• Audit Title

  • Conducted on

  • Prepared by

  • Location

Business Details

  • Business name

  • Owner(s)

  • Person in charge at time of inspection

  • Phone number

  • Email

  • Inspection report delivered via:

  • ABN

  • Inspection type:

Procedures Conducted on Premises

  • Type of procedure(s) undertaken at premises

Cleanliness and Structure


  • Premises are clean and hygienic

  • A hand wash basin is provided with warm running water via a common spout

  • A sink is provided for the cleaning of equipment

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

  • 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

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

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



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

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

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

  • Soiled and clean equipment re stored separately

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

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

  • Waste disposal bin(s) are provided

  • Sharps bin is provided for disposal of sharps

Personal Hygiene


  • Soap and single use towels are provided to hand wash basin/s

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

  • Operators are not eating or drinking while attending to clients

  • Animals are not in rooms where procedures are carried out

  • Cuts and abrasions are covered by a clean waterproof dressing

  • Clean clothing is worn at all times

  • Personal protective clothing is worn when necessary

  • Equipment (non penetrating) is cleaned after each use with detergent, warm water and physical action and dried before use

Skin Penetration Procedures


  • Sterilizer is provided to sterilise re-usable equipment i.e. autoclave / dry heat steriliser only

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

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

  • Single-use disposable items are disposed immediately after use

  • New sterile gloves are worn for direct contact with sterile items and during procedures

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

  • Approved skin antiseptic is used to prepare skin and is within expiry date

Waxing Procedures


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

  • Wax is disposed of immediately after procedure

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

  • Re-usable equipment is cleaned appropriatley between each use


  • Further action required:

  • Business Owner/Operator

  • Authorised Council Environmental Health Officer

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.