|
|
|
Item No.:
02
|
|
Site:
Medical-Acute Gastroenteritis (AGE) Surveillance Log
|
|
Violation:
The company AGE Surveillance Log template has an additional column 'Passenger Meal Seat' in between the columns for cabin number and crew member position. In addition, the person's last name and first name have been changed to only include their initial.
|
|
Recommendation:
Ensure the AGE surveillance log includes a header containing the following information about the voyage: (1) Vessel name; (2) Voyage number; (3) Date from; (4) Date to; (5) Total number of passengers; (6) Reportable total number of passengers ill; (7) Total number of crew; (8) Reportable total number of crew ill. Total number of passengers and total number of crew must be the totals at the beginning of the voyage (i.e., totals on ?date from?). Ensure the AGE surveillance log entry for each passenger or crew member contain the following information in separate columns: (1) Patient ID; (2) Date of the first medical visit or report to staff of illness; (3) time of the first medical visit or report to staff of illness; (4) person's last name; (5) person's first name; (6) person's age; (7) person's sex; (8) designation as passenger or crew member; (9) cabin number; (10) crew member position or job on the vessel, if applicable; (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) bloody stools (yes/no); (c) number of episodes of vomiting in a 24 hour period; (d) fever (yes/no); (e) abdominal cramps (yes/no); (f) headaches (yes/no); (g) myalgia (yes/no); (14) date of last symptom; (15) time of last symptom; (16) entry (yes/no) for whether a specimen was requested; (17) entry (yes/no) for whether a specimen was received; (18) entry (yes/no) for antidiarrheal medications sold or dispensed by designated medical staff; (19) entry (yes/no) for whether this was a reportable case; (20) presence of underlying medical conditions that may affect interpretation of AGE. If none, write ?none,? ?not applicable,? ?N/A,? or similar wording. Comments may also be added to the log in this column after the information about underlying illness. 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.
|
|
|
Item No.:
08
|
|
Site:
Potable Water-Bunker Hoses
|
|
Violation:
None of the potable water hoses were labeled with the words 'POTABLE WATER ONLY.'
|
|
Recommendation:
Label potable water hoses with the words ?POTABLE WATER ONLY? in letters at least 13 millimeters (0.5 inch) high at each connecting end.
|
|
|
Item No.:
08
|
|
Site:
Potable Water-Tank Disinfection
|
|
Violation:
The potable water tank maintenance and inspection records for all 10 potable water tanks did not include the contact time of the disinfectant.
|
|
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.
|
|
|
Item No.:
08
|
|
Site:
Potable Water-Test Records
|
|
Violation:
There was no inspection record for 152 non-testable backflow prevention devices. These included devices for combination ovens, drinking fountains, galley equipment and other potable water system connections.
|
|
Recommendation:
Inspect backflow prevention devices periodically and replace any failed units. Complete a visual check for all non-testable backflow prevention devices and air gaps at least annually. Retain the visual inspection and/or test results for backflow prevention devices and air gaps for at least 12 months and ensure they are available for review during inspections.
|
|
|
Item No.:
08
|
|
Site:
Pantry-Deck 10 - Explorer Bar
|
|
Violation:
A drain hose on the relief vent for the soda carbonator backflow prevention device was sloped upwards preventing adequate drainage.
|
|
Recommendation:
Maintain backflow prevention devices in good repair. Position the drain hose so it can drain.
|
|
|
Item No.:
10
|
|
Site:
Recreational Water Facilities-Whirlpools
|
|
Violation:
Both signs for the whirlpools did not include the statement do not use these facilities if you are experiencing diarrhea, vomiting, or fever. The pool sign on the opposite entrance did include this statement.
|
|
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.?
|
|
|
Item No.:
10
|
|
Site:
Recreational Water Facilities-Pool
|
|
Violation:
The fill level for the pool did not reach the level of the skim gutters across three sides of the pool. The fourth side had the skim gutters lower than the other three sides. There was visible debris on the surface of the water.
|
|
Recommendation:
For RWFs with skim gutters, ensure that the fill level of the RWF is to the level of the skim gutters.
|
|
|
Item No.:
12
|
|
Site:
Galley-Deck 6 - Hot Galley
|
|
Violation:
A cook working in the hot galley had long and rough fingernails. Additionally, a build-up of black debris was noted under the nail of the crew member's thumb.
|
|
Recommendation:
Ensure food employees clean their hands and exposed portions of their arms with a cleaning compound in a handwashing sink by vigorously rubbing together the surfaces of their lathered hands and arms for at least 20 seconds and thoroughly rinsing with clean water, paying particular attention to the areas underneath the fingernails and between the fingers.
|
|
|
Item No.:
14
|
|
Site:
Galley-Deck 6 - Hot Galley
|
|
Violation:
A cook working in the hot galley had long and rough fingernails. Additionally, a build-up of black debris was noted under the nail of the crew member's thumb.
|
|
Recommendation:
Ensure food employees keep their fingernails trimmed, filed, and maintained so the edges and surfaces are cleanable and not rough.
|
|
|
Item No.:
19
|
|
Site:
Dining Room-Deck 9 - Linstrom - Service Counter
|
|
Violation:
One large fly landed on the dispensing spout of a metal pitcher containing tea.
|
|
Recommendation:
Protect food from contamination that may result from a physical, chemical, biological origin.
|
|
|
Item No.:
20
|
|
Site:
Food Service General-Espresso Machines
|
|
Violation:
Espresso machines observed throughout food areas of the vessel had four recessed areas with slotted fasteners in the food splash area above the dispensing nozzles. These units were observed in the following outlets: Linstrom galley, Aune beverage stations, and Main galley coffee station. Several of the slotted fasteners and the recessed areas were soiled with old food residue of more than a day's accumulation.
|
|
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, 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.
|
|
|
Item No.:
21
|
|
Site:
Buffet-Deck 6 - Aune - Starboard Beverage Station
|
|
Violation:
Electrical cables were lying on the counter underneath the counter mounted espresso machine. Old food residue and debris was observed beneath and around the cables.
|
|
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.
|
|
|
Item No.:
21
|
|
Site:
Buffet-Deck 6 - Aune - Starboard Beverage Station
|
|
Violation:
The top storage shelf inside the condiment storage cabinet had three circular penetrations making cleaning difficult.
|
|
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.
|
|
|
Item No.:
21
|
|
Site:
Buffet-Deck 6 - Aune - Aft Beverage Station
|
|
Violation:
Excessive electrical cables and old coffee grounds were inside and on technical equipment located in the compartment below the espresso machine.
|
|
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.
|
|
|
Item No.:
22
|
|
Site:
Galley-Deck 6 - Potwash
|
|
Violation:
A large black portable coffee dispenser was stored on the deck next to the soiled shelving. This was corrected.
|
|
Recommendation:
Ensure drainboards, utensils, racks, or tables large enough to accommodate all soiled and cleaned items that may accumulate during hours of operation are provided for necessary utensil holding before cleaning and after sanitizing.
|
|
|
Item No.:
22
|
|
Site:
Galley-Deck 6 - Potwash
|
|
Violation:
Small pans were loaded into the hood-type potwash machine too close together which prevented unobstructed spray from all cycles.
|
|
Recommendation:
Ensure soiled items to be cleaned in a warewashing machine are loaded into racks, trays, or baskets or onto conveyors in a position that (1) exposes the items to the unobstructed spray from all cycles; (2) allows the items to drain.
|
|
|
Item No.:
26
|
|
Site:
Galley-Deck 6 Pastry
|
|
Violation:
The can opener blade had an accumulation of food debris greater than a day's accumulation.
|
|
Recommendation:
Ensure food contact surfaces of equipment and utensils are clean to sight and touch.
|
|
|
Item No.:
26
|
|
Site:
Galley-Deck 6 - Ice Machine
|
|
Violation:
Heavy accumulation of granular sediment was inside the water return reservoir of the ice machine.
|
|
Recommendation:
Ensure food contact surfaces of equipment and utensils are clean to sight and touch.
|
|
|
Item No.:
26
|
|
Site:
Food Service General-Espresso Machines
|
|
Violation:
Espresso machines observed throughout food areas of the vessel had four recessed areas with slotted fasteners in the food splash area above the dispensing nozzles. These units were observed in the following outlets: Linstrom galley, Aune beverage stations, and Main galley coffee station. Several of the slotted fasteners and the recessed areas were soiled with old food residue of more than a day's accumulation.
|
|
Recommendation:
Ensure food contact surfaces of equipment and utensils are clean to sight and touch.
|
|
|
Item No.:
27
|
|
Site:
Buffet-Deck 6 - Aune - Aft Beverage Station
|
|
Violation:
Excessive electrical cables and old coffee grounds were inside and on technical equipment located in the compartment below the espresso machine.
|
|
Recommendation:
Ensure nonfood-contact surfaces of equipment are kept free of an accumulation of dust, dirt, food residue, and other debris.
|
|
|
Item No.:
27
|
|
Site:
Buffet-Deck 6 - Aune - Starboard Beverage Station
|
|
Violation:
Electrical cables were lying on the counter underneath the counter mounted espresso machine. Old food residue and debris was observed beneath and around the cables.
|
|
Recommendation:
Ensure nonfood-contact surfaces of equipment are kept free of an accumulation of dust, dirt, food residue, and other debris.
|
|
|
Item No.:
28
|
|
Site:
Galley-Deck 6 - Potwash
|
|
Violation:
Cleaned and sanitized serving ladles were hung upright and not inverted. Standing water was observed inside the ladle cup.
|
|
Recommendation:
Store clean equipment and utensils in a self-draining position that allows air drying and covered or inverted.
|
|
|
Item No.:
33
|
|
Site:
Galley-Deck 6 - Hot Galley
|
|
Violation:
Areas of the deck near the soup stations were rough and pitted.
|
|
Recommendation:
Ensure decks, bulkheads, and deckheads in food preparation, warewashing, pantries, and storage areas are maintained in good repair.
|
|
|
Item No.:
33
|
|
Site:
Dining Room-Deck 6 - Fredheim
|
|
Violation:
Electrical cables and dust were on the deck underneath the wine display refrigerators.
|
|
Recommendation:
Ensure decks, bulkheads, and deckheads in food preparation, warewashing, pantries, bars, and food and equipment storage areas are constructed and maintained for easy cleaning. Do not use carpet in these areas. Ensure decks, bulkheads, deckheads, and attached equipment in food preparation, warewashing, pantries, and storage areas are cleaned as often as necessary.
|
|
|
Item No.:
33
|
|
Site:
Buffet-Deck 6 - Aune - Aft Beverage Station
|
|
Violation:
Electrical cables and general food debris of more than a day's accumulation was on the deck below the wine display refrigerators.
|
|
Recommendation:
Ensure decks, bulkheads, deckheads, and attached equipment in food preparation, warewashing, pantries, and storage areas are cleaned as often as necessary.
|
|
|
Item No.:
33
|
|
Site:
Food Service General-Water Filling Stations
|
|
Violation:
There was no coving at the deck/bulkhead juncture (600mm from nozzle) at any of the water filling stations. A total of six stations were located on various decks throughout the ship.
|
|
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).
|
|
|
Item No.:
33
|
|
Site:
Bar-Deck 10 - Explorer Bar
|
|
Violation:
The electrical cable to the wine display refrigerator was lying on the deck underneath the unit. Broken glass was also on the deck underneath the unit.
|
|
Recommendation:
Ensure decks, bulkheads, deckheads, and attached equipment in food preparation, warewashing, pantries, and storage areas are cleaned as often as necessary. Ensure decks, bulkheads, and deckheads in food preparation, warewashing, pantries, bars, and food and equipment storage areas are constructed and maintained for easy cleaning. Do not use carpet in these areas.
|
|
|
Item No.:
33
|
|
Site:
Dining Room-Deck 9 - Linstrom - Waiter Station
|
|
Violation:
Electrical cables were lying on the deck underneath the left wine display refrigerator. Food debris and splash reside was also under both the left and right wine refrigerators.
|
|
Recommendation:
Ensure decks, bulkheads, deckheads, and attached equipment in food preparation, warewashing, pantries, and storage areas are cleaned as often as necessary. Ensure decks, bulkheads, and deckheads in food preparation, warewashing, pantries, bars, and food and equipment storage areas are constructed and maintained for easy cleaning. Do not use carpet in these areas. Ensure decks, bulkheads, deckheads, and attached equipment in food preparation, warewashing, pantries, and storage areas are cleaned as often as necessary.
|
|
|
Item No.:
36
|
|
Site:
Bar-Deck 10 - Explorer Bar
|
|
Violation:
Light intensity behind the elevated wine refrigerator could not reach 110 lux of light.
|
|
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.
|
|
|
Item No.:
36
|
|
Site:
Buffet-Deck 6 - Aune - Aft Beverage Station
|
|
Violation:
Light intensity around the espresso machine and the juice machine could not reach the required 110 lux of light.
|
|
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.
|
|
|
Item No.:
36
|
|
Site:
Buffet-Deck 3 - Beverage Station
|
|
Violation:
Light intensity behind the glass storage rack and the ice/water dispenser could not reach 110 lux.
|
|
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.
|
|
|
Item No.:
36
|
|
Site:
Galley-Deck 3
|
|
Violation:
Light intensity behind and around the stacked combination ovens could not be raised to 110 lux of light.
|
|
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.
|
|
|
Item No.:
36
|
|
Site:
Galley-Deck 3 - Dishwash
|
|
Violation:
Light intensity at the clean storage racks was less than the required 220 lux of light.
|
|
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.
|
|
|
Item No.:
36
|
|
Site:
Preparation Room-Deck 2 -
|
|
Violation:
Light intensity behind and around the deck mounted meat grinder could not be raised to 110 lux.
|
|
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.
|
|
|
Item No.:
38
|
|
Site:
Preparation Room-Deck 2 - Near Biodigester
|
|
Violation:
A wet mop was stored in a mop bucket and not hung to properly air dry.
|
|
Recommendation:
After use, ensure mops are placed in a position that allows them to air-dry without soiling walls, equipment, or supplies.
|
|
|
Item No.:
39
|
|
Site:
Dining Room-Deck 9 - Linstrom - Service Counter
|
|
Violation:
One large fly landed on the dispensing spout of a metal pitcher containing tea.
|
|
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.
|
|
|
Item No.:
39
|
|
Site:
Bar-Deck 10 - Explorer Bar
|
|
Violation:
One fly was above the back bar counter while the area was in operation. No food was impacted.
|
|
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.
|
|
|
Item No.:
44
|
|
Site:
Potable Water-Disinfection Records
|
|
Violation:
There were no records or procedures in place for potable water system disinfection after potential contamination. Staff were unaware of the requirement for disinfection of 50 ppm for 4 hours or 200 ppm for 1 hour in emergency situations.
|
|
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 2018 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 2018 Operations Manual as it relates to their assigned duties.
|
|
|
Item No.:
44
|
|
Site:
Medical-4-Hour Update
|
|
Violation:
Staff were unaware that if the number of cases changed after submission of the initial 24-hour acute gastroenteritis (AGE) report, an updated report must be submitted no less than 4 hours before the vessel's arrival at the U.S. port. Staff showed corporate guidance that only indicated an additional report should be submitted if the case percentage increased at or above 2%. There were no instances of a required 4-hour report not being submitted.
|
|
Recommendation:
Ensure the supervisor or person in charge of medical operations related to AGE on the vessel demonstrates to VSP?during inspections and on request?knowledge of medical operations related to AGE, is able to demonstrate this knowledge by compliance with Section 4 of the VSP 2018 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 4 of the VSP 2018 Operations Manual as it relates to their assigned duties.
|
|
|
Item No.:
44
|
|
Site:
Potable Water-Test Kit Reagent
|
|
Violation:
Crew were measuring the halogen residual at far point, production, distribution, and the pool using a tablet (DPD No. 1 Rapid) that is not compatible with their instrument. According to the product's website, it is for use on non-colorimeter instruments. When measuring far point, the inspector was consistently measuring halogen residual approximately 0.7 ppm below crew results. The inspector tested again with the other officer's test kit which also resulted in a lower halogen residual. When the crew's tablet was used with the inspector's equipment, the measurement resulted in a halogen residual that matched the crew's results.
|
|
Recommendation:
Ensure only compatible reagents are used with the test kits. 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 2018 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 2018 Operations Manual as it relates to their assigned duties.
|
|