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Item No.:
02
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Site:
Medical-Acute Gastroenteritis (AGE) Surveillance Log
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Violation:
The electronic database used for collecting AGE illness information could not be exported into the standardized AGE surveillance log exactly as it appears in the 2011 VSP Operations Manual.
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Recommendation:
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.:
02
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Site:
Medical-AGE Database
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Violation:
The electronic database used for collecting AGE illness information used the previous VSP definition for a reportable AGE illness case and did not consider diarrhea in excess of what was normal for the individual. A person with underlying medical conditions was reported as an AGE case due to this database error.
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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.:
08
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Site:
Potable Water-Dialysis Machine
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Violation:
An unidentified Oras backflow prevention device was installed on the potable water line for the dialysis machine. The list of backflow prevention devices indicated a Watts 9D was installed. Corporate Office and Dialysis At Sea requested that all onboard backflow prevention devices be removed, as the dialysis machines have internal backflow prevention, but there was no documentation of this internal protection.
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Recommendation:
Update the list of backflow prevention devices. Contact the manufacturer(s) and/or distributer(s) of the dialysis machines and request a schematic or a diagram of the machine's internal backflow prevention device.
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Item No.:
08
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Site:
Potable Water-Oxivir Five 16 Dispensing Stations
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Violation:
The list of backflow prevention devices indicated the air gaps for the Oxivir Five 16 dispensing stations were last inspected in December 2010.
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Recommendation:
Inspect backflow prevention devices periodically and replace any failed units.
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Item No.:
08
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Site:
Potable Water-Window Washing
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Violation:
The list of backflow prevention devices indicated two Watts 9D-M2 devices were installed inside the deck 8 forward starboard store room for the window washing system. Upon inspection of the area, these devices could not be located.
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Recommendation:
Update the list of backflow prevention devices. Ensure backflow prevention devices and air gaps are accessible for inspection, service, and maintenance.
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Item No.:
08
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Site:
Potable Water-Photo Shop Sink
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Violation:
The air gap below the vent of the Watts 9D-M2 backflow prevention device was not at least twice the diameter of the vent opening.
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Recommendation:
Ensure air gaps are at least twice the diameter of the delivery fixture opening and a minimum of 25 millimeters (1 inch).
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Item No.:
08
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Site:
Potable Water-Tank Maintenance
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Violation:
Since the last inspection, eight potable water storage tanks were painted or disinfected after entry. For four of these tanks, the free chlorine residual level was not documented before the tank was placed back into service.
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Recommendation:
Document the free halogen residual level.
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Item No.:
08
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Site:
Galley-Deck 4 Potwash
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Violation:
The reduced pressure backflow prevention device located immediately above the door of the heat sanitizing trolley wash machine did not have a fourth test cock and lacked the reduced pressure zone manufacturer supplied valves. Documentation from the manufacturer was not evaluated.
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Recommendation:
Ensure all reduced pressure assembly backflow prevention devices have four test cocks to properly test the device and observe any leaking shut-off valves. Confirm with the manufacturer this is the correct configuration for the reduced pressure backflow prevention device on the trolley wash machine.
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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 all of the recreational water facilities did not include all of the requirements as specified in 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 #. For children's RWF signs, include the exact wording "TAKE CHILDREN ON FREQUENT BATHROOM BREAKS" or "TAKE CHILDREN ON FREQUENT TOILET BREAKS." 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.:
10
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Site:
Recreational Water Facilities-Solarium Pool
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Violation:
The shepherd's hook was not long enough to reach the center of the deepest portion of the pool plus two feet.
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Recommendation:
Ensure the pole of the shepherd's hook is long enough to reach the center of the deepest portion of the pool from the side plus two feet.
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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 electronic data loggers for all of the recreational water facilities were located after the compensation tank.
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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-Antientrapment
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Violation:
Each swimming pool had two gravity drains greater than three feet apart constructed of a standard design 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-Automated Monitoring
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Violation:
The electronic data loggers for all of the recreational water facilities only monitored the free chlorine residual. Manual readings of the free chlorine residual and pH were conducted until the electronic data loggers become fully operational.
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Recommendation:
Install chart recorders or electronic data loggers with security features that record pH and halogen measurements for each individual RWF.
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Item No.:
10
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Site:
Recreational Water Facilities-Water Chemistry
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Violation:
Staff were not able to monitor the combined chlorine and total alkalinity for the recreational water facilities.
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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.:
20
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Site:
Galley-Deck 12 Samba Galley
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|
Violation:
The plastic cover for the cold top was cracked along the edges and hinges, creating a difficult to clean surface along the inside food contact surface.
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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.
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Item No.:
20
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Site:
Galley-Deck 4 Buffalo Chopper
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Violation:
The plastic lid was cracked along the inside, making cleaning difficult.
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Recommendation:
Ensure multiuse food-contact surfaces are: (2) Free of breaks, open seams greater than 0.8 mm (1/32 inch), cracks, chips, inclusions, pits, and similar imperfections.
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Item No.:
21
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Site:
Galley-Deck 12 Samba Galley
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Violation:
The plastic cover for the cold top was cracked along the edges and hinges, creating a difficult to clean surface along the outside nonfood contact surface.
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Recommendation:
Ensure nonfood-contact surfaces are free of unnecessary ledges, projections, and crevices, and designed and constructed to allow easy cleaning and to facilitate maintenance.
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Item No.:
21
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Site:
Galley-Deck 4 Buffalo Chopper
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Violation:
The plastic lid was cracked along the outside, making cleaning difficult.
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Recommendation:
Ensure nonfood-contact surfaces of equipment that are exposed to splash, spillage, or other food soiling or that require frequent cleaning are constructed of a corrosion-resistant, nonabsorbent, and smooth material.
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Item No.:
21
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Site:
Galley-Deck 5 Beverage Station
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Violation:
The distance between the top of the counter-mounted ice dispensers and the deckhead measured two inches, making cleaning the area difficult.
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Recommendation:
Move the ice dispensers to an area where they can be easily cleaned or increase the height of the deckhead to allow for proper cleaning.
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Item No.:
21
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Site:
Galley-Giovanni's
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Violation:
The electric supply cables to the grooved steak grill were shielded by stainless steel braid and were located in the built-in stainless steel grease collection compartment. The braided cables were difficult to clean and were exposed to splash from the grill.
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Recommendation:
Ensure nonfood-contact surfaces of equipment that are exposed to splash, spillage, or other food soiling or that require frequent cleaning are constructed of a corrosion-resistant, nonabsorbent, and smooth material.
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Item No.:
22
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Site:
Galley-Warewash
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Violation:
Numerous plates, cups, and large salad bowls were in the prewash and wash tanks of the flight-type warewash machine. According to the maintenance staff, the water pressure in the two tanks was not properly adjusted. The items were properly washed, rinsed, and sanitized in the warewash machine.
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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:
Galley-Deck 5 Blast Chiller
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|
Violation:
Water from the ice inside the technical compartment of blast chiller R-05-20 penetrated the door gasket and dripped along the inside of the blast chiller door.
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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 Beverage Station
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Violation:
An accumulation of a dark sticky substance soiled the inside of the stainless steel cabinet immediately below the counter-mounted ice-dispensers.
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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:
Buffet-Windjammer
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Violation:
Below the marble top over-shelves, the top portion of the shelf-mounted stainless-steel food warmers throughout the area were soiled with an accumulation of dust, old grease, and 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
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Site:
Galley-
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Violation:
Single service articles were stored on an inverted plastic dish rack stored on the deck in the open dry storage locker FSD-11-7-022. The items were less than 150 millimeters (6 inches) above the deck.
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Recommendation:
Store cleaned equipment and utensils, laundered linens, and single-service and single-use articles: (3) at least 150 millimeters (6 inches) above the deck.
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Item No.:
33
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Site:
Galley-Giovanni's
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|
Violation:
The bulkhead/deck juncture was not coved in the food transportation corridor between the galley and the dining area.
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Recommendation:
Cove all bulkhead/deck, equipment/deck, cabinet/deck, and deck sink coaming/deck junctures (including galleys, pantries, buffets, bars, waiter stations, dining room work counters, provisions, food storage rooms, equipment/utensil storage rooms, and toilet rooms intended for use by galley personnel).
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Item No.:
34
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Site:
Galley-Deck 5 Beverage Station
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Violation:
Water dripped from a deckhead-mounted light fixture onto the deck immediately adjacent to the two counter-mounted ice dispensers.
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Recommendation:
Ensure the plumbing system in a food area is maintained in good repair.
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Item No.:
35
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Site:
Galley-Deck 5 Beverage Station
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Violation:
Water drain lines from melting ice from the two counter-mounted ice dispensers drained into the stainless steel cabinet immediately below the dispensers.
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Recommendation:
Ensure black and gray water is discharged to the vessel's wastewater disposal system and does not pool on the deck.
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Item No.:
36
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Site:
Food Service General-Lighting
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Violation:
The light intensity around and behind numerous pieces of deck-mounted equipment throughout food preparation, storage, and dispensing areas was less than 110 lux.
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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.:
37
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Site:
Galley-Warewash
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Violation:
Condensation was along the length of the deckhead above the stainless steel clean storage racks.
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Recommendation:
Ensure exhaust ventilation hood systems in food preparation and warewashing areas--including components such as hoods, fans, guards, and ducting--are designed to prevent grease or condensation from draining or dripping onto food, equipment, utensils, linens, and single-service and single-use articles.
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Item No.:
39
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Site:
Galley-Cold Preparation
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Violation:
Five small black flies were on the deckhead and bulkhead. The area was in use at the time of the inspection.
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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-Deck 5 Beverage Station
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Violation:
Three small black flies were inside the technical compartment immediately below the counter-mounted ice dispensers. The area was in use at the time of the inspection.
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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:
Integrated Pest Management-Rodent Guards
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Violation:
The rodent guards were located against the hull, allowing rodents easy access to the vessel.
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Recommendation:
Ensure the rodent guards are placed to prevent rodents from accessing the vessel.
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Item No.:
40
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Site:
Integrated Pest Management-Follow-Up Inspections
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Violation:
Follow-up inspections results were not documented.
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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-Medical Center Public Toilet Room
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Violation:
The public toilet room in the medical center did not contain a sign advising the use of a paper towel to open the door. The exit was not hands free.
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Recommendation:
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
|
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Site:
Housekeeping-Outbreak Prevention and Response Plan (OPRP)
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Violation:
The OPRP did not include procedures to inform passengers and crew members embarking the vessel following an outbreak voyage.
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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: (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
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Site:
Children Area-Adventure Ocean
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|
Violation:
In the 3-5 year old's toilet room, the height of the handwashing sink was greater than 560 millimeters (22 inches) above the deck and no step stool was provided.
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Recommendation:
Ensure handwashing sinks have a maximum height of 560 millimeters (22 inches) above the deck or a step stool.
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Item No.:
42
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Site:
Children Area-Adventure Ocean
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Violation:
In the 3-5 year old's toilet room, the water temperature at the handwashing station was measured at 120F using the staff's thermometer.
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Recommendation:
Ensure the maximum water temperature for a handwashing station does not exceed 43C (110F).
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