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Item No.:
02
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Site:
Medical-
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Violation:
THERE WAS NO MEDIA FOR COLLECTION BACTERIAL CLINICAL SPECIMENS. THERE WERE NO APPROVED CONTAINERS OR LABELS FOR SHIPPING CLINICAL SPECIMENS. THESE ARE NEW REQUIREMENTS IN THE 2005 VSP OPERATIONS MANUAL.
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Recommendation:
4.3.1.1 Ensure that the medical staff maintains a supply of at least 10 clinical specimen collection containers for both viral and bacterial agents (10 for each), as well as the proper shipping containers and labels for same and provided in Annex 13.4 of the 2005 VSP Operations Manual.
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Item No.:
02
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Site:
Medical-
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Violation:
THE GASTROINTESTINAL LOG DID NOT HAVE DATA ELEMENTS FOR ABDOMINAL CRAMPS, HEADACHES, OR BODY ACHES. THE 72-HR QUESTIONNAIRES USED DID NOT CONTAIN ALL DATA ELEMENTS IN THE QUESTIONNAIRE FOUND IN ANNEX 13.2 OF THE 2005 VSP OPERATIONS MANUAL. THESE ARE NEW REQUIREMENTS.
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Recommendation:
The gastrointestinal illness surveillance log entry for each passenger or crew member shall contain the following information:
(1) The first date of clinic visit or report to staff of illness; (2) The person"s name, age and gender; (3) A designation as passenger or crew member; (4) Crew member position or job on the vessel, if applicable; (5) Cabin number; (6) Meal seating information; (7) Date and time of illness onset; (8) Illness symptoms, including the presence of the following selected signs and symptoms: numbers of episodes each of diarrhea and vomiting per day, bloody stools, fever, recorded temperature, abdominal cramps, headaches, and muscle aches; (9) Notation on whether or not a stool specimen was requested and received; (10) Use of antidiarrheal medication; and (11) The presence of underlying medical conditions which may affect interpretation of acute gastrointestinal illness for example diabetic diarrhea, inflammatory bowel disease, gastrectomy or others. Ensure that questionnaires containing all of the data elements that appear in the questionnaire found in Annex 13.2 and detailing activities and meal locations for the 72 hours before illness onset are distributed to all passengers and crew members who are gastrointestinal illness cases. Ensure that the completed questionnaires are maintained alongside the gastrointestinal illness surveillance log.
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Item No.:
08
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Site:
Potable Water-COMPREHENSIVE CROSS-CONNECTION CONTROL PROGRAM
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Violation:
THE WRITTEN LISTING OF BACKFLOW PREVENTION DEVICES DID NOT INCLUDE THE VARIOUS AIR-GAPS PRESENT THROUGHOUT THE SHIP AND THERE WAS NO DOCUMENTED INSPECTION CONDUCTED EITHER. THOSE AIR-GAPS OBSERVED DURING THE INSPECTION INCLUDE:
- POTABLE WATER FEED PIPE TO THE WHIRLPOOL SPA COMPENSATION TANK IN EACH SPA PUMPROOM
- FEED PIPE FROM THE EVAPORATORS TO THE BOILER TANK
- EVAPORATOR FEED PIPE TO THE TECHNICAL WATER TANKS
- DRAINS FROM THE MINERALIZERS
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Recommendation:
5.7.1.1.4 Ensure that the cross-connection control program includes at a minimum: a complete listing of cross-connections and the backflow prevention method/device for each, so there is a match to the plumbing system component and location, the program shall set a schedule for inspection frequency. Repeat devices such as toilets can be grouped under a single device type. Ensure air-gaps are included in the listing. Ensure that a log documenting the inspection or maintenance in written or electronic form is maintained and available for review during inspections.
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Item No.:
10
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Site:
Other-WHIRLPOOL SPA MAINTENANCE
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Violation:
ALTHOUGH THERE WERE RECORDS OF DAILY BACKWASHING OF THE WHIRLPOOL SPA SAND FILTERS, STAFF STATED THAT THIS IS PERFORMED BY THE INSTALLED SYSTEM AUTOMATICALLY, WITHOUT ANY VISUAL OBSERVATION OF THE WATER FLOW DURING BACKWASHING TO ENSURE IT IS CLEAN.
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Recommendation:
Ensure that granular filters are backwashed at least daily and that backwashing is repeated until the water viewed through the sight glass or discharge point is clean flowing.
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Item No.:
11
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Site:
Medical-
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Violation:
THERE WAS NO DOCUMENTATION THAT ASYMPTOMATIC CABIN MATES OR IMMEDIATE CONTACTS OF CREW MEMBERS WITH GASTROINTESTINAL ILLNESS WERE INTERVIEWED DAILY FOR 48 HOURS OR PROVIDED GUIDANCE ON HYGIENE AND HANDWASHING. THIS IS A NEW REQUIREMENT IN THE 2005 VSP OPERATIONS MANUAL.
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Recommendation:
4.4.1.2 Ensure that asymptomatic cabin mates or immediate contacts of symptomatic crew are restricted from exposure to symptomatic crew member(s) and interviewed by medical or supervisory staff daily for 48 hours to confirm their condition, advise them of the hygiene and handwashing facts, and to instruct them to report immediately to medical if they develop illness symptoms.
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Item No.:
16
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Site:
Buffet-LIDO - ALL BEVERAGE STATIONS
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Violation:
THE TWO METAL PITCHERS USED FOR THE MILK AND HALF-AND-HALF CREAMER AT EACH COFFEE STATION WERE PLACED UNDER TIME ONLY AS A PUBLIC HEALTH CONTROL SYSTEM OVER A PERIOD OF AT LEAST 12 HOURS PER DAY, BUT THERE WERE NO REPLACEMENT PITCHERS FOR THE 5 BEVERAGE STATIONS FOUND IN THE LIDO DISHWASH OR POTWASH AREA. IN THE SYSTEM USED EXISTING PITCHERS WERE TO BE REFILLED UNTIL A 4 HOUR DISCARD TIME WAS REACHED, AND A CLEAN REPLACEMENT PITCHER LABELED AND USED FOR THE NEXT 4 HOURS. DURING BUSY PERIODS IT'S UNCERTAIN THAT STAFF COULD TAKE THE NECESSARY TIME TO DISCARD CREAMER, WASH, AIR-DRY, AND LABEL THE PITCHERS PRIOR TO REFILLING AND BEGINNING A NEW 4 HOUR CONTROL PERIOD THROUGHOUT THE DAY.
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Recommendation:
Obtain at least 10 additional pitchers as back-up replacements for the beverage stations in the Lido.
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Item No.:
20
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Site:
Galley-
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Violation:
THERE WERE SLOTTED FASTENERS IN THE ICE/WATER CONTACT AREA IN THE UPPER COMPARTMENT OF THE CORNELIUS 1200 MACHINE, MAKING CLEANING DIFFICULT.
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Recommendation:
Replace the slotted fasteners with smooth, low-profile, non-corroding fasteners.
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Item No.:
20
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Site:
Galley-
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Violation:
THERE WERE SLOTTED FASTENERS NOTED IN THE ICE/WATER CONTACT AREA OF THE UPPER COMPARTMENT OF THE CORNELIUS 'EXTREME ICE' ICE MACHINE, MAKING CLEANING DIFFICULT.
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Recommendation:
Replace the slotted fasteners with smooth, low-profile, non-corroding fasteners.
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Item No.:
21
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Site:
Provisions-FISH PREP ROOM A1-14
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Violation:
THERE WAS A GAP NOTED BETWEEN THE DOOR PANEL AND THE TRIM ON THE LOWER LEFT EDGE OF THE OUTSIDE OF THE DOOR TO THE PREPARATION ROOM, MAKING CLEANING DIFFICULT.
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Recommendation:
Ensure that 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:
Bar-POOL BAR
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Violation:
THERE WAS A PIECE OF THE MARBLE COUNTER SURFACE MISSING TO THE LEFT OF THE HANDWASH SINK, MAKING CLEANING DIFFICULT.
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Recommendation:
Repair the counter top.
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Item No.:
21
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Site:
Galley-LIDO GALLEY - DISHWASH
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Violation:
SEVERAL OF THE PREVIOUSLY CLEANED SQUARE, PATTERN PAINTED SELF-SERVICE TRAYS WERE DAMAGED AND DIFFICULT TO CLEAN ALONG THE EDGES, WHERE THE SURFACE WAS CRACKED, BROKEN, OR THE SURFACE MATERIAL PEELED AWAY, EXPOSING AN ABSORBENT UNDERLAYER.
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Recommendation:
Ensure that nonfood-contact surfaces are free of unnecessary ledges, projections, and crevices, and designed and constructed to allow easy cleaning and to facilitate maintenance. Replace the damaged self-service trays. Ensure that nonfood-contact surfaces of equipment and utensils are designed and constructed to be durable and to retain their characteristic qualities under normal use conditions.
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Item No.:
22
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Site:
Galley-LIDO GALLEY - POTWASH
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Violation:
THE POTWASH OPERATION HAD A POOR FLOW DUE TO A LACK OF SPACE FOR STAGING DIRTY ITEMS ON THE DIRTY SIDE. AS A RESULT, THE MAIN SOILED STORAGE RACK SETS OPPOSITE THE POTWASH MACHINE, AND A DECK STAND FOR STAGING SOILED, LARGE WHITE PLASTIC BINS FOR TRANSFER TO THE GALLEY WAS SET DIRECTLY BESIDE THE POTWASH MACHINE. THERE DOES NOT APPEAR TO BE ANOTHER SPACE IN THIS AREA TO MOVE THE STAGED SOILED ITEMS AND STILL MAINTAIN A PROPER FLOW AND AVOID HANDLING DIRTY ITEMS NEAR THE CLEAN END OF THE OPERATION. THE AREA SHOULD BE REVIEWED FOR SOME DESIGN CHANGES AT THE NEXT DRY DOCK.
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Recommendation:
Ensure that drainboards, utensil 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.
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Item No.:
22
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Site:
Galley-SUPPER CLUB
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Violation:
THE GLASSWASH MACHINE DID NOT HAVE A DATA PLATE.
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Recommendation:
Ensure that warewashing machines are provided with an easily accessible and readable data plate affixed to the machine by the manufacturer that indicates the machine's design and operating specifications including the: (1) Temperatures required for washing, rinsing, and sanitizing; (2) Pressure required for the fresh water sanitizing rinse; and (3) Conveyor speed for conveyor machines or cycle time for stationary rack machines.
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Item No.:
27
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Site:
Galley-
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Violation:
THE BOTTOM PANEL AROUND THE PIPES IN THE TECHNICAL COMPARTMENT TO THE 3-COMPARTMENT UNDER COUNTER FREEZER 4811.011.027 WAS SOILED WITH BLACK MATERIAL.
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Recommendation:
Ensure that 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:
Buffet-LIDO FORWARD - PORT AND STARBOARD BEVERAGE STATIONS
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Violation:
PREVIOUSLY CLEANED COLORED PLASTIC CUPS FOR COLD BEVERAGES WERE STACKED INVERTED AND WET AT THE SELF-SERVICE BEVERAGE STATIONS. WET DRIPS OF WATER WERE OBSERVED ON THE LIP-CONTACT SURFACES OF SEVERAL OF THE CUP EXTERIORS IN A STACK OF 5 OR 6 CUPS. IN OTHER CASES, WATER WAS OBSERVED DRIPPING DOWN THE EXTERIOR OF THE CUPS WHENEVER ONE WAS REMOVED FROM THE STACK.
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Recommendation:
After cleaning and sanitizing, ensure that equipment and utensils are air-dried or adequately drained before contact with food.
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Item No.:
31
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Site:
Buffet-
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Violation:
THERE WAS A SPRAY BOTTLE OF WHITE BOARD CLEANER IN THE TECHNICAL COMPARTMENT UNDER THE COLD SERVICE AREA OF THE BUFFET. THE BOTTLE WAS REMOVED DURING THE INSPECTION.
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Recommendation:
Ensure that only poisonous or toxic materials that are required for the operation and maintenance of a food areas of the vessel, such as for the cleaning and sanitizing of equipment and utensils and the control of insects and rodents, are allowed in the food areas of the vessel.
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Item No.:
33
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Site:
Provisions-MEAT, BREAD, CANAPES REFRIGERATION ROOM A1-11
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Violation:
THE LOWER OUTSIDE CORNER TO THE LEFT OF THE ENTRANCE AND TWO LOWER OUTSIDE CORNERS ON THE PILLAR IN THE CENTER OF THE ROOM WERE SEVERELY DENTED WITH CREASES AND SHARP EDGES THAT ARE DIFFICULT TO CLEAN.
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Recommendation:
Ensure that decks, bulkheads, and deckheads in food preparation, warewashing, pantries, and storage areas, are maintained in good repair.
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Item No.:
34
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Site:
Galley-
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Violation:
THE DRAIN UNDER BAIN MARIE 4811.011.079 WAS CLOGGED. THIS WAS REPAIRED DURING THE INSPECTION.
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Recommendation:
Ensure that a plumbing system in a food area is maintained in good repair.
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Item No.:
34
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Site:
Housekeeping-ICE STATION - DECK 1 STARBOARD
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Violation:
THE HANDWASH STATION IN ICE STATION 4521.012.008 DID NOT ACTIVATE WATER FLOW WHEN THE SENSOR WAS TRIGGERED. THE LOWER BUCKET FILL TAP DID OPERATE, SO WATER WAS FLOWING THRU THE PIPING.
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Recommendation:
Ensure that a plumbing system in a food area is maintained in good repair.
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Item No.:
38
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Site:
Buffet-
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Violation:
THERE WAS A BUCKET WITH SEVERAL DAMP CLOTHS AND A METAL SCRAPING TOOL IN THE TECHNICAL COMPARTMENT UNDER THE COLD SERVICE AREA OF THE BUFFET. THE BUCKET WAS REMOVED DURING THE INSPECTION.
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Recommendation:
Ensure that maintenance tools such as mops, brooms, and similar items are stored in a designated locker so they do not contaminate food, food-contact surfaces of utensils, and equipment, linens, and single-service and single-use articles.
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Item No.:
41
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Site:
Housekeeping-CREW TOILETS
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Violation:
THE TOILET ROOMS FOR CREW IN THE LIDO GALLEY, MAIN GALLEY, CREW MESS, AND CREW LOUNGE WERE NOT YET EQUIPPED SO THAT PERSONS EXITING THE ROOMS COULD DO SO WITHOUT BARE HAND CONTACT WITH THE DOOR HANDLE. THE PASSENGER AREA PUBLIC TOILETS HAVE BEEN COMPLETED ACCORDING TO THE INTENT OF THE 2005 VSP OPERATIONS MANUAL.
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Recommendation:
9.1.1.1.3 Ensure that public toilet facilities are equipped so that persons exiting the toilet room are not required to handle the door with bare hands.
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