Skin Penetration Premises Inspection

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Premises details

• Trading name

• Licence number

• Address

• Proprietor

• Person interviewed

• Inspection type

  Routine

  Re-inspection

  Complaint

  Final

• Inspection fee

  Yes

  No

  N/A

• Inspection time & date

  Date

• Time inspection completed

  Date

Procedures

• Acupuncture

  Yes

  No

  N/A

• Barber

  Yes

  No

  N/A

• Body piercing

  Yes

  No

  N/A

• Colonic lavage

  Yes

  No

  N/A

• Electrolysis

  Yes

  No

  N/A

• Ear piercing

  Yes

  No

  N/A

• Hairdressing

  Yes

  No

  N/A

• Tattooing

  Yes

  No

  N/A

• Waxing

  Yes

  No

  N/A

• Beauty (including manicure, pedicure, facial, tinting etc)

  Yes

  No

  N/A

• Other

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 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

• Inspection result

  Satisfactory

  Unsatisfactory

• Reinspection required

  Yes

  No

• Date of reinspection

  Date

• I have had the contents of this inspection report explained to me and understand the contents

  Sign

ADDITIONAL INFORMATION

Inspection results

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

• • Unsatisfactory - 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 citified prior to the reinspection.

General information

• • The Skin Penetration Code of Best Practice and The Guidelines on Skin Penetration published by NSW Health outline the industries best practice standards. Council advises all premises to comply with the relevant documents for best practice purposes.

• • 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.

• • Information on submission requirements for Development Applications, registration forms and fact sheets may be found on Council's website. Search for "Skin Penetration Premises Information" in the A-Z Index.

Council's Contact Details

• The Hills Shire Council Telephone: (02) 9843 0555 Email: council@thehills.nsw.gov.au

• 129 Showground Road Fax: (02) 9843 0409 Web: www.thehills.nsw.gov.au

• Castle Hill NSW 2154 DX 8455 Castle Hill ABN: 25 034 494 656

• PO Box 75 Castle Hill NSW 1765