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Item No.:
02
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Site:
Medical-Records
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Violation:
On the cruise #24483, 10/10-22/2013, the number of crew members automatically recorded on board was 3938 in the electronic acute gastrointestinal illness reporting system. The actual number was 953. A correction has been made in the electronic medical record system to prevent the system from making these mistakes. The system duplicated a passenger's record on the illness log for this voyage that could not be deleted by the medical staff.
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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.:
06
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Site:
Potable Water-Far Point Chart Recorder
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Violation:
Today's chart on the far point chart recorder was 30 minutes behind the actual time.
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Recommendation:
Change, initial, and date halogen analyzer-chart recorder charts daily.
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Item No.:
08
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Site:
Potable Water-Reverse Osmosis System
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Violation:
The back wash drain lines from the reverse osmosis system extended into a funnel that eliminated the required air gap. The drain line was cut to provide the air gap.
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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.:
10
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Site:
Recreational Water Facilities-Records
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Violation:
The calibration for the water slide automatic monitoring system was not recorded. Other recreational water facilities calibration was noted on the charts and in the records.
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Recommendation:
Conduct a manual comparison test before opening the RWF to verify calibration for free halogen residual and pH.
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Item No.:
19
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Site:
Provisions-Meat Freezer Walk-In
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Violation:
A make-shift mop used to wipe condensate from the deckhead was left stored on a box of food. The item was immediately removed.
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Recommendation:
Protect food from contamination by storing the food: (2) In a clean, dry location; and (3) Where it is not exposed to splash, dust, or other contamination.
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Item No.:
19
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Site:
Provisions-Frozen General Store
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Violation:
Frozen condensate and ice was accumulated on several boxes of food on the storage shelf immediately to the right of the entrance. Ice was noted in the seams of boxes of frozen cantaloupe and two boxes were actually frozen together. One box of cantaloupe had an hole in the side of the box that was filled with ice. When the box was opened the plastic bag around the cantaloupe was torn which allowed frozen condensate to enter and cover the cantaloupe. All boxes of food that were covered with ice and frozen condensate were discarded.
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Recommendation:
Protect food from contamination by storing the food: (2) In a clean, dry location; and (3) Where it is not exposed to splash, dust, or other contamination.
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Item No.:
19
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Site:
Galley-Deck 4 Soup Station
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Violation:
Large clear plastic containers of sugar, flour, and corn meal stored on the counter were not labeled identifying their contents.
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Recommendation:
Ensure containers holding food or food ingredients that are removed from their original packages for use on the vessel, such as cooking oils, flour, herbs, potato flakes, salt, spices, and sugar are identified with the common name of the food.
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Item No.:
20
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Site:
Galley-Deck 5 Bakery
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Violation:
The dough sheeter conveyer belt was worn and frayed in several areas making it no longer easily cleanable.
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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.
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Item No.:
20
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Site:
Buffet-Lido Starboard Beverage Station
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Violation:
Slotted fasteners were present on the underside of one of the soda dispensers by the dispensing nozzles. This was the second from the left soda dispenser.
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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.:
20
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Site:
Galley-Deck 4 Pastry
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Violation:
Four in-use cutting boards were severely scratched and scored making them no longer easily cleanable.
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Recommendation:
Ensure surfaces such as cutting boards that are subject to scratching and scoring are resurfaced if they no longer can be effectively cleaned and sanitized, or discarded if they are not capable of being resurfaced.
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Item No.:
21
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Site:
Galley-Deck 4 Pastry
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Violation:
The counter-mounted pie press was installed with a clearance of less than 4 inches to the counter.
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Recommendation:
Ensure table-mounted equipment that is not easily movable is elevated on legs that provide at least a 100 mm (4-inch) clearance between the table and the equipment.
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Item No.:
22
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Site:
Galley-Main Dishwash Machine
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Violation:
A water leak was noted from the center of the machine which caused a significant amount of water to accumulate and pool on the deck.
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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.:
26
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Site:
Galley-Cold Pantry
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Violation:
The front and back side of the blade on the previously cleaned deli slicer was soiled with food residue.
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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.:
33
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Site:
Galley-Deck 4 Hot Galley
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Violation:
A significant amount of water was pooled between three areas on the deck between the row of combination ovens. It could not be determined at the time of the inspection if the water was from a leak or from cleaning.
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Recommendation:
Ensure decks in food preparation areas are cleaned as often as necessary.
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Item No.:
34
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Site:
Galley-Hot Galley Oven
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Violation:
Water was leaking from the front right condensate collection drain and splashing onto the adjacent preparation counter. No food was impacted.
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Recommendation:
Ensure a plumbing system in a food area is maintained in good repair.
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Item No.:
36
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Site:
Galley-Deck 5 Room Service
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Violation:
The light intensity between and behind the two counter-mounted juice machines 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.:
36
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Site:
Galley-Deck 5 Starboard Coffee Station
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Violation:
The light intensity between and behind the counter-mounted juice machine and milk dispenser 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.:
36
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Site:
Galley-Deck 4 Starboard Aft Coffee Station
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Violation:
The light intensity between and behind the counter-mounted milk dispenser and ice machine 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.:
38
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Site:
Preparation Room-Fish
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Violation:
The bowl chopper does not have a blade and has been out of order since June 2013. The specific blade needed is no longer made. Staff stated at the beginning of the fiscal year they are planning on replacing the entire machine.
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Recommendation:
Ensure only articles necessary for the food service operation are stored in food areas.
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