Transcription
SHIP SANITATION CERTIFICATE PROGRAM COURSEUnit 4: Inspection & Certificate IssuanceCIN: B-322-1100SEPTEMBER 20124-1-04-1-0
InspectionAnd Certificate Issuancep Topic 4.1 – Ship Sanitation Certificates Topic 4.2 – Preparing for the Inspection Topic 4.3 – SSC Inspection Topic 4.4 – Certificate Completion/Issuance Topic 4.54 5 – SSC Extensions Topic 4.64 6 – Record Keeping and Quality Assurance4-1-1
Ship Sanitation CertificatesEnabling Objectives:– 4.1 Describe the two types of Ship SanitationCertificates– 4.2 Describe the public health risk– 4.3 Discuss exemption criteria– 4.4 Discuss control criteria4-1-2
Ship Sanitation CertificatesThere are 2 types of SSC certifications set forth by theInternational Health Regulations (IHR): Ship Sanitation Control Exemption Certificate (SSCEC) Ship Sanitation Control Certificate (SSCC)4-1-3
Public Health Risk Likelihood of an event that may affect adversely the healthof human population Determination of which certificate to issue is based onevidence found of public health risk of internationalconcern EEvidenceidfoundf d off publicbli healthh lth riski k isi ttypicallyi ll sources of:f– Infection– ContaminationC t i ti– Infestation4-1-4
Criteria for Issuing a Ship SanitationControl Exemption CertificateA ShipboardShi b d SanitationS it ti ControlC t lEExemptionti CertificateC tifi t(SSCEC) is issued when there is no evidence of concern forinternational public health disease spread4-1-5
Criteria for Issuing a Ship SanitationControl CertificateA Shipboard Sanitation Control Certificate (SSCC) is issuedwhen there is there is evidence of a public health risk ofinternational concern Requires immediate notification to the NMCPHC and controlmeasures must be applied to prevent further threat IInspectort mustt communicatei t findingsfi diwithith COC bbeforefissuing SSCC4-1-6
Summary and Review The two types of Ship Sanitation Certifications Public Health Risk ExemptionEi criteriai i (SSCEC) Control criteria (SSCC)4-1-7
Preparing for the InspectionEnabling Objective:4.5 Discuss inspection preparations4-1-84-2-1
Inspection Requests DoD, USCG, or NOAA vessel contacts a shorecommand or ship with Navy authorized SSC inspectorand CDC seal to request a SSC inspection Upon request from ship Senior Medical DepartmentRepresentative (SMDR), inspection date is scheduled Navy inspectors are not authorized to inspect cruiseships, private ships, nor foreign military vessels4-1-94-2-2
Inspection PreparationAdvise ship on what documents to have ready for review uponinspector(s) arrival: Potable Water Log Pest Control Log DNBI Weekly Reports for past month Medical Readiness Inspection (Preventive Medicine section) Food Safety Training Records (PIC & Food Service personnel) Food Safety Inspection Reports past 6 months Habitability Inspection Reports4-1-104-2-3
Inspection Preparation (cont’d) Assigned SSCP authorized agent reviews ship’sship s previousSSC (if available) Determine equipment and supplies needed to conduct theinspection4-1-114-2-4
Summary and ReviewInspection preparations: Inspections Requests Pre-Inspection Actions Review prior SSC(s) Gather necessary supplies and equipment4-1-124-2-5
SSC Inspectionab g ObjeceEnablingObjective:4.6 Discuss components of SSC inspection4-1-134-3-1
Upon Arrival Perform a visual inspection of the dock area, mooringlines, and items that may require further inspection Meet with SMDR or ship’s designated point of contact andbegin inspection with brief on purpose of inspection andareas/systems/services to be reviewed SMDR or ship POC accompanies inspector throughoutth iinspectiontheti4-1-144-3-2
Elements of the SSC InspectionRegionOutsideEngineE i RoomRMain Body of ShipArea/System/Service AssessedPest InfestationsCargo HoldsDock areaRat guards (if applicable)Pest InfestationsPotable Water TreatmentSewage TreatmentBallast Discharge Management (if applicable)Pest InfestationsQuarters and other Habitability SpacesGalleyDry StorageCold StorageWaste (Solid and Medical)Medical Facilities4-1-154-3-3
Pest Infestation InspectionReview Pest Management Log Documentation for at least 1 year Note any pesticide applications and/or documentation ofaanyy pests/pests/rodentsode ts oonboardboa d Review anyy surveillance data4-1-164-3-4
Pest Infestation InspectionInspect ship for the following: Rodents Droppings, rub marks, hair, nesting evidence, andgnaw marks Use a black light to inspect for urine streaks CockroachesFrass oothecae (egg cases)cases), cast skinskin, and dead Frass,roaches4-1-174-3-5
Pest Infestation InspectionInspect ship for the following: Fliesgg– Presence of filth flies and larvae near garbage/wastecollection and storage points– Fruit flies around food prep area Bed Bugs– Berthing areas for presence of live or dead bed bugs– Bedding linens for blood spots Vector Breeding Sites– Standing water for containing mosquito larvae Stored products Pests– Dry goods for presence of stored product pests4-1-184-3-6
Pest Infestation ConcernsBed bugRed Flour BeetlePhoto Courtesy of CDC/Donated byWorld Health Organization,g, Geneva,, SwitzerlandPhoto Courtesy of National Human Genome Research Institute/Eric Day,y, VirginiagTech,, Blacksburg,g, Va.WeevilPhoto Courtesy of USDA Agricultural Research Service (www.ars.usda.gov)RatPhoto Courtesy of National Human Genome Research InstituteFlyPhoto Courtesy of Centers for Disease Control and Prevention (CDC)4-1-194-3-7
Rat Guards Rat guards no longer required except when in a port wherepplagueg is endemic. Efforts to prevent rodents aboard ship are still necessary,particularly where large rodent populations exist. Commanding officers or medicaldepartment representatives maydetermine rat guards are advisableas additional protective measure. References: OPNAVINST 6210.2 (Series) NAVMED P-5052-26P 5052 26U.S. Navy photo by Photographer's Mate 1st Class William R. Goodwin4-1-204-3-8
Medical SurveillancePotable Water SystemEnsure water treatment and record-keeping procedures are incompliance with NAVMED P-5010-6Review Potable Water Log Potable water logs should confirm: DAILY halogen (bromine or chlorine) residual WEEKLY coliform bacteria testing MONTHLY potable water tanks4-1-214-3-9
Marine Sanitation DeviceSewage DisposalCHT (Collection, Holding, Transfer) Pump room Check for:–––––Pest infestationsNo spillsEmergencyg y Escapep Breathingg DevicesSafety/Health Placards postedHand washing sinks Operational and stocked with soap and papertowels4-1-224-3-10
CHT Handling/Disposal PPE and spill kit readily accessible Smoking, eating, and drinking are not permitted inPump Room spaces– Placards posted with above information4-1-234-3-11
Ballast Discharge ManagementSurface ShipsBallast management for applicable surface ships: Valves remain closed in pport and other non-dischargegzones Engineering Department responsibility4-1-244-3-12
Habitability Inspection Reviewbi bili areas:Habitability Berthings/Staterooms Heads/Showers Recreation/Gyms Laundryy Barbershop Ship’s storeHabitability inspection reports Ensure ship inspections are being conducted periodicallyIAW with TYCOM instructions and other Navy references– OPNAVINST 9640– NAVMED P-5010-24-1-254-3-13
Habitability Inspection Review (cont’d) Free of clutter and/or trashpermitting pest harborageareas Observe general sanitarycompliance/cleanliness Close attention to pestinfestation issuesU.S. Navy Photo by Hospital Corpsman 1st Class Brennan, NEPMU64-1-264-3-14
Food Safety/Galley Inspection Review Galley includes Wardroom, CPO Mess, Reach-inreefers/freezers, and pantryReview Ship Force Food Safety inspections for the last 6monthsAttention focus on the Centers for Disease Control (CDC)5 risk factors for food borne illness outbreaks:– Improperp p hot/cold holdingg temperaturespofpotentially hazardous food– Improper cooking temperatures of food– Dirty and/or contaminated utensils and equipment– Poor employee health and hygiene (handwashing)– Food from unsafe sources4-1-274-3-15
Food SafetyDry Food Storage Close attention to stored products for stored product pestinfestation General cleanliness of area/spillage cleaned and disposed4-1-284-3-16
Food SafetyC ld FoodF d StorageStCold Observe chill boxes and freezers for operationalthermometers Confirm temperatures maintained for storage ofpotentially hazardous foods per NAVMED P‐5010‐1 ReviewR i TemperaturesTllogs ffor bbulklk storage reefersf Properp labelingg of advance preppedp pp and leftoverfoods Observe general cleanliness of area4-1-294-3-17
Food Safety TrainingCrew Compliance Review Food Safetyy Trainingg compliancepperpOPNAVINST 4061.4– Person in Charge (Supervisor/Leadership)– Food Employees ( Culinary Specialists)4-1-304-3-18
Solid Waste/Medical Waste Look for pest infestations Review medical waste logfor compliance with AfloatMedical WasteManagement GuideOPNAV P-45-113-3-99U.S. Navy Photo by Hospital Corpsman 1st Class Brennan, NEPMU64-1-314-3-19
Medical Disease Surveillanceand Facility Review DNBI weekly report for past month looking for anyspikes in GI or respiratory disease Review previous Medical Readiness Inspection (MRI) If applicable, review recent Medical Event Reports (MERs)4-1-324-3-20
Summary and ReviewComponents of SSC Inspection: Actions upon arrival Pest Infestation Inspection Dry & Refrigerated Cargo Holds Bulk Storage forinsect/rodent infestation Rat Guards (if applicable) Medical Surveillance Potable Water System Marine Sanitation Device Sewage Disposal4-1-334-3-21
Summary and Review (cont’d)Components of SSC Inspection: Ballast Discharge Management Surface Ships asapplicable Habitability Inspection Food Safety– Food Preparation and Handling– Training Solid /Medical Waste Handling/Disposal Medical Disease Surveillance (DNBI)4-1-344-3-22
SSC Certificate Completiond IssuanceIandEnabling Objectives:4.7 Discuss when to issue a SSCEC4.8 Discuss when to issue a SSCC4.9 Explain how to complete NAVMED Form 6210/14.10 Discuss performing the outbrief4-1-354-4-1
Ship Sanitation Certificate SSCEC is issued when no evidence of a public health riskof international concern is found SSCC is issued when evidence of public health risk ofinternational concern is found– If a PHEIC is suspected and you have concurrence withyour COC, notify the NMCPHC– NMCPHC will make the determination and notify CDC,if required4-1-364-4-2
NAVMED 6210/1 Serves as the SSCEC or SSCC Consist of 2 pages Valid for 6 months and may be extended only once for aperiod of one month4-1-374-4-3
Ship NameShould include full, unabbreviated name of the ship4-1-384-4-4
Homeporthomeport NOT the port/locationFor the name of the ships homeport.where the assessment is being conducted.4-1-394-4-5
Ship Hull NumberContains the full numericalnumerical, alpha-numerical hull number of thevessel and class of ship. i.e. FFG-554-1-404-4-6
Cargo Statuscargo check UNLADENcargo checkIf the ship Does not have cargo,UNLADEN. Has cargo,LADEN, and confirm with SUPPO tons of Cargo, if applicable.LADEN This block is to contain the total combinedg of cargog or suppliesppbeingg stored inweightthe holds of the ship. This information generally can be attainedfrom engineering.4-1-414-4-7
DateC t i theth dated t off theth assessment.t TheTh fillablefill bl PDF filefil willill automaticallytti ll populatel tContainsthree locations: Two on the front and one on the back. Ensure all the dates correspond.4-1-424-4-8
SSCEC or SSCCCheck the box for Ship Sanitation Control Exemption Certificate (leftcolumn) or Ship Sanitation Control Certificate (right column)4-1-434-4-9
Areas, Systems, and Services InspectedThis column contains all of the areas to beevaluated and examined for the certificate.Important: You must actually, physicallyexamine the spaces.4-1-444-4-10
Documents ReviewedThis column notes: Administrative documents tobe reviewed Also see SSC Pre‐AssessmentChecklist for more detail onwhath t tot review,ias wellll asreferences. Important:pYou must actuallyysee the records.4-1-454-4-11
Evidence Found4-1-464-4-12
Evidence Found Column If Evidence box is checked:– DetailsD t il on commentt page requiredi d– Include brief, clear description of finding,recommended corrective action by shipship’ss forceforce,and applicable naval references Inspection may identify findings where public healthrisks to ship’sship s force may exist but not to the level ofinternational concern and public health interventionactions should be documented4-1-474-4-13
Before Issuing SSCC Contact COCFOR SSCCs ONLYU thiUsethis ColumnC ltot describedib : Evidence found as described above,found aboard vessel. When there is PHEIC.Re‐Assessment Date for eachControl Measure.4-1-484-4-14
Public Health Risk OfInternational ConcernOne of these boxes must be checked and form makes it easy:If SSCEC check Public Health Risk of International Concern NOT Found (left column)g column))If SSCC check Public Health Risk of International Concern Found ((right4-1-494-4-15
NAVMED Form 6210/1 BackTop block should be pre-populated from the front of the form.Verify all information is correct prior to applying seal.Document public health findings with recommended corrective actionand applicableppreferences. Discuss with Shipp MedicalDepartment Representative before leaving ship. If evidence column checked comment required.4-1-504-4-16
Contact InformationContact information of the issuing authority forquestions will be on the SSC Form,Form NAVMED 6210/1 Minimum information:– Name of Authorized Agent– SSC Issuing Command/UIC– Signature of Authorized Agent– Date SSC issued– SSC Issuing Command generic email address in theevent shipp needs to requestq1-month extension4-1-514-4-17
CDC Seal ApplicationAfter reviewing the form and ensuring all information iscorrect, the CDC seal shall be applied:If document is printed as: ONE PAGE (front and back)– Place seal on space provided on the front of thedocument. TWO PAGES (Place seal on BOTH pages)– Pageone: space providedPid d– Page two: lower right hand corner4-1-524-4-18
Applying the Raised SealRAISEDCDCSEAL4-1-534-4-19
Applying the Raised Seal (continued)RAISEDCDCSEAL4-1-544-4-20
Review SSC General information complete Correct date (3 places: 1st page top and bottom and page 2) SSCEC or SSCC box checked Areas inspected checked or N/A Make sure you’ve checked one of the following: PublicHealth Risk of International Concern NOT FOUND orFOUND Inspectingpg Official information Grammar, consistent wording, legibility and clarity — VeryImportant!!4-1-554-4-21
SSC Outbrief Inspector shall debrief SMDR upon completion of inspection. Inform that the certificate expires in 6 months and theprocedures for requesting a one month extension (provideship an official email address). Discuss findings and recommendations for ship’s force tofollow up with corrective action for public health findingsobservedbd andd ddocumentedt d on ththe commentt page.4-1-564-4-22
Summary and Review Ship Sanitation Certificates, to include:– When to issue a SSCEC– When to issue a SSCC How to complete NAVMED Form 6210/1,6210/1 including:– Contact information– CDC seall applicationli ti– How to review an SSC for completeness/accuracy PerformingP f i theth iinspectionti outbrieftb i f4-1-574-4-23
SSC ExtensionEnabling Objective:4.11 Explain how to complete a SSC extension4-1-584-5-1
SSC Extension Article 39, IHR– SSCECs and SSCCs shall be valid for a maximumperiod of six months– This period may be extended by one month if theinspection or control measures required cannot beaccomplished at the port4-1-594-5-2
NAVMED 6210/2 Complete NAVMED6210/2 (11-2007),(),Notification of 30 DayExtension of ShipSanitation Certificate Extension issued by entitywhichhi h iissuedd ththe expiringiicertificate. May be transmittedelectronically.4-1-604-5-3
SSC Extension Examples Extension is a period of one month from the day the SSCexpiresp– USS Cleveland SSCEC expires June 28th and requestsextension on June 26th Extension expires July 28th– USS Boxer SSCEC expires July 28th and requestsextension on August 2nd Extension expires August 28th4-1-614-5-4
Summaryy and Review Explained procedure for completing a SSC extension4-1-624-5-5
Record Keeping and Quality AssuranceEnabling Objectives:4.12 Discuss SSCP Record Keeping4.13 Discuss Quality Assurance4-1-634-6-1
Record Keeping and SSC Submission Copies of SSCECs and SSCCs issued by Navy authorizedagents shall be kept via command/UIC files (electronic orhard copy) SSCC shall be scanned and emailed to NMCPHCimmediately with COC review and concurrence SSCECs shall be scanned and emailed to NMCPHC notless than weekly Email SSCEC and SSCC to: NMCPHCPTSNMCPHCPTSSSCEC@med.navy.mil4-1-644-6-2
Quality Assurance SSCs shall be QA reviewed by the SSCP Manager(Environmental Health Officer) of the local PreventiveMedicine Service or NEPMU. Review for completeness,paccuracy,y consistency,y andlegibility of information on certificate. SSCP Manager will provide QA feedback to inspectorson proper completion of SSCs, as needed. Preventive Medicine Departments at MTFs and NEPMUswill be responsible for the QA Program oversight andliaison with NMCPHC.4-1-654-6-3
Quality Assurance (continued) NEPMUs will provide:– AOR QA off ththe SSCSSCs– SSC training for Navy authorized SSC inspectors NMCPHC will provide:– Policy guidance and liaison with CDC for Navy’s SSCProgram4-1-664-6-4
Summary and Review SSCP record keeping and submission procedures Quality Assurance responsibilities of:– SSC InspectorsIt– SSCP Manageri Mdi i D– MTF PPreventiveMedicineDepartments– NEPMUs4-1-674-6-5
Course Summary and Review Requirements of International Health Regulations and ShipSanitation Certificate Program:– WHO and IHR (2005)– Key definitions Navy ship sanitation program policy– Navy/CDC MOU– Quarantine procedures– Authorized vessels4-1-684-6-6
Course Summary and Review (cont’d) Elements of Shipboard Organization:– Chain of Command.– Vessel boarding procedures.– Ship organization, nomenclature and compartmentd i tidesignation.– Ship classes and SSC factors. ProceduresProced res to inspect and ississuee Ship Sanitation CertificatesCertificates:– SSC types and Navy policy criteria for issuing certificates.– Preparing forfor, conductingconducting, and components of SSCinspection.– Completion, issuance, record keeping and quality assuranceNavy Ship Sanitation Certificate Program.4-1-694-6-7
Unit 4: Inspection & Certificate Issuance CIN: B-322-1100 SEPTEMBER 2012 4-1-04-1-0. Inspection And Certificate Issuance . SSCC is issued when evidence of public health risk of international concern is found - If a PHEIC is suspected and you have concurrence with your COC, notify the NMCPHC .
![FIPS 140-2 Non-Proprietary Security Policy Acme Packet 1100 [1] and .](/img/49/140sp3490-5601486.jpg)
