Public Health Risk Activity Application

Use this application if you want to apply for a licence to carry out ear and body piercing in a registered premises.

These practices must be carried out in line with the Public Health Act 1997 and the guidelines for ear and body piercing.

Once you have submitted this application an officer will contact you to arrange for payment to be taken. Please refer to the current fees and charges.

For further information you can contact us at sorell.council@sorell.tas.gov.au or telephone 03 6269 0000.

APPLICANT DETAILS

START DATE: Answer this question if you are applying for "a licence for a short term event"(Required)

END DATE: Answer this question if you are applying for "a licence for a short term event"(Required)

What is your registration number?(Required)

First Name(Required)

Last Name(Required)

Date of birth(Required)

Email address(Required)

Telephone number(Required)

BUSINESS DETAILS

Business trade name (name of business where you will be operating)(Required)

Premises address (location where you will be operating)(Required)

Email(Required)

Telephone number(Required)

Emergency contact name(Required)

Emergency contact telephone number(Required)

QUESTIONS

As part of this application you are required to complete the following questions. Please make sure you answer each question to the best of your knowledge and training in line with the Public Health Act 1997 and the guidelines for ear and body piercing.

1. The guidelines for ear and body piercing have been developed under which Act?(Required)

2. Name three diseases that can be spread by infected blood or other bodily substances.(Required)

3. What is cross contamination and why is it so important to avoid it?(Required)

4. Give two examples on how cross contamination can occur during the ear and body piercing procedure.(Required)

5. Name a solution that can be used to disinfect the skin.(Required)

6. If your customer starts to bleed, what basic actions should you take and why?(Required)

7. How must used items such as cotton balls, gloves etc be disposed of?(Required)

8. How often should the linen/covers on the treatment table/area be changed?(Required)

9. Should a client that is showing signs of skin sores/infections at the site to be treated be pierced, why or why not?(Required)

10. Describe how you will clean the piercing equipment.(Required)

11. Describe how you will clean and sterilise reusable equipment.(Required)

12. What should be used to remove excess fluids (e.g blood) from the area being pierced?(Required)

13. If the area being pierced needs to be shaved, what sort of razor must be used?(Required)

14. What type of records should you keep about a client and their procedure?(Required)

DECLARATION

In making this application:

Signature(Required)

Today's Date(Required)