Lane Cove Council Skin Penetration Premises Inspection Report

• Audit Title

• Conducted On:

  Date

• Prepared by

• Address of Premises:
  Address

• Trim container #

Business Details

• Proprietor(s):

• Phone number:

• Email:

Inspection Details

• Inspection start

  Date

• Inspection finish

  Date

• Inspection type:

  Select Routine Reinspection Complaint DA fit-out inspection

  • Routine
  • Reinspection
  • Complaint
  • DA fit-out inspection

Procedures Conducted on Premises

• Type of procedure(s) undertaken at premises?

  Select Hairdressing / Barber Beauty Therapy Electrolysis Ear Piercing Body Piercing Body Modification Acupuncture Blood Testing Tattooing Dry Needling Cosmetic Tattooing Colonic Lavage Nails Massage Waxing Other

  • Hairdressing / Barber
  • Beauty Therapy
  • Electrolysis
  • Ear Piercing
  • Body Piercing
  • Body Modification
  • Acupuncture
  • Blood Testing
  • Tattooing
  • Dry Needling
  • Cosmetic Tattooing
  • Colonic Lavage
  • Nails
  • Massage
  • Waxing
  • Other

• If other, please describe?

Condition of Premises

• Premises are clean and hygienic (walls, shelves, furniture, floor coverings, ventilation, lighting, fittings, appliances and utensils)?

  Yes

  No

  N/A

• Floors and walls are constructed with a material that is durable, smooth, impervious to moisture and capable of being easily and effectively cleaned?

  Yes

  No

  N/A

• Walls behind hand wash basins, sinks and shampoo troughs have impervious sheeting or tiled splash back which extend from floor level to a height of 450mm above unit and 150mm on either side of unit?

  Yes

  No

  N/A

• Premises are provided with adequate ventilation?

  Yes

  No

  N/A

• Construction of premises are free from open joints, gaps, cracks, crevices and generally kept in good repair?

  Yes

  No

  N/A

• Shelves, fittings, fixtures and and furniture are covered with a material that is durable, smooth, impervious to moisture and capable of being easily and effectively cleaned?

  Yes

  No

  N/A

Equipment

• A hand wash basin is provided with adequate supply of hot and cold warm running water via a common spout?

  Yes

  No

  N/A

• Liquid soap and single use paper towels are provided and readily accessible at all hand wash basin(s)

  Yes

  No

  N/A

• Separate sink for cleaning with warm water?

  Yes

  No

  N/A

• Autoclave for sterilisation?

  Yes

  No

  N/A

• Clean linen, garments and towels are used on each client?

  Yes

  No

  N/A

• Hospital grade disinfectant is used to clean equipment and is within its expiry date?

  Yes

  No

  N/A

• Equipment is clean and stored in a clean, dry and dust free environment before reuse?

  Yes

  No

  N/A

• Soiled equipment stored or processed separate to clean area?

  Yes

  No

  N/A

• Cleaning equipment is maintained in a clean condition and in good repair?

  Yes

  No

  N/A

• Chemicals are stored in a cool, dry and well ventilated area?

  Yes

  No

  N/A

• Waste disposal bin(s) are provided?

  Yes

  No

  N/A

• Disposal of contaminated waste is by a licensed contractor?

  Yes

  No

  N/A

• Sharps bin is provided for disposal of sharps (where disposable sharps are used)?

  Yes

  No

  N/A

• Adequate toilet facilities are provided for colonic lavage?

  Yes

  No

  N/A

Hygiene

• Hands are washed immediately before and after attending to a client and before attending to the next client, or if the procedure is interrupted?

  Yes

  No

  N/A

• Operators are aware of potential problems associated with skin infections / infectious disease?

  Yes

  No

  N/A

• Operators are not eating or drinking while attending to clients?

  Yes

  No

  N/A

• Animals are not in rooms where procedures are carried out?

  Yes

  No

  N/A

• No smoking in public access areas?

  Yes

  No

  N/A

• Cuts and abrasions are covered with an appropriate and clean waterproof dressing?

  Yes

  No

  N/A

• Clean clothing is worn at all times by all staff?

  Yes

  No

  N/A

• Personal protective clothing is worn when necessary?

  Yes

  No

  N/A

• Equipment designed not to penetrate the skin is cleaned after each use with detergent, warm water and a physical action and disinfected with 70% alcohol wipe or swab prior to use?

  Yes

  No

  N/A

Skin Penetration Procedures

• Single-use disposable items are disposed immediately after use?

  Yes

  No

  N/A

• Single use disposable gloves are worn for all skin penetration procedures?

  Yes

  No

  N/A

• Articles used to penetrate the skin are sterile before each use?

  Yes

  No

  N/A

• Articles used to penetrate skin are sterilised before re-use or disposed of immediatley?

  Yes

  No

  N/A

• Reused items which penetrate skin are cleaned and sterilised and maintained in this condition until used again?<br><br><br>

  Yes

  No

  N/A

• Records are kept for each sterilisation cycle (time, date, length of time, temp, pressure of autoclaving)?

  Yes

  No

  N/A

• Ear piercing gun(s) are only used for piercing ears?

  Yes

  No

  N/A

• Sterile gloves worn for contact with sterile items?

  Yes

  No

  N/A

• Skin wiped with suitable antiseptic and allowed to air dry?

  Yes

  No

  N/A

• Skin antiseptic is within its expiry date?

  Yes

  No

  N/A

Waxing Procedures

• Single use disposable gloves are worn during procedure and disposed of immediatley?

  Yes

  No

  N/A

• Single use wax used for hair removal and is disposed of immediately after procedure?

  Yes

  No

  N/A

• Single use spatulas are used once only and not re-dipped?

  Yes

  No

  N/A

• Reusable equipment is effectively cleaned between each use?

  Yes

  No

  N/A

Additional notes

Further action

• Further action required:

  Select Nil - Premises satisfactory. No reinspection required - ensure all abovementioned non compliances are attended to prior to next routine inspection. Reinspection 24 hours. Reinspection 7 days. Reinspection 14 days. Reinspection 28 days. Reinspection 60 days. Reinspection 90 days. Reinspection 180 days. Warning letter. Other. Pending.

  • Nil - Premises satisfactory.
  • No reinspection required - ensure all abovementioned non compliances are attended to prior to next routine inspection.
  • Reinspection 24 hours.
  • Reinspection 7 days.
  • Reinspection 14 days.
  • Reinspection 28 days.
  • Reinspection 60 days.
  • Reinspection 90 days.
  • Reinspection 180 days.
  • Warning letter.
  • Other.
  • Pending.

I HAVE READ THE REPORT AND UNDERSTAND THE CONTENTS

• Owner/employee signature

  Sign

Inspecting Officer

• Officer's signature

  Sign

• ENVIRONMENTAL HEALTH OFFICER - (02) 9911 3626

Lane Cove Council - contact details

• Address: 48 Longueville Rd, LANE COVE NSW 2066 Post: PO BOX 20, LANE COVE NSW 1595 Website: www.lanecove.nsw.gov.au email: lccouncil@lanecove.nsw.gov.au Telephone: (02) 9911 3555 Fax: (02) 9911 3600