Public Health & Wellbeing Assessment

• Audit Title

• Document No.

• Proprietor

• Conducted on

  Date

• Prepared by

• Location
  Address

Premises details

• Inspection time & date

  Date

• Name of Business

• Name of proprietor or staff member in attendance

• Name of Authorised Officer conducting assessment

  Select Kelly Mahoney Kevin Murphy Ewen Ross

  • Kelly Mahoney
  • Kevin Murphy
  • Ewen Ross

• Reason for assessment

  Select Routine Complaint Transfer Follow up Registration

  • Routine
  • Complaint
  • Transfer
  • Follow up
  • Registration

Procedures

• Procedures

  Select Acupuncture Barber Body Piercing Colonic Lavage Electrolysis Ear Piercing Hairdressing Tattooing Waxing Beauty

  • Acupuncture
  • Barber
  • Body Piercing
  • Colonic Lavage
  • Electrolysis
  • Ear Piercing
  • Hairdressing
  • Tattooing
  • Waxing
  • Beauty

• Other

General Information

• Are floors, walls, ceiling, fitting and equipment durable and suitable for cleaning & constructed of sealed non-pours material?

  Yes

  No

  N/A

• Is the lighting and ventilation adequate?

  Yes

  No

  N/A

• Is there a designated hand wash basin supplied with warm water through a single outlet.

  Yes

  No

  N/A

• Soap and paper towel provided hands near hand wash basin

  Yes

  No

  N/A

• Appropriate hand washing technique?

  Yes

  No

  N/A

• Is a cleaning sink provided?

  Yes

  No

  N/A

• Are toilets provided clean and in a good state of repair?

  Yes

  No

  N/A

• Is staff dress & hygiene satisfactory?

  Yes

  No

  N/A

• Do staff have cuts, abrasions and burns covered?

  Yes

  No

  N/A

• Storage of linen adequate?

  Yes

  No

  N/A

• Is dirty linen washed in hot water?

  Yes

  No

  N/A

• Is an approved sharps container on site?

  Yes

  No

  N/A

• Is biological waste disposed of using EPA approved transport company?

  Yes

  No

  N/A

Hair Dressing

• Are clean & soiled linen stored in designated areas?

  Yes

  No

  N/A

• Are combs, brushes, scissors & clippers washed with warm water & detergent, rinsed in hot water & allowed to dry?

  Yes

  No

  N/A

• Is equipment sterilised correctly?

  Yes

  No

  N/A

• Is all cleaned equipment stored in a sanitary condition?

  Yes

  No

  N/A

• Separate sink for the cleaning of equipment

  Yes

  No

  N/A

• Records being maintained?

  Yes

  No

  N/A

• Clean and soiled linen stored in separate receptacles

  Yes

  No

  N/A

Ear/Body Piercing

• Are records of clients names, contact details, date & description of procedure & jewellery?

  Yes

  No

  N/A

• Are clients being provided with information regarding skin penetration & the transmission of disease in accordance with the Public Health & Wellbeing Act 2008?

  Yes

  No

  N/A

• Is jewellery stored in a sterile condition?

  Yes

  No

  N/A

• Is the ear-piercing gun stored in a sanitary condition?

  Yes

  No

  N/A

• Is cleaning & sanitising the ear-piercing gun satisfactory between clients?

  Yes

  No

  N/A

• Skin prepared with suitable antiseptic and allowed to air dry prior to treatment

  Yes

  No

  N/A

• Single use disposal able items disposed immediately after use

  Yes

  No

  N/A

• Any article used to penetrate the skin is cleaned and sterilised before being used again, or is disposed of appropriately immediately after its use

  Yes

  No

  N/A

• Is an autoclave in use?

  Yes

  No

  N/A

• Is chemical disinfection or sterilisation monitoring record used?

  Yes

  No

  N/A

• Do staff have a thorough knowledge of the sterilisation process?

  Yes

  No

  N/A

• Is an incident record on site?

  Yes

  No

  N/A

Beauty Treatment

• Is there adequate supply of single use disposable gloves?

  Yes

  No

  N/A

• Are single use applicators disposed of after each dip into the wax pot?

  Yes

  No

  N/A

• Wax disposed immediately after use

  Yes

  No

  N/A

• Wax remaining in roll on wax canister disposed of before next client

  Yes

  No

  N/A

• Wax applicators dipped once and disposed of

  Yes

  No

  N/A

• Is there a wax temperature, chemical disinfection, or sterilisation record?

  Yes

  No

  N/A

• Is wax heated to 70-80C for 15 minutes between clients if single wax pots or single use applicators are not used?

  Yes

  No

  N/A

• Are re-usable instruments cleaned & sanitised after each client?

  Yes

  No

  N/A

• All articles, including cuticle nippers/cutters, used to penetrate the skin are sterile

  Yes

  No

  N/A

• Is a steriliser required?

  Yes

  No

  N/A

• Records for each sterilisation cycle (date, time held at max pressure and temperature, any faults with cycle, operator and number of items processed)

  Yes

  No

  N/A

• Is there evidence that indicators are being used to check the steriliser?

  Yes

  No

  N/A

• Is an incident record on site?

  Yes

  No

  N/A

• Foot spas are correctly cleaned and disinfected after each client

  Yes

  No

  N/A

• Foot spas components are removed and scrubbed daily

  Yes

  No

  N/A

• Foot spas cleaned and disinfected daily

  Yes

  No

  N/A

• Foot spas soaked overnight once a week

  Yes

  No

  N/A

• Adequate toilet facilities for colonic lavage

  Yes

  No

  N/A

Inspection result

• Inspection Result

  Satisfactory

  Not Satisfactory

  Marginal

• Further Action?

  No further action required

  Further action required

• Date of reinspection

  Date

• Additional Information

• • Satisfactory - All aspects of the premises comply with relevant legislative requirements.

• • Unsatisfactory - one or more relevant legislative requirements have not been met and have resulted in unsatisfactory workplace practices. A re-inspection will be required and legal action may be considered should the matter not be citified prior to the reinspection.

Declaration

• Proprietor/staff: I have had the contents of this inspection report explained to me and understand the contents

  Sign

• Environmental Health Officer

  Sign

General information

• • The Department of Health, Victoria, provides guidelines to help businesses to comply with the Public Health and Wellbeing Regulations 2008 by providing information on infection control. Council advises all premises to comply with the relevant documents for best practice purposes.