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Item No.:
02
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Site:
Medical-Acute Gastroenteritis Surveillance Log (AGE)
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Violation:
The AGE surveillance log did not include a case identification number for each case and the items in the AGE surveillance log were not in the correct order.
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Recommendation:
Ensure the AGE surveillance log entry for each passenger or crew member contain the following information in separate columns: (3) case identification number. Ensure the AGE surveillance log contains the above information in the exact order and is entered in the template in Annex 13.2.2.
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Item No.:
06
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Site:
Potable Water-Microbiological Testing
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Violation:
The comparator required to verify the microbiological water sample results expired on December 9, 2011. A replacement arrived on the ship during the inspection.
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Recommendation:
Ensure test kits, incubators, and associated equipment are operated and maintained in accordance with the manufacturers? specifications.
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Item No.:
08
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Site:
Potable Water-Distillate and Permeate Line Striping
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Violation:
The distillate lines from the 3 evaporators and the permeate line from the reverse osmosis system were not striped blue/gray/blue from the units to the chlorine injection points.
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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. Stripe or paint these lines at 5 meters (15 feet) intervals.
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Item No.:
08
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Site:
Potable Water-PH Monitoring
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Violation:
According to staff, the pH was monitored during production, but there was no documentation for the pH readings.
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Recommendation:
After the free residual halogen level of at least 2.0 mg/L (ppm) and pH level not exceeding 7.8 have been reached, monitor the free residual halogen and pH at least once every 4 hours during the production of potable water. 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-
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Violation:
The testable backflow prevention device for the starboard evaporator was tested on December 31, 2011, but the results of the test were not documented.
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Recommendation:
Inspect and test backflow prevention devices requiring testing with a test kit after installation and at least annually. Maintain the test results showing the pressure differences on both sides of the valves for each device.
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Item No.:
10
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Site:
Recreational Water Facilities-Antientrapment
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Violation:
It was unclear if the swimming pool drain covers met the anti-entrapment requirements and no documentation was available. The swimming pools had dual gravity drains greater than 3 feet apart and no alarms were installed.
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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-Turnover Rates
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Violation:
There was no documentation of turnover rates for any of the RWFs.
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Recommendation:
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.
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Item No.:
10
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Site:
Recreational Water Facilities-Backwashing
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Violation:
According to staff, backwashing was done for all RWFs, but there was no documentation for backwashing whirlpools.
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Recommendation:
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-Filters
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Violation:
The sand filter housings for the RWFs were cleaned, rinsed, and disinfected before the filter media was replaced, but the concentrations and contact times of the disinfectant were not recorded.
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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.
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Item No.:
10
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Site:
Recreational Water Facilities-Hair and Lint Strainers
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Violation:
According to staff, the hair and lint strainers and the hair and lint strainer housings were cleaned, rinsed, and disinfected weekly, but there was no documentation.
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Recommendation:
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-Bather Loads
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Violation:
There was no documentation of the maximum bather loads for any of the RWFs.
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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-Sample Lines
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|
Violation:
The sample lines for the RWFs were not directly from the RWFs or on the return lines before the compensation tanks.
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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-Depth Markers
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|
Violation:
The depth markers for the RWFs were not in meters.
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Recommendation:
Prominently display the depth of each RWF that is deeper than 1 meter (3 feet) so that it can be seen from the deck and in the pool. Label depth markers in both feet and meters. Additionally, install depth markers for every 1 meter (3 feet) change in depth.
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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 for the RWFs did not meet the requirements of the 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 #. In addition to the safety sign requirements in section 6.7.1.1.1, install a sign at each whirlpool spa and spa pool entrance listing precautions and risks associated with the use of these facilities. Include, at a minimum, cautions against use by the following: (1) individuals who are immunocompromised; (2) individuals on medication or who have underlying medical conditions such as cardiovascular disease, diabetes, or high or low blood pressure; and (3) pregnant women, elderly persons, and children. Additionally, caution against exceeding 15 minutes of exposure.
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Item No.:
13
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Site:
Galley-Deck 9 Warewash Clean Storage
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|
Violation:
Food workers filled three of the five Cambro plate storage trolleys with previously cleaned and sanitized plates. The interior sides of the plate trolleys were soiled to sight and touch with dried food residue.
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Recommendation:
Ensure the supervisor or person in charge of food operations on the vessel monitors that: (9) Employees are properly sanitizing cleaned multiuse equipment and utensils before they are reused.
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Item No.:
16
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Site:
Food Service General-Consumer Advisory
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Violation:
There were no placards or other easily visible written means to inform consumers of the increased risk of eating animal-derived foods in a raw or undercooked form at the buffet outlets. Also, the menus for the Pinnacle Steakhouse had a consumer advisory but did not have asterisks at the animal-derived foods that could be served raw or undercooked.
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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 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:
Galley-Deck 3 Starboard Pastry Station
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|
Violation:
There were two slotted fasteners above the mixing arm in the splash zone of the counter-mounted mixer and one slotted fastener above the mixing arm in the splash zone of the deck-mounted mixer.
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Recommendation:
Use only low profile, nonslotted, noncorroding, 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.:
22
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Site:
Galley-Deck 3 Conveyor Potwash
|
|
Violation:
There was a clogged spray nozzle on the upper final rinse arm of the in-use conveyor potwash machine. This was corrected.
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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-Deck 3 Conveyor Potwash
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|
Violation:
The prewash compartment curtains of the in-use conveyor potwash machine were not properly maintained. The curtains were stiff and coiled, which allowed water to splash out of the prewash compartment.
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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.:
27
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Site:
Galley-Deck 3 Starboard Pastry Station
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|
Violation:
One of the two slotted fasteners above the mixing arm in the splash zone of the counter-mounted mixer was soiled with dried dough residue.
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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 9 Warewash Clean Storage
|
|
Violation:
The interior sides of three of the five Cambro plate storage trolleys were soiled to sight and touch with dried food residue.
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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
|
|
Site:
Galley-Deck 9 Warewash Clean Storage
|
|
Violation:
Three of the five Cambro plate storage trolleys were full or being filled with previously cleaned and sanitized plates by food workers. The interior sides of the plate trolleys were soiled to sight and touch with dried food residue.
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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.
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Item No.:
30
|
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Site:
Galley-Forward Port Entrance
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|
Violation:
The handwashing facility did not have a waste receptacle. This was corrected.
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|
Recommendation:
Ensure a handwashing facility includes a sink, soap dispenser, single-use towels dispenser, and waste receptacle.
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Item No.:
33
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|
Site:
Galley-Deck 3 Hot Galley
|
|
Violation:
There was missing, pitted, and recessed deck tile grout along the edges of the gutter ways and deck drains throughout this area.
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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
|
|
Site:
Provisions-Poultry Thaw Room
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|
Violation:
The deck had multiple rings of raised silicone, making cleaning difficult.
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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.
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Item No.:
33
|
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Site:
Dining Room-Golden Pearl Port Beverage Station
|
|
Violation:
There was missing deck tile grout along the length of the deck at the beverage station.
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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.:
36
|
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Site:
Bar-Disco Bar
|
|
Violation:
During operation, the light intensity at both handwashing stations was less than 110 lux.
|
|
Recommendation:
Ensure the light intensity is at least 110 lux (10 foot candles) at handwashing stations in bars.
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Item No.:
41
|
|
Site:
Housekeeping-Public Toilet Facilities
|
|
Violation:
There were no signs advising users to wash their hands in many of the public toilet facilities. Also, there were no signs posted advising users of the toilet facilities to use hand towels, paper towels, or tissues to open the door. The exits were not hands free.
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Recommendation:
Provide the passenger and crew public toilets with a handwashing station that includes: (4) 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.:
41
|
|
Site:
Housekeeping-Outbreak Prevention and Response Plan (OPRP)
|
|
Violation:
The OPRP did not specifically address triggers for an outbreak as a graduated approach for outbreak management when additional cases were reported. Also, there was no concentration listed for the HB Quat disinfectant used to sanitize any areas of the ship. The OPRP also did not include a way to inform the crew of an outbreak.
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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: (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.
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Item No.:
42
|
|
Site:
Children Area-Toilet Room
|
|
Violation:
The height of the child-size toilet in the diaper changing area was greater than 11 inches above the deck and no step stool was available.
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|
Recommendation:
If toilet rooms are located in a child-activity center, provide a child-size toilet(s) or child-accessible toilet(s) (child-size seat and step stool) and handwashing facilities. Ensure child-size toilets (to include the toilet seat) have a maximum height of 280 millimeters (11 inches) and a toilet seat opening no greater than 203 millimeters (8 inches).
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Item No.:
43
|
|
Site:
Ventilation-Air Handling Units
|
|
Violation:
Technical water was used to clean the air handling units.
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|
Recommendation:
Use only potable water for cleaning HVAC distribution systems.
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