Information
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Application Number
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Name of business
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Name of proprietor
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Address of business
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Phone Number
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Email of proprietor
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Trim File No.
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Inspection started
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Inspecting Officer
Business details
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Entity Name (Individual/ Partnership/Company/Body Corporate/Trust/Other)
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ABN
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Person interviewed
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Inspection type
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Procedures
- Tattooing
- Body piercing
- Cosmetic tattooing
- Manicure/Pedicure
- Beauty Therapy
- Waxing
- Micro-dermabrasion
- Electrolysis
- Dry needling
- Body modification
- Colonic lavage
- Microblading
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Other
Premises - Local Government (General) Regulation 2021 and Public Health Regulation 2022
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Is the premises clean and hygienic?
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Fixtures and fittings are in a good state of repair, smooth, impervious and capable of being easily and effectively cleaned
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Facilities that are adequate for the purpose of keeping beauty treatment appliances and utensils clean.
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Equipment clean, dry and in good working order
Handwash - Local Government (General) Regulation 2021 and Public Health Regulation 2022
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Hand wash basin is provided with clean, warm, potable water through a single spout
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A supply of liquid soap is available
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A supply of an alcohol-based hand cleaner is available
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Hand basin is not obstructed or used for storage
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Single-use towels or a working automatic hand dryer is available
Equipment cleaning sink - Public Health Regulation 2022
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Premises equipped with a separate sink that has a supply of clean, warm water for cleaning equipment
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Equipment is cleaned in a dedicated sink.
Hygiene - Public Health Regulation 2022
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Hands washed between clients
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Single use gloves used for skin penetration procedures (exemption for waxing)
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Clean linen and gowns or aprons are available?
Linen (NSW Health Best Practice Fact Sheet)
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Towels or other types of linen used for covering or protection during the procedure is clean at the start of each treatment
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Linen is washed in detergent and hot water
Waste (Clause 23 & Clause 25)
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Waste disposal bin provided
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Sharps disposed into sharps container immediately after use
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Licensed contractor used for the collection and disposal of sharps waste
Cleaning and Sterilisation (Clause 26)
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Soiled and clean equipment are stored separately
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Hospital grade disinfectant used
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Detergent and water used to clean articles
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Physical or mechanical action used when cleaning equipment (i.e. scrubbing)
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Rinsed with warm or hot water
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Dried with lint free cloth or in drying cabinet
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All reusable instruments that penetrate the skin sterilised
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Items sterilised off site
Use of needles, sharps and other skin penetration articles (Clause 27)
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Needles, sharps or other skin penetration articles used
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All needles are single use
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Packaged items in good condition
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Storage of packaged items in clean, dry area, away from sunlight
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Needles/sharps are disposed of in the appropriate sharps container immediately after completing the procedure
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Cuticle Cutters in use
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Are the cuticle cutters sterilised correctly?
Sterilisation of articles (Clause 26)
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Premises sterilises articles using bench top steriliser
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Is there manual recording of the steriliser or print out recorder (as per the Regulation and AS 4815:2006)
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All items packaged appropriately
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Training in use of steriliser
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Records of sterilisation including date, time, temperature and pressure levels, level of time autoclaved
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Sterilisation records kept for 12 months
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Maintenance records and annual performance validation of steriliser
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Date Validated and name and address
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Steriliser calibrated every 12 months
Use of Ink and Pigments (Clause 29)
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Ink and pigments used
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Liquids/gels are dispensed into single use containers
Waxing (Clause 30)
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Premises conducts waxing
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Wax, and any instrument used to apply the wax (such as a spatula), immediately disposed of after use
Inspection results
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Forms to be submitted to Council
- Autoclave service report
- Records of sterilisation
- Business registration form
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Inspection rating
- Satisfactory
- Unsatisfactory
- Unsatisfactory - reinspection required
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Follow up
- Warning letter
- Reinspection
- Improvement notice
- PIN
- Prohibition order
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Comments
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Owner/Employee Signature
Council details
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Name of officer
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Officer Signature
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Phone: (02) 4429 3610
Fax: (02) 44221816
Email: council@shoalhaven.nsw.gov.au
