nova star corrective action response to failed cdc inspection

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This document describes the actions taken and proposed by the Nova Star Ferry to address the CDC's recommendations in a recent failed inspection. They address concerns ranging from food temperature to cross-contamination to an "excessively bearded" individual (who was forced to shave).

TRANSCRIPT

  • Page 1 of 29

    NOVA STAR DATE OF INSPECTION: 7/13/2014 STATUS AS OF AUGUST 20 VESSEL SANITATION INSPECTION DETAILS OF INSPECTION VIOLATIONS

    LOCATION REF.NO

    USPH

    POINTS

    DESCRIPTION RESPONSIBILITY CORRECTIVE ACTION CURRENT STATUS EXPECTED DATE OF COMPLETION

    1

    Galley time control

    16 5

    There was several mis en place container of food used for preparation in the forward galley, but these containers were not on the time control plan, these containers were labeled with the discard time. Also the time control plan stated fridges, but there were many fridges on time and temperature control.

    Chef

    Immediate correction as of 07/14 to ensure that

    time control was in place. Monitored daily on shifts

    Completed

    Completed

    2

    Galley passenger

    main forward galley

    14 0

    A worker with excessive beard was observed preparing & cooking food. The worker was not wearing a beard restraint.

    Chef

    Already corrected, shaved already. Staff will

    be monitored daily by galley management and

    supervisors on appearance as it relates

    to food safety

    Completed Completed

    3

    Galley passenger main deck mounted grills and

    ovens

    21 1

    The deck mounted units with the grill pans, griddles and ovens had difficult to clean surfaces in the technical spaces between the ovens and there were several open voids in the backs of these units in the aft, forward and center of the galley

    Chief Engineer

    Areas to be looked at to determine a technical

    items solution. On board the areas will be cleaned

    as applicable

    Waiting Quotation from TigPro and Navimar

    September 2014

    4 Galley 27 1 The technical spaces in and Chief Areas to be looked at to Waiting Quotation from TigPro and September 2014

  • Page 2 of 29

    passenger main deck mounted grills and

    oven

    around the deck mounted units with the grill pans, griddles and ovens were heavily soiled with food debris and a heavy grease residue in several areas in the aft, forward and center of the galley

    Engineer determine a technical items solution. On board the areas will be cleaned as applicable

    Navimar

    5

    Galley passenger main deck mounted grills and

    ovens

    20 2

    Four of the six grill pans and griddles have not been working in more than 2 months. As a result, the chefs have very little work space to cook food.

    Chief Engineer

    PO NS-E-051-14 received all grills back in service.

    Completed 7/15/14 Completed completed

    6

    Galley passenger main blast

    chiller

    20 2

    The blast chiller has not been working in more than two months. This is the only blast chiller onboard. According to staff, food is cooled in the freezer or using an ice bath.

    Chief Engineer

    NS-E-041-14 pending delivery and will be completed accordingly on board

    Completed completed

    7

    Galley passenger

    main under counter

    refrigerator #2

    19 2

    A pan of potatoes was stored in this refrigerator. The pan was not covered or protected in any way

    Chef

    Documented Intensive training is being done with the whole galley

    crew and will be monitored daily and

    reviewed

    Completed Completed

    8

    Galley passenger

    main under counter

    refrigerator #1

    19 2

    A pan of celery was found in this refrigerator. The pan was not covered or protected in any way.

    Chef

    Documented Intensive training is being done with the whole galley

    crew and will be monitored daily and

    reviewed

    Completed

    Completed

    9 Main galley 14 0

    A worker was seen cutting ready to eat vegetables, including peppers and tomatoes, while wearing a large watch

    Chef

    Already corrected, trainings have been

    conducted for all the galley crew and will be

    monitored

    Completed Completed

    10 Galley passenger 20 2 Several workers were seen

    Chef Previous order on 06/06 never arrived. All It will be delivered on 7/28 Completed

  • Page 3 of 29

    tip sensitive

    thermometer

    preparing 7 cooking PHF food such as hamburgers, chicken and fish, but not everyone conducting this activities had a tip sensitive thermometer. There was only one tip sensitive thermometer on the ship.

    thermometers re-ordered on 07/16 and will be on board by weekending

    07/25.

    11 Currents

    restaurant menu

    16 5

    There was beef & steak which can be served undercooked on the menu, but there was no asterisk by the food and there was no consumer advisory statement on the menu

    Chef Already corrected on the new menu as of 07/14

    Completed

    Completed

    12 Galley

    Passenger Main

    Knowledge

    13 3

    A vegetable peeler with a piece of food debris on the food contact surface of the peeler was observed in food workers pocket, the peeler was immediately taken and send to be washed & sanitized

    Chef

    Documented trainings have been conducted for

    all the galley crew and will be monitored

    Completed Completed

    13

    Galley passenger main aft

    galley

    16 5

    There was a container of pork sitting on the counter with 70 degree Fahrenheit, it was unknown how long the pork was on the counter. There was no cooling log or documentation. The pork was discarded.

    Chef Documented trainings

    have been conducted for all the galley crew

    Completed Completed

    14

    Galley passenger

    main cooling log

    17 2 There was no cooling log entry for the container of pork observed on the counter at a temperature of

    Chef

    Cooling logs are being maintained and staff have documented training on

    this. This will be

    Completed

    Completed

  • Page 4 of 29

    70 degrees Fahrenheit monitored daily

    15

    Galley passenger

    main combinatio

    n ovens

    08 1

    There were no backflow prevention devices installed for the combination ovens. The ovens had an internal cleaning mode and spray hose attached to the ovens.

    Chief Engineer

    NS-E-040-14 pending delivery, will be fixed on

    board accordingly

    Original req. was sent to Purchasing on May 3rd

    A request for an update was sent to purchasing on July 31

    Another request today for an update

    September 2014

    16

    Galley passenger

    main cooling logs

    17 2 The cooling logs were not available for the previous 30 days for any food that has been cooled

    Chef

    There were cooling logs but they were filed up wrong. Now everybody

    has documented training to fill up logs and this will

    be monitored on each shift daily

    Completed Completed

    17

    Galley passenger main walk

    in refrigerator

    20 2

    The temperature of the walk-in refrigerator measured by the inspector was 58 degrees Fahrenheit. The temperature probe sensor on the inside of the unit recorded a temperature between 13 and 15 degrees Celcius. Staff were aware that this refrigerator was not maintaining the correct temperatures, but continued to store food in this unit anyway.

    Chief Engineer

    Walk in fridge compressor capacity is smaller than what the current galley operation needs and must be fixed. Corporate office to decide if they like to go ahead with installation of higher capacity compressor for heavy use.

    Possible solution is to replace the inner door with hanging curtain Strips, in place

    of the swing door

    Strips ordered locally, should arrive within a week.

    New curtains have been installed and the condition is that the cooler is maintaing proper

    temperature

    18

    Galley passenger

    main walking

    refrigerator

    13 3

    Staff were aware that this walk in may not have been operating properly, but continued to store potentially hazardous items in it, even though the temperature was above 50 degrees

    Chief Engineer

    Walk in fridge compressor capacity is smaller than what the

    current galley operation needs and must be fixed.

    Corporate office to decide if they like to go

    ahead with installation of higher capacity

    compressor for heavy use.

    Same as item 17 Completed

    19

    Galley passenger main walk

    in

    16 5 Several PHF (potential hazardrous foods) were out of temperature,

    Chef

    Walk in fridge compressor capacity is smaller than what the

    current galley operation

    Completed Completed

  • Page 5 of 29

    refrigerator all PHF food was discarded. needs and must be fixed. Corporate office to

    decide if they like to go ahead with installation of

    higher capacity compressor for heavy

    use.

    20

    Galley passenger main walk

    in refrigerator

    17 2

    There was no cooling log entry for a container of chicken & chicken quiche that had been cooked earlier today. These containers of food were discarded.

    Chef

    Walk in fridge compressor capacity is smaller than what the

    current galley operation needs and must be fixed.

    Corporate office to decide if they like to go

    ahead with installation of higher capacity

    compressor for heavy use. Documented

    trainings have been conducted and ongoing for all the galley crew

    with daily monitoring by galley supervisor, hotel

    manager and weekly review for the cooling

    logs

    Completed Completed

    21

    Food service general ware-

    washing data plates

    22 0

    Most of the ware wash machines did not have data plates in the main galley, crew pantry, or the bar pantries.

    Chief Engineer

    Data plates have been ordered locally will be placed upon delivery.

    MAKO rep. is preparing the wording for plates, and we will produce locally

    In Progress (at the printer) and should be done in a few days

    22

    Galley passenger

    main ware-washing

    22 0

    The under-counter ware-washing machine had been out of service for more than 2 months.

    Chief Engineer

    Ware-washing machine has been removed from original position as per USPH pre-inspection

    request. Installation in progress.

    Completed

    Completed

    23

    Galley passenger

    main galley cooling logs

    16 5

    The cooling log for 25 June indicated catfish had been cooled at 9:30 am with a starting temp of

    Chef

    Documented intensive trainings have been

    conducted for all the galley crew with daily monitoring by galley

    Completed

  • Page 6 of 29

    120 degree F, mixed seafood was cooled down at 9:35 with a starting temperature of 110 which is too low.

    supervisor, hotel manager and weekly review to ensure log

    compliance

    Completed

    24

    Food service general hand-

    washing sinks

    29 3

    The water temperature at all of the hand washing sinks was well below the minimum requirement of 100 degrees Fahrenheit. There were a few hand washing sinks that were able to reach the required temperature, but only for short periods of time.

    Chief Engineer

    Under investigation for improvement, technical solution needed

    No solution yet.

    Unknown

    25

    Buffet passenger consumer advisories

    16 5

    There was no consumer advisories for the fried eggs on the breakfast buffet or for the cold smoked salmon on the dinner buffet.

    Chef Corrected and supervised

    by the restaurant manager on 07/14.

    Completed

    Completed

    26

    Buffet passenger

    cold smoked salmon.

    17 2

    There was no letter from the vendor stating how long the cold smoked salmon had been frozen to or at what temperature for parasite destruction.

    Hotel Controller/

    Chef

    Already contacted the vendor and purchasing

    for the certificate Not received yet. September 2014

    27

    Galley passenger

    main ware-washing

    24 3

    During an evaluation of the in-use conveyor warewash machine, the inspector measured the temperature at the utensil surface

    Chief Engineer

    Service/Work order RQ has been raised NS-E-

    151-14. In progress

    This is an ongoing issue, due to no circulation of the hot water supply it is an

    operating problem, the water in the supply line cools off and it takes time to

    bring the temp. We are looking into

    Several electrical connections was corrected

    The machine is working correctly when it is kept operating at full speed.

  • Page 7 of 29

    with a thermometer at 120 degrees Fahrenheit and at the untensil surface with a irreversible sticker and got a temperature of less than 150 degrees Fahrenheit. The final rinse gauge for the machine indicated a temperature of 122 degrees Fahrenheit.

    finding a tank-less booster heater to put inline

    28

    Galley passenger main cold

    pantry

    29 3 The Hand washing sink was blocked by the wash rinse & sanitize buckets.

    Chef

    Already rectified on 07/14 and daily

    monitoring by shift in place.

    Completed Completed

    29

    Buffet passenger

    hand washing

    sink

    29 3

    There was no hand washing sink within 8 meters of all food worker areas of the buffet line that included carving station

    Chief Engineer

    Areas to be looked at to determine a technical

    items solution. September 2014

    30

    Buffet passenger

    dry storage area

    36 1

    The light intensity was less than 220 lux at the dry storage shelves and in front of the reach-in refrigerator to the left of the worker buffet line. Also, the light intensity was less than 110 lux behind around this same reach-in refrigerator.

    Chief Engineer

    Existing bulbs will be replaced by ultra-bright

    bulbs. In progress

    Still looking for brighter bulbs September 2014

    31

    Buffet passenger

    dry storage area

    21 1

    There was not enough space to properly clean or get access to behind the reach in refrigerator to the left of the worker side of the buffet line and between the refrigerator and the cold cabinets and between each of the cold cabinets

    Chief Engineer

    Areas to be looked at to determine a technical

    items solution. On board the areas will be cleaned

    as applicable

    Naviamar is quoting on this October 2014

    32

    Food service

    general Upright and

    under counter

    refrigerator

    21 1

    The technical components of all the upright and under counter refrigerators had several difficult to clean surfaces and materials

    Chief Engineer

    Areas to be looked at to determine a technical

    items solution. On board the areas will be cleaned

    as applicable

    No solution

    As Built

  • Page 8 of 29

    s

    33

    Food service

    general Upright and

    under counter

    refrigerators

    27 1

    The technical components of all the upright and under counter refrigerators were soiled with a heavy layer of dust, dirt and food wrappers and debris

    Chief Engineer

    Areas to be looked at to determine a technical

    items solution. On board the areas will be cleaned

    as applicable

    Completed

    Completed

    34

    Food service

    general Deck/Buck-

    head Junctures

    33 1

    Cove the deck/buck-head junctures in all food workers areas, self service buffet lines, beverage stations, waiter stations and bars. Also cove the deck/equipment foundations in the main galley and crew pantry. Also there are no coving at the deck/bulk-head junctures in the dry store room, liquor room or any rooms where equipment and single service items were stored in the provision area

    Chief Officer/Restaurant Manager

    As recommended by USPH, order Sikaflex 221 one

    component adhesive sealant. Chief Officer has

    ordered this, Req#0420027

    In Progress

    In Progress

    35

    Galley passenger

    main transportation trolley.

    18 3

    A worker was observed wheeling a trolley with a bag of pre-cooked cut french fries on top of a pan of raw ground beef patties. Also there were two containers of ice cream on the trolley below the patties.

    Chef

    Documented intensive trainings are being conducted for the galley crew with daily monitoring by galley supervisor, hotel manager and weekly review as applicable

    Completed Completed

    36

    Galley passenger main aft

    hot galley

    18 3

    There was a large raw turkey, set on the same cutting board as two slabs of raw pork.

    Chef

    Documented intensive trainings are being

    conducted for the galley crew with daily

    monitoring by galley supervisor, hotel

    manager and weekly

    Completed Completed

  • Page 9 of 29

    review as applicable

    37

    Galley passenger main cold

    galley

    26 3

    There was a large amount of food debris in the food contact surfaces of the previously cleaned vegetable chopper.

    Chef

    Documented intensive trainings are being

    conducted for the galley crew with daily

    monitoring by galley supervisor, hotel

    manager and weekly review

    Completed Completed

    38

    Galley passenger main cold

    galley

    28 2

    A previously clean slicer was set-up right next to the deck entrance workers had open and were going in and out to get into an engine space. Also a large fan unit is in this room and was circulated air along heavily dusty fins adjacent to the slicer. A previously clean large counter mounted mixer was also across from both the worker deck entrance and fan unit

    Chef

    Areas to be looked at to determine a technical

    items solution. Area to be cleaned as applicable

    Completed Completed

    39

    Galley passenger main cold

    galley

    26 3

    There was old white food residue in the attachment piece of the counter mounted mixer and also in both of the slotted fasteners in food splash zone of the mixer

    Chef

    Areas to be looked at to determine a technical

    items solution. Area to be cleaned as applicable

    Completed

    Completed

    40

    Galley passenger main cold

    galley

    21 1

    There was a white grease agent applied in excess to the non-food contact zone of the counter mounted mixer behind where the bowl was. The excess residue made cleaning difficult

    Chef

    Areas to be looked at to determine a technical

    items solution. Area to be cleaned as applicable

    In Progress

    In Progress

    41

    Galley passenger main cold

    galley

    26 3

    There were eight previously cleaned slicer blades that had old food residue on many of the surfaces or a heavy layer of dust and dirt residue.

    Chef

    Cleaned and to be monitored and inspected

    before storage into cabinet

    Completed Completed

  • Page 10 of 29

    42

    Galley passenger main cold

    galley

    16 5

    The cherry tomato salad was entered into the cooling log at a starting temperature of 53 degrees F at 8:10 and log stated 11:18, the food was 39 degrees F. The time of the inspection was 10:30 and the temperature of was 52 degrees.

    Chef

    Documented trainings are being conducted with reference to correct

    logging of temperatures and will be monitored

    Completed Completed

    43

    Galley passenger main cold

    galley

    13 3

    The food worker in charge filled out the cooling log for the cherry tomato salad on the day of the inspection and indicated that the food had cooled to 39 degrees Fahrenheit in approximately 3 hours. However the inspector measured the salad at a temperature of 52 degrees Fahrenheit at 10.30am when the cooling log was reviewed

    Chef

    Documented trainings are being conducted with reference to correct

    logging of temperatures and will be monitored

    Completed Completed

    44

    Galley passenger

    main under counter

    refrigerator #7

    18 3

    A pan of raw pork was stored in this refrigerator between 2 pans of ready to eat turkey breast slices

    Chef

    Item removed. Documented trainings

    conducted for the galley crew with regards to

    proper storage and will be monitored

    Completed

    Completed

    45

    Galley passenger

    main fathoms

    galley

    17 2

    There were two large pans of meat sauce and meat gravy stacked on top each other and thawing at room temperature under the prep counter on a shelf. The containers were still frozen.

    Chef

    Item removed. Documented trainings conducted for the galley crew with regards to proper thawing and storage procedures and will be monitored

    Completed Completed

    46

    Galley passenger

    main fathoms

    galley

    36 1 The light intensity at the hand-washing sink was less than 220 lux.

    Chief Engineer

    Existing bulbs will be replaced by ultra-bright

    bulbs. In progress Still looking for brighter bulbs September 2014

    47 Galley

    passenger main

    fathoms

    18 3 In reach in refrigerator #6, there was a container of beef stored between two containers if raw

    Chef

    Items removed. Documented trainings

    conducted for the galley crew with regards to

    Completed Completed

  • Page 11 of 29

    galley chicken. Also there was a container of raw beef patties above the two containers of raw chicken

    proper storage and will be monitored

    48

    Galley passenger

    main fathoms galley

    20 2

    Food workers were not able to use the two thawing units on board because they do not have the correct size pans to fit in this unit. Not able to use this unit makes it difficult to have space to thaw foods

    Chef

    Correct sized pans ordered, awaiting delivery advised

    Purchasing to action a.s.a.p.

    Completed Completed

    49

    Galley passenger

    main combinatio

    n ovens

    36 1

    The light intensity was less than 110 lux behind and around all the combination ovens.

    Chief Engineer

    Existing bulbs will be replaced by ultra-bright

    bulbs. In progress Still looking for brighter bulbs September 2014

    50 Galley

    passenger main ware washing

    28 2 A clean blender was stored upright with water in it in the clean storage

    Chef

    Staff educated on the importance of ensuring

    that the blender is turned upside down with no

    water residue

    Completed Completed

    51 Galley

    passenger main ware washing

    26 3

    A previously clean mixing blade was stored in the clean storage cabinet and had old food residue on it

    Chef

    Training done with staff on the importance of

    ensuring no food residue on clean items

    Completed Completed

    52 Galley

    passenger main ware washing

    37 0

    There was excess condensation on the deck-head above the pre-rinse sink and soiled landing area and over the wash compartment, Also condensation was dripping from the deckhead on top of the wash compartment. No clean items were impacted

    Chief Engineer

    Areas to be looked at to determine a technical

    items solution. Completed Completed

    53 Provisions mid ship

    water connection

    08 1

    There was no backflow prevention device on the water line connection across from the hand-washing sink.

    Chief Engineer

    NS-E-040-14 pending delivery to action

    SAME AS 15

    Original req. was sent to Purchasing on May 3rd

    September 2014

  • Page 12 of 29

    54

    Food service

    general Provision Rooms

    19 2

    There were several boxes of food, wine, liquor on the deck in all walk in refrigerators, freezers, dry store rooms and the entrances to all of these rooms. According to staff, they did not have enough deck stands or equipment to keep these boxes of food off the deck

    Hotel Controller

    Pallets requested for start-up on 04/19 and

    04/21, awaiting decision as e-mail sent on 07/17

    Waiting Quotation from TigPro and Navimar October 2014

    55

    Food service

    general Equipment

    Storage

    28 2

    There were several pieces of equipment and single service items stored on the deck in many provision rooms including two microwaves, a large bag full of plate covers, mixers, wine glasses and paper cups, plates, napkins and plastic silverware including the general mixed room, the store for hotel items and the equipment room

    Hotel Controller

    Controller actioned with regards to proper separation of items as applicable

    Completed Completed

    56 Bar

    passenger Big Nellis

    21 1

    There was an open void making cleaning difficult between the counter most right of the hand-washing sink and the right bulk-head

    Bar Manager

    Areas to be looked at to determine a technical items solution. On board the areas will be cleaned as applicable

    Completed

    Completed

    57 Bar

    passenger Big Nellis

    36 1

    The light intensity was less than 110 lux behind the counter-mounted refrigerators.

    Chief Engineer

    Existing bulbs will be replaced by ultra-bright

    bulbs. In progress

    Still looking for brighter bulbs

    September 2014

    58 Pantry bar Big Nellies 20 2

    The inside of the top compartment of the ice machine is heavily corroded, including the slotted fasteners in the

    Chief Engineer

    All ice machines are not as per USPH requirement (difficult to clean). Corporate office to decide if they like to go

    These ice machines should be replaced with a proven and approved units As built to be budgeted for next year

  • Page 13 of 29

    food-splash zone and the inside of the lid to the top compartment and the interior of the top compartment where the ice falls into the bin. Also, there are many pieces of a foam material inside of the ice machine that are difficult to clean.

    ahead with replacement as approved from USPH.

    59 Pantry bar Big Nellies 36 1 The light intensity was less than 110 lux behind and around the deck-mounted ice machine.

    Chief Engineer

    Existing bulbs will be replaced by Ultra bright

    bulbs. In progress

    Still looking for brighter bulbs

    September 2014

    60 Bar

    passengers Pipers

    Pub

    30 0 Napkins were used as paper towels at the hand-washing sink

    Bar Manager

    Replaced by C-Fold towels on 07/14

    Completed

    Completed

    61 Bar

    passengers Pipers

    Pub

    13 3

    The person in charge of this area was storing gastroenteritis prevention medicine on the bar counter behind the utility sink and stated they gave the medication out to passengers in the bar by request

    Bar Manager

    Medicine was removed. Staff advised not to give out any medication to passengers, effective

    immediately

    Completed Completed

    62 Bar

    passengers Pipers

    Pub

    30 0 There was no paper dispenser towel at the hand-washing sink

    Bar Manager

    Follow up on Pending requisition by Hotel

    Controller NS07- 22-14-0247

    Still awaiting for delivery

    September 2014

    63 Bar

    passengers Pipers

    Pub

    16 5

    The hot and cold cabinets on time control were not labeled for the time control and the hot cabinet was not on the time control plan

    Bar Manager

    The hot and cold cabinets are now labeled and the

    hot cabinets are reflected on the control plan. This will be monitored daily

    Time control plan for hot cabinet placed. Still awaiting for the delivery of the labels (color code) for the hot & cold cabinets.

    Completed

    64 Bar passenger 26 3 Previously clean blender had old Bar

    Manager Staff trained to ensure all debris is removed from Completed Completed

  • Page 14 of 29

    s Pipers Pub

    food debris and liquid in it

    blenders, cleaned properly and storage. Will

    be monitored

    65 Bar

    passengers Pipers

    Pub

    36 1

    The light intensity was less than 220 lux along the back bar counter and at the hand-washing sink. Also, the light intensity was less than 110 lux behind and around the counter-mounted refrigerators and coffee machine.

    Chief Engineer

    Existing bulbs will be replaced by ultra-bright

    bulbs. In progress Still looking for brighter bulbs September 2014

    66 Bar

    passengers Pipers

    Pub

    20 2

    There were slotted fasteners in the dispending units in the food splash zone of the counter mounted coffee machine

    Bar Manager

    As recommended by USPH, order Sikaflex 221 one component

    adhesive sealant. Chief Officer has ordered this,

    Req#0420027

    No Action yet September 2014

    67 Bar

    passenger Keys Bar

    30 0

    Napkins were used as paper towels at the hand-washing sink. Also there was no paper towel dispenser at the hand washing sink

    Bar Manager

    Follow up on Pending requisition by Hotel

    Controller NS07- 22-14-0247

    Still awaiting for delivery. September 2014

    68 Bar

    passenger Keys Bar

    21 1

    There was a difficult to clean void space in between cabinets #2 and #3 and the back bulkhead

    Bar Manager

    Areas to be looked at to determine a technical

    items solution. On board the areas will be cleaned

    as applicable

    Carpenter & Chief Officer Completed

    69 Bar

    passenger Keys Bar

    25 0 There was a wet wiping cloth on the counter that was not stored in a sanitizing solution

    Bar Manager

    Corrected. Crew trained on proper sanitation

    procedure as it relates to cleaning and items used

    to effect such

    Completed

    Completed

    70 Bar

    passenger Keys Bar

    36 1

    The light intensity was less than 220 lux along the back bar counter. Also, the light intensity was less than 110 lux behind and around the counter-mounted refrigerators.

    Chief Engineer

    Existing bulbs will be replaced by Ultra bright

    bulbs. In progress Still looking for brighter bulbs September 2014

    71 Bar passenger 19 2 There was a container of an Bar Corrected immediately Completed

  • Page 15 of 29

    Keys Bar unidentified white substance in the dry storage cabinet. According to staff it was sugar.

    Manager and container labeled. Training completed with

    regards to the importance of labelling all

    containers

    Completed

    72 Bar

    passenger Keys Bar

    20 2

    The steel frame and the slotted fasteners on the inside of the top compartment of the ice machine and the ice machine lid were heavily corroded. Also there were many difficult to clean materials around the insulation

    Chief Engineer

    Areas to be looked at to determine a technical

    items solution. Area to be cleaned as applicable

    These ice machines should be replaced with a proven and approved units As built to be budgeted for next year

    73 Bar

    passenger Keys Bar

    21 1 There is no way to access the back of the ice machine for cleaning

    Chief Engineer

    Areas to be looked at to determine a technical

    items solution.

    These ice machines should be replaced with a proven and approved units

    As built to be budgeted for next year

    74 Bar

    passenger Keys Bar

    36 1

    The light intensity was less than 110 lux behind and around the ice machine.

    Chief Engineer

    Existing bulbs will be replaced by Ultra bright

    bulbs. In progress

    Still looking for brighter bulbs

    Sept 2014

    75

    Food service - Upright

    and under counter

    refrigerators

    20 2

    These refrigerators had many difficult to clean surfaces on the inside and did not meet the NSF/ANSI food and safety requirements. Also some of the interior compartments were not fully sealed to the technical compartment above

    Chief Engineer

    Areas to be looked at to determine a technical

    items solution. Area to be cleaned as applicable

    No solution yet Only that they are kept clean

    As built to be budgeted for next year

    76 Medical

    Gastrointestinal (GI) Report

    01 4

    The ship has made foreign to US calls daily since 15th of May and has not submitted any prior to arrival reports to the CDC Vessel

    Hotel Manager

    GI reports being submitted to the CDC.

    Completed

  • Page 16 of 29

    Sanitation Program during that period. There was a request made for a variance to the 24 hour prior to arrival reporting requirement

    Completed

    77

    Medical Gastrointes

    tinal (GI) illness

    Surveillance Log

    02 1

    The written AGE (Acute Gastroenteritis) Surveillance log was missing a field for report time to medical center and staff only completed a field described as medical date. Staff were provided a copy of the VSP standardized AGE log to make correction to their log which was done during the inspection

    Hotel Manager

    Corrected during inspection

    Completed

    Completed

    78 Medical GI

    Illness Questionna

    ire

    02 1

    There was an assessment of crew who just joined the ship, but the form requested only information about symptoms up to 48 hours prior to joining the ship rather than the required 72 hours. Additionally the ship did not have a 72 hour self-administered questionnaire for any passenger or crew GI cases that reported AGE symptoms

    Hotel Manager

    Form changed from 48 to 72 hours as required on

    07/14. Corporate to advice on the 72 hour

    questionnaire form

    Completed

    Completed

  • Page 17 of 29

    79 Other Duty free shop

    and Pipers Pub

    02 1

    Two different non-prescription antidiarrheal medications were being sold at the duty free shop counter. One of these same antidiarrheal medications (Bismuth subsalicylate) was given by request to passengers at the bar at Pipers Pub

    Hotel Manager

    Removed from the bar and not sold in the shop Completed Completed

    80

    Medical - Medical,

    Duty Free and Pipers

    Pub

    44 2

    It was unclear if the person in charge for medical evaluations and documentation was aware of the VSP reportable gastrointestinal illness case definition. There was poor understanding of staff in other departments about the AGE program in the VSP Manual and company policy as loperamide product and a Bismuth subsalicylate were available to guest without documentation of it or evaluation as GI cases.

    Chief Officer

    Product removed. Chief Officer to be aware of AGE thru review of the

    VSP manual

    Completed Completed

    81 Medical Clinical

    specimen collection

    02 1

    There was no clinical specimen collection containers on board for either a bacterial analysis or a viral analysis. There was also no approval shipping box on board for clinical specimen

    Chief Officer

    Items ordered by Chief Officer, Req # 0420026 on 07/15, awaiting delivery

    for implementation

    Pending / waiting for delivery

    completed

    82 Medical Monthly

    water tests 06 2

    The medical staff were conducting microbiological test from the port each time the ship bunkered

    Chief Officer

    Items ordered by Chief Officer, Req # 0420026 on 07/15, awaiting delivery

    for implementation

    completed

  • Page 18 of 29

    water. The test kit provided only analysis for total coliform bacteria. In addition the test kit specified that the sample water with reagent required incubation for 24 hours to provide a result. The ship did not have an incubator onboard

    Pending / waiting for delivery

    83 Medical Monthly

    water tests 44 2

    Staff continued taking microbiological test as part of the portable water bunkering even though the samples were not incubated as required by the test kit and the results were not Escherica coli as required in the VSP Operations manual

    Chief Officer

    Items ordered by Chief Officer, Req # 0420026 on 07/15, awaiting delivery

    for implementation

    Pending / waiting for delivery completed

    84 Other

    Public and crew toilets

    41 0

    The two crew toilets at the crew mess did not have signs on or near the exit door which stated wash hands after using toilet. These are the toilets closest to both the main galley and the crew mess that food employees use. For all the passenger public toilets and public showers (with toilets) there was no sign advising handwashing at the handwash sinks

    Head Steward

    Signs in place in all areas as of 07/14

    Completed

    Completed

  • Page 19 of 29

    85 Integrated

    Pest Manageme

    nt plan

    40 1

    There was no written or electronic plan for pest management. In discussion with the housekeeping staff it appeared that the different departments were responsible for placement of traps and record keeping for same in their respective areas. There was a trap location and inspection log but no information on active surveillance inspections, pest sightings or exclusion practices. Staff stated that incoming supplies are inspected but no log is completed. Lastly there was no formal training provided to any staff who carry out trap placement or inspections

    Head Steward

    As remarked by USPH on inspection, there is no

    formal training records in regards to IPM.

    They recommend any company specialized in

    IPM for cruise ships, like "Santiano Brothers" etc. to come on board and

    perform the training and certification. On board meeting done by Chief Officer on 07/17 with

    department heads to set traps, monitor activity

    around the ship and keep logs with the Head

    Steward which will be reviewed weekly

    A request have been given Fleet Pro for training of personnel

    IPM on board. If infestation found shore contractor will be brought on board.

    86

    Medical Outbreak

    Prevention and

    Response Plan

    (OPRP)

    41 0

    The written OPRP specified that a health questionnaire be submitted to embarking passengers, but no such questionnaire was provided to embarking passengers. In specific level 3 response activities the OPRP describes fogging, but no disinfectant product is described and no concentration or contact time is given for same. In the level 3 response procedures (over 2% GI in crew or passengers) there is a choice of product between 1,000 ppm chlorine for 20 minute contact time and a virucidal disinfectant. The

    Head Steward

    Original plan from corporate needs to be

    updated to follow USPH requirements from the

    inspection. Requested by Chief Officer from

    corporate on 07/18

    September 2014

  • Page 20 of 29

    virucidal disinfectant was not identified but staff stated that an HB Quat product was on board and for disinfection. No concentration or contact time was known for use of the product, and it appeared that it has not been used to date.

    Dr. Dan Harper suggested that he could make a revised plan, this has to be

    decided by Fleet Pro

    87

    Medical Outbreak

    Prevention and

    Response Plan

    (OPRP)

    41 0

    There were several statements in the level 3 outbreak response that the back of house areas in places like the bars, reception, and spa that the touch surfaces should be wiped hourly. In the deck department the statements

    Head Steward

    Original plan from corporate needs to be

    updated to follow USPH requirements from the

    inspection. Requested by Chief Officer from

    corporate on 07/18

    SAME AS 86

    September 2014

  • Page 21 of 29

    included pools, jacuzzi's the frequency was twice daily for hard surfaces, and every 30 minutes frequency for the gangway. No product and no concentration or time was given for this activity. Lastly, there was a statement under the use of chlorine at level 3 (over 2% elevated GI illness) that 1,000 ppm was to be wiped on surfaces, left for 20 minutes and then wiped off.

    88

    Potable water

    backflow prevention

    cross connection

    control program

    08

    1

    Backflow preventers are installed in crew cabin flexible shower hose connections and toilet connections with all cabins and the potable water system. Most other cross-connected equipment throughout the ship is not protected with backflow prevention devices or air-gaps, or the device used is the wrong device. The ship does have a good initial listing of cross-connections and has ordered or re-ordered

    Chief

    Engineer

    NS-E-040-14 pending delivery to be actioned

    on board

    SAME AS 15

    Original req. was sent to Purchasing on May 3rd

    September 2014

  • Page 22 of 29

    proper devices for those connections.

    89 Portable

    water Portable

    water tanks

    07 3

    Both the port and starboard potable water tanks share a wall with two port and starboard technical water tanks. These technical water tanks are filled with potable water and used for technical purposes, but the tanks were not coated inside to a standard for potable water. There is no produced technical water on board as there is no water production equipment (reverse osmosis or evaporators).

    Areas to be looked at to determine a technical

    items solution/Corporate office to decide

    I is in progress to have all the

    documentation accepted by USPH it is to believed that the coating is indeed

    acceptable

    Completed

    90

    Potable water

    potable water far

    point

    05

    2

    The potable water distribution system far point is located in a toilet room near the bridge and has a pH value along with an ORP millivolt value with a posted curve to identify the corresponding free chlorine residual in parts per million. At the time of the manual comparison test the curve value was estimated to be 1.0-1.2 ppm. Inside the bridge another chart record with analyzer displayed the pH values and free chlorine residual for the far point in ppm. That chart and analyzer displayed 3.0 ppm. The manual chlorine comparison test taken from the analyzer in the bridge toilet room registered 2.18 ppm on the inspector's test kit and 4.4 ppm on

    Chief Engineer

    Calibration has been performed and system

    working fine.

    Due to the vessels water system design (Hydrophore Pressure Tanks) there will always be very high fluctuation at the

    chart recorder, Dr. Harper will assist on a variance from USPH

    September 2014

  • Page 23 of 29

    the ship's test kit. The ship test was not conducted correctly, as the kit was set to high range and the test vial for high range was not used and the water level and reagent amount used were incorrect. When the ship's kit was set to low range using the glass vial and proper reagent and water level the result was 1.88 ppm free chlorine. The toilet room analyzer and the secondary analyzer/recorder were both re-calibrated during the inspection

    91 Buffet

    Crew mess buffet

    19 2

    The forward side of the center self-service buffet counter was not equipped with a sneeze shield, leaving several prepared foods uncovered and open to contamination. In addition, the rice steamer on the starboard buffet counter and the soup crock at the aft counter were not equipped with sneeze shields and were not served by crew

    Chief Engineer

    Areas to be looked at to determine a technical

    items solution Waiting for quotation from NAVIMAR October 2014

    92 Buffet

    Crew mess buffet

    16 5

    All the under-counter reach-in refrigerators were said to be on time control, but none had labels affixed stating time control. The soup in electric crock on the aft buffet counter and the filled rice steamer on the starboard buffet counter were also said to be time control units, but neither was labeled time control. None of these units were identified in the time control plan as being time

    Chef Labeled time control in place Completed Completed

  • Page 24 of 29

    control units.

    93

    Buffet Crew mess buffet and Fathoms

    buffet

    20 2

    The bulk milk dispensing tube was 50 mm (2 inches) in length in both the crew and passenger buffets. Additionally, the tube was not cut on a diagonal in the crew buffet.

    Chef

    The tube was corrected on 07/14 and staff

    trained on cutting tube properly. This will be

    monitored

    Completed

    Completed

    94

    Buffet

    Crew mess buffet and Fathoms

    buffet

    36 1

    The artificial light levels at the counter-mounted beverage equipment (coffee machines, bulk milk dispensers, and ice/water dispensers) in both the crew mess and passenger buffet were below the minimum 220 lux of artificial light at the machine serving point, and in most cases less than 110 lux between and behind these units. Other areas of the counters in both locations were deficient in lighting, so a full light survey should be performed to evaluate precisely where lights should be added or adjusted.

    Chief Engineer

    Existing bulbs will be replaced by Ultra bright

    bulbs. In progress

    Still looking for brighter bulbs

    September 2014

    95

    Buffet Crew mess buffet and Fathoms

    buffet

    36 1

    The artificial light levels at the counter-mounted beverage equipment (coffee machines, bulk milk dispensers, and ice/water

    Chief Engineer

    Existing bulbs will be replaced by Ultra bright

    bulbs. In progress Still looking for brighter bulbs September 2014

  • Page 25 of 29

    dispensers) in both the crew mess and passenger buffet were below the minimum 220 lux of artificial light at the machine serving point, and in most cases less than 110 lux between and behind these units. Other areas of the counters in both locations were deficient in lighting, so a full light survey should be performed to evaluate precisely where lights should be added or adjusted.

    96

    Buffet Crew mess buffet and Fathoms

    buffet

    33 1

    The deck juncture with all the buffet counter foundations were not coved in both the crew and passenger self-service buffets. This included all buffet counters and islands, and the condiment islands.

    Chief Officer

    As recommended by USPH, order Sikaflex 221 one component

    adhesive sealant. Chief Officer has ordered this,

    Req#0420027

    Pending Supply In Progress

    97

    Buffet Crew mess buffet and Fathoms

    buffet

    21 1

    The power cables to the counter-mounted beverage equipment (coffee machines, bulk milk dispensers, and ice/water dispensers) in both the crew and passenger buffet areas were draped on the counter behind the

    Chief Engineer

    All cables and water supply tubes have been re-installed as per USPH

    requirements, completed 7/15

    Waiting for parts Naviamar is working on solution

    October 2014

  • Page 26 of 29

    machines making cleaning difficult. The water supply tubes for the coffee machines and ice/water dispensers were also draped on the counter behind the machines.

    98

    Buffet Crew mess buffet and Fathoms

    buffet

    21 1

    There were large open voids in the rear sections of the under counter cabinets where the utility connections for the beverage equipment penetrated which provided a difficult to access and clean area, and a place for insect harborage. Additionally, there were gaps at the open ends of the conduits for power cables at the connecting points for both the induction warming plates and cold basin condensers in the under counter technical cabinets in both the crew and passenger buffets. There were gaps present where the cables penetrated the interior panels in the under counter cabinets, and when panels between two cabinets were purposely cut to allow the utilities to pass, there was a raw pressed wood under layer remaining that was very absorbent and requires varnish or sealer.

    Restaurant Manager

    Areas to be looked at to determine a technical

    items solution

    In Progress Sept 2014

    99 Buffet 21 1 Chief Areas to be looked at to Waiting Quotation from TigPro and

  • Page 27 of 29

    Crew Crew Mess

    Buffet and Fathom Buffet

    The counter-mounted coffee machines, bulk milk dispensers, and ice/water dispensers were fitted direct to the counter or on legs less than the minimum 100 mm in height in both the crew mess and passenger buffet counters. Those fitted to the counter were not sealed to make cleaning easy.

    Engineer determine a technical items solution

    Navimar

    100 Buffet

    Crew Mess buffet

    19 2

    The drain tube for the starboard cold basin ended in the technical compartment below, but was trapped behind a lower rear panel and did not reach the installed deck sink built into the front part of that cabinet. When water was poured into the basin it leaked under the rear panel in the technical compartment and also to an area below and behind the cabinet.

    Chief Engineer

    Areas to be looked at to determine a technical

    items solution

    Completed Completed

    101

    Buffet crew mess

    buffet and Fathom buffet

    08 1

    The backflow prevention devices for the coffee and ice/water

    Chief Engineer

    NS-E-040-14 pending delivery

    SAME AS 15

    September 2014

  • Page 28 of 29

    machines could not be found during the inspection of the crew mess buffet and passenger buffet.

    Original req. was sent to Purchasing on May 3rd

    102 Other Crew

    mess pantry

    16 5

    A half-filled pot of cooked rice removed from the crew buffet at the end of service was found in the pantry on a lower clean storage rack. Staff did not discard immediately after service. Another rice cooker which was filled with cooked rice was found stored beside an empty and previously cleaned rice cooker on an over-shelf in the pantry. The temperature of the rice inside was 105 F and the unit was not plugged in. Staff stated it was finished cooking at 8 pm and was available for crew to take throughout the evening.

    Chef Crew trained on food

    handling and discard time after service.

    Completed Completed

    103 Buffet

    passenger Fathom buffet

    36 1

    The carving station had two side warming lights where the bulbs extended beyond the surrounding light shield. The bulbs were not shatter-resistant.

    Chief Engineer

    Proper bulbs shatter-resistant will be ordered

    Chef does not need these light and they will be removed Completed

  • Page 29 of 29