Skin Penetration Premises Inspection

• Trading name

• Licence number

• Address

• Proprietor

• Email

• Person interviewed

• Inspection type

  Routine

  Re-inspection

  Complaint

  Final

• Inspection fee

  Yes

  No

  N/A

• Inspection time & date

  Date

• Prepared by: Contract Environmental Health Officer,

Procedures

• Beauty/nail treatments

  Yes

  No

  N/A

• Needles*

  Select N/A Single Use Clean Disinfect Sterile

  • N/A
  • Single Use
  • Clean
  • Disinfect
  • Sterile

• Cosmetic tattooing needles*

  Select N/A Single Use Clean Disinfect Sterile

  • N/A
  • Single Use
  • Clean
  • Disinfect
  • Sterile

• Electrolysis needles*

  Select N/A Single Use Clean Disinfect Sterile

  • N/A
  • Single Use
  • Clean
  • Disinfect
  • Sterile

• Cuticle cutters/nippers**

  Select N/A Single Use Clean Disinfect Sterile

  • N/A
  • Single Use
  • Clean
  • Disinfect
  • Sterile

• Lances**

  Select N/A Single Use Clean Disinfect Sterile

  • N/A
  • Single Use
  • Clean
  • Disinfect
  • Sterile

• Razor scrapers**

  Select N/A Single Use Clean Disinfect Sterile

  • N/A
  • Single Use
  • Clean
  • Disinfect
  • Sterile

• Derma rollers**

  Select N/A Single Use Clean Disinfect Sterile

  • N/A
  • Single Use
  • Clean
  • Disinfect
  • Sterile

• Microdermabrasion heads**

  Select N/A Single Use Clean Disinfect Sterile

  • N/A
  • Single Use
  • Clean
  • Disinfect
  • Sterile

• Nail files

  Select N/A Single Use Clean Disinfect Sterile

  • N/A
  • Single Use
  • Clean
  • Disinfect
  • Sterile

• Waxing spatulas

  Select N/A Single Use Clean Disinfect Sterile

  • N/A
  • Single Use
  • Clean
  • Disinfect
  • Sterile

• Tweezers

  Select N/A Single Use Clean Disinfect Sterile

  • N/A
  • Single Use
  • Clean
  • Disinfect
  • Sterile

• Foot spa

  Select N/A Single Use Clean Disinfect Sterile

  • N/A
  • Single Use
  • Clean
  • Disinfect
  • Sterile

• Tattooing

  Yes

  No

  N/A

• Tattoo Needles*

  Select N/A Single Use Clean Disinfect Sterile

  • N/A
  • Single Use
  • Clean
  • Disinfect
  • Sterile

• Tattoo Machine Head

  Select N/A Single Use Clean Disinfect Sterile

  • N/A
  • Single Use
  • Clean
  • Disinfect
  • Sterile

• Sponge/cloth to wipe tattoo site

  Select N/A Single Use Clean Disinfect Sterile

  • N/A
  • Single Use
  • Clean
  • Disinfect
  • Sterile

• Sterile gloves

  Select N/A Single Use Clean Disinfect Sterile

  • N/A
  • Single Use
  • Clean
  • Disinfect
  • Sterile

• Sterile field 'pack'

  Select N/A Single Use Clean Disinfect Sterile

  • N/A
  • Single Use
  • Clean
  • Disinfect
  • Sterile

• Piercing/modifications

  Yes

  No

  N/A

• Needles*

  Select N/A Single Use Clean Disinfect Sterile

  • N/A
  • Single Use
  • Clean
  • Disinfect
  • Sterile

• Jewellery for (piercing)**

  Select N/A Single Use Clean Disinfect Sterile

  • N/A
  • Single Use
  • Clean
  • Disinfect
  • Sterile

• Scalpel**

  Select N/A Single Use Clean Disinfect Sterile

  • N/A
  • Single Use
  • Clean
  • Disinfect
  • Sterile

• Clamps

  Select N/A Single Use Clean Disinfect Sterile

  • N/A
  • Single Use
  • Clean
  • Disinfect
  • Sterile

• Sterile gloves

  Select N/A Single Use Clean Disinfect Sterile

  • N/A
  • Single Use
  • Clean
  • Disinfect
  • Sterile

• Forceps

  Select N/A Single Use Clean Disinfect Sterile

  • N/A
  • Single Use
  • Clean
  • Disinfect
  • Sterile

• Sterile field 'pack'

  Select N/A Single Use Clean Disinfect Sterile

  • N/A
  • Single Use
  • Clean
  • Disinfect
  • Sterile

Inspection

• Hand wash basin with warm potable running water through single spout

  Yes

  No

  N/A

• Hand wash basin in treatment room/s

  Yes

  No

  N/A

• Hand basin situated against a wall with a durable, smooth, impervious to moisture splashback

  Yes

  No

  N/A

• Soap, or other substance for cleaning hands near hand basin

  Yes

  No

  N/A

• Single-use towels or other suitable hand drying equipment near hand basin

  Yes

  No

  N/A

• Clean gown or apron, or impermeable apron worn during the procedure

  Yes

  No

  N/A

• Single use disposable gloves worn for all skin penetration procedures

  Yes

  No

  N/A

• Sterile gloves used

  Yes

  No

  N/A

• Gloves appropriately disposed of immediately after completing the procedure

  Yes

  No

  N/A

• Premises are clean and hygienic

  Yes

  No

  N/A

• Hospital grade disinfectant being used

  Yes

  No

  N/A

• Facilities are adequate for keeping hairdressing/beauty treatment appliances and utensils clean

  Yes

  No

  N/A

• Premises provided with suitable floor coverings, shelves, fittings and furniture that is constructed/covered with material that is durable, smooth, impervious to moisture and capable of being easily cleaned

  Yes

  No

  N/A

• Premises provided with adequate washing, drainage, ventilation and lighting facilities

  Yes

  No

  N/A

• Separate sink for the cleaning of equipment

  Yes

  No

  N/A

• All equipment is in good working order, is cleaned and stored in a clean, dry, dust free environment before reuse

  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

• 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

• Autoclave is serviced/calibrated annually

  Yes

  No

  N/A

• Autoclave TGA approved

  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

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

  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

• 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

• Ear piercing gun used only once for ear piercing

  Yes

  No

  N/A

• Ear piercing gun cleaned and disinfected after each use

  Yes

  No

  N/A

• Clean and soiled linen stored in separate receptacles

  Yes

  No

  N/A

• Sharp bin/container on site

  Yes

  No

  N/A

• Adequate disposal method once sharps bin/container full

  Yes

  No

  N/A

• Adequate toilet facilities for colonic lavage

  Yes

  No

  N/A

• Additional comments

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• Inspection result

  Pass

  Fail

  N/A

• Reinspection required

  Yes

  No

• Date of reinspection

  Date

ADDITIONAL INFORMATION

Inspection results

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

• • Fail - 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 rectified prior to the reinspection.

General information

• • NSW Health advises that cuticle cutters are a skin penetration item that is required to be sterilised. Sterilisation can only be undertaken using an autoclave or dry heat steriliser. The sterilisation unit must comply with "Australian Standard AS 2182 - Sterilisers – steam – benchtop" and be registered with the Therapeutic Goods Administration.

• • Fact sheets on procedures carried out by skin penetration premises can be found on the NSW Health website http://www.health.nsw.gov.au. Fact sheets are available in English, Vietnamese, Chinese, Arabic and other languages.

Council's Contact Details

• Council name Telephone:

• Address Web: web address

• Postal address Email: email address

• ABN: