PERSONAL CARE AND BODY ART REGISTERED PREMISES - PUBLIC HEALTH AND WELLBEING ACT 2008

• Audit Title

Premises Details

• Trading name

• Address

• Proprietor

• Person in charge

• Inspection type

  Select Routine Follow up Complaint Pre-registration

  • Routine
  • Follow up
  • Complaint
  • Pre-registration

• Inspection time & date

  Date

Procedures

• Makeup

  Yes

  No

  N/A

• Hairdressing

  Yes

  No

  N/A

• Waxing

  Yes

  No

  N/A

• Manicure, Pedicure

  Yes

  No

  N/A

• Body piercing

  Yes

  No

  N/A

• Tattooing

  Yes

  No

  N/A

• Colonic lavage

  Yes

  No

  N/A

• Electrolysis

  Yes

  No

  N/A

• Other

Premises structure and general requirements

• Floors / Walls / Ceiling

  Yes

  No

  N/A

• Fittings and furniture

  Yes

  No

  N/A

• Allocated hand basin / hands free (if required)

  Yes

  No

  N/A

• Separate equipment sink

  Yes

  No

  N/A

• Linen cleaning procedures / receptacle

  Yes

  No

  N/A

General Cleanliness Requirements

• Adequate waste disposal (clinical, general, liquid)

  Yes

  No

  N/A

• Sharps procedures / disposal

  Yes

  No

  N/A

• Dispensers / pump bottle procedures

  Yes

  No

  N/A

• No evidence of animals / pests

  Yes

  No

  N/A

• Operator knowledge: cleanliness / hand washing

  Yes

  No

  N/A

• Cleaning, disinfection, sterilisation procedure

  Yes

  No

  N/A

• Disinfection (Thermal, 70% Ethyl Alcohol)

  Yes

  No

  N/A

• Steam sterilisation (Temperature/Pressure) - Records

  Yes

  No

  N/A

• Blood spill clean up procedures

  Yes

  No

  N/A

General Procedural Requirements

• First Aid kit / Training

  Yes

  No

  N/A

• Immunisation (Hep B)

  Yes

  No

  N/A

• PPE - gloves, clothing, masks, eye protection

  Yes

  No

  N/A

• Single use items

  Yes

  No

  N/A

• Preparation of procedure area

  Yes

  No

  N/A

• Client information sheets before procedure on risks of procedure

  Yes

  No

  N/A

• Client information sheets for care after procedure

  Yes

  No

  N/A

• Client skin / preparation

  Yes

  No

  N/A

• Clean up after procedure

  Yes

  No

  N/A

• Client records

  Yes

  No

  N/A

Beauty Therapy - Electrolysis / Waxing

• Temperature control (80C or 125C for 15 minutes)

  Yes

  No

  N/A

Facials, Manicure, Pedicure, Nail Treatments

• Adequate cleaning and sanitising of spa jets

  Yes

  No

  N/A

• Single use / client specific equipment

  Yes

  No

  N/A

• Operator knowledge: fungal / bacterial nail infections

  Yes

  No

  N/A

• Adequate ventilation

  Yes

  No

  N/A

Body Art - Tattooing and Piercing

• All surfaces covered

  Yes

  No

  N/A

• Single use containers

  Yes

  No

  N/A

• Sterile instruments / jewellery

  Yes

  No

  N/A

• Sterilising procedures

  Yes

  No

  N/A

• Steriliser Records

  Yes

  No

  N/A

ADDITIONAL INFORMATION

• Additional comments

• Inspection result

  Satisfactory

  Unsatisfactory

• Reinspection required

  Yes

  No

• Date of reinspection

  Date

• I have had the contents of this inspection report explained to me and understand the contents

  Sign

Inspection results

• Alpine Shire Council
  Great Alpine Road, Bright
  
  Post: PO Box 139, Bright, VIC, 3741
  Ph: 03 5755 0555
  Email: health@alpineshire.vic.gov.au
  Web: www.alpineshire.vic.gov.au