Higher Risk Personal Appearance Services

OPERATOR AND BUSINESS DETAILS

• Business name

• Business Address
  Address

• Postal Address

• Email address

• Licence Number

• Licence Holders Name

• Operator on site during the inspection

• Business information match Council records

  Compliant

  Non-compliant

INSPECTION DETAILS

• Inspection time & date

  Date

• Purpose of Inspection

  Select Routine Inspection Reinspection Requested Search Complaint Investigation Enquiry Non-Approved Other

  • Routine Inspection
  • Reinspection
  • Requested Search
  • Complaint Investigation
  • Enquiry
  • Non-Approved
  • Other

• Inspected by

  Select Julie Heidenreich James Masselos Nathan Mills Mark O'Dwyer Jo Van Gorp Eric Wang

  • Julie Heidenreich
  • James Masselos
  • Nathan Mills
  • Mark O'Dwyer
  • Jo Van Gorp
  • Eric Wang

BUSINESS TYPE

• Business Type

  Non-High Risk Service

  Higher Risk Services

• Service

  Select Body Piercing Implanting/Hair Beads Scarring Tattooing (inc. cosmetic)

  • Body Piercing
  • Implanting/Hair Beads
  • Scarring
  • Tattooing (inc. cosmetic)

• Yes

  No

  N/A

COMPLIANCE DETAILS

Public Health (Infection Control for Personal Appearance Services) Act 2003 Applies to Higher Risk Personal Appearance Services

• s.41 - Is a copy of the current license displayed?

  Yes

  No

  N/A

• s.24 - all the person(s) carrying out the Higher Risk service hold appropriate qualifications in infection control (HLTIN402B

  Yes

  No

  N/A
person(s) name who hold qualification

• Name

• Ensure all staff hold the correct infection control qualification

• s.41 - is there a copy of the infection control Guidelines kept at the premises?

  Yes

  No

  N/A

• s.41 - Are fixtures, fittings and equipment maintained in good state of repair and operational order having regard for their use

  Compliant

  Non-compliant

Queensland Developed Code, Part 15 MP 5.2 Applies to all higher risk Personal Appearance Services (new premises from 1 July 2004, existing premises from 1 January 2015).

• Does the premises comply with the development code

  Yes

  No

  N/A

• A1 - Does the premises have a designated area for storage of clean/sterilised items and a separate area for storage of contaminated items?

  Compliant

  Non-compliant

• A2 - Does the premises have at least 1 hwb for each 5 workstations?

  Yes

  No

  N/A

• Are the hand wash basin/s situated no more than 5 metres away from any work station and unobstructed by any walls or fixtures

  Yes

  No

  N/A

• Are the Dimensions not less than 400mm x 250mm with reticulated cold water; non-touch taps; easily accessible)

  Yes

  No

  N/A

• Hand wash basin/s must be installed so that there is a minimum of one hand wash basin for every five workstations and within 5 metres from any workstation and unobstructed by walls and fixtures. The dimensions must not be less than 400mm x 250mm with reticulated cold water; non-touch taps; easily accessible

sink/s

• A2 - Does the premises have at least 1 sink solely for washing and cleaning instruments and equipment?

  Yes

  No

  N/A

• Is the Bowl not less than 400mm long; reticulated hot/cold water; and each sink located 800-1000mm above the floor

  Yes

  No

  N/A

• Install a Bowl not less than 400mm long; reticulated hot/cold water; and each sink located 800-1000mm above the floor

Floors, walls & ceilings & fixtures

• A3 - Do floor surfaces consist of material that is free of cracks, irregularities, and imperfections and finished material enables easy cleaning?

  Compliant

  Non-compliant

• A3 - Are walls and ceiling consisting of a surfaces which is easily cleaned when painted or sealed

  Compliant

  Non-compliant

• A3 - Are benches, cupboard surfaces, shelves and any areas used in conjunction with workstations finished in a material suitable to enable easy cleaning

  Compliant

  Non-compliant

• A3 - Are floor to wall intersections provided with coving at least 50mm high; or consisting at least 50mm high consisting of timber, ceramic tiles or the like.

  Yes

  No

  N/A

• A4 - are wall and ceiling linings flush with the surface

  Yes

  No

  N/A
floor and/or Wall tiles

• A4 - Ensure Ceramic wall and floor tiling are filled with heavy duty 100% epoxy! acid resisting grouting in accordance with the manufacturers recommendations; &

  Yes

  No

  N/A
PVC sheeting

• A4 - Ensure Wall and floor flexible PVC sheeting have heat welded seams; and

  Yes

  No

  N/A
polypropylene sheeting

• A4 - Ensure Polypropylene sheeting has proprietary plastic mouldings

  Yes

  No

  N/A

Infection Control Guidelines for Personal Appearance Services 2012 Guideline 1 - Standard Infection Control Precautions (Applies to ALL Personal Appearance Services)

• 1.2.1 Is hand washing carried out at all the appropriate times

  Compliant

  Non-compliant

• Compliance with hand washing being carried out at appropriate times
  - Immediately before a personal appearance service is performed.
  - Before putting on and after removing gloves
  - After contact with blood or other body substances
  - After contact with used instruments, jewellery and surfaces contaminated with blood and body substance
  - Before contact with instruments that penetrate the skin.
  - After other activities which may cause contamination of the hands and forearms, e.g smoking, eating, using the toilet, touching part of your body whilst performing a procedure.
  - Before a skin penetration procedure is undertaken, and whenever an operator leaves the procedure area and then returns to resume the procedure.
  - Whenever hands are visible soiled.
  - In any other circumstances when infectious risks are apparent.
  
  
  

operators compliance for when hand should be washed

• Immediately before a personal appearance service is performed.

• Before putting on and after removing gloves

• After contact with blood or other body substances

• After contact with used instruments, jewellery and surfaces contaminated with blood and body substance

• Before contact with instruments that penetrate the skin

• After other activities which may cause contamination of the hands and forearms, e.g smoking, eating, using the toilet, touching part of your body whilst performing a procedure

• Before a skin penetration procedure is undertaken, and whenever an operator leaves the procedure area and then returns to resume the procedure

• Whenever hands are visible soiled

• In any other circumstances when infectious risks are apparent

• 1.2.2 method 1 - Is the prescribed method for hand washing using liquid soap and single towel carried out by operators

  Compliant

  Non-compliant

• Note: prescribed method for hand washing
  - Remove hand jewellery and watches
  - Wet hands
  - Apply a palmful of the product in a cupped hand, covering all surfaces.
  - Rub hands palm to palm
  - Right palm over left Dorsum with interlaced fingers and vice versa
  - Palm to palm with fingers interlaced
  - Backs of fingers to opposing palms with fingers interlocked
  - Rotational rubbing of left thumb clasped in right palm and vice versa
  - Rotational rubbing, backwards and forward with clasped fingers of right hand in left palm and vice versa
  - Duration of hand washing minimum 20 seconds.
  -rinse hands well with running water
  - Thoroughly dry hands with a single use clean dry material, e.g Clean disposable paper towels
  - If hand controlled taps are used, turn off with a paper towel. Do not contaminate hands by turning off the tap with clean hands or forearms
  - Discard in a waste receptacle

compliance with procedure for hand washing

• Remove hand jewellery and watches

• Wet hands

• Apply a palmful of the product in a cupped hand, covering all surfaces.

• Rub hands palm to palm

• Right palm over left Dorsum with interlaced fingers and vice versa

• Palm to palm with fingers interlaced

• Backs of fingers to opposing palms with fingers interlocked

• Rotational rubbing of left thumb clasped in right palm and vice versa

• Rotational rubbing, backwards and forward with clasped fingers of right hand in left palm and vice versa

• Duration of hand washing minimum 20 seconds.

• Rinse hands well with running water

• Thoroughly dry hands with a single use clean dry material, e.g Clean disposable paper towels

• If hand controlled taps are used, turn off with a paper towel. Do not contaminate hands by turning off the tap with clean hands or forearms

• Discard in a waste receptacle

• 1.2.2 After method 1 - the prescribed method for hand washing is carried out by operators using liquid soap and single use towels is the operator/s aware when method 2 that includes using an alcohol based hand sanitiser is to be carried out.

  aware

  not aware

• Method 2 - using an alcohol based sanitiser may be used provided method 1 is used before providing the first personal appearance service for the working day and when hands are contaminated with blood or body substance.

• 1.2.2 Is the prescribed method for hand sanitising used

  Yes

  No

  N/A

• Prescribed method for hand sanitising is
  - remove hand jewellery and watches
  - dispense recommended amount of sanitiser into palm of one hand
  - spread sanitiser over all surfaces of hands including backs of hands, wrists thumbs, between fingers, forearms and allow to dry without wiping
  

• 1.2.3 - is dispenser cleaned and then dried before re-filling with fresh liquid soap

  Yes

  No

  N/A

• 1.3 Are there any visible Skin Lesions on any exposed part of the operators body

  yes

  no

  unsure

• 1.3 Are gloves worn if the skin of the hand is grazed, torn, cracked, or Brocken

  Yes

  No

  N/A

• 1.3 Are skin lesion(s) covered with an adhesive water-resistant dressing.

  Yes

  No

  N/A

• 1.3 Is the cover changed when soiled or when necessary

  Yes

  No

  N/A

• 1.3 Does the operator/s understand when gloves should be worn on hands with skin lesions

  Yes

  No

  N/A

• Gloves should be worn whenever the skin of the hand is grazed, torn, cracked, or Brocken (wearing gloves does not eliminate the need for hand washing).

• Note: wearing gloves does not eliminate the need for hand washing.

• 1.4.1 Are staff aware of how to manage client bleeding during a procedure

  aware

  not aware

• Procedure to manage client bleeding
  - Put on clean disposable gloves (if not already wearing them
  - Place a clean dressing on the wound and apply pressure to stop the bleeding
  - If appropriate (eg. After shaving nicks), apply a styptic substance to stop the bleeding, using a single-use applicator and take care not to contaminate the stock solution
  - Place soiled disposable sharp instruments into a sharps container
  - Place soiled re-usable instruments into a smooth surfaced impervious container to await cleaning and sterilisation
  - Dispose of soiled dressings into a waste bin.
  - Clean work area surfaces ( eg. Benches, chairs, or floors) that have been soiled with blood or other body substances, as soon as possible, using water, detergent and a disposable cloth
  - Dispose of cloths used for wiping up blood
  - Remove gloves and dispose of them
  - Wash hand thoroughly.
  

Staff awareness of how to manage client bleeding

• Put on clean disposable gloves (if not already wearing them

• Place a clean dressing on the wound and apply pressure to stop the bleeding

• If appropriate (eg. After shaving nicks), apply a styptic substance to stop the bleeding, using a single-use applicator and take care not to contaminate the stock solution

• Place soiled disposable sharp instruments into a sharps container

• Place soiled re-usable instruments into a smooth surfaced impervious container to await cleaning and sterilisation

• Dispose of soiled dressings into a waste bin.

• Clean work area surfaces ( eg. Benches, chairs, or floors) that have been soiled with blood or other body substances, as soon as possible, using water, detergent and a disposable cloth

• Dispose of cloths used for wiping up blood

• Remove gloves and dispose of them

• Wash hand thoroughly.

• 1.4.2 Are operators aware of how to manage being cut or pricked or exposed to clients blood or other body substances.

  aware

  not aware

• - If the exposure involves a cut or puncture, encourage bleeding by applying gentle pressure, and wash with liquid soap and water
  - If the exposure does not involve a cut or puncture, wash with liquid soap and water
  - If your eyes are splashed, rinse open eyes several times with water or normal saline ( gently but thoroughly)
  - If blood or other body substance gets in the mouth, spit it out and then rinse out the mouth with water several times without swallowing the water
  - If clothing is soiled, remove clothing and shower if necessary
  - Report the incident immediately to your manager or employer
  

operators awareness of how to manage being

• If the exposure involves a cut or puncture, encourage bleeding by applying gentle pressure, and wash with liquid soap and water

• If the exposure does not involve a cut or puncture, wash with liquid soap and water

• If your eyes are splashed, rinse open eyes several times with water or normal saline ( gently but thoroughly)

• If blood or other body substance gets in the mouth, spit it out and then rinse out the mouth with water several times without swallowing the water

• If clothing is soiled, remove clothing and shower if necessary

• Report the incident immediately to your manager or employer

• 1.6.1 - Is there a cleaning sink dedicated for the use of the cleaning of instruments only?

  Compliant

  Non-compliant

• 1.6.1 - For instruments or part of instruments that can be immersed in water - are the instruments cleaned using cleaning method 1 as stated in infection control guidelines for personal appearance services 2012 S1.6.1

  Yes

  No

  N/A

• Cleaning method 1 for all instruments or parts of instruments that can be immersed in water. • When cleaning instruments, wear intact and water-resistant rubber or plastic gloves rinse the instrument in luke-warm water to remove gross visible blood and body substances • Dismantle the items where necessary • Ensure equipment used to clean instruments is clean and in good condition • Fully immerse the instrument, where practical, in warm water and suitable detergent, and scrub with a clean brush or other suitable device, paying particular attention to interior surfaces. In the case of tubes, the brush should pass completely through the tube in one direction. Alternatively a dishwasher can be used • the formation of potentially hazardous aerosols is minimised when the scrubbing action is performed under water, OR by agitation using an ultrasonic cleaner. Use ultrasonic cleaners in accordance with manufacturer’s instructions • rinse the instrument in running hot water • dry instruments to be sterilised with a clean non-linting cloth. Dry other instruments by air drying or with clean disposable paper towels • wash hands as per Guideline 1.2 before and after cleaning the instruments.

for instruments that can be immersed in water

• When cleaning instruments, wear intact and water-resistant rubber or plastic gloves rinse the instrument in luke-warm water to remove gross visible blood and body

• Dismantle the items where necessary

• Ensure equipment used to clean instruments is clean and in good condition.

• Fully immerse the instrument, where practical, in warm water and suitable detergent, and scrub with a clean brush or other suitable device, paying particular attention to interior surfaces. In the case of tubes, the brush should pass completely through the tube in one direction. Alternatively a dishwasher can be used

• The formation of potentially hazardous aerosols is minimised when the scrubbing action is performed under water, OR by agitation using an ultrasonic cleaner. Use ultrasonic cleaners in accordance with manufacturer’s instructions

• Rinse the instrument in running hot water

• Dry instruments to be sterilised with a clean non-linting cloth. Dry other instruments by air drying or with clean disposable paper towels

• wash hands as per Guideline 1.2 before and after cleaning the instruments.

• 1.6.1 - For instruments or part of instruments that cannot be immersed in water - due to size and/or safety issues - are the instruments cleaned using cleaning method 2 as stated in infection control guidelines for personal appearance services 2012 S 1.6.1

  Yes

  No

  N/A

• Cleaning Method 2 Use this method for instruments that cannot be immersed in water due to size and/or safety issues (eg. hair steamers and dryers, parts of electric powered instruments). • wear water-resistant rubber or plastic gloves when cleaning instruments or equipment
  • wipe the instrument with a disposable paper towel moistened with warm water and detergent, and allow it to air dry intact.

• 1.6.2 - Are instruments stored in a manner that protects them from contamination?

  yes

  no

• workflow - remove re-useable instruments and jewellery from the contaminated area to the cleaning area for cleaning and, when dry, move them to the clean storage area. This will help ensure that clean re-usable instruments and jewellery are not contaminated by soiled instruments

• 1.6. 2 - Are clean, disinfected and sterilised instruments and jewellery to protect them from contamination, dust and vermin stored in sealable, clean, impervious, smooth surface containers

  Yes

  No

  N/A

• 1.6.3 - Is cleaning equipment kept in a clean condition, stored dry, repaired as necessary and replaced when it becomes unserviceable?

  Compliant

  Non-compliant

• 1.7 - Do staff refrain from smoking, eating or drinking whilst attending to clients or cleaning or disinfecting instruments

  Compliant

  Non-compliant

• Smoking is prohibited in the workplace

• 1.8 - Is linen stored and cleaned in accordance with the guidelines?

  Yes

  No

  N/A

• Linen and clothing – laundry and storage - place soiled linen and clothing in either a container capable of being cleaned or one that is lined with a disposable liner - rinse off any gross contamination before washing linen and clothing - wash soiled linen and clothing in detergent and water, then rinse and dry - domestic washing machines can be used for cleaning linen and clothing - store clean, dry linen in a clean and dry environment free from dust, insects and vermin.

• 1.9 - Are animals not permitted on the premises (except for hearing or assistance dogs)

  Compliant

  Non-compliant

• 1.10 - Is clean clothing worn by staff attending to clients?

  Compliant

  Non-compliant

• GL 1.10 - Is closed, puncture resistant footwear worn especially when handling sharp instruments?

  Compliant

  Non-compliant

Infection Control Guidelines for Personal Appearance Services 2012 Guideline 2 - Environmental Cleaning & Waste Disposal (Applies to ALL Personal Appearance Services)

Environmental cleaning

• 2.1.1 - Are premises maintained in a clean condition?

  yes

  no

• - maintain working surfaces in a clean condition, particularly surfaces on which instruments to be used on clients are placed • use detergent mixed with warm water to clean all work surfaces • use cleaning equipment (eg. cloths, mops and brushes) that is clean • use a vigorous cleaning action when cleaning work surfaces • allow the surface to dry • maintain floors and walls in a clean condition through normal cleaning processes (eg. sweeping and removal of visible dirt).

• 2.1.2 - Are inanimate surfaces that become soiled with blood/body fluids cleaned in accordance with GL 2.1.2?

  Compliant

  partially compliant

  non-compliant

• Spot cleaning • wipe the spot with absorbent material (eg. paper towels) and then clean the surface with detergent and warm water.
  
  Spills of blood or body substance - if a spill of blood or body substance occurs, wipe the spill up with absorbent material (eg. paper towels) - clean the surface with detergent and warm water - leave the surface for 10 minutes in contact with cotton wool or disposable towels soaked with chlorine-based disinfectant of approximately one part liquid household bleach to 10 parts water, freshly diluted - dispose of contaminated materials used to clean up the spill in a waste container (see Guideline 2.2.1).

• 2.1.2 - Is suitable disinfectant used for cleaning surfaces & diluted in accordance with specifications?

  Compliant

  Non-compliant

Waste disposal

• 2.2.1 - Is a suitably lidded, smooth, impervious container provided to store general waste in?

  Compliant

  Non-compliant

• 2.2.1 - is the general waste bin emptied regularly into your main waste bin

  Yes

  No

  N/A

• Note: using of a disposable liner can reduce the need to clean the container

• 2.2.2 - Are sharps disposed of in a rigid walled, puncture resistant container and sealed or securely closed in accordance with the Environmental Protection (Waste Management) Regulation 2000

  Compliant

  Non-compliant

• 2.2.2 Can sharps be disposed of immediately in the sharp container so as to protect operators staff and clients from injury. Sharp container needs to be easily accessed by the operator.

  Yes

  No

  N/A

• 2.2.3 Clinical waste: is free flowing blood or body fluids disposed of in a clinical waste bin?

  Yes

  No

  N/A

• No clinical waste (no free-flowing blood/body fluids

Infection Control Guidelines for Personal Appearance Services 2012 Guideline 4 - Skin Penetration Procedures (Applies to ALL personal appearance services where skin penetration occurs)

• 4.1 - Is client's skin cleaned in accordance with GL 4.1 prior to any skin penetration procedure?

  yes

  no

• Preparing a client’s skin for a skin penetration procedure - if the area to be penetrated is visibly dirty, use soap and water to clean the area

• Operator understands what procedure is to be carried out if the area of the skin to be penetrated requires hair to be tied back or removed.

  Yes

  No

  N/A

• if the client has head hair that may touch the site to be penetrated, ask them to tie back their hair so the site is not potentially contaminated - Shave the area by following the method in Guideline 3.3 - Where possible, use a single-use disposable safety razor. If another type of razor is used, then clean as per Guideline 3.3

• Understand if antiseptics are needed for piercings inside the mouth or with genital peircing

  Yes

  No

  N/A

• - Ensure the client’s mouth (including tongue, teeth and gums) is clean, eg. clean with a toothbrush.
  - genital piercing clean the piercing site with warm water and a liquid soap before genital piercing is done. Antiseptics are not needed for genital piercing

• Understands how you prepare a clients skin before inserting the skin penetration instrument or performing a procedure associated with the insertion or removal of jewellery?

  Yes

  No

  N/A

• apply antiseptic to the skin at and around the piercing site.

• What one of the following antiseptics is used in accordance with manufacturer’s instructions:

  Select individually packaged 70% ethyl or isopropyl alcohol swabs (only used if before opening packaging in intact 70% - 80% v/v ethyl alcohol 60% - 70% v/v isopropyl alcohol alcoholic (isopropyl and ethyl) formulations of 0.5 to 4% w/v chlorhexidine 10% aqueous povidone-iodine (1% w/v available iodine) 30% or 70% alcoholic aqueous povidone-iodine

  • individually packaged 70% ethyl or isopropyl alcohol swabs (only used if before opening packaging in intact
  • 70% - 80% v/v ethyl alcohol
  • 60% - 70% v/v isopropyl alcohol
  • alcoholic (isopropyl and ethyl) formulations of 0.5 to 4% w/v chlorhexidine
  • 10% aqueous povidone-iodine (1% w/v available iodine)
  • 30% or 70% alcoholic aqueous povidone-iodine

• Before applying an antiseptic, ask the client whether they are allergic to an ingredient in the antiseptic proposed to be used. If the client says they are allergic use another antiseptic that does not contain that ingredient

• - where additional skin preparation is needed after initial skin swabbing, use a fresh alcohol swab - if the skin undergoes cleaning and softening before an extraction process (eg. For blackheads, pimples), do not use a skin antiseptic as this may further irritate already sensitive skin - pour antiseptic to be used on a client into a clean, dry container (eg. open dish) from the stock solution. Discard any leftover antiseptic in the container after use. Clean and dry the container before being used on the next client, or use a disposable container - swab the skin penetration site in a circular/spiral motion starting at the centre of the site, and ensuring the swab remains moist during swabbing - ensure the skin penetration site is dry before the skin is pierced and do not touch the site by hand after swabbing - do not use antiseptics that have passed the manufacturer’s “use by” date.

• What one of the following antiseptics is used in accordance with manufacturer’s instructions:

  Select individually packaged 70% ethyl or isopropyl alcohol swabs (only used if before opening packaging in intact 70% - 80% v/v ethyl alcohol 60% - 70% v/v isopropyl alcohol alcoholic (isopropyl and ethyl) formulations of 0.5 to 4% w/v chlorhexidine 10% aqueous povidone-iodine (1% w/v available iodine) 30% or 70% alcoholic aqueous povidone-iodine

  • individually packaged 70% ethyl or isopropyl alcohol swabs (only used if before opening packaging in intact
  • 70% - 80% v/v ethyl alcohol
  • 60% - 70% v/v isopropyl alcohol
  • alcoholic (isopropyl and ethyl) formulations of 0.5 to 4% w/v chlorhexidine
  • 10% aqueous povidone-iodine (1% w/v available iodine)
  • 30% or 70% alcoholic aqueous povidone-iodine

• What one of the following antiseptics is used in accordance with manufacturer’s instructions:

  Select individually packaged 70% ethyl or isopropyl alcohol swabs (only used if before opening packaging in intact 70% - 80% v/v ethyl alcohol 60% - 70% v/v isopropyl alcohol alcoholic (isopropyl and ethyl) formulations of 0.5 to 4% w/v chlorhexidine 10% aqueous povidone-iodine (1% w/v available iodine) 30% or 70% alcoholic aqueous povidone-iodine

  • individually packaged 70% ethyl or isopropyl alcohol swabs (only used if before opening packaging in intact
  • 70% - 80% v/v ethyl alcohol
  • 60% - 70% v/v isopropyl alcohol
  • alcoholic (isopropyl and ethyl) formulations of 0.5 to 4% w/v chlorhexidine
  • 10% aqueous povidone-iodine (1% w/v available iodine)
  • 30% or 70% alcoholic aqueous povidone-iodine
Compliance with GL 4.1 for Clients skin

• If the area to be penetrated is visibly dirty, use soap and water to clean the area

• If the area of the skin to be penetrated requires hair to be tied back or removed, follow these procedures - if the client has head hair that may touch the site to be penetrated, ask them to tie back their hair so the site is not potentially contaminated - shave the area by following the method in Guideline 3.3 - where possible, use a single-use disposable safety razor. If another type of razor is used, then clean as per Guideline 3.3

• Antiseptics are not needed for piercings inside the mouth. Ensure the client’s mouth (including tongue, teeth and gums) is clean, eg. clean with a toothbrush

• Clean the piercing site with warm water and a liquid soap before genital piercing is done. Antiseptics are not needed for genital piercing

• Before inserting the skin penetration instrument or performing a procedure associated with the insertion or removal of jewellery, apply antiseptic to the skin at and around the piercing site. Use one of the following antiseptics in accordance with manufacturer’s instructions: - 70% - 80% v/v ethyl alcohol - 60% - 70% v/v isopropyl alcohol - alcoholic (isopropyl and ethyl) formulations of 0.5 to 4% w/v chlorhexidine - 10% aqueous povidone-iodine (1% w/v available iodine) - 30% or 70% alcoholic aqueous povidone-iodine

• Before applying an antiseptic, ask the client whether they are allergic to an ingredient in the antiseptic proposed to be used. If the client says they are allergic, use another antiseptic that does not contain that ingredient

• If individually packaged 70% ethyl or isopropyl alcohol swabs are used to prepare skin, check the package is intact before opening and if it isn’t, throw away and use one that is intact

• Where additional skin preparation is needed after initial skin swabbing, use a fresh alcohol swab

• If the skin undergoes cleaning and softening before an extraction process (eg. For blackheads, pimples), do not use a skin antiseptic as this may further irritate already sensitive skin

• Pour antiseptic to be used on a client into a clean, dry container (eg. open dish) from the stock solution. Discard any leftover antiseptic in the container after use. Clean and dry the container before being used on the next client, or use a disposable container

• Swab the skin penetration site in a circular/spiral motion starting at the centre of the site, and ensuring the swab remains moist during swabbing

• Ensure the skin penetration site is dry before the skin is pierced and do not touch the site by hand after swabbing

• Do not use antiseptics that have passed the manufacturer’s “use by” date.

• 4.1 - Are antiseptic solutions dispensed from original container into a clean, dry container for use on one client only?

  Yes

  No

  N/A

• 4.2 - Are gloves worn where there is a risk of exposure to blood or body substances, to protect the hands from contamination

  yes

  no

  sometimes

• Wear gloves where there is a risk of exposure to blood or body substances, to protect the hands from contamination. • clean hands before putting on and after removing gloves • gloves can have defects such as tiny holes even when they are new or can be damaged while in use or in storage. Inspect gloves before each use, and throw away if peeled, cracked, discoloured, torn or punctured - wear sterile gloves if direct hand contact will occur with that part of the sterile instrument or jewellery that actually penetrates the skin. Otherwise wear clean, single use disposable gloves - if you suffer a reaction from wearing a particular type of glove, use another type of glove -use general-purpose rubber gloves when: - cleaning skin penetration instruments - cleaning up blood and body substance spills wash general-purpose rubber gloves in detergent, rinse and leave standing up to drain and dry after each use - to reduce the risk of fungal transmission between operators, ensure that each pair of cleaning gloves is worn only by one operator - using disposable gloves does not substitute for, or eliminate the need for hand washing - do not re-use disposable single use gloves discard gloves: - after contact with each client - as soon as they are torn or punctured - when performing separate procedures on the same client where there is a risk of transfer of infectious agents from one part of the body to another
  - when they touch unsterile items or surfaces.

gloves on operators hands

• Wear gloves where there is a risk of exposure to blood or body substances, to protect the hands from contamination.

• Clean hands before putting on and after removing gloves

• Gloves can have defects such as tiny holes even when they are new or can be damaged while in use or in storage. Inspect gloves before each use, and throw away if peeled, cracked, discoloured, torn or punctured

• Wear sterile gloves if direct hand contact will occur with that part of the sterile instrument or jewellery that actually penetrates the skin. Otherwise wear clean, single use disposable gloves

• If you suffer a reaction from wearing a particular type of glove, use another type of glove

• Use general-purpose rubber gloves when: - cleaning skin penetration instruments - cleaning up blood and body substance spills

• wash general-purpose rubber gloves in detergent, rinse and leave standing up to drain and dry after each use

• To reduce the risk of fungal transmission between operators, ensure that each pair of cleaning gloves is worn only by one operator

• Using disposable gloves does not substitute for, or eliminate the need for hand washing

• Do not re-use disposable single use gloves

• discard gloves: - after contact with each client - as soon as they are torn or punctured - when performing separate procedures on the same client where there is a risk of transfer of infectious agents from one part of the body to another - when they touch unsterile items or surfaces.

• 4.3 - Is a face protection such as a face shield used if there is a chance of blood spraying from a puncture site?

  Yes

  No

  N/A

• 4.4 - Are Precautions taken when handling sharps (instruments that penetrate skin)

  Yes

  No

  N/A

• - Do not pass contaminated sharps (eg. needles, jewellery and trocars) by hand between persons. Place them in a suitable container (eg. kidney dish, sharps waste container) before passing - Place contaminated instruments that are not being thrown away in a suitable container (eg. kidney dish). - Ensure the container is clearly identified, set aside from sterile, clean or unused instruments and materials, and not accessible to children check floors regularly for any accidentally dropped instruments.

• 4.5 - Are single-use disposable instruments used

  yes

  no

  sometimes

• When using single-use disposable instruments, place them in a waste container after use on the client and do not re-use on another client.

Infection Control Guidelines for Personal Appearance Services 2012 Guideline 5 - Sterilising Instruments & AS/NZS 4815:2006 (Applies to all higher risk services and may also apply to other personal appearance services eg when instruments become contaminated with blood or body fluids)

• Is sterilisation carried out due to reusable equipment?

  Yes

  No

  N/A

• 5.1 & 5.2 - Are reusable instruments and jewellery used in skin penetration, or that become accidentally contaminated with blood/body fluids sterilised in accordance with AS/NZS 4815?

  Yes

  No

  N/A

• Note: Obtain a copy of 'Australian New Zealand Standard AS/NZS4815: Office based health care facilities not involved in complex processes – cleaning, disinfecting and sterilising reusable medical and surgical instruments and equipment, and maintenance of the associated environment’.

• No reusable instruments used / All instruments are single-use only

• AS/NZS 2.1- 2.9 are items thoroughly cleaned prior to sterilisation.

  Yes

  No

  N/A

• P.P.E such as gloves, aprons, face shields must be used.

• AS/NZS 2.9.3 Is an Ultrasonic cleaner used

  Yes

  No

  N/A

• Used as per manufacturers advice?

  Yes

  No

  N/A

• Freshwater and detergent used in tank?

  Yes

  No

  N/A

• Is blood/s oil rinsed from items before placing in cleaner?

  Yes

  No

  N/A

• Operated with lid closed?

  Yes

  No

  N/A

• After removal, are items rinsed in warm/hot water, dried and visually inspected?

  Yes

  No

  N/A

• Cleaned regularly itself?

  Yes

  No

  N/A

• AS/NZS 3 is packaging and wrapping of items prior to sterilisation carried out

  Yes

  No

  N/A

• Are packs/bags labelled prior to sterilisation (date and Batch #) with water-resistant felt-tipped pen/stamp?

  Yes

  No

  N/A

• Is suitable packaging material used?

  Yes

  No

  N/A

• Is correct method of wrapping used

  Yes

  No

  N/A

• Are bags correctly sealed (e.g. self sealing bags OR open edge folded 2-3 times & continuous piece of indicator tape across entire edge)?

  Yes

  No

  N/A

• Is sterilising indicator tape / indicator on packaging used. (with a clear colour change after sterilisation?

  Yes

  No

  N/A

• AS/NZS 4 is a Steam Steriliser (autoclave) used

  Yes

  No

  N/A

• Used as per manufacturer's manual?

  Yes

  No

  N/A

• Is water level checked?

  Yes

  No

  N/A

• Correct temperature/pressure/time?

  Yes

  No

  N/A

• Which one of the below methods is used

• 121 degrees C, 103 kPa, 1030mb, 15psi, 15 minutes

• 126 degrees C, 138 kPa, 1380 mb, 20psi, 10 minutes

• 132 degrees C, 186 kPa, 1860 mb, 27 psi, 4 minutes

• 134 degrees C, 203 kPa, 2030 mb, 30 psi, 3 minutes

• Follow The international temperature pressure-time relationship for steam under-pressure sterilisation.
  - 121 degrees C, 103 kPa, 1030mb, 15psi, 15 minutes.
  - 126 degrees C, 138 kPa, 1380 mb, 20psi, 10 minutes.
  - 132 degrees C, 186 kPa, 1860 mb, 27 psi, 4 minutes.
  - 134 degrees C, 203 kPa, 2030 mb, 30 psi, 3 minutes

• AS/NZS 5 is the correct procedure for loading of steam steriliser carried out

  Yes

  No

  N/A

• Is hollowware tilted on edge in a drainage position

  Yes

  No

  N/A

• Are items loaded within loading tray so they do not touch chamber wall

  Yes

  No

  N/A

• Is there adequate separation of packaged instruments (e.g use of racks)

  Yes

  No

  N/A

• Are flexible packaging materials loaded on edge with paper to laminate or flat with paper surface down?

  Yes

  No

  N/A

• Is there only a single layer of packs on each tray

  Yes

  No

  N/A

• Is the cycle commenced immediately after loading (I.e unprocessed items not stored in steriliser)?

  Yes

  No

  N/A

• AS/NZS 6 unloading of steam steriliser carried out following the correct procedure

  Yes

  No

  N/A

• Are items removed immediately after cycle completion?

  Yes

  No

  N/A

• Is a visual inspection carried out to ensure items are dry, packaging is intact and indicator colour has changed

  Yes

  No

  N/A

• Are any wet items not used (wet packages are NOT sterile)?

  Yes

  No

  N/A

• Does the operator check required parameters met on-screen/print-outs?

  Yes

  No

  N/A

• Operator ensures no forced cooling (e.g with fans)

  Yes

  No

  N/A

• Ensure cooling items not placed on solid surface (as condensation within the pack may result)

  Yes

  No

  N/A

• Are area trays with cooling items placed in a clean area?

  Yes

  No

  N/A

• AS/NZS 7 Is sterilisation validation, monitoring and maintenance developed and documented

  Yes

  No

  N/A

• Is validation conducted annually & when any changes made

  Yes

  No

  N/A

• Is a maintenance schedule developed & followed

  Yes

  No

  N/A

Infection Control Guidelines for Personal Appearance Services 2012 Guideline 6 - Body Piercing and Tattooing

Body piercing

• 6.1 - Is body piercing carried out?

  Yes

  No

  N/A

• 6.1.1 - Are only clean and sterile instruments used for piercing a client or enlarging a piercing or when inserting, or adjusting jewellery?

  Yes

  No

  N/A

• 6.1.1 - Are only non-hypodermic needles used?

  Yes

  No

  N/A

• Note: Do not reuse hypodermic needles

• 6.1.1 - are only instruments or other items used that will not rust or corrode as a result of being cleaned in detergent and water, or sterilised?

  Yes

  No

  N/A

• 6.1.2 are jewellery cleaned and sterilised before using on a client?

  Yes

  No

  N/A

• Note: Do not surgically remove jewellery from a client. Advise the client that the procedure should be performed by a medical practitioner.

• 6.1.2 - Is only low or non-allergenic, smooth and free from surface imperfection, highly polished suitably graded jewellery used? (Such as high quality stainless steel, titanium, niobium, palladium, 18 carat gold, PTFE and Bioplast.

  Compliant

  Non-compliant

tattooing (including cosmetic tattooing, micro-pigmentation)

• Is tattooing (including cosmetic tattooing, micro pigmentation) carried out.

  Yes

  No

  N/A

• 6.2.1 - Are prepared inks, pigments or water that have been used on one client not reused on another client?

  Compliant

  Non-compliant

• 6.2.1 - Are inks used in tattooing stored in a manner that prevents contamination?

  Compliant

  Non-compliant

• Note: Use water or other liquid for mixing with ink only if it is free of contamination (e.g. use treated drinking water, ethyl alcohol).

• 6.2.2 - Are clean or single use stencils only used?

  yes

  no

  single use only

• 6.2.2 - Is only clean soapy water used to assist in attaching a stencil to a client's skin?

  Yes

  No

  N/A

• The soapy water may be either: - poured from a stock mixture (freshly made each day) into a clean container and used on one client only - made up separately for each client in a clean container, with any mixture left at the end of the procedure thrown away - a mixture freshly made each day and applied from a squeeze bottle that drizzles from the nozzle.

• 6.2.2 - Are single use applicators only used to apply stencils?

  Compliant

  Non-compliant

• 6.2.2 - Is lubricating jelly decanted from the stock supply into a clean container using a clean implement for use on one client only and any jelly left in the container is thrown away at the end of the procedure

  Yes

  No

  N/A

• 6.2.2 - Are all implements such as paintbrushes cleaned after use?

  Yes

  No

  N/A

• 6.2.3 - Are tattoo needles, needle bars & needle tubes or barrels clean and sterile?

  Compliant

  Non-compliant

• 6.2.4 - Is the motor of the tattoo gun's handpiece wiped over with clean paper towel moistened with warm water and detergent and allowed to dry after each use?

  Compliant

  Non-compliant

• 6.2.5 - When removing needles from the tattoo gun needle bar are procedures detailed on GL 6.2.5 followed?

  yes

  no

  partially followed

• If an operator intends to break the needle from the needle bar before disposing into a sharps waste container, clean and sterilise the needle and needle bar before breaking the needle. The risk of needle stick injury when breaking off the needle from the needle bar is high • if the needle is removed from the needle bar carefully by heating and liquefying the soldered joint, and is disposed into a sharps waste container, there is no need to clean and sterilise the needle and needle bar.disposing into a sharps waste container, clean and sterilise the needle and needle bar before breaking the needle. The risk of needle stick injury when breaking off the needle from the needle bar is high • if the needle is removed from the needle bar carefully by heating and liquefying the soldered joint, and is disposed into a sharps waste container, there is no need to clean and sterilise the needle and needle bar.

Cosmetic tattooing and micro-pigmentation

• Is cosmetic tattooing and micro-pigmentation carried out

  Yes

  No

  N/A

• 6.2.6 - When carrying out cosmetic tattooing and micro-pigmentation is the machine, needle tips, needles and machine barrel casing clean and sterile?

  Compliant

  Non-compliant
procedure

• after the tattooing procedure for each client is completed, wipe the casing covering the motor with a clean paper towel moistened with warm water and detergent and allow the casing to air dry. This will remove any gross contamination.

Records

• Client records sighted

  Yes

  No

  N/A

• Name, address and date of birth of clients

  Yes

  No

  N/A

• Date of high risk personal appearance service procedure is performed

  Yes

  No

  N/A

• Site and type of high risk personal appearance service procedure

  Yes

  No

  N/A

• Operator who provided the service/administered the procedure, and

  Yes

  No

  N/A

• Instruments used (including sterilising batch number)

  Yes

  No

  N/A

• Sterilisation records sighted

  Yes

  No

  N/A

• Date of sterilisation cycle process sighted

  Yes

  No

  N/A

• Exposure time and temperature recoded

  Yes

  No

  N/A

• Maintenance records

  Yes

  No

  N/A

• Validation certificate

  Yes

  No

  N/A

• Staff immunisation records

  Yes

  No

  N/A

• Staff shall be immunised in accordance with State/National immunisation guidelines. Records of immunisation shall be documented in staff personal files. When such immunisation is declined, this shall be noted. Records should be reviewed periodically. The standard is called upon in the infection control guidelines so these requirements are LAW in Queensland

• Staff training and qualifications recorded

  Yes

  No

  N/A

• Self-assessment sheets checked including follow up actions

• Fact sheets

• Topics discussed

• Needlestick injuries in the workplace identified

  Yes

  No

  N/A

• 7. Are all records that are required to be kept stored on site

  yes

  no

  not all records

ACTION REQUIRED

• Email the Results of the Inspection (required for all inspections)

• Issue any Instructions given from the inspection

• Defect Letter to be Issued

• Statutory Notice to be Issued

• Further Action to be Taken

• No further Action to be Taken

• Other

• Date of follow-up to carried out

  Date

ASSESSING OFFICER DETAILS

• Signature

  Sign

OPERATORS/OWNERS DETAILS

• Report received by name

• Position

• Signature

  Sign

• Date and time inspection is completed

  Date