Hair/ Beauty/ Skin Penetration Premises Inspection Report

• Premises' Name

• Contact Number

• Proprietor's Name

• Conducted on

  Date
• Location / Address
  Address

AlburyCity - Hair / Beauty / Skin Penetration - Premises Inspection Report

• Name of Premise

• Address / Location
  Address

• Contact No.

• Date of Inspection

  Date

The items marked 'no' require attention to comply with Part 2 (Hairdressing) Part 3 (Beauty Salons) of Schedule 2 from Local Government (General) Regulation 2005 made under Local Government Act 1993.

• Premises structurally suitable for purpose?

  Yes

  No

  N/A

• Premises clean and in good repair?

  Yes

  No

  N/A

• Adequate hygienic facilities to store appliances / utensils?

  Yes

  No

  N/A

• Adequate light and ventilation?

  Yes

  No

  N/A

• Adequate flooring?

  Yes

  No

  N/A

• Adequate washing and drainage facilities?

  Yes

  No

  N/A

• Washing facilities have hot and cold supply mixed to single outlet?

  Yes

  No

  N/A

• Wash basin surrounds to be water proof / easily cleaned?

  Yes

  No

  N/A

• Suitable shelving, fittings and furniture / waterproofing / easily cleaned?

  Yes

  No

  N/A

• Miscellaneous

  Attention Required

  Not Applicable

• Re-inspection required?

If skin penetration such as hair removal (e.g. Waxing), piercing (ear or any other part of the body), tattooing, acupuncture, colonic lavage or any similar procedure which penetrates the skin, is carried out on the premises, the following items marked 'no' require attention to comply with Public Health Regulation 2012 made under Public Health Act 2010.

• Equipment is clean, dry and in good working order?

  Yes

  No

  N/A

• Hand basin supplied with warm running potable water?

  Yes

  No

  N/A

• Hand basin supplied with single use soap and towel?

  Yes

  No

  N/A

• Separate sink supplied with warm running potable water?

  Yes

  No

  N/A

• Waste disposal bin?

  Yes

  No

  N/A

• Needles not reused?

  Yes

  No

  N/A

• Sharps bin?

  Yes

  No

  N/A

• Single use articles and wax appropriately disposed of immediately after completion of procedure?

  Yes

  No

  N/A

• Skin penetration articles for re-use to be sterilised and kept clean?

  Yes

  No

  N/A

• Non skin penetration articles for re-use to be cleaned and kept clean?

  Yes

  No

  N/A

• Autoclave date, time, duration, temperature, pressure records kept?

  Yes

  No

  N/A

• Single use gloves worn and appropriately disposed of for each skin penetration procedure?

  Yes

  No

  N/A

• Clean gown or apron worn (impermeable material for colonic lavage)

  Yes

  No

  N/A

• Ear piercing gun not used for another purpose?

  Yes

  No

  N/A

• Body piercing equipment not used for any other purpose?

  Yes

  No

  N/A

• Miscellaneous

  Yes

  No

  N/A

• Re-inspection required?

• If no action has been taken by the re-inspection, fines will apply in accordance with the Local Government (General) Regulation 2005 made under LocalGovernment Act 1993.

• This report relates only to a sample of issues observed in regards to the legislation stated above. It does not imply compliance or non compliance with any other legislation or regulation (e.g. Building Code of Australia)

For further information contact Council's Environment Health Officers on 6023 8265.

• Next Inspection Due

  Date

• Premises Rep's Signature

  Sign

• Environmental Health Officer

  Lauristion Muirhead

  Lindsay Mack