FCRC Skin Penetration Premises Inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Premises details

• Licence number

• Proprietor

• Inspection type

  Routine

  Re-inspection

  Complaint

  Final

• Inspection time & date

  Date

• Business details notified [PHA31(1)]

  Yes

  No

  N/A

• Inspection fee to be invoiced

Procedures

• Waxing

• Nail services

• Ear piercing

• Body piercing

• Tattooing

• Microdermabrasion

• Skin needling

• Electrolysis

• Cosmetic enhancement

• Semi-permanent makeup

• Colonic lavage

• Other

Inspection

PREMISES

• Premises is clean and hygienic [PHR23(1)a]

  Yes

  No

  N/A

• Premises is structurally suitable [LGR11(1)]

  Yes

  No

  N/A

• Adequate washing, drainage, ventilation and lighting facilities provided [LGR13(1)]

  Yes

  No

  N/A

• Suitable floor coverings, shelves, fittings and furniture [LGR13(3)]

  Yes

  No

  N/A

• Shelves fittings and furniture are durable, smooth, impervious to moisture and capable of being easily cleaned [LGR13(4b)]

  Yes

  No

  N/A

• Hand wash basin provided [PHR23(1c)]

  Yes

  No

  N/A

• In each treatment room

  Yes

  No

  N/A

• Hand wash basin is provided with clean, potable, warm water through a common spout [PH23(1c) & LGR13(4a)]

  Yes

  No

  N/A

• Hand basin situated against a wall with a durable, smooth, impervious to moisture and capable of being easily clean [LGR11(2)]

  Yes

  No

  N/A

• Liquid soap provided [PHR23(1e)(i)]

  Yes

  No

  N/A

• Single use towels or other suitable hand drying equipment provided [PHR23(1e)(ii)]

  Yes

  No

  N/A

• Separate sink for the cleaning of equipment [PHR23(1d)]

  Yes

  No

  N/A

• Cleaning sink provided with clean, warm water [PHR23(d)]

  Yes

  No

  N/A

• Adequate toilet facilities provided (colonic lavage) [PHR24(a)&(b)]

  Yes

  No

  N/A

EQUIPMENT

• Equipment is in good working order [PHR23(2)]

  Yes

  No

  N/A

• Equipment is stored in a clean and dry environment [PHR23(2)]

  Yes

  No

  N/A

• Clean linen available [PHR23(e)(iii)]

  Yes

  No

  N/A

• Clean and dirty linen stored in separate receptacles

  Yes

  No

  N/A

• Adequate supply of sterile disposable needles available [PHR25(2)]

  Yes

  No

  N/A

• Single use items i.e. needles not re-used [PHR27(1)]

  Yes

  No

  N/A

• All articles used to penetrate the skin (including both reusable articles and single use items) are clean and sterile [PHR27(5)]

  Yes

  No

  N/A

WASTE

• Waste disposal bin provided [PHR23(b)]

  Yes

  No

  N/A

• Compliant yellow sharps container provided [PHR25(1)&(3)]

  Yes

  No

  N/A

• Sharps container appropriately disposed of by a licensed contractor [POEO]

  Yes

  No

  N/A

• Sharps / needles disposed into a sharps container immediately after use [PHR27(2)&(4)]

  Yes

  No

  N/A

• Single use items are appropriately disposed of immediately after use [PHR27(3)&28(1b)]

  Yes

  No

  N/A

PROCEDURES

• Hands washed prior to conducting procedure

  Yes

  No

  N/A

• Clean gowns or aprons available and worn during skin pen procedure [PHR23(e)(iii)&28(2)&(3)]

  Yes

  No

  N/A

• Single use disposable gloves are provided and worn during skin penetration procedures [PHR23(e)(iii)&28(1a)]

  Yes

  No

  N/A

• Skin prepared with suitable antiseptic (pre-wax solution)

  Yes

  No

  N/A

• The spatula used to apply the wax is thrown out after use - no double dipping [PHR30]

  Yes

  No

  N/A

• Wax not reused and thrown out after use [PHR30]

  Yes

  No

  N/A

• Roll on wax: canister / applicator not reused [PHR30]

  Yes

  No

  N/A

• The ink, pigment or other liquid decanted into single use container [PHR29(1)]

  Yes

  No

  N/A

• Single use container / applicators not reused [PHR29(1)]

  Yes

  No

  N/A

• Single use applicator used [PHR29(1)]

  Yes

  No

  N/A

CLEANING / DISINFECTION

• All equipment is cleaned and dried after use [PHR23(2)]

  Yes

  No

  N/A

• Hospital grade disinfectant is being used

  Yes

  No

  N/A

• Foot spas are cleaned and disinfected

  Yes

  No

  N/A

• Cleaned and disinfected after each client

  Yes

  No

  N/A

• Components removed and cleaned daily

  Yes

  No

  N/A

• Soaked overnight once a week [PHR23(2)]

  Yes

  No

  N/A

STERILISATION

• All reusable articles used to penetrate the skin are cleaned and sterilised using a bench top autoclave [PHR26(1)&(2)(a)]

  Onsite

  Offsite

  NA

• All sterilised articles kept in a sterilised environment [PHR27(5)]

  Yes

  No

  N/A

• Operator is adequately trained in the operation of the autoclave (onsite sterilisation) [PHR26(2b)]

  Yes

  No

  N/A

• Articles prepared and packed appropriately. Autoclave operated correctly [PHR26(c)]

  Yes

  No

  N/A

• Records kept for autoclave sterilisation (onsite) including time, date, length of time, temperature and pressure levels of the autoclave OR Records kept for sterilisation (offsite) including the date when the articles were sent off for sterilisation and the name and address details of the person who sterilises the articles [PHR26(3)&(4)]

  Yes

  No

  N/A

• Records of sterilisation kept at the premises for minimum of 12 months [PHR26(3)&(4)]

  Yes

  No

  N/A

• Autoclave is serviced and calibrated annually [PHR26(2c)]

  Yes

  No

  N/A

• Comments

• Inspection result

  Select Satisfactory Unsatisfactory

  • Satisfactory
  • Unsatisfactory

• Action

  Warning letter

  Penalty Notice

  Improvement Notice

  Prohibition Order

• Reinspection required

  Select Yes No

  • Yes
  • No

• Date of reinspection

  Date

• I have read and understood the contents of this inspection report and will forward the report,mid applicable, onto the proprietor / owner or applicable person.

  Sign

ADDITIONAL INFORMATION

Inspection results

• Satisfactory - All aspects of the premises comply with relevant legislative requirements.

• Unsatisfactory - one or more relevant legislative requirements have not been met and have resulted in unsatisfactory workplace practices. A re-inspection will be required and legal action may be considered should the matter not be citified prior to the reinspection.