Information

  • Audit Title

  • Client / Site

  • Address
  • Phone Number

  • Trim File No.

  • Conducted on

  • Inspection Result

Business details

  • Proprietor

  • Email

  • ABN

  • Person interviewed

  • Inspection type

  • Procedures

  • Other

Premises - Local Government (General) Regulation 2005 and Public Health Skin Penetration Regulation 2012

  • Is the premises clean and hygienic

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

  • Facilities that are adequate for the purpose of keeping beauty treatment appliances and utensils clean.

  • Equipment clean, dry and in good working order

Handwash - Local Government (General) Regulation 2005 and Public Health Skin Penetration Regulation 2012

  • Hand wash basin is provided with clean, warm, potable water through a single spout

  • A supply of liquid soap (or an alcohol-based hand cleaner) is available

  • Single-use towels or an automatic hand dryer is available

Equipment cleaning sink - Public Health Skin Penetration Regulation 2012

  • Premises equipped with a separate sink that has a supply of clean, warm water for cleaning equipment

Hygiene - Public Health Skin Penetration Regulation 2012

  • Hands washed between clients

  • Single use gloves used for skin penetration procedures (exemption for waxing)

  • Clean linen and gowns or aprons are available?

Linen (NSW Health Best Practice Fact Sheet)

  • Towels or other types of linen used for covering or protection during the procedure is clean at the start of each treatment

  • Linen is washed in detergent and hot water

Waste (Clause 23 & Clause 25)

  • Waste disposal bin provided

  • Sharps disposed into sharps container immediately after use

  • Licensed contractor used for the collection and disposal of sharps waste

Cleaning and Sterilisation (Clause 26)

  • Soiled and clean equipment are stored separately

  • Hospital grade disinfectant used

  • Detergent and water used to clean articles

  • Physical or mechanical action used when cleaning equipment ( i.e. scrubbing)

  • Rinsed with warm or hot water

  • Dried with lint free cloth or in drying cabinet

  • All reusable instruments that penetrate the skin sterilised

  • Items sterilised off site

Use of needles, sharps and other skin penetration articles (Clause 27)

  • Needles, sharps or other skin penetration articles used

  • All needles are single use

  • Packaged items in good condition

  • Storage of packaged items in clean, dry area, away from sunlight

  • Needles/sharps are disposed of in the appropriate sharps container immediately after completing the procedure

  • Cuticle Cutters in use

  • Are the cuticle cutter sterilised correctly

Sterilisation of articles (Clause 26)

  • Premises sterilises articles using bench top steriliser

  • Is there manual recording of the steriliser or print out recorder (as per the Regulation and AS 4815:2006)

  • All items packaged appropriately

  • Training in use of steriliser

  • Records of sterilisation including date, time, temperature and pressure levels, level of time autoclaved

  • Sterilisation records kept for 12 months

  • Maintenance records and annual performance validation of steriliser

  • Date Validated and name and address

Use of Ink and Pigments (Clause 29)

  • Ink and pigments used

  • Liquids/gels are dispensed into single use containers

Waxing (Clause 30)

  • Premises conducts waxing

  • Wax, and any instrument used to apply the wax (such as a spatula), immediately disposed of after use

Inspection results

  • Forms to be submitted to Council

  • Inspection rating

  • Follow up

  • Comments

  • Owner/Employee Signature

Council details

  • Name of officer

  • Officer Signature

  • Phone: (02) 4429 3610
    Fax: (02) 44221816
    Email: council@shoalhaven.nsw.gov.au

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.