Title Page
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Site conducted
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Prepared by
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Date & time conducted
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Location (if not in system)
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Business Name (if not in system)
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Risk Level
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Reason for assessment
- Routine Skin Penetration Premises Assessment
- Follow Up Skin Penetration Premises Assessment
- Complaint Skin Penetration Premises Assessment
- New/Transfer Skin Penetration Premises Assessment
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Proprietor/manager on site at time of assessment
Checklist
Hand washing
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Warm running water at hand wash basin from a single outlet
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Liquid soap and paper towels at hand wash basin
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Each treatment area has a designated hand wash basin
Personal Protective Clothing
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Gowns/apron/eye protection - if splashing of body fluids or contamination of clothes likely
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Gloves changed between procedures and clients, and if damaged
Sharps
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Stored in appropriate sterile container prior to use
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Contaminated sharps not passed between operators
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No reusable sharps
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Suitable sharps container to AS 4031
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Needlestick injury policy and staff aware of policy
Waste management and linen
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Contaminated waste bin at point of generation
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Receptacles clearly identified (contaminated) and suitable
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Linen stored to prevent contamination
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Clean linen used for each client
Appliances
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Appliances that contact unbroken skin are cleaned
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Appliances that contact blood, mucosa or other bodily fluid are cleaned then thermal/chemical disinfection
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Appliances that penetrate the skin are autoclaved or sterilised by dry heat
Premises (Skin Penetration)
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Floors/walls/ceiling/furniture/fittings are clean, suitable and well maintained
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Preparation area is separate from the treatment area
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Preparation and treatment area surfaces are smooth and impervious
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Preparation area has one hand wash basin and one cleaning sink (minimum)
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Cleaning schedule is in place and records are kept
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Work surfaces are cleaned between clients
Skin preparation
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Suitable disinfection solution is used
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Disinfectants are within use by date
Special requirements for treatments
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Wax that is reused between clients is thermally disinfected
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Used wax is discarded after use
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Only sterile jewellery is inserted
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If area to be tattooed requires shaving, new disposable razor is used
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Electrical equipment associated with needle bar shall be cleaned and maintained
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Reusable tubes and needle bars are cleaned and sterilised as per code
Miscellaneous
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Staff have suitable skills and knowledge
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Smoking is prohibited
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Animals are prohibited in treatment areas
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Food is kept separate from treatment and procedure preparation areas
General comments
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Further comments (if applicable)
Further Action
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Follow-up assessment fee for unsatisfactory work: Proprietor to be charged relevant fee for this assessment
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Further Action
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Next Assessment Date (assessment may not be on this day)
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Authorised Officer Signature
