Title Page
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Site conducted
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Business name
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Manager/proprietor
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Business phone
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Email address
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Premises address
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Conducted on
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Prepared by
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INSTRUCTIONS
1. Answer the questions below by selecting the most appropriate response.
2. Add photos and notes as necessary evidences
3. To add a corrective measure, click ""Add Action"", provide a description, assign to a member, set priority, and due date
4. Complete the audit by providing a digital signature
Design, Construction and Cleanliness
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1 Floors (clean, in good repair, smooth, impervious)
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2 Walls (clean, in good repair)
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3 Ceiling (clean, in good repair)
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4 Lighting/ventilation
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5 Shelves, cupboards and benches
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6 Partitioning (separate hairdressing section)
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7 Receptacles (linen bin with waste bin lid)
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8 Wash basin (1 for every 3 work stations)
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9 Wash basin water supply (+38°C)
Laundry
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10 Hot water (60°C)
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11 Washing machine
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12 Wash trough
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13 Clothes dryer or 30m of clothes line
Refreshments
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14 Prepared in separate room from hairdressing area
Disinfection
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15 Solution applied to clipper head after every use
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16 Disinfect instruments (immerse 10min in solution)
Disinfection Solution
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17 Ethyl alcohol 70% (v/v)
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18 Glutaraldehyde 1% (v/v) warn potential carcinogen
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19 Hypochlorite solution 0.5% (v/v)
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20 Isopropyl alcohol 70% (v/v)
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21 Solution approved by EDPH
Sanitary Conveniences
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22 Maintained in good working condition
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23 Ventilation
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24 Toilet paper
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25 Wash hand basin
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26 Soap and hand drying facility
Personal Hygiene
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27 Hand hygiene
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28 Suitable clothing
Policy(s)
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29 Head lice
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30 Blood spill accident
General
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31 Sharps container (if necessary)
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32 Skin penetration procedures (additional form)
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Other comments
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Please attend to any outstanding items by the due date. For enquiries contact the officer on the number below.
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Reinspection date
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I have read and I understand the contents of this assessment. Proprietor/staff name and signature
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Officer name and signature
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Officer contact number
