Skin Penetration Inspection Report

• Audit Title

• Conducted on

  Date

• Prepared by

  Nerisha James

  Angela Rose

  Dhanuka Siriwardena

  Renae Barnes
• Location
  Address

• Application Number

• Inspection Result

  Select Satisfactory Unsatisfactory Unsatisfactory - reinspection required

  • Satisfactory
  • Unsatisfactory
  • Unsatisfactory - reinspection required

• Invoice

  Yes

  No

  N/A

Business details

• Trading name

• ABN

• Proprietor/owner

• Phone

• Email

• Person interviewed

• Inspection type

  Annual

  Reinspection

  Pre-occupation

  Complaint

Procedures conducted

• Beauty therapy

• Body/ear piercing

• Colonic lavage

• Cosmetic tattooing

• Dry needling

• Electrolysis

• Facial

• Hairdressing

• Laser

• Manicure

• Pedicure

• Massage

• Micro-dermabrasion

• Type

  Select Crystals Diamond tip

  • Crystals
  • Diamond tip

• Tattooing

• Waxing

• Other

Premise

Hand wash basin

• Hand wash basin is installed at bench height and is easily accessible

  Yes

  No

  N/A

• Select date

  Date

• Hand wash basin is clearly designated for hand washing only

  Yes

  No

  N/A

• Select date

  Date

• Hand wash basin is provided with a supply of warm water mixed from a hot and cold water supply through a single outlet

  Yes

  No

  N/A

• Select date

  Date

• Hand wash basin is supplied with liquid soap and single use paper towels

  Yes

  No

  N/A

• Select date

  Date

• Additional Comments

• Add media

  Media

Equipment cleaning sink

• Premise equipped with a separate cleaning sink of an adequate size and capacity

  Yes

  No

  N/A

• Select date

  Date

• Equipment cleaning sink is provided with a supply of warm water mixed from a hot and cold water supply through a single outlet

  Yes

  No

  N/A

• Select date

  Date

• Additional Comments

• Add media

  Media

Premise/fixtures/fittings/furniture

• Fixtures, fittings and furniture are in a good state of repair, smooth, impervious to moisture and capable of being easily and effectively cleaned

  Yes

  No

  N/A

• Select date

  Date

• A clean, dust free environment is provided for clean equipment

  Yes

  No

  N/A

• Select date

  Date

• Soiled and clean equipment are stored separately

  Yes

  No

  N/A

• Select date

  Date

• Chemicals are stored and handled in accordance with SDS

  Yes

  No

  N/A

• Select date

  Date

• Chemical containers are appropriately labelled

  Yes

  No

  N/A

• Select date

  Date

• Appropriate ventilation is installed in the premises

  Yes

  No

  N/A

• Select date

  Date

• Additional Comments

• Add media

  Media

Waste

• Waste bin provided in each treatment room

  Yes

  No

  N/A

• Select date

  Date

• Sharps bin provided in each treatment room that complies with AS/NZS 4261:1994 or AS/NZS 4031:1992

  Yes

  No

  N/A

• Select date

  Date

• A licensed waste transporter is used for the collection and disposal of sharps waste

  Yes

  No

  N/A

• Select date

  Date

• Additional Comments

• Add media

  Media

Hygiene

• Premise, fixtures, fittings and equipment kept clean, free from dust and other visible matter

  Yes

  No

  N/A

• Select date

  Date

• Operator washes hands before and after each treatment and when treatment is interrupted

  Yes

  No

  N/A

• Select date

  Date

• Single use gloves are worn during all skin penetration procedures and are promptly discarded after each treatment

  Yes

  No

  N/A

• Select date

  Date

• Skin undergoing treatment with suitable antiseptic prior to commencement of treatment

  Yes

  No

  N/A

• Select date

  Date

• Single use items are disposed of after each use

  Yes

  No

  N/A

• Select date

  Date

• Liquids/gels are decanted into a clean dish/container for each client. Anything unused is disposed of immediately after use

  Yes

  No

  N/A

• Select date

  Date

• Soiled and clean equipment are processed separately to avoid cross contamination

  Yes

  No

  N/A

• Select date

  Date

• Linen is changed after each client

  Yes

  No

  N/A

• Select date

  Date

• Sharps are disposed into a sharps container immediately after use<br>

  Yes

  No

  N/A

• Select date

  Date

• Evidence of smoking, eating or drinking in the treatment rooms

  Yes

  No

  N/A

• Select date

  Date

• An equipped first aid kit is available on site

  Yes

  No

  N/A

• Select date

  Date

• Additional Comments

• Add media

  Media

Equipment processing

• Reusable equipment cleaned in warm soapy water, disinfected and dried prior to reuse

  Yes

  No

  N/A

• Select date

  Date

• All equipment penetrating the skin are sterile

  Yes

  No

  N/A

• Select date

  Date

• Additional Comments

• Add media

  Media

Servicing and record keeping

• Autoclaves are tested, serviced regularly and calibrated at least once per year by a qualified service technician

  Yes

  No

  N/A

• SDS for all hazardous substances used are provided onsite

  Yes

  No

  N/A

• Records of sterilisation including date, time, number of items processed, duration, maximum temperature, maximum pressure and faults with cycle are kept onsite

  Yes

  No

  N/A

• Additional Comments

• Add media

  Media

Inspection results

• Comments

• Forms to be submitted to Council

  Select Autoclave service report Records of sterilisation Business registration form

  • Autoclave service report
  • Records of sterilisation
  • Business registration form

• Inspection rating

  Satisfactory

  Unsatisfactory

  Unsatisfactory - reinspection required

• Follow up

  Select Warning letter Reinspection Improvement notice PIN Prohibition order

  • Warning letter
  • Reinspection
  • Improvement notice
  • PIN
  • Prohibition order

• Invoice to be issued

  Yes

  No

Council details

• Name of officer

  Select Nerisha James - 9911 6416 nerisha.james@canadabay.nsw.gov.au Angela Rose - 9911 6417 angela.rose@canadabay.nsw.gov.au Dhanuka Siriwardena- 99116415 dhanuka.siriwardena@canadabay.nsw.gov.au Renae Barnes. P: 9911 6588 Email: renae.barnes@canadabay.nsw.gov.au

  • Nerisha James - 9911 6416 nerisha.james@canadabay.nsw.gov.au
  • Angela Rose - 9911 6417 angela.rose@canadabay.nsw.gov.au
  • Dhanuka Siriwardena- 99116415 dhanuka.siriwardena@canadabay.nsw.gov.au
  • Renae Barnes. P: 9911 6588 Email: renae.barnes@canadabay.nsw.gov.au

• Phone: (02) 9911 6555
  Fax: (02) 9911 6550
  Email: council@canadabay.nsw.gov.au