Record
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|
Violation:
The ship's bunker record for 14 October 2011 at 8:35 AM had data in the free halogen field for the hours from 7:00 AM to 9:30 AM. The fields indicated the free halogen residual was between 2.5 and 2.7 mg/L, which did not correspond with manual readings.
The ship's potable water production record, dating as far back as the previous inspection on 27 June 2011, show the free halogen residual did not reach the minimum of 2.0 mg/L on most days while producing water.
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Recommendation:
Maintain accurate records of production and bunkering monitoring aboard for 12 months and ensure these records are available for review during inspections.
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Item No.:
08
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Site:
Potable Water-Tank Maintenance
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Violation:
Potable water tank #13 was inspected on August 8, 2011 and disinfected before re-entry; however, the level of disinfection was not documented. (2011 VSP Operations Manual)
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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.:
10
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Site:
Recreational Water Facilities-Turnover Rates
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Violation:
Turnover rates for recirculation for all pools, spa-pools and spas were not available. (2011 VSP Operations Manual)
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Recommendation:
For RWFs with skim gutters, ensure that the fill level of the RWF is to the level of the skim gutters. Design recirculation systems and equipment, including chemical control equipment, UV disinfection systems, filter, and pumps to maintain adequate water chemistry control while operating at the following minimum turnover rates: (1) swimming pool (VSP 2005 Construction Guidelines or earlier): 6 hours; (2) swimming pool (VSP 2011 Construction Guidelines or later): 4 hours; (3) children's pool: 0.5 hours; (4) wading pool: 1 hour; (5) whirlpool spa: 0.5 hours; (6) spa pool: 2 hours; (7) interactive RWF or activity pool less than 610 millimeters (24 inches) deep: 1 hour; (8) interactive RWF or activity pool greater than 610 millimeters (24 inches) deep: 2 hours; and (9) baby-only water facility: 0.5 hours. Ensure an RWF slide that is combined with a pool has a turnover rate that matches the rate for the pool.
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Item No.:
10
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Site:
Recreational Water Facilities-Bather Load
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Violation:
Documentation concerning the maximum bather load for each Recreational Water Facility (RWF) was not available at the time of the inspection. (2011 VSP Operations Manual)
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Recommendation:
Maintain documentation on the maximum bather load for each RWF. Ensure the maximum bather load is based on the following factor: one person per five gallons (19 liters) per minute of recirculation flow.
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Item No.:
10
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Site:
Recreational Water Facilities-Fecal/Vomit Accident Log
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|
Violation:
The existing fecal accident response procedure did not include how to clean-up vomit. (2011 VSP Operations Manual)
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Recommendation:
Ensure a written or electronic record is made of all accidents involving fecal material or vomit. Ensure the record includes the name of the RWF, date and time of the accident, type of accident, response steps taken, and free residual halogen level and contact time reached during disinfection. For a fecal accident, ensure the record also includes whether the fecal material was formed or loose.
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Item No.:
10
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Site:
Recreational Water Facilities-Halogen Analyzer
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|
Violation:
The automated halogen analyzer for all RWF's was not functioning properly and is not currently reliable as a standalone instrument to evaluate the water quality of the RWF's. Several of the readings did not match the manual readings taken by housekeeping staff and the probe is in the process of being repaired. Housekeeping staff is continuing to take manual readings of all RWF's until the analyzer is repaired. (2011 VSP Operations Manual)
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Recommendation:
For whirlpool spas and spa pools, ensure the analyzer probes for dosing and recording systems are capable of measuring and recording levels up to 10 mg/L (10 ppm).
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Item No.:
10
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Site:
Recreational Water Facilities-Kids Pool
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|
Violation:
The safety signs posted at the kids pool did not include the bather load and did not state 'take children on frequent bathroom breaks' or 'take children on frequent toilet breaks' (2011 VSP Operations Manual)
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Recommendation:
Provide safety signs for all RWFs, except for baby-only water facilities. 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-Spa and Swimming Pools Signage
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|
Violation:
The safety signs for the whirlpools and swimming pools do not include 'do not use these facilities if you are experiencing diarrhea, vomiting, or fever'. Only the whirlpools included the bather load but the other swimming pools did not. (2011 VSP Operations Manual)
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Recommendation:
Provide safety signs for all RWFs, except for baby-only water facilities. 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-Fecal/Vomit Accident Log
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|
Violation:
The Fecal accident log did not include separate procedures for how to clean up both formed and loose stool. (2011 VSP Operations Manual)
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|
Recommendation:
Ensure a written or electronic record is made of all accidents involving fecal material or vomit. Ensure the record includes the name of the RWF, date and time of the accident, type of accident, response steps taken, and free residual halogen level and contact time reached during disinfection. For a fecal accident, ensure the record also includes whether the fecal material was formed or loose.
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Item No.:
10
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Site:
Recreational Water Facilities-Swimming Pools/Spas
|
|
Violation:
There was no way to measure the total alkalinity in any of the recreational water facilities. (2011 VSP Operations Manual)
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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.:
10
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Site:
Recreational Water Facilities-Swimming Pools/Spas
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|
Violation:
None of the recreational water facilities have the following information stamped on each manufactured antientraptment drain cover:
-Certification standard and year
-type of drain use
-life expectancy of cover
-mounting orientation
-manufacturer name or trademark
In addition, no information could be provided to prove that the anti-entrapment drains meet the ASME A112.19.8 standard. (2011 VSP Operations Manual)
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Recommendation:
Ensure the testing of manufactured drain covers is by a nationally or internationally recognized testing laboratory. Ensure the following information is stamped on each manufactured anti-entrapment drain cover: (1) certification standard and year; (2) type of drain use (single or multiple); (3) maximum flow rate (in gallons or liters per minute); (4) type of fitting (suction outlet); (5) life expectancy of cover; (6) mounting orientation (wall, floor, or both); (7) manufacturer's name or trademark; and (8) model designation. Ensure the design of custom/shipyard constructed (field fabricated) drain covers and suction fittings is fully specified by a registered design professional in accordance with ASME A112.19.8-2007. Ensure the specifications fully address cover/grate loadings, durability, hair, finger and limb entrapment issues, cover/grate secondary layer of protection, related sump design, and features specific to the RWF. Provide a letter from the shipyard for each custom/shipyard constructed (field fabricated) drain cover fitting. At a minimum, ensure the letter specifies the shipyard, name of the vessel, specifications and dimensions of the drain cover, as well as the exact location of the RWF for which it was designed. Ensure the name of and contact information for the registered design professional and signature are on the letter.
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Item No.:
16
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|
Site:
Dining Room-Consumer Advisory
|
|
Violation:
The consumer advisory discloser for foods of animal origin that could be undercooked or served raw was not note in the menu in the main dining room. (2011 VSP Operations Manual)
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|
Recommendation:
If an animal food such as beef, eggs, fish, lamb, milk, pork, poultry, or shellfish that is raw, undercooked, or not otherwise processed to eliminate pathogens is offered in a ready-to-eat form or as a raw ingredient in another ready-to-eat food, ensure the consumer is informed by way of disclosure using menu advisories, placards, or other easily visible written means of the significantly increased risk to certain especially vulnerable consumers eating such foods in raw or undercooked form. Locate the advisory at the outlets where these types of food are served. Ensure that raw shell egg preparations are not used in uncooked products as described in section 7.3.3.2.3. Ensure that disclosure is made by one of the two following methods: (1) On a sign describing the animal-derived foods (e.g., "oysters on the half-shell," "hamburgers," "steaks," or "eggs"); AND that they can be cooked to order and may be served raw or undercooked; AND a statement indicating that consuming raw or undercooked meats, seafood, shellfish, eggs, milk, poultry may increase your risk for foodborne illness, especially if you have certain medical conditions. Ensure the advisory is posted at the specific station where the food is served raw, undercooked, or cooked to order OR (2) On a menu using an asterisk at the animal-derived foods requiring disclosure and a footnote with a statement indicating that consuming raw or undercooked meats, seafood, shellfish, eggs, milk, or poultry may increase your risk for foodborne illness, especially if you have certain medical conditions.
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Item No.:
20
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|
Site:
Buffet-Deli
|
|
Violation:
Cracks and gouges were on the food contact surface of the plastic press plate of the slicer on the left side. The cracks and gouges made cleaning difficult.
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|
Recommendation:
Replace the plastic press plate. 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; (3) Free of sharp internal angles, corners, and crevices; (4) Finished to have smooth welds and joints; and (5) Accessible for cleaning and inspection by one of the following methods without being disassembled, by disassembling without the use of tools, or by easy disassembling with the use of handheld tools commonly available to maintenance and cleaning personnel. Use only low profile, non-slotted, non-corroding, and easy-to-clean fasteners on food-contact surfaces and in splash zones. Prohibit the use of exposed slotted screws, Phillips head screws, or pop rivets in these areas.
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Item No.:
20
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|
Site:
Galley-Garde' Manager
|
|
Violation:
Numerous pits adjacent to the drain holes of the salad wash basket were difficult to clean.
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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; (3) Free of sharp internal angles, corners, and crevices; (4) Finished to have smooth welds and joints; and (5) Accessible for cleaning and inspection by one of the following methods without being disassembled, by disassembling without the use of tools, or by easy disassembling with the use of handheld tools commonly available to maintenance and cleaning personnel. Use only low profile, non-slotted, non-corroding, and easy-to-clean fasteners on food-contact surfaces and in splash zones. Prohibit the use of exposed slotted screws, Phillips head screws, or pop rivets in these areas.
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Item No.:
20
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Site:
Preparation Room-Deck 3
|
|
Violation:
Substantial wear, deep gouges and chipping was on the food contact surface of metal press plate of the food processor/slicer.
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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; (3) Free of sharp internal angles, corners, and crevices; (4) Finished to have smooth welds and joints; and (5) Accessible for cleaning and inspection by one of the following methods without being disassembled, by disassembling without the use of tools, or by easy disassembling with the use of handheld tools commonly available to maintenance and cleaning personnel. Use only low profile, non-slotted, non-corroding, and easy-to-clean fasteners on food-contact surfaces and in splash zones. Prohibit the use of exposed slotted screws, Phillips head screws, or pop rivets in these areas.
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Item No.:
21
|
|
Site:
Galley-Lido Center Galley
|
|
Violation:
A gap along the bottom edge of the three undercounter refrigerator doors prevented the doors from closing completely.
|
|
Recommendation:
Ensure non-food contact equipment is maintained in good repair and proper adjustment including: (1) Equipment maintained in a state of repair and condition that meets the materials, design, construction, and operation specifications of these guidelines; (2) Equipment components such as doors, seals, hinges, fasteners, and kick plates are kept intact, tight, and adjusted in accordance with manufacturer's specifications.
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Item No.:
23
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|
Site:
Galley-Warewash
|
|
Violation:
Food debris and residue soiled the wash, rinse and final rinse tank of the in-use flight-type warewash machine. Large pieces of food were observed along the soiled landing below the conveyor, which suggested pre-wash was ineffective.
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|
Recommendation:
Ensure food debris on equipment and utensils is scrapped over a waste disposal unit, pulper, or garbage receptacle or removed in a warewashing machine with a prewash cycle.
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Item No.:
26
|
|
Site:
Galley-Garde' Manager
|
|
Violation:
Food debris soiled the plastic press plate, the metal seam along the back plate, and the metal guard along the front immediately adjacent to the round blade.
|
|
Recommendation:
Ensure food contact surfaces of equipment and utensils are clean to sight and touch.
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Item No.:
26
|
|
Site:
Galley-Garde' Manager
|
|
Violation:
A red black substance soiled the pits and drain holes of the previously cleaned salad wash basket. In addition, black oil soiled the plastic lid where the lid attached by bearing to the stainless steel cover.
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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
|
|
Site:
Buffet-Deli
|
|
Violation:
Dried food debris and residue soiled the cracks and gouges of the food contact surface of the plastic press plate of the slicer.
|
|
Recommendation:
Ensure food contact surfaces of equipment and utensils are clean to sight and touch.
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Item No.:
26
|
|
Site:
Galley-Corridor leading to grill
|
|
Violation:
A dark brown and red sticky substance soiled the upper portion of the ice cuber, immediately below the manifold.
|
|
Recommendation:
Ensure food contact surfaces of equipment and utensils are clean to sight and touch.
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Item No.:
27
|
|
Site:
Food Service General-Ice/Water Machine Technical Compartments
|
|
Violation:
A black and brown residue soiled the technical compartments of the ice-tower dispenser of the combination ice/water machines. This was noted throughout the Lido buffet and the crew mess areas.
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|
Recommendation:
Ensure non-food-contact surfaces of equipment are kept free of an accumulation of dust, dirt, food residue, and other debris.
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Item No.:
36
|
|
Site:
Buffet-Deli
|
|
Violation:
Artificial illumination at the omelet station and along the stainless steel work counter was not sufficient.
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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.:
36
|
|
Site:
Galley-Lido Center Galley
|
|
Violation:
The artificial illumination along the right side of the stacked combination ovens at the bulkhead and deckhead was not sufficient. (2011 VSP Operations Manual)
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|
Recommendation:
Ensure the light intensity is at least 110 lux (10 foot candles) at a distance of 75 centimeters (30 inches) above the deck when in use, in walk-in refrigerator units and dry storage areas, and in other areas and rooms during periods of cleaning. 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.:
36
|
|
Site:
Galley-Soup Station / Steam Kettles
|
|
Violation:
The artificial illumination along the deck behind the stainless steel work counter was not sufficient. (2011 VSP Operations Manual) In addition, the artificial illumination along the counter surface was not sufficient. (2005 VSP Operations Manual)
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|
Recommendation:
Ensure the light intensity is at least 110 lux (10 foot candles) at a distance of 75 centimeters (30 inches) above the deck when in use, in walk-in refrigerator units and dry storage areas, and in other areas and rooms during periods of cleaning. Ensure the light intensity is at least 110 lux (10 foot candles) behind and around mounted equipment, including counter-mounted equipment. 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.:
36
|
|
Site:
Buffet-Crew Mess
|
|
Violation:
The artificial illumination at the consumer self-service beverage satiation was not sufficient.
|
|
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.:
39
|
|
Site:
Galley-Potwash
|
|
Violation:
Three live adult roaches were spotted along the deck and deck/bulkhead juncture immediately behind the in-use hood-type potwash machine. The area was in operation at the time of the inspection.
|
|
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
|
|
Site:
Preparation Room-Deck 3
|
|
Violation:
A single live fruit fly was observed along the bulkhead immediately above the preparation sink on the left side of the preparation room.
|
|
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.:
41
|
|
Site:
Housekeeping-Diaper Changing Station
|
|
Violation:
Procedures for returning the vessel to normal operating conditions following an outbreak were not in the written Outbreak Prevention and Management Procedures. (2011 VSP Operations Manual)
|
|
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: (1) Duties and responsibilities of each department and their staff for all the passenger and crew public areas; (2) Steps in outbreak management and control and the trigger for required action at each step. Ensure the triggers address a graduated approach to outbreak management in response to increasing case counts; (3) Disinfectant products or systems used, including the surfaces or items the disinfectants will be applied to, concentrations, and required contact times. Ensure the disinfectant products or systems are effective against human norovirus or an acceptable surrogate (e.g., caliciviruses); (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; (5) Procedures for returning the vessel to normal operating conditions after an outbreak; (6) Procedures to protect the passengers and crew from exposure to disinfectants, if not already included in the vessel's safety management system. Ensure this protection includes: (a) Material safety data sheets (MSDSs); (b) Personal protective equipment for crew; (c) Health and safety procedures to minimize respiratory and dermal exposures to both passengers and crew.
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Item No.:
42
|
|
Site:
Housekeeping-Diaper Changing Station
|
|
Violation:
Disinfectant was not present or available in the diaper changing station. The staff reported the chemical locker was broken, and a worker order was placed to repair or replace the locker.
|
|
Recommendation:
Include in each diaper changing station: (1) A changing table that is nonabsorbent, nontoxic, smooth, durable, easily cleanable, and designed for diaper changing; (2) A supply of disposable diapers, gloves, wipes, table cleanser, and disinfectant; (3) An airtight, soiled-diaper receptacle; and (4) An adjacent handwashing station.
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Item No.:
44
|
|
Site:
Potable Water-Calibration Bunker / Far Point
|
|
Violation:
The ship's staff erroneously used the high range selection of their portable free-halogen meter for the calibration of the free halogen analyzer at the far point and also during manual tests while bunkering water. The incorrect range selection caused false readings to display on the analyzer and on the ship's portable free halogen meter. After correctly re-calibrating the far point analyzer and the potable meter on the ship using the low range selection, the free halogen residual levels measured by the ship and the inspector were within the correct ranges and acceptable levels both at the far point and also while taking bunker samples
According to the ship's staff, the far point analyzer was calibrated by using the portable free-halogen meter in the low-range. When manual tests were taken by the inspector and the ship's staff, there was a substantial variation between the reading of free halogen at the analyzer and the portable meters that ranged from 0.85 to 0.88 mg/L .
|
|
Recommendation:
Ensure the supervisor or person in charge of potable water operations on the vessel demonstrates to VSP-during inspections and on request-knowledge of potable water operations, is able to demonstrate this knowledge by compliance with Section 5 of the VSP 2011 Operations Manual or by responding correctly to the inspector's questions as they relate to the specific operation, and properly trains employees to comply with Section 5 of the VSP 2011 Operations Manual as it relates to their assigned duties.
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