Title Page
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Site conducted
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Business name
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Manager/proprietor
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Business telephone
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Email address
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Premises address
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Conducted on
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Prepared by
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INSTRUCTIONS
1. Answer the questions below by selecting the most appropriate response.
2. Add photos and notes as necessary evidences
3. To add a corrective measure, click ""Add Action"", provide a description, assign to a member, set priority, and due date
4. Complete the audit by providing a digital signature
Design and Construction
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1 Surfaces smooth and impervious
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2 Separate area preparation, cleaning and treatment
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3 Clean and in good repair
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4 Designated hand wash basin with hands free tap
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5 Designated cleaning basin
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6 Basins have hot/cold water, soap, disposable towel
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7 Adequate lighting and ventilation
Hygiene
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8 Correct hand wash procedure
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9 Clean outer garments, gloves, protective clothing
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10 No smoking or eating in procedure areas
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11 Towels, covers, linen – new for each client
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12 Disposable/single use needles/razors
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13 Reusable needle bar and guide tubes sterilised
Cleaning and Disinfection
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14 Appropriate cleaning agent and drying method
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15 Client skin free of infection
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16 Appropriate method of skin disinfection
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17 All solutions within use by date
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18 Appropriate laundering of linen
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19 Storage and identification of cleaning equipment
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20 Written cleaning and maintenance schedule
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21 Sterilised equipment wrapped with colour indicator
Disinfectant
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22 Thermal (80°C/2min or 75°C/10min or 70°C/15min)
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23 Chemical (glutaraldehyde (2%) with PPE)
Sterilisation
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24 Moist heat
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25 Dry heat (160°C/1hr)
Piercing
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26 Electrical equipment cleaned
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27 Only sterile jewellery inserted
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28 Appropriate jewellery material
Beauty Salons
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29 Single use wax or thermal disinfect (130°C/20min)
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30 Single use/disposable electrolysis needles
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31 All equipment cleaned and stored dry
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32 Disposable/single use spatulas
Tattooing
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33 Dyes single use and/or sealed container
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34 Containers disinfected prior to use
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35 Disposable spatulas for petroleum jelly
Waste Management
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36 Labelled, puncture resistant sharps containers
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37 Contaminated waste bins provided at work station
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38 Adequate dirty linen storage
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39 Adequate number and type of waste receptacles
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40 Forceps for spilled sharp objects and blood
General
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41 Skills, knowledge and safe work procedures
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42 Equipment storage prevent contamination/damage
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43 First aid kit with water resistant dressings
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44 Animals prohibited
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Other comments
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Please attend to any outstanding items by the due date. For enquiries contact the officer on the number below.
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Reinspection date
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I have read and I understand the contents of this assessment. Proprietor/staff name and signature
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Officer name and signature
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Officer contact number
