Health and Hygiene
Code of Practice 2013
Tikanga ā-Mahi
Whakamaru Hauora 2013(as at 5 March 2014)

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Health and Hygiene Code of Practice 2013

Contents
Introduction
Interpretation
Part 1Minimum Standard 1A: Permanent Premises
Minimum Standard 1B: Mobile or Temporary Premises

3
4
8
8
11

Part 2
Minimum Standard 2: Operator Conduct

13
13

Part 3
Minimum Standard 3: Piercing of the Skin

16
16

Minimum Standard 3A: Body Piercing

23

Minimum Standard 3B: Tattooing

24

Minimum Standard 3C: Traditional Tools Tattooing

26

Minimum Standard 3D: Acupuncture29

Minimum Standard 3E: Electrolysis, Red Vein Treatment and Derma Rolling /Stamping

31

Part 4
Minimum Standard 4: Risk of Breaking the Skin

33
33

Minimum Standard 4A: Hair Removal

35

Minimum Standard 4B: Manicure / Pedicure37

Minimum Standard 4C: Exfoliation

40

Part 5
Minimum Standard 5: Massage

41
41

Part 6
Minimum Standard 6: Sun-beds

43
43

Part 7
Minimum Standard 7: Pulsed Light and Laser Treatment

47
47

Part 8Minimum Standard 8: Colon Hydrotherapy

51
51

Part 9Minimum Standard 9: Swimming Pools

54
54

Part 10Minimum Standard 10: Commercial Sexual Services

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Health and Hygiene Code of Practice 2013

Introduction
This Code of Practice seeks to protect public heath in regards to the operation ofcommercial services that pose an associated health risk to any persons using oraccessing their services, products or business operation. The Code sets minimum
standards of hygienic and safe practices with regard to the way premises areconstructed, equipped and maintained, and in regard to the way operators conduct
themselves when providing services. It includes recommendations for best practice toencourage standards of care in addition to minimum standards.
Services that involve piercing the skin carry public health risks to do with thetransference of blood-borne diseases and viral, bacterial or fungal infections frombreaking or abrading the protective epidermal layer. Other services may be unlikely topuncture the skin but involve contact with skin or bodily fluids, or immersion incommunal waters, and carry a public health risk of transferring bacterial and viral
infections. Services that involve application of light to the body have the potential toburn the skin and carry a health risk of damage to DNA and longer term skinconditions, including skin cancer, as well as risks associated with abrading theprotective epidermal layer. It is risks such as these which warrant council intervention
to ensure such services are carried out in a hygienic and safe manner.
The minimum standards are made under the Health and Hygiene Bylaw. Failure tomeet a minimum standard is a breach of the Health and Hygiene Bylaw or a HealthProtection Licence, and is an offence under the Local Government Act 2002 andHealth Act 1956. Penalties may include cancellation or suspension of a HealthProtection Licence or a Court fine of up to $20,000.
The recommendations for best practice in this code are included to encourage higher
standards of hygienic and safe practices. Adoption of best practice is voluntary.
This Code of Practice has been developed in accordance with the Local Government
Act 2002. This has included consultation with:
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Auckland Council Environmental Health
Auckland Council Building Control
Auckland Regional Public Health Service (Medical Officers of Health)
Ministry of Health officials
Public Health Association
Manukau Health Trust
New Zealand Registered Beauty Therapists
New Zealand College of Appearance Medicine
New Zealand Register of Acupuncturists
Massage New Zealand
Cancer SocietyInternational Association for Colon Hydrotherapy
Hair and Beauty Industry Training Organisation
Industry stakeholders

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Health and Hygiene Code of Practice 2013

Interpretation
In this code of practice, unless the context otherwise requires,—Acupuncture means a practice involving the insertion of filiform (very narrow) needles
through the skin and tissues for the intended purpose of alleviating ailments or injuries.
AS 2773.1: 1998 means the Australian standard for ultrasonic cleaners for health carefacilities- non-portable.
AS 2773.2: 1999 means the Australian standard for ultrasonic cleaners for health carefacilities.
AS/NZS 2635: 2008 means the Australian and New Zealand standard for solaria (sunbed) for cosmetic purposes.
AS/NZS 3500.1: 2003 means the Australian and New Zealand standard for plumbing
and drainage – water services.
AS/NZS 3500.2: 2003 means the Australian and New Zealand standard for plumbing
and drainage – sanitary plumbing and drainage.
AS/NZS 3500.4: 2003 means the Australian and New Zealand standard for plumbing
and drainage – heated water services.
AS/NZS 4031: 1992 means the Australian and New Zealand standard for non-reusable
containers for the collection of sharp items used in human and animal medical
applications.
AS/NZS 4173: 2004 means the Australian and New Zealand standard for the safe useof lasers in health care.
AS/NZS 4187: 2003 means the Australian and New Zealand standard for cleaning,
disinfecting and sterilising reusable medical and surgical instruments and equipment,
and maintenance of associated environments in health care facilities.
AS/NZS 4261: 1994 A1 means the Australian and New Zealand standard for reusable
containers for the collection of sharp items used in human and animal medical
applications: Amendment 1.
Body piercing means a practice of piercing the skin for decorative purposes, inserting
jewellery or implants to alter the appearance of the skin.
Cleaning means the physical removal of dirt, blood and other such substances fromsurfaces by washing in detergent and warm water to reduce the number of microorganisms.
Colon hydrotherapy means a practice of introducing liquids into the rectum and colon
via the anus and is intended to remove faeces and non-specific toxins from the colonand intestinal tract.
Commercial service means a service (whether from permanent premises, temporary
premises or mobile premises) provided by one or more persons for another person formonetary payment or any other consideration.
Commercial sexual service means sexual services that involve physical participation
by a person in sexual acts with, and for the gratification of, another person; and are4

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Health and Hygiene Code of Practice 2013provided for payment or other reward (irrespective of whether the reward is given to theperson providing the services or another person).
Communicable disease means any infectious disease, tuberculosis, venereal
disease, and any other disease declared by the Governor-General, by Order in
Council, to be a communicable disease for the purposes of the Health Act 1956.
Council means the governing body of the Auckland Council or any person delegatedto act on its behalf.
Cupping means a form of traditional Chinese medicine that involves placing cups
containing reduced air pressure (suction) on the skin, most commonly on the back,intended to release muscle tension through stimulated blood flow.
Customer means a person on whom a service is being, or is to be, carried out.
Disinfection means the killing of disease causing micro-organisms except bacterial
spores.
Derma rolling / stamping means a practice of using micro needles to create tinypunctures in the skin intended to stimulate growth factors to enhance collagenproduction and better alignment of the collagen fibres.
Electroylsis means a practice involving the insertion of a sterilised needle into
individual hair follicles to the root. An electric impulse is passed through the needle to
the root area to aid in the removal of hair.
Exfoliation means a practice that intends to remove dead skin and can be performed
using microdermabrasion, physical peels that have an abrasive action and chemical
peels such as glycolic or enzyme.
Extractions means a practice for the removal of comedones (blackheads), pimples
and ingrown hairs by manipulating the pores of the skin, either with fingertips or a tool,
to remove sebum. Some extractions can involve penetration of the skin using sharp
equipment such as a metal tool or lance.
Hair removal means the removal of hair by waxing (pulling the hair from the skin using
soft wax, hot wax or glucose); threading (lifting the hair out from the follicle by entwined
thread); or tweezing (grasping hairs and pulling them out of the skin, including epilation- a mechanical means of tweezing).
Health practitioner means a person who is, or is deemed to be, registered under the
Health Practitioners Competence Assurance Act 2003 as a practitioner of a particular
health profession.
Instrument means any appliance, implement, needle or tool, of metal or non-metallic
construction, which may come into contact with the skin or tissue on which the service
is being carried out. It must also include any swab or dressing applied to the broken
skin surface.
Laser treatment means a practice involving the use of a laser device, which amplifies
light and usually produces an extremely narrow beam of a single wavelength (onecolour), intended to remove hair or for skin photo-rejuvenation.
Manicure means beautification or enhancement of the hands and fingernails, including
shaping and polishing.
Massage means a practice of applying lotion, or soft wax, or stones, or pressure toanother person’s face or body.
Mobile premises means any location other than a permanent premises where any
service is undertaken on an ongoing and regular basis by any person.

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Moxibustion means a traditional Chinese medicine technique that is used inconjunction with Acupuncture intended to facilitate healing and involves the heating ofindividual acupuncture points or regions of the body by burning the herb Artemisia
close to or on the inserted needle.
NZS 4304: 2002 means the New Zealand Standard for the management of healthcare
waste.
NZS 4441: 2008 means the New Zealand standard for swimming pool design.
NZS 5826: 2010 means the New Zealand standard for pool water quality.
Operator means a person who carries out a service.
Pedicure means beautification or enhancement of the feet and toenails by shaping andpolishing toenails and exfoliation of skin or tissue from the feet.
Permanent premises means any land, dwelling, storehouse, warehouse, shop, cellar,yard, building, or part of the same, or enclosed space separately occupied. All lands,
buildings, and places adjoining each other and occupied together are deemed to be thesame premises.
Public swimming pool means a water-retaining structure, wholly or partially of
artificial construction and generally having a circulation and filtration system, designed
for recreational, training or therapeutic use, and includes commercial, school,
institutional, club, hospitality, community, and local authority pools. It does not include
pools for domestic use only.
Pulsed light means a practice using a powerful flash of broad spectrum, non coherent
light intended to remove hair and/or for skin photo-rejuvenation, and may include but is
not limited to Intense Pulsed Light and Variable Pulsed Light.
Red vein treatment by needle means a practice of piercing a vein with a needle along
the length of a damaged capillary, causing little dams or blockages along the vessel.
Sauna means a small room commonly constructed out of wood that is designed as aplace to experience dry or wet heat sessions.
Skin piercing means a practice involving piercing, cutting and puncturing the skin or
any other part of the human body and includes such services as acupuncture, bodypiercing, derma rolling/stamping, electrolysis, extractions, red vein treatment, tattooing,
and traditional tools tattooing.
Solarium means a commercial establishment containing one or more sun-beds(tanning units).
Steam room means an enclosed space with large amounts of high temperature steam,creating a high humidity environment.
Sterilised, in relation to an instrument or like article or container, means subjecting an
instrument, article or container to a process, as a result of which all organisms and theirspores present on the surfaces of the instrument, article or container are killed.
Sun-bed (tanning unit) means an electrically-powered device designed to produce
tanning of the human skin by the emission of ultra-violet radiation.
Tattooing means a practice of making indelible marks in human skin or tissue byinserting pigments or dyes into punctures made in the skin or tissues. Tattooing
includes the process known as pigment implantation and permanent makeup.
Temporary Premises means any premises used for a service or any area set up for
not more than 5 days to undertake a service.

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Traditional Tools Tattooing means a practice of making indelible marks in the humanskin or tissue by inserting pigments or dyes into punctures made in the skin or tissue
using tools that are culturally traditional in structure and used in procedures such as ta
moko, Tatau, uhi or any other traditional tattooing practice that has recognised cultural
significance.

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Health and Hygiene Code of Practice 2013

Part 1
Premises
Introduction
How premises used for specified commercial services are constructed, equipped andmaintained can reduce risks to public health.

Part 1A
Permanent Premises
The minimum standards contained in this part of the code aim to ensure thatpermanent premises are kept in clean and hygienic conditions to reduce risk to publichealth.
Minimum Standard 1A: Permanent Premises
Compliance with bylaws and building legislation
1(1) The premises must be well constructed in accordance with the bylaws of thecouncil and in accordance with any applicable provisions of the Building Act
2004, the Resource Management Act 1991, the New Zealand Building Code andBuilding Regulations;Fit for purpose
1(2) The premises must be constructed, designed and arranged so as to be fit andsuitable for its intended purposes;
Repairs and cleanliness
1(3) The premises and all fittings, fixtures and appliances in the premises must be
maintained in a state of good repair and in a clean and tidy condition, and freefrom any accumulation of rubbish or other materials that may harbour vermin or
insects or that may become offensive or a nuisance;
1(4) Any structural alterations, repairs, renovations, plumbing, or drainage workthat may be undertaken or required must be carried out without unnecessary
delay;
Walls, floors, ceilings, fixtures and fittings
1(5) The walls, ceilings, fixtures and fittings in any area connected with thecarrying out of any specified service must be capable of being easily cleaned,and must be maintained in good repair. If the walls are liable to be wetted orfouled, they must be constructed of impervious material;
Wet areas
1(6) All floors, walls, ceilings and other surfaces in and around showers, pools,
steam rooms, and other areas liable to get moist or wet, including any room
containing a toilet, bidet or urinal must be smooth, impervious and capable of8

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being easily cleaned and floors must be adequately graded and drained to therequirements of the New Zealand Building Code;1(7) All floors and walls that become wet must be cleaned with a suitabledisinfectant at least once in every 24 hours;
Water supply
1(8) All premises must be supplied with potable running water;
Ventilation
1(9) All parts of the premises must be adequately ventilated to the requirements of
the New Zealand Building Code;Lighting
1(10) All parts of the premises must be provided with a lighting system capable ofproviding adequate illumination to facilitate cleaning and inspection. Lighting of
not less than 300 lux, at a distance 900mm above the floor, must be provided at
all working surfaces adjacent to every place where customers are attended to
and where instruments and tools are cleaned and sterilised;
Toilet and wash-hand basin
1(11) Any toilet and wash-hand basin must be easily accessible, hygienic, clean
and tidy, and equipped with a piped supply of hot and cold tempered runningwater, soap and adequate hand drying facilities must be provided near toilets,bidets or urinals to the requirements of standard G1 of the New Zealand Building
Code;1(12) All toilets and changing rooms must be regularly checked and cleaned
throughout operating times;
Wash-hand basin
1(13) A wash-hand basin supplied with a constant supply of hot and cold water, or
tempered running water at a temperature of not less than 38 degrees Celsius,soap, and single-use disposable paper towels or other approved hand-drying
equipment must be provided in a readily accessible position where any operator
carries out any specified service;
1(14) The place where the wash-hand basin is situated must be such that it cannot
become directly contaminated by the splashing of contaminants from the use ofany basin provided in accordance with Minimum Standards 1(15) or 1(16) below;
Cleaner's basin
1(15) A cleaner's basin equipped with a constant supply of hot and cold tempered
running water must be provided on the premises for the sole purpose of being
used in connection with cleaning of the floors, walls and similar fixed parts of thepremises. The cleaner's basin must not be used except for such purpose;
Skin piercing equipment basin
1(16) All premises undertaking specified services that pierce the skin must havesuitable basins in addition to the basins in Minimum Standards 1(13) and 1(15)9Last updated
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Health and Hygiene Code of Practice 2013

for the cleaning of skin piercing equipment;
1(17) The requirement for a cleaner's basin or skin piercing equipment basin as
specified in Minimum Standards 1(15) and 1(16) may be waived if the council
thinks it is unnecessary because of the nature of the service being carried out;
Sterilisation facilities
1(18) All premises undertaking specified services that pierce the skin must provide
a separate area or room for the purposes of cleaning and sterilising ofequipment. This area must have good lighting, ventilation and be capable ofbeing easily cleaned;
1(19) Ultrasonic cleaners must be kept separately to sterilisation facilities and havea designated contamination area;
Mattresses, squabs and cushion covers
1(20) All mattresses, squabs and cushions used on any chair, bed, table or the
like, used in conjunction with the carrying out of a specified service must be
provided with permanent impervious covers that are easily cleaned;
Staff facilities
1(21) Members of the staff must be provided with a separate room or suitablefacilities for the storage of clothing and personal effects.
Additional Standards
In addition to the minimum standards above, several other legislative acts, guidelines
and codes of practice are also relevant:

The Building Act 2004 stipulates how buildings are to be designed andconstructed, to ensure that people who use buildings can do so safely andwithout endangering their health.



The New Zealand Building Code (Schedule 1 of the Building Act 1992) sets out
how a building and its components must perform. The Building Codeaddresses health issues such as external and internal moisture, hazardous
agents on site, substances and processes, personal hygiene facilities,
laundering facilities, ventilation, internal temperature, adequate lighting,provision of clean and hot water and adequate waste facilities.



New Zealand Guidelines for the Control of Legionellosis further aims to ensure
public health and safety by setting guidelines to reduce the potential of an
outbreak of Legionnaires disease.

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Health and Hygiene Code of Practice 2013

Part 1B
Mobile or Temporary Premises
The minimum standards contained in this part of the code aim to ensure that mobile
and temporary premises are set-up in clean and hygienic conditions to reduce risk topublic health.
The separation of mobile and temporary premises from permanent premises
recognises that it may not be possible to maintain the same standards as a permanentpremises, and that the health risks may be greater due to a lack of control over theconditions.
Minimum Standard 1B: Mobile or Temporary Premises
Fit for purpose
1(22) The premises must be constructed, designed and arranged so as to be fit
and suitable for its intended purposes;
Repairs and cleanliness
1(23) The premises and all fittings, fixtures and appliances in the premises must be
maintained in a state of good repair and in a clean and tidy condition, and freefrom any accumulation of rubbish or other materials that may harbour vermin or
insects or that may become offensive or a nuisance;
Walls, floors, ceilings, fixtures and fittings
1(24) The walls, ceilings, fixtures and fittings in any area connected with thecarrying out of a specified service must be capable of being easily cleaned, andmust be maintained in good repair. If the walls are liable to be wetted or fouled,they must be constructed of impervious material;
1(25) The floor of any area connected with the carrying out of a specified service
that pierces the skin and risks breaking the skin must be surfaced with a smooth,durable material that is impervious to water and capable of being easily cleaned.
The floor and the material with which the floor is surfaced must be maintained ingood repair;
Ventilation
1(26) All parts of the premises must be adequately ventilated;
Lighting
1(27) All parts of the premises must be provided with a lighting system capable ofproviding adequate illumination to facilitate cleaning and inspection. Lighting of
not less than 300 lux, at a distance 900mm above the floor, must be provided at
all working surfaces adjacent to every place where customers are attended to
and where instruments and tools are cleaned and sterilised;
Mattresses, squabs and cushion covers
1(28) All mattresses, squabs and cushions used on any chair, bed, table or the
like, used in conjunction with the carrying out of any specified service must be

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Health and Hygiene Code of Practice 2013provided with permanent impervious covers that are easily cleaned;
Storage of linen and other supplies
1(29) All operators must provide sufficient facilities to adequately store all clean
and used equipment, linen and waste products safely in separate containers
before and after use and while in transit;
Cleanliness
1(30) All operators must establish and maintain a ‘clean’ work area at the site andprotect all surfaces and equipment from contamination by dust, dirt, members of
the public or other such contaminants at all times;
Hand-washing facilities
1(31) All operators must have direct access to hand-washing facilities with hot andcold running water provided preferably through a single spout, soap and means
to dry with a single service towel or other approved hand-drying equipment.
Alternatively, waterless alcohol-based antiseptic hand gels, foams, or liquids canbe used by mobile operators only where it is physically impossible to have handwashing facilities with running water;
Only sterile or single-use disposable instruments to be used for piercing the skin
1(32) All operators must provide sufficient sterile equipment for all customers
undergoing any specified service that pierce the skin;
1(33) If the mobile facility does not have sterilisation facilities then single-use
disposable pre-sterilised equipment must be used.

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Part 2
Operator Conduct
The minimum standards contained in this part of the code aim to ensure that operators
who are undertaking specified commercial services conduct their operations in a safeand hygienic manner so as to reduce risks to public health.
Any procedure that invades someone’s body in any way that is performed without
permission may be regarded as assault. It is therefore important that a customer
receiving such a procedure gives their consent. The essential elements of consent inhealth care are that it is voluntarily given by the customer, based on full provision of
information on risks to the customer, and given by a customer who has the capacity toconsent.
Minimum Standard 2: Operator Conduct
Alcohol, drugs
2(1) No operator may carry out any service on any person who they suspect isunder the influence of alcohol, drugs or mind-altering substances except asprescribed for a medical condition;
Washing of hands
2(2) All operators must at all times keep their clothing, hands, and fingernails
clean and cover with an impermeable dressing any infected, damaged or
inflamed skin;2(3) All operators must thoroughly cleanse their hands by washing up to the wristwith soap or antibacterial cleansing agent, using an effective sterile barrier tooperate taps to maintain cleanliness; by brushing their hands and nails whennecessary and drying them with a single service towel or other approved handdrying equipment:(a) before and after commencing each specified service;(b) immediately after using a toilet, using any handkerchief or nasal tissue orsmoking;2(4) All operators must wear clean well-fitting single-use disposable surgicalgloves:(a) if the customer is bleeding profusely;(b) if the customer has open lesions or is known to have a contagious
disease;(c) if the operator has cuts or wounds on their hands or has a skin infection orlesion;(d) if the operator is handling blood-soiled items, body fluids, excretions, andsecretions, as well as surfaces, materials, and objects exposed to them;
Accidents and bleeding
2(5) All operators must have procedures for dealing with customers or staff where
accidental exposure to another customer’s blood or bodily fluids occurs.

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Procedures should also be in place to deal with incidents where prolonged or
unexpected bleeding occurs. Such procedures must be kept on the premises ina form of a written policy and in view of the operator. All staff must be trained tocomply with it;2(6) All operators must record any incidents where exposure to anothercustomer’s blood or bodily fluids occurs, including the name and address of
those exposed and the steps undertaken to respond to the incident. Records ofsuch accidents involving exposure to another customer’s blood or bodily fluids
must be kept for a period of 2 years and made available to the council for
inspection on request;
Use of linen and other supplies
2(7) Any towel, sheet, cloth, pillow, furniture covering, permanent cover ofmattresses, squabs, cushions and any other protective garments must be clean
and tidy, and disinfected as frequently as is necessary, but as a minimum atleast after every customer;2(8) An operator must not use a towel, sheet, cloth, pillow or any other protective
garment or cover, on, or immediately under or over, a customer unless:(a) it has not been previously used; or(b) where it has been previously used, it has been laundered to render it
clean and hygienic since last having been used;
2(9) Soiled linen may be laundered in a washing machine with laundry detergent
or by a regular commercial laundry service;2(10) Creams and lotions must be dispensed from the container with a disposableor disinfected applicator;2(11) Sprays must be dispensed from a purpose-specific pump where possible;
2(12) All chemicals must be clearly labelled for identification and bottles must neverbe reused other than with the original product;
Storage of linen and other supplies
2(13) Adequate and separate storage lockers or other facilities must be provided
for the storage of clean and soiled laundry, cleaning equipment, and otherchemicals, products or materials;
2(14) Clean linen, tissue or single-use disposable paper products must be stored ina clean, enclosed and dust proof storage area until needed for immediate use;2(15) Any used towel, sheet, cloth or any other protective garment must be stored
in a closed or covered container until laundered or disposed of;2(16) All premises must have a separate location or cupboard for the safe storageof all chemicals held on the premises, away from service areas and items used
when performing a specified service;
Sterile storage2(17) Suitable separate dust proof storage spaces must be provided for the storage

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Health and Hygiene Code of Practice 2013of sterile dressings, sterilised instruments, and all sterile articles, including
jewellery, used in connection with a specified service that pierces the skin;
Disposal of contaminated material2(18) Any sharps containers and bio hazard waste bins must comply with AS/NZS
4031: 1992, and operators must demonstrate that they have made appropriatearrangements to dispose of any sharps and bio hazard wastes.

Additional Standards
In addition to the minimum standards above, several other legislative acts, guidelines
and codes of practice are also relevant:

The waste management requirements within this code of practice are based on
the AS/NZS 4031: 1992 – “Australian and New Zealand standard for nonreusable containers for the collection of sharp items used in human and animal
medical applications”.

The Health and Safety in Employment Act 1992 aims to promote the preventionof harm to all people at work, and others in, or in the vicinity of, places of work.
It applies to all New Zealand workplaces, and specifies the responsibilities of
employers, the self-employed, employees, principals and others who manage
or control hazards. It requires the maintenance of safe working environments,
and the implementation of sound practice.



Employers and self-employed persons must notify the Labour Group of the
Ministry of Business, Innovation and Employment as soon as possible ofworkplace accidents and occurrences of serious harm.

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Part 3
Piercing of the Skin
Skin piercing is any process involving piercing, cutting and puncturing the skin or any
other part of the human body and includes such processes as acupuncture, bodypiercing, derma rolling/stamping, electrolysis, extractions, red vein treatment, tattooing,
and traditional tools tattooing.
Services that pierce the skin may be considered high risk due to the significant hazards
posed by contact with blood and body fluids, such as the risk of transmitting bloodborne viral diseases and the transference of communicable diseases including
Hepatitis B, Hepatitis C and HIV.
The minimum standards contained in this part of the code aim to ensure that operators
who are undertaking commercial services that deliberately pierce or break the skinconduct their operations in a safe and hygienic manner so as to reduce risks to publichealth.
Minimum Standard 3: Piercing of the Skin
All operators must comply with the following standards:


Minimum Standard 1A (Permanent Premises) or Minimum Standard 1B(Mobile or Temporary Premises)Minimum Standard 2 (Operator Conduct)First aid3(1) There must be at least one operator on the premises at all times who holds acurrent St John’s or Red Cross First Aid Workplace Certificate or an approved
equivalent;
Age restriction
3(2) All operators may only carry out any specified service that pierces the skin(except tattooing) on any person 16 years and over unless with the written
permission of that person's parent or guardian;3(3) Operators must not carry out tattooing on any person under the age of 18,
unless the operator has obtained the written permission of that person's parent
or guardian;Precautions, consent and aftercare
3(4) Prior to the commencement of any specified service that pierces the skin, theoperator must:(a) advise the customer who wishes to undergo such service of the risks
associated with the service and the potential for infection to occur during
and after the service; and(b) give written advice appropriate to the procedure to be undertaken,
concerning precautions and post service procedures that should be takenby the customer who wishes to undergo the service;
3(5) Before commencing any specified service that pierces the skin, a customer

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must:(a) sign a consent form with medical history; and(b) be given the opportunity to inform the operator through a written andsigned consent form prior to the commencement of any specified service,
to establish if he or she knows or suspects that he or she:(i) is suffering from a communicable disease or skin disease;(ii) has a history of haemophilia (bleeding) or is taking medications
such as anticoagulants which thin the blood or interfere withblood clotting;(iii) has a history of allergies or adverse reactions to pigments, dyes
or other skin sensitivities; or(iv) has a history of epilepsy or seizures;3(6) The operator may decline to carry out any specified service based on suchinformation or agree to carry out the service subject to such conditions andsafeguards as are considered appropriate in the circumstance;
Record keeping
3(7) All operators must keep records of:(a) a customer consent form;(b) a record of service including:(i) the date on which the skin piercing service was undertaken;(ii) the type of the skin piercing service; and(iii) the location on the body where the skin piercing service wasundertaken;
3(8) Such records must be kept secure and confidential for a minimum of 2 years
and made available to the council for inspection on request;
Floors3(9) The floor of any area connected with the carrying out of a specified service
that pierces the skin must be surfaced with a smooth, durable material that isimpervious to water and capable of being easily cleaned. The floor and thematerial with which the floor is surfaced must be maintained in good repair;
Hand washing and gloves
3(10) All operators must thoroughly cleanse their hands by washing up to thewrist with soap or antibacterial cleansing agent, using an effective sterile barrier
to operate taps to maintain cleanliness; by brushing their hands and nails whennecessary and drying them with a single service towel or other approved handdrying equipment:(a) before and after commencing a specified service that involves piercing of
the skin; and17

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Health and Hygiene Code of Practice 2013(b) before putting on and after removing clean well-fitting single-use
disposable gloves when performing a specified service that involves
piercing of the skin;3(11) All operators must cover their hands with clean well-fitting single-use
disposable surgical gloves:(a) before preparing the area in which to undertake a specified service;(b) before commencing a specified service on any customer; and(c) after touching any object which has not been subject to a process ofcleansing and sterilisation unless an effective sterile barrier is used;
Skin preparation
3(12) All operators must evaluate the skin site prior to each service and any skincondition that may lead to skin irritation must be discussed;
3(13) Prior to commencing any service that involves piercing of the skin, alloperators must cleanse the customer's skin by swabbing with an antiseptic
using a clean, single-use swab and maintain product-specific recommended
contact time;
Only sterile or single-use disposable instruments to be used
3(14) All instruments or like articles used for piercing the skin on any customer,
must be:(a) single-use disposable; or(b) cleaned and sterilised in accordance with the provisions of MinimumStandard 3(24) and kept in such a manner to maintain its sterility;
3(15) All devices used on any mucous membrane of any customer, such as amarker pen, must be single-use and disposable;
3(16) Any articles having a hollow lumen must be single-use and disposable;
3(17) An instrument or like article may be used for piercing the skin on any
customer if the instrument or article has been taken, in the presence of thecustomer, from a package that has been sealed by the manufacturer, being a
package:(a) in an unbroken and undamaged condition;(b) to which the manufacturer has affixed a label containing a statement to theeffect that the contents of the package have been sterilised;(c) the article or instrument, if steam sterilised, has been packaged according
to section 3 of AS/NZS 4187: 2003; and(d) has not been subjected to any contamination during storage;
After piercing the skin3(18) All operators must ensure that, after the completion of piercing the skin:(a) all single-use needles/razors are immediately disposed of according to18

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AS/NZS 4261: 1994 A1; or(b) any reusable instrument or like article used in that process is thoroughly
cleansed, disinfected and sterilised in accordance with the provisions of
Minimum Standard 3(24) and kept in such a manner to maintain its sterility
before use on any other customer or the same customer at a later time;3(19) All sharps containers and bio hazard waste bins must comply with AS/NZS
4031: 1992, and all operators must demonstrate that they have madeappropriate arrangements to dispose of sharps and bio hazard wastes;
Cleaning and disinfecting
3(20) All instruments that do not need to be sterile must be cleaned and thendisinfected by a thermal or chemical disinfection procedure appropriate to thelevel of disinfection required and the item being disinfected maintaining the
product-specific recommended contact time, to the satisfaction of the council;
3(21) Ultrasonic cleaners must comply with AS 2773.1: 1998 and AS 2773.2:
1999 as appropriate;3(22) At the completion of any cleaning activity, all surfaces must be disinfected
before beginning any pre-packaging or sterilisation activities;
Sterilisation
3(23) All operators must display, adjacent to every place in the premises where
cleaning and/or sterilising of instruments and like articles is undertaken, written
instructions setting out in clear and legible format the processes to be followed
to ensure compliance with sterilisation and/or ultrasonic cleaning;
3(24) All instruments used for piercing the skin must be sterilised after each use,by way of:(a) thoroughly cleansing by washing in warm water and detergent or within an
ultrasonic cleaner and exposed to steam in accordance with the following
requirements:(i) exposure to steam must occur within a steriliser (autoclave)under the pressure indicated below:


103 KPa (15psi) – For at least 15 minutes at not less than
121 degrees Celsius;



138KPa (20psi) – For at least 10 minutes at not less than
126 degrees Celsius; or

206KPa (30psi) – For at least 4 minutes at not less than 134
degrees Celsius;(ii) every steriliser (autoclave) must be fitted with time, temperatureand pressure gauges;(iii) every time the steriliser (autoclave) is used, chemical indicator
strips must be inserted to show that the temperatures as set out
above have been attained during the autoclaving procedure. If

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the chemical indicator / integrator fails to meet the cycle
parameters, all of the load contents must be reprocessed;(iv) during each use the gauges must be monitored to ensure thatthe correct times, temperatures and pressures are reached;(v) time, temperature and pressure readings must be recorded andnoted after each usage;(vi) regular spore testing must be undertaken, at no less than 6monthly intervals, and the results recorded; and(vii) the steriliser (autoclave) must be serviced at no less than 6monthly intervals, and the results recorded. These records must
be maintained for a minimum of 2 years and made available tothe council for inspection on request; or(b) thoroughly cleansed by washing in warm water and detergent and exposedto dry heat for at least 60 minutes at not less than 170 degrees Celsius; or(c) thoroughly cleansed by washing in cold water and detergent and thentotally immersed in a glass bead steriliser operating at 250 degrees Celsius
for a minimum of 5 minutes; or(d) thoroughly cleansed by a method appropriate to the nature of the article
concerned and then submitted to a process of sterilisation approved by the
council;3(25) All instruments or like articles must be individually packaged and marked“sterile” or display an indicator tape (or similar indicator) indicating sterility, be
intact and kept in such a manner to maintain sterility.

Additional Standards
In addition to the minimum standards above, several other legislative acts, guidelines
and codes of practice are also relevant:

The New Zealand Association of Registered Beauty Therapists promotes
professional beauty care and best practice in the beauty therapy industry in
New Zealand. Members of the association adhere to the “Code of Ethics for
Members of the New Zealand Association of Registered Beauty Therapists Inc”,“Code of Practice for Beauty Therapy Clinics, Spas and Training
Establishments”, and “Rules of the New Zealand Association of Registered
Beauty Therapists Inc”.



The New Zealand Acupuncture Standards Authority (NZASA) promotes
professionalism and best practice in Acupuncture and Chinese Medicine in New
Zealand. Registered members adhere to NZASA “Standards of Acupuncture
Practice”, “Code of Ethics”, and “Code of Safe Practice for Acupuncturists”.



The New Zealand Register of Acupuncturists (NZRA) promotes professionalism
and best practice in Acupuncture and Chinese Medicine. Registered members
adhere to the “New Zealand Register of Acupuncturists Code of Professional

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Ethics”, “New Zealand Register of Acupuncturists Clinical Guidelines” and “New
Zealand Register of Acupuncturists Rules”.
The waste management requirements within this code of practice are based on
the AS/NZS 4031: 1992 – “Australian and New Zealand standard for nonreusable containers for the collection of sharp items used in human and animal
medical applications”; and

NZS 4304: 2002 – “New Zealand Standard for the management of healthcare
waste”.

The cleaning, disinfection and sterilising requirements within this code ofpractice are based on AS/NZS 4187: 2003 – “Australian and New Zealandstandard for cleaning, disinfecting and sterilising reusable medical and surgicalinstruments and equipment, and maintenance of associated environments inhealth care facilities”.

Additional Recommended Best PracticeOperators

It is highly recommended that all operators undertaking tattooing or piercing
should be immunised against Hepatitis B.



It is highly recommended that all operators wear a protective garment or coverfor every service of a suitable nature to prevent the operator’s clothing frombecoming contaminated during any service that pierces the skin.

It is highly recommended that eye protection / face shields should be worn
when performing close-up procedures that may cause aerosols of blood or body
substances.



It is important that hand gloves are:ochanged between attending customers;onever washed or re-used;odiscarded and replaced with new gloves if there is evidence of tearing or
deterioration; andoremoved and disposed of before leaving a customer for any reason.

Accidents


The Ministry of Health “Guidelines for the Safe Piercing of Skin” outlines
procedures to deal with bleeding, sharps injuries and contact with blood or body
fluids.



Employers and self-employed operators need to notify the Labour Group of the
Ministry of Business, Innovation and Employment as soon as possible ofworkplace accidents and occurrences of serious harm.

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Cleaning

The aim of cleaning is to remove microbial, organic and inorganic soil. Cleaning
agents for manual cleaning should be biodegradable, non-corrosive, non-toxic,
non-abrasive, low foaming, free rinsing and preferably liquid of mild alkali
formulation. Alkaline detergents are much more effective at removing blood andfat than plain surfactant based detergents. Detergents should preferably beapproved by Ministry of Primary Industries (MPI).

Note that chlorine solutions may corrode metals. Glutaraldehyde and phenol are
not recommended as disinfectants because of the health risks involved in theirusage.



Equipment should not be soaked in chemical disinfectants unless specified by
the manufacturer’s instructions. Chemical disinfectants can have limited contact
times and may become ineffective if left for long periods. The more items
immersed in the disinfectant the less effective it will be. Fresh disinfectant
should be prepared each time items are to be disinfected. The disinfectant
should be discarded after use.

To reduce the risk of cross contamination, cleaning and decontamination
activities should not take place simultaneously with packaging and/or
sterilisation activities.

Ultrasonic cleaners clean but do not disinfect instruments and equipment. An
ultrasonic cleaner should be operated with the lid closed to prevent emission ofaerosols and should be isolated from the work area to reduce exposure to highfrequency noise. No part of the body should be submerged into the water tankduring operation as this is thought to cause long-term arthritic conditions.
Indicator tape or other such products that indicate when a product has been
properly sterilised should be used to identify reusable equipment that has beensterilised, to prevent non sterile equipment being used by mistake. Please note,
indicator tape may not be UV stable so equipment should be stored to protectfrom such exposure.

Sterilisation


The times quoted above are holding times and do not include the time taken for
the autoclave contents to reach the required temperature. Bench top steam
sterilisers without a drying cycle are only appropriate for the sterilisation of
unwrapped items. Steam sterilisers should comply with a recognised national orinternational standard.

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Part 3A
Body Piercing
Body piercing is a practice of piercing the skin for decorative purposes, inserting
jewellery or implants to alter the appearance of the skin.
All commercial services that pierce the skin are required to comply with the generalstandards for piercing the skin (Minimum Standard 3). The minimum standards
contained in this part of the code are in addition to Part 3 and aim to ensure that
operators who are undertaking body piercing conduct their operations in a safe andhygienic manner so as to reduce risks to public health.
Minimum Standard 3A: Body Piercing
All operators must comply with the following standards:


Minimum Standard 1A (Permanent Premises) or Minimum Standard 1B (Mobile
or Temporary Premises)Minimum Standard 2 (Operator Conduct)

Minimum Standard 3 (Piercing the Skin)

Jewellery3(26) No operator may use any instrument or like article, including any ear or bodystuds or rings, ear keepers or similar jewellery for or in connection with carryingout a service, unless immediately before the instrument or article is used or since
the instrument or article was last used, the instrument or article has been cleaned
and sterilised in accordance with the provisions of Minimum Standard 3(24) andkept in such a manner to maintain its sterility;
3(27) All body piercing jewellery for primary piercing must be made of high quality
14 carat or 18 carat yellow or white gold, surgical grade stainless steel (316L or
LVM), titanium, niobium, platinum or inert plastics;
3(28) Jewellery that is damaged or scratched must not be used;
3(29) All operators must ensure that no jewellery thinner than 14 gauge is usedbelow the neck.
Additional Standards
In addition to the minimum standards above, several other legislative acts, guidelines
and codes of practice are also relevant:

The Ministry of Health has published “Guidelines for the Safe Piercing of Skin”
to help those in the skin piercing industry better understand how to protect
themselves and their customers from the risk of infection. In addition, it aims toencourage operators to reduce harm from skin piercing and promote healthyskin piercing practices.

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Part 3B
Tattooing
Tattooing is a process by which indelible marks are made in human skin or tissue byinserting pigments or dyes into punctures. Tattooing also includes the process known
as pigment implantation or permanent makeup.
All commercial services that pierce the skin are required to comply with the generalstandards for piercing the skin (Minimum Standard 3). The minimum standards
contained in this part of the code are in addition to Part 3 and aim to ensure that
operators who are undertaking tattooing conduct their operations in a safe and hygienic
manner so as to reduce risks to public health.
Minimum Standard 3B: Tattooing
All operators must comply with the following standards:


Minimum Standard 1A (Permanent Premises) or Minimum Standard 1B (Mobile
or Temporary Premises)Minimum Standard 2 (Operator Conduct)

Minimum Standard 3 (Piercing the Skin)

Sterilisation
3(30) All instruments must be sterilised in accordance with Minimum Standard
3(24) above;
3(31) The sterilisation of equipment used in tattooing must include, but not belimited to, the sterilisation of needles, needle bars, tubes and tube tips. A newsterilised needle set must be used for each new customer;3(32) Single-use disposable items must not be reused for any reason. Tattoo
needles are not reusable under any circumstances. After use, all needles, razors
and other sharps must be immediately disposed of in sharps containers;
Skin preparation
3(33) The body area surrounding the skin to be tattooed must be draped with asingle-use disposable paper product or clean linen;
3(34) Ointments, lotions, lubricating gel and other products used to moisten theskin prior to the application of the stencil must be dispensed and applied to thearea to be tattooed in a manner to prevent contamination of the bulk product;
Use of dyes, pigments and solutions
3(35) All operators must, in carrying out tattooing on a customer:(a) use only dye, pigment or solution, that has been decanted into a clean
sterilised container holding sufficient of the liquid for carrying out that tattoo
on that customer only;(b) use only that decanted dye, pigment or solution whilst the tattoo is being
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Health and Hygiene Code of Practice 2013(c) use only pre-purchased ink specifically manufactured for tattooing purposes;
Disposal of used dyes, pigments and solutions
3(36) All operators must ensure that on completion of the tattoo any decanted dye,pigment or solution residue is disposed of, and the container is either sterilised or
discarded by an approved bio-hazard waste collection service. Any dye, pigment
or solution residue remaining on the completion of a tattoo must not be used inconnection with the tattooing of any other customer;
Disposal of other materials
3(37) Any mattress, squab, cushion, or linen supply that comes into contact withblood or body fluids must be disposed of according to NZS 4304: 2002, and notreused.

Additional Standards
In addition to the minimum standards below, several other legislative acts, guidelines
and codes of practice are also relevant:

The Ministry of Health has published “Guidelines for the Safe Piercing of Skin”
to help those in the skin piercing industry (which includes tattooing) better
understand how to protect themselves and their customers from the risk ofinfection. In addition, it aims to encourage operators to reduce harm from skinpiercing and promote healthy skin piercing practices.

Additional Recommended Best PracticeSingle-Use Disposable Barriers

It is highly recommended to cover instruments such as tattoo machines andassociated clip cords with an effective sterile barrier, such as a single-use
disposable plastic bag that is discarded after each use. This cover provides anextra level of hygiene and acts as a barrier, limiting the amount of contaminants
that may settle on the machine.

Use of dyes, pigments and solutions


The Environmental Protection Agency (EPA) recently developed a standard, the“Tattoo and Permanent Makeup Substances Group Standard”, to manage thechemical risks associated with tattoo and permanent makeup substances. The
EPA has guidelines which include a list of substances that tattoo inks should notcontain.



It is recommended that tattoo artists confirm with suppliers that any products
purchased fit within the standard. Any inks that contain hazardous properties,
and therefore not within the standard, are not approved under the “Tattoo andPermanent Makeup Group Substances Standard”.



No dye or pigment should be used that has passed its expiry date.

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Part 3C
Traditional Tools Tattooing
Traditional Tools Tattooing is the practice of making indelible marks in the human skinor tissue by inserting pigments or dyes into punctures made in the skin or tissue using
tools that are culturally traditional in structure and used in procedures such as ta moko,
Tatau, uhi or any other traditional tattooing practice that has recognised cultural
significance.
New Zealand is home to a number of cultures where traditional skin piercing practices
are common, particularly among Maori and Pacific peoples. The nature of cultural
tattooing, typically occurring in places other than a professional studio, means that
health risks may be greater for individuals if premises, equipment and tools are notcleaned and/or sterilised to New Zealand standards. Tools used for tattooing
historically have been made from bone or tusk, and large areas of the body are
traditionally tattooed in a relatively short period of time, as such, there are specific risks
associated with this practice.
All commercial services that pierce the skin are required to comply with the generalstandards for piercing the skin (Minimum Standard 3). The minimum standards
contained in this part of the code are in addition to Part 3 and aim to ensure that
operators who are undertaking traditional tools tattooing conduct their operations in asafe and hygienic manner so as to reduce risks to public health.
Minimum Standard 3C: Traditional Tools Tattooing
All operators must comply with the following standards:


Minimum Standard 1A (Permanent Premises) or Minimum Standard 1B(Mobile or Temporary Premises)Minimum Standard 2 (Operator Conduct)

Minimum Standard 3 (Piercing the Skin)

Hand washing and gloves
3(38) All operators must thoroughly cleanse their hands by washing with soap or
antibacterial cleansing agent and by brushing their hands and nails whennecessary and then drying them with a single service towel or other approved
hand-drying equipment:(a) before and after commencing a specified service that involves piercing of
the skin; and(b) before putting on and after removing clean well-fitting single-use
disposable gloves when performing a specified service that involves
piercing the skin;3(39) All operators must cover their hands with clean well-fitting single-use
disposable surgical gloves:(a) before commencing a specified service on any customer; and(b) after touching any object which has not been subject to a process ofcleansing and sterilisation unless an effective sterile barrier is used;26

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Only sterile or single-use disposable instruments are to be used
3(40) All operators must:(a) only work on one customer at a time; and(b) use clean, disinfected and sterilised, or single-use disposable tools;
Cleaning, disinfecting, and sterilising
3(41) The traditional tools tattoo artist must clean, disinfect and sterilise traditional
tools both before and immediately after any tattooing process is undertaken inaccordance with Minimum Standard 3(24) of this code or by:(a) scrubbing tools underwater with a brush and cleaning agent;(b) if possible, cleaning tools and scrubbing implements in an ultra-soniccleaner in accordance with the manufacturer’s instructions;(c) soaking tools and scrubbing implements in Perasafe solution (orequivalent) mixed in accordance with the manufacturer’s instructions, andsoaked for at least 20 minutes;(d) cleansing with clean water;(e) allowing the tools to air dry for at least 45 minutes before reuse, but
protecting them from contaminants; and(f) keeping tools in such a manner to maintain sterility.

Additional Standards
In addition to the minimum standards below, several other legislative acts, guidelines
and codes of practice are also relevant:

The Ministry of Health provides “Guidelines for Cultural Tattooing”, primarily for
Samoan Tattoo (Tatau), both in English and in Samoan. These guidelines
address measures to improve the safety of customary tattooing and are of
relevance to tattooists, public health units and Medical Officers of Health.



The Auckland Regional Public Health Service also provides an information
pamphlet in both English and Samoan including details about potential risks,
what to expect when getting a traditional tools tattoo, and aftercare instructions.

Additional Recommended Best Practice
Cleaning, disinfecting and sterilisingUse-by dates on disinfectants must be observed. In some people, povidone-iodine
may cause a skin reaction if left on the skin.

Disinfectants can be applied to the skin using a pump pack and wiping with a clean
single-use disposable cloth. Alternatively, skin disinfectants may be decanted fromtheir original container into a single-use disposable container. At the end of the27

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tattooing procedure, any remaining fluid and single-use disposable cloths must be
discarded into a hazardous and infectious waste container.


PeraSafe is a product developed to sterilise items made of plastic and rubber andother materials that cannot be cleaned in an autoclave (a cleaning machine thatsterilises equipment by heating substances above their boiling point and which is
the only totally effective sterilisation method), and is therefore the best option forsterilising the porous materials used in traditional tattooing tools, such as bone. It is
important that the PeraSafe solution is mixed correctly. If not enough powder isused, it may not be totally effective, and if too much powder is used, the solution
may damage the tools.

Principles for healthy and hygienic tattooingTraditional tools tattooists should provide their customers with professionallyexperienced, safe and hygienic services, in clean premises. It is essential for
traditional tools tattooists to be fully aware of the potential dangers of theirprocedures and understand the safety measures that need to be taken to make thelikelihood of infection, or spread of pathogens, as small as possible.

The following basic principles must be observed by traditional tools tattooists:o

The premises must be kept clean and hygienic.

o

Any article used for piercing the skin must be sterile.

o

Any instrument that has pierced the skin or is contaminated with blood mustbe either disposed of immediately, as infectious or biological waste, or becleaned and sterilised before being used on another customer.

oTattooists must keep themselves and their clothing clean; any cuts,
abrasions or wounds they have should be covered and they must not smoke
during the tattooing process.

o

Employers in the traditional tools tattooing industry should provide adequate
training for staff in all areas of hygiene, infection control and first aid.

o

All traditional tools tattooists should be vaccinated against hepatitis B.

It is the traditional tools tattooist’s responsibility to ensure that the whole service isprovided to a sufficient standard of hygiene to ensure customer and operator
safety.

Use of dyes, pigments and solutions


The Environmental Protection Agency (EPA) recently developed a standard, the“Tattoo and Permanent Makeup Substances Group Standard”, to manage thechemical risks associated with tattoo and permanent makeup substances. The
EPA has guidelines which include a list of substances that tattoo inks should notcontain. Inks made from traditional materials should also not contain any ofthese substances.

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Part 3D
Acupuncture
Acupuncture is the practice involving the insertion of filiform (very narrow) needles
through the skin and tissues for the intended purpose of alleviating ailments or injuries.
Acupuncture may be considered to carry an associated risk of transferring blood-borne
infections.
All commercial services that pierce the skin are required to comply with the generalstandards for piercing the skin (Minimum Standard 3). The minimum standards
contained in this part of the code are in addition to Part 3 and aim to ensure that
operators who are undertaking acupuncture conduct their operations in a safe andhygienic manner so as to reduce risks to public health.
Minimum Standard 3D: Acupuncture
All operators must comply with the following standards:


Minimum Standard 1A (Permanent Premises) or Minimum Standard 1B(Mobile or Temporary Premises)Minimum Standard 2 (Operator Conduct)

Minimum Standard 3 (Piercing the Skin)

Single-use disposable needles only to be used
3(42) All needles must be sterile and single-use disposable needles;
3(43) All needles must be removed from the packaging by the handle of theneedle.

Additional Recommended Best Practice
Acupuncture

It is also advisable that needles should be inserted swiftly using the correct
needle technique. Needle points should not be re-palpated with bare fingers
unless hands have been washed appropriately and alcohol gel has been used.
Needles should not be entered into open wounds.

Moxibustion

It is advisable for all operators to obtain written customer consent prior tomoxibustion. Before commencing moxibustion directly on the skin, all operators
should moisten the skin with a swab or cotton wool bud and clean water.



A customer should never be left unattended at any stage during the procedureand care should be taken when performing moxibustion directly on the face or
any sensitive area.

Any premises providing moxibustion should have a window that can be opened,or an extraction fan or air conditioner available to clear any smoke.

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

It is advisable for the operator to obtain written customer consent prior to
cupping and the operator should advise the customer of the possibility ofbruising.

The procedure of cupping should be explained to a customer before
commencement and the operator should ask to be informed if the procedure
becomes too uncomfortable for the customer.

Care should be taken not to overheat the cups before placement on the body.

All cups should be sterilised after use.

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Part 3E
Electrolysis, Red Vein Treatment
and Derma Rolling/ Stamping
Electroylsis is a practice involving the insertion of a sterilised needle into individual hairfollicles to the root. An electric impulse is passed through the needle to the root area to
aid in the removal of hair. Derma rolling / stamping is a practice of using micro needles
to create tiny punctures in the skin intended to stimulate growth factors to enhancecollagen production and better alignment of the collagen fibres. Red vein treatment byneedle is a procedure involving the injection or piercing of a vein intended to shrink red
veins. The vein can be pierced with a needle along the length of the damaged capillary,causing little dams or blockages along the vessel.
All commercial services that pierce the skin are required to comply with the generalstandards for piercing the skin (Minimum Standard 3). The minimum standards
contained in this part of the code are in addition to Part 3 and aim to ensure that
operators who are undertaking electrolysis, red vein treatment or derma rolling /stamping conduct their operations in a safe and hygienic manner so as to reduce risks
to public health.
Minimum Standard 3E: Electrolysis, Red Vein Treatment
and Derma Rolling / Stamping
All operators must comply with the following standards:


Minimum Standard 1A (Permanent Premises) or Minimum Standard 1B(Mobile or Temporary Premises)Minimum Standard 2 (Operator Conduct)

Minimum Standard 3 (Piercing the Skin)

Training
3(44) All operators must have the knowledge and skills necessary to provide
electrolysis, red vein treatment and derma rolling / stamping, which can beachieved through the following:(a) National Certificate (or international equivalent) in:(i) Electrology for electrolysis;(ii) Electrology and commercial industry experience of 12 months
or more for red vein treatment;(iii) Beautician and commercial industry experience of 12 months ormore for derma rolling / stamping; or(b) commercial industry experience of five consecutive years or more, andevidence of professional development in the commercial service; or(c) evidence of training with an electrolysis, red vein treatment or derma
rolling / stamping training provider, and commercial industry experienceof 12 months or more;
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3(45) All needles and blades, including clinical grade derma rollers above 0.5mm,must be sterile and single-use disposable;
Re-usable derma rollers / stamps to be stored safely and securely
3(46) Derma rollers / stamps of 0.5mm and below may be re-used on the same
customer if stored in a manner as to prevent contamination from any other item;
3(47) All operators must ensure customers of re-usable derma rollers / stamps
sign a disclaimer that the derma roller / stamp is only to be used on the same
customer;3(48) All re-used derma rollers / stamps must be disposed of within six months of
opening;
Protective face / eyewear when undertaking derma rolling / stamping
3(49) All operators must wear protective eyewear and a mask when undertaking
derma rolling / stamping;Use of creams and lotions
3(50) All operators must ensure that creams and lotions are applied with singleuse disposable applicators before and after derma rolling / stamping;
Record keeping
3(51) All operators must keep records of maintenance and calibration ofelectrolysis equipment for 2 years and the records must be available to thecouncil for inspection on request;
Medical consent required
3(52) All operators must obtain written medical consent to undertake electrolysis
or red vein treatment:(a) for the removal of hair from moles or the inside of ears or nostrils; and(b) on any customer who uses a hearing aid, or who has metal plates orpacemakers inserted in their body.

Additional Recommended Best PracticeElectrolysis
It is also advisable that after electrolysis the treated area should not be touched.
After care product should be applied for three to five days after the service toaccelerate the healing of the underlying tissue.

Derma rolling / stamping

The New Zealand Association of Registered Beauty Therapists recommends
that single-use disposable paper towels should be suitably placed to catch any
drops of blood serum from derma rolling/ stamping.

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Part 4
Risk of Breaking the Skin
Services that risk breaking the skin carry the risk of drawing blood and body fluids.
These services may be considered to carry a moderate risk of transmitting blood-borne
viral diseases and the risk of transferring fungal and bacterial infection. Such services
include, but are not limited to, hair removal by waxing, threading and plucking,manicure and pedicure, and exfoliation.
The minimum standards contained in this part of the code aim to ensure that operators
who are undertaking commercial services that risk breaking the skin conduct theiroperations in a safe and hygienic manner so as to reduce risks to public health.
Minimum Standard 4: Risk of Breaking the Skin
All operators must comply with the following standards:


Minimum Standard 1A (Permanent Premises) or Minimum Standard 1B(Mobile or Temporary Premises)Minimum Standard 2 (Operator Conduct)

Precautions and aftercare
4(1) Prior to the commencement of any specified service that risks breaking theskin, the operator must:(a) advise the customer who wishes to undergo such service of the risks
associated with the service and the potential for infection to occur during
and after the service; and(b) give advice appropriate to the procedure to be undertaken, concerning
precautions and post service procedures that should be taken by thecustomer who wishes to undergo the service;
Floors4(2) The floor of any area connected with the carrying out of a specified service
that risks breaking the skin must be surfaced with a smooth, durable material
that is impervious to water and capable of being easily cleaned. The floor andthe material with which the floor is surfaced must be maintained in good repair;
Only sterile or single-use disposable or disinfected instruments are to be used
4(3) All instruments or like articles used on any customer for any specified service
that risks breaking the skin must be:(a) single-use disposable and immediately disposed of after use; or(b) cleaned and sterilised in accordance with the provisions of MinimumStandard 3(24) and kept in such a manner to maintain its sterility; or(c) cleaned and then disinfected by a thermal or chemical disinfection
procedure appropriate to the level of disinfection required and the item
being disinfected maintaining the product-specific recommended contact
time, to the satisfaction of the council.

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Additional Standards
In addition to the minimum standards above, several other legislative acts, guidelines
and codes of practice are also relevant:

The New Zealand Association of Registered Beauty Therapists promote
professional beauty care and best practice in the beauty therapy industry in
New Zealand. Members of the association adhere to the “Code of Ethics for
Members of the New Zealand Association of Registered Beauty Therapists”,“Code of Practice for Beauty Therapy Clinics, Spas and Training
Establishments” and “Rules of the New Zealand Association of Registered
Beauty Therapists”.

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Part 4A
Hair Removal by Waxing, Tweezing or Threading
Hair removal is the removal of hair by any means. This includes, but is not limited to,waxing (pulling the hair from the skin using soft wax, hot wax or glucose); threading(lifting the hair out from the follicle by entwined thread); or tweezing (grasping hairs andpulling them out of the skin, including epilation - a mechanical means of tweezing).
All commercial services that risk breaking the skin are required to comply with thegeneral standards for risk of breaking the skin (Minimum Standard 4). The minimum
standards contained in this part of the code aim to ensure that operators who areundertaking hair removal conduct their operations in a safe and hygienic manner so as
to reduce risks to public health.
Minimum Standard 4A: Hair Removal
All operators must comply with the following standards:


Minimum Standard 1A (Permanent Premises) or Minimum Standard 1B(Mobile or Temporary Premises)Minimum Standard 2 (Operator Conduct)

Minimum Standard 4 (Risk of Breaking the Skin)

Gloves4(4) All operators must cover their hands with clean well-fitting single-use
disposable surgical gloves:(a) before commencing hair removal on any customer; and(b) after touching any object which has not been subject to a process ofcleansing and sterilisation unless an effective sterile barrier is used;
Skin preparation
4(5) The skin site must be evaluated prior to each service and any skin condition
that may lead to skin irritation must be discussed;
4(6) Prior to commencing hair removal, all operators must cleanse the customer's
skin by swabbing with an antiseptic using a clean, single-use swab andmaintaining product-specific recommended contact time;
Use of wax
4(7) All operators must ensure that wax is not applied to broken skin or over an
area where blood has been drawn;
4(8) All operators must use either of the two following methods to prevent crosscontamination between customers:(a) pre-dispense the required amount of wax for each customer into single-use
disposable pots and discard any unused product; or(b) use single-use disposable wooden spatulas for wax application and not redip the spatula into the wax pot;
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hair removal is not re-used;
4(10) All operators must ensure pots of wax are kept covered between services;
Use of thread4(11) New single-use cotton thread is to be used only.
Additional Recommended Best Practice
WaxingOperators should ensure that their processes for waxing customers and managementof equipment minimise the potential for cross contamination. The following is also
advisable:Single-use disposable underwear should be offered to the customer for waxing
involving the full leg, bikini and/or Brazilian waxing;Wax should be initially applied to the inside of the operator’s wrist to test thetemperature of the wax, then tested on the customer in the area to be treated;

Hot wax should be applied with a spatula in thick strips and removed by hand.
Warm wax should be applied with a spatula in a thin film and removed with apaper or muslin strip;

A soothing product should be applied after the wax has been removed;

Metal instruments should be initially cleaned using a wax solvent to remove all
traces of wax before sterilisation.

ThreadingNew single-use cotton thread should be twisted and rolled onto the surface ofthe skin to entwine the hair. When the hair is entangled with the thread it shouldbe pulled off and the hair removed.

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Part 4B
Manicure / Pedicure
Manicure and pedicure is the beautification or enhancement of the hands andfingernails, as well as feet and toenails, and involves the shaping and polishing of nails,
nail extensions such as gel, shellac and artificial acrylic nails, and exfoliation of skin or
tissue from the feet.
All commercial services that risk breaking the skin are required to comply with thegeneral standards for risk of breaking the skin (Minimum Standard 4). The minimum
standards contained in this part of the code aim to ensure that operators who areundertaking manicure or pedicure conduct their operations in a safe and hygienic
manner so as to reduce risks to public health.
Minimum Standard 4B: Manicure / Pedicure
All operators must comply with the following standards:


Minimum Standard 1A (Permanent Premises) or Minimum Standard 1B(Mobile or Temporary Premises)Minimum Standard 2 (Operator Conduct)

Minimum Standard 4 (Risk of Breaking the Skin)

Training
4(12) All operators must have the knowledge and skills necessary to provide
manicure / pedicure services, which can be achieved through the following:(a) National Certificate (or international equivalent) in Beautician or Nail
Technology; or(b) commercial industry experience of five consecutive years or more, andevidence of professional development in the commercial service; or(c) evidence of training with a nail services training provider;
Ventilation
4(13) In addition to Minimum Standard 1(9), all operators must ensure there isadequate ventilation for the products used;
Broken skin not to be treated
4(14) No operator may undertake a manicure or pedicure on any customer if
there are any exposed cuts or abrasions on the customer’s hands and feet;
4(15) No operator may expose any skin that is broken during a manicure or
pedicure to any further service;
Skin preparation
4(16) All operators must evaluate the skin site prior to each service and any skincondition that may lead to skin irritation must be discussed;
4(17) Prior to commencing a manicure or pedicure, all operators must cleanse
the customer's skin by swabbing with an antiseptic using a clean, single-use

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Health and Hygiene Code of Practice 2013swab and maintain product-specific recommended contact time;
Use of instruments
4(18) All operators must be constantly aware of the heat created when using anelectric nail file on a natural nail plate, as opposed to acrylic or shellac nails;
4(19) All operators must ensure pedicure chair basins and pipes are disinfectedin between customers;
Use of supplies
4(20) All operators must ensure that chemicals and products are stored incontainers with air tight lids;
Disposal of waste
4(21) All operators must ensure that waste with absorbed products, such as
tissue and paper towels, is disposed of in a sealed container.

Additional Recommended Best PracticeFirst aidAll operators should hold a current St John’s or Red Cross First Aid Workplace
Certificate or an approved equivalent.

Ventilation

It is advisable that a ventilation system is installed near worktables when
performing shellac, gel or acrylic nails, in addition to a ventilation system for thepremises if applicable.



Natural ventilation may be used with open doors and windows. If there isinsufficient natural ventilation, artificial ventilation should be placed low down tobe effective.

OperatorsAll operators are advised to cover their hands with clean well-fitting single-use
disposable surgical gloves:a) before carrying out a pedicure on any customer and before carrying out apedicure on any other customer; andb) before touching any object including surfaces and instruments which may
have become contaminated with blood or serum of any customer, or
touching any object which has not been subject to a process of cleansing
and sterilisation.

All operators should take all practicable steps to prevent cuts and abrasions
from filing and buffing.

All operators are advised to wear dust masks when using an electric nail file orhand file as the dust from filing should not be inhaled. However dust masks will
not prevent against vapour inhalation.

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If recommended by the manufacturer, operators should apply an oil or solution
to the artificial nail before filing, which will make the dust heavier, improving theatmosphere and aiding salon cleanliness.

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Part 4C
Exfoliation
Exfoliation is a practice intended to remove dead skin and can be performed using
microdermabrasion, physical peels that have an abrasive action or chemical peels suchas glycolic or enzyme. Exfoliation procedures are generally safe because they usually
involve the intact layer of the epidermis. However, there is a minimal risk of breaking
the skin and infection when exfoliation is performed using microdermabrasion.
Microdermabrasion is mechanical exfoliation that removes the uppermost layer of deadskin cells from the face, chest and hands and is associated with a risk of infection if
equipment is not sterile or if the operator is not trained in the use of equipment.
All commercial services that risk breaking the skin are required to comply with thegeneral standards for risk of breaking the skin (Minimum Standard 4). The minimum
standards contained in this part of the code aim to ensure that operators who areundertaking exfoliation conduct their operations in a safe and hygienic manner so as toreduce risks to public health.
Minimum Standard 4C: Exfoliation
All operators must comply with the following standards:


Minimum Standard 1A (Permanent Premises) or Minimum Standard 1B (Mobile
or Temporary Premises)Minimum Standard 2 (Operator Conduct)

Minimum Standard 4 (Risk of Breaking the Skin)

Training
4(22) All operators of microdermabrasion equipment must have the knowledge andskills necessary to provide microdermabrasion, which can be achieved throughthe following:(a) National Certificate (or international equivalent) in Beautician andcommercial industry experience of 12 months or more; or(b) commercial industry experience of five consecutive years or more, andevidence of professional development in microdermabrasion; orevidenceof training with a microdermabrasion training provider, and commercial
industry experience of 12 months or more.
Additional Recommended Best Practice All operators should use new single-use sponges where facial towelling isnecessary for exfoliation.
 The New Zealand Association of Registered Beauty Therapists recommends
that only safety certified microdermabrasion equipment should be used.

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Part 5Massage
Massage is a practice of applying lotion, soft wax, stones or pressure to anotherperson’s face or body. Services which are unlikely to break the skin, but do involve
contact with the skin, may be considered to carry public health risks, such as thetransfer of bacterial and viral infections due to direct skin contact between customer
and operator.
The minimum standards contained in this part of the code aim to ensure that operators
who are undertaking massage conduct their operations in a safe and hygienic mannerso as to reduce risks to public health.
Minimum Standard 5: Massage
All operators are advised to comply with the following standards:


Minimum Standard 1A (Permanent Premises) or Minimum Standard 1B (Mobile
or Temporary Premises)Minimum Standard 2 (Operator Conduct)

Precautions, consent and aftercare
5(1) Prior to the commencement of any massage service, the operator must:(a) consult the customer who wishes to undergo such service including medical
history to make sure the service is suitable for that customer; and(b) advise the customer who wishes to undergo such service of the risks
associated with the service; and(c) give advice appropriate to the procedure to be undertaken, concerning
precautions and post service procedures that should be taken by thecustomer who wishes to undergo the service;
Record keeping
5(2) All operators must keep records of a customer consent form for the procedure
to be undertaken;
5(3) Such records must be kept secure and confidential for a minimum of 2 years
and made available to the council for inspection on request;
Skin preparation
5(4) All operators must evaluate the skin site prior to each service and any skincondition that may lead to skin irritation must be discussed;
5(5) Before commencing any skin to skin contact, all operators must ensure thatany cuts or abrasions on both the operator and the customer where there will beskin contact are covered. Any gloves used must be disposed of after each use;
Only sterile or single-use disposable or disinfected instruments are to be used
5(6) Single-use disposable gloves are to be disposed of according to AS/NZS
4034: 2002

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5(7) Unless it is a single-use disposable instrument, all instruments or like articles
must not be used on the skin of any customer, unless immediately before theinstrument or article is used, or since the instrument or article was last used, theinstrument has been cleaned, disinfected, and/or sterilised in between
customers.
Additional Standards
In addition to the minimum standards below, several other legislative acts, guidelines
and codes of practice are also relevant:

Massage New Zealand is an association that promotes best practice inmassage. Members of the association adhere to the “Rules of Massage New
Zealand (NZ) Incorporated”, “Constitution of Massage New Zealand (NZ)
Incorporated” and “Code of Ethics”.

Additional Recommended Best PracticeThe physical, mental or emotional health, well-being or safety of a customer
should not be endangered.



The operator should communicate clearly with the customer so that they can
respond to feedback during the service.

The operator should be adequately trained, such as a minimum of Certificate ofRelaxation Massage (or equivalent), to ensure the safety, professionalism andefficacy of the service.

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Part 6Sun-beds
Sun-bed (tanning unit) means an electrically-powered device designed to produce
tanning of the human skin by the emission of ultra-violet radiation.
Services involving the use of sun-beds, or solarium, have the potential to burn the skinand lead to longer term skin conditions, including skin cancer. The World HealthOrganization has categorised ultra-violet radiation in sun-beds as “carcinogenic tohumans”. Minimum standards on the use of sun-beds are based on AS/ NZS 2635:
2008.
The minimum standards contained in this part of the code aim to ensure that operators
who are providing sun-beds conduct their operations in a hygienic manner so as toreduce risks to public health.
Minimum Standard 6: Sun-beds
All operators must comply with the following standards:


Minimum Standard 1A (Permanent Premises) or Minimum Standard 1B (Mobile
or Temporary Premises)Minimum Standard 2 (Operator Conduct)

Sun-bed operator training
6(1) Any person who is supervising the operation of a commercial sun-bed must be
properly trained in the following:(a) requirements of AS/NZS 2635: 2008 and practical implementation, including
identification of medication that causes photosensitivity;(b) proper determination of skin types and exposure times;(c) proper screening for potentially exposure-limiting conditions;(d) emergency procedures in case of overexposure to ultra-violet radiation;(e) types and wavelength of ultra-violet radiation; and(f) proper procedures for cleaning and disinfecting protective eyewear andtanning equipment;
Age restriction
6(2) All operators must ensure no person under the age of 18 years is permitted touse a sun-bed;
Precautions and aftercare
6(3) Prior to the commencement of a sun-bed service, the operator must:(a) advise the customer who wishes to undergo such service of the risks
associated with the service; and(b) give written advice appropriate to the sun-bed service concerning
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Customer consent and skin type assessment
6(4) Prior to the commencement of tanning sessions, all operators must determine
the customer’s skin type based on the skin type assessment completed by thecustomer. All operators must ensure that a consent form as set out in Appendix Aof AS/NZS 2635:2008 is given to the customer. Customers on photosensitive
medication should not use a sun-bed;
6(5) Before commencing any sun-bed service all sun-bed operators must ensure
that:(a) the customer completes a skin type assessment;(b) the customer returns the signed and dated consent form prior tocommencement of the first tanning session in the establishment;(c) a copy of the signed and dated consent form is offered to the customer;(d) the original signed and dated consent form is filed in the records of theestablishment for a period of not less than 2 years;
Record keeping
6(6) Such records must be kept secure and confidential for a minimum of 2 years
and made available to council for inspection on request;
Maximum repeated exposure
6(7) All operators must ask the customer if they have used a sun-bed at any otherpremises in the past 48 hours, and ensure that repeated exposure is not
administered before 48 hours after the previous exposure, and does not exceed
three times a week;
Skin type exclusion
6(8) All operators must ensure:(a) individuals with Skin Phototype 1 (Fitzpatrick Skin Type) are not permitted touse a sun-bed;(b) individuals with a history of melanoma are not permitted to use a sun-bed;
Warning notices
6(9) All operators must ensure one or more warning notices are placed in theimmediate view of every customer entering each of the establishment’s suntanning unit areas, and that these notices are a minimum A4 size as in standard
3.6.1 of AS/NZS 2635: 2008. The following information must be presented:(a) Tanning units emit ultra-violet radiation;(b) Exposure to ultra-violet radiation from sun-beds can cause melanoma, skincancer, skin ageing and eye damage;(c) Repeated exposure to ultra-violet radiation from sun-beds further increases
risk;(d) People with fair skin who burn easily and people with any other risk factors

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for melanoma will not be permitted to use a tanning unit;(e) Further intentional exposure to sunlight or a tanning unit must be avoided
for the next 48 hours;(f) Protective eyewear must be worn at all times while undergoing tanning unit
exposure;(g) No person under the age of 18 years is permitted to use a tanning unit;(h) People who are unsure of their own personal risk of melanoma and skincancer should consult their GP before using a tanning unit;
Control of exposure time
6(10) All operators must determine, set and control the exposure time for a session
according to the skin type and the number of prior sessions. An exposure chart
should be available for each tanning unit to enable the operator to determine thetime settings to achieve a particular dose for each customer;
Automatic timing device
6(11) All operators must ensure a timing device is operable to automaticallyterminate the session in a sun-bed at the expiry period equal to the maximum
initial or repeated exposure time for the specific skin type;
Lamp replacement
6(12) All operators must ensure each full set of sun-bed lamps are routinely
checked for ultra-violet radiation output and changed within the lamp
manufacturer’s specified useful life. Records of lamp operating hours must be
kept on the premises for 2 years and the records must be available to the council
for inspection on request;
Promotion
6(13) All operators must ensure claims of non-cosmetic health benefits are notmade in the promotion of sun-bed use. There must be no claim that sun-bed use
is safe from risk;
Hygiene6(14) All operators must ensure any part or surface of a sun-bed that is subject tobody contact with a sun-bed user is either disinfected or, if disposable,
completely replaced after the sun-bed has been used;
Supervision
6(15) All sun-beds used by any customer on the premises must be subject tosupervision by a trained operator at all times;
Protective eyewear
6(16) A sun-bed operator must ensure protective eyewear:(a) is worn by every sun-bed user during any period for which the sun-bed is
operative;(b) is either disinfected or, if disposable, completely replaced after the sun-bed

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has been used; and(c) complies with the standards of AS/NZS 2635: 2008.
Additional Standards
In addition to the minimum standards above, several other legislative acts, guidelines
and codes of practice are also relevant:World Health Organisation “Artificial tanning sun-beds risks and guidance2003”.



Ministry of Health “Guidelines for Operators of Ultraviolet (UV) Tanning Lamps2009”.



AS/NZS 2635: 2008 “Solaria for Cosmetic Purposes”.

Additional Recommended Best Practice Due to an increased risk for sun-bed users of unsupervised, self-service sunbeds, such sun-beds should not be available to the public for use.


The Indoor Tanning Association of New Zealand recommends that sun-beds
must be maintained and serviced to an approved standard, as detailed by theequipment supplier and in compliance with New Zealand appliancerequirements.

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Part 7
Pulsed Light and Laser Treatment
Pulsed light is a practice using a powerful flash of broad spectrum, non coherent lightintended to remove hair and/or for skin photo-rejuvenation, and may include, but is not
limited to, Intense Pulsed Light and Variable Pulsed Light. Laser treatment is a practice
involving the use of a laser device, which amplifies light and usually produces anextremely narrow beam of a single wavelength (one colour), intended to remove hairand for skin photo-rejuvenation.
Services involving the use of pulsed light and laser treatment have the potential to burnthe skin and lead to longer term skin conditions. Pulsed light may be considered tocarry a risk of delayed recognition of skin cancers and mis-diagnosing malignant skinlesions, including melanoma. Lasers capable of breaking the skin, such as those used
for laser tattoo removal, carry the risk of drawing blood. The use of lasers capable ofbreaking the skin may be considered to carry a risk of transmitting blood-borne
diseases.
The minimum standards contained in this part of the code aim to ensure that operators
who are undertaking pulsed light and laser treatment conduct their operations in a safeand hygienic manner so as to reduce risks to public health.
Minimum Standard 7: Pulsed Light and Laser Treatment
All operators must comply with the following standards:


Minimum Standard 1A (Permanent Premises) or Minimum Standard 1B (Mobile
or Temporary Premises)Minimum Standard 2 (Operator Conduct)

Training in the provision of pulsed light7(1) All operators of pulsed light equipment must have the knowledge and skills
necessary to provide pulsed light services, including skin type identification andthe safe use of equipment, which can be achieved through the following:(a) National Certificate (or international equivalent) in Electrology, evidence ofprofessional development in pulsed light services, and commercial industry
experience of 12 months or more ; or(b) commercial industry experience of five consecutive years or more using
pulsed light equipment, and evidence of professional development in pulsed
light services; or(c) evidence of training with a pulsed light training provider, and industry
experience of 12 months or more;
Training in the provision of laser treatment
7(2) All operators of lasers that risk breaking the skin must comply with MinimumStandard 4: Risk of Breaking the Skin;
7(3) All operators of lasers that risk breaking the skin, including those used forlaser tattoo removal, must have the knowledge and skills necessary to provide
laser services including:47

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Health and Hygiene Code of Practice 2013(a) skin type identification; and(b) safe use of lasers based on AS/NZS 4173: 2004 and any updates, additions
or amendments to that standard; and(c) commercial industry experience of 12 months or more;
7(4) All operators of lasers that are designed to remove the skin must be a healthpractitioner and must be trained in the safe use of lasers based on AS/NZS 4173:
2004 and any updates, additions or amendments to that standard;
Display of qualifications
7(5) Qualifications must be displayed in a prominent position so customers canread them, and must be in the name of the operator performing the procedure;
Precautions, consent and aftercare
7(6) Prior to the commencement of any pulsed light or laser treatment, the operator
must:(a) advise the customer who wishes to undergo such service of the risks
associated with the service; and(b) give written advice appropriate to the procedure to be undertaken,
concerning precautions and post service procedures that should be takenby the customer who wishes to undergo the service;
7(7) Before commencing any pulsed light or laser treatment, a customer must signa consent form including medical history and skin type;7(8) Before commencing any pulsed light or laser treatment, all operators must
identify if the customer is suitable for the service. Any customers with a family
history of melanoma must be exempt from all pulsed light and laser treatment;
7(9) All operators must ensure that a patch test, or a trial exposure of a small areaof representative skin and hair, is carried out to determine the parameters and tojudge how the skin might react to full service. Test patch protocol should include
which areas to test, the pulsed light or laser settings, how long to wait to judge
skin response, and how to spot adverse reactions;
Record keeping
7(10) All operators must keep records of:(a) a customer consent form with medical history and skin type;(b) a record of service including:(i) the date on which the pulsed light or laser treatment wasundertaken;(ii) the type of the service;(iii) the location on the body where the pulsed light or laser wasundertaken; and(iv) equipment calibration and maintenance;48

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7(11) Such records must be kept secure and confidential for a minimum of 2 years
and made available to the council for inspection on request;
Health practitioners to treat skin lesions / moles only
7(12) Skin lesions and/ or moles on any customer may be managed and removed
by a health practitioner only;
Medical consent required
7(13) All operators must obtain written medical consent to undertake pulsed light or
laser treatment on any customer for the removal of hair from moles;
Controlled area
7(14) All operators must ensure there is a ‘controlled area’ for the pulsed light or
laser equipment, which will have:(a) clear and detailed safety rules which describe how to use the area correctly,
any hazards the operator or customer might be exposed to, who isauthorised to use the equipment, and what to do in the event of an accident;(b) no windows to prevent eye damage to any passerby;(c) no reflective areas such as mirrors;(d) clear signs or warning lights showing when it is safe to enter or when thelaser/ intense pulsed light is on; and(e) suitable door locks or keypads;
Protective eyewear
7(15) All operators must ensure suitable protective eyewear is worn by thecustomer and operator appropriate for the wavelength of light to be used. If theface is being treated the customer must wear opaque metal eyewear;
7(16) All operators must ensure protective eyewear is either disinfected or, if
disposable, completely replaced after use;
Use of pulsed light equipment
7(17) All operators must ensure the pulsed light equipment is calibrated to makesure that it is working properly and accurately. The wavelength and service
parameters of the equipment must be set according to skin type, hair type, test
patch results, and previous service settings;
Cleaning and disinfecting
7(18) All equipment that does not need to be sterile must be cleaned and thendisinfected by a thermal or chemical disinfection procedure appropriate to thelevel of disinfection required and the item being disinfected maintaining the
product-specific recommended contact time, to the satisfaction of the council.

Additional Standards

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In addition to the minimum standards above, several other legislative acts, guidelines
and codes of practice are also relevant:

AS/ NZS 3130: 1995 “Australian and New Zealand Standard for approval andtest specification – beauty therapy equipment”.

AS/ NZS 3200.2.22: 1997 “Australian and New Zealand Standard for diagnostic
and therapeutic laser equipment”.

AS/ NZS 3760: 2003 “Australian and New Zealand Standard for in-service
safety inspection and testing of electrical equipment”. The New Zealand
Association of Registered Beauty Therapists does not recommend the use ofPulsed Light equipment that has not been inspected and tested annually.

AS/ NZS 4173: 2004 “Guide to the safe use of lasers in health care”.

Electricity (Safety) Regulations 2010



Hairdressing and Beauty Industry Authority UK “Safe Use of Lasers and Intense
Pulsed Light Equipment 2003”.

Additional Recommended Best PracticeOperators should: seek formal instruction in the recognition of skin cancers;understand the importance of not treating pigmented lesions about which they
have concerns;

advise customers with such lesions to seek the advice of a registered healthpractitioner.

Skin preparation for pulsed light
The area to be treated should be: Cleansed and all make-up removed; Clean skin close-up photographed; Hair shaved or trimmed for hair removal;
 Adequately chilled.
Use of pulsed light equipment
The light applicator should be placed onto the skin and a short pulse of lightreleased.



The applicator should be moved to the neighbouring area and the processrepeated until the whole area is treated.

After pulsed light

The chilled gel should be removed, the treated area cleansed and soothing
cream applied.



The treated area should be close-up photographed.

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Part 8Colon Hydrotherapy
Colon hydrotherapy is the practice of introducing liquids into the rectum and colon via
the anus and is intended to remove faeces and non-specific toxins from the colon andintestinal tract. Colon hydrotherapy may carry considerable risk to the customer if theprocedure is not undertaken by a trained operator or equipment is not properly
disinfected and cleansed. Colon hydrotherapy involves body fluids able to transmit
infection, including Hepatitis A, Hepatitis B, Hepatitis C and HIV.
The minimum standards contained in this part of the code aim to ensure that operators
who are undertaking colon hydrotherapy conduct their operations in a safe andhygienic manner so as to reduce risks to public health.
Minimum Standard 8: Colon Hydrotherapy
All operators must comply with the following standards:


Minimum Standard 1A (Permanent Premises) or Minimum Standard 1B (Mobile
or Temporary Premises)Minimum Standard 2 (Operator Conduct)

Training
8(1) Unless the operator is a health practitioner, all operators must be adequately
trained in colon hydrotherapy;
Age restriction
8(2) No operator may carry out colon hydrotherapy on any person under the age of
16 years unless with the written permission of that person's parent or guardian;Precautions, consent and aftercare
8(3) Prior to the commencement of any colon hydrotherapy service, the operator
must:(a) advise the customer who wishes to undergo such service of the risks
associated with the service and the potential for infection to occur during
and after the service; and(b) give written advice appropriate to the procedure to be undertaken,
concerning precautions and post service procedures that should be takenby the customer who wishes to undergo the service;
8(4) Before commencing any colon hydrotherapy service, operators must ensure
the customer signs a consent form informing the operator of medical history;
Record keeping
8(5) All operators must keep records of:(a) a customer consent form for the service to be undertaken, listing any
medical conditions and signed consent;(b) the name and address of any customer who undergoes any colon51

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8(6) Such records must be kept secure and confidential for a minimum of 2 years
and made available to the council for inspection on request;
Toilet, wash-hand basin and shower
8(7) All premises must have a toilet, wash-hand basin and shower for the exclusive
use of the customer and be located in the procedure room or as an ensuite;
8(8) The supply of hot and cold water to the wash-hand basin must be by way ofelbow-operated taps, however other taps of the hands-off type, including foot
operated, electronically controlled or knee operated taps may also be used;
Floors8(9) The floor of any area connected with the carrying out of a colon hydrotherapy
service must be surfaced with a smooth, durable material that is impervious towater and capable of being easily cleaned. The floor and the material with which
the floor is surfaced must be maintained in good repair;Colon hydrotherapy systems
8(10) All operators must ensure the colon hydrotherapy system is registered with
the United States Food and Drug Administration or New Zealand Medicines andMedical Devices Safety Authority;
8(11) All operators must ensure the colon hydrotherapy system is properly installed
and complies with AS/NZS 3500.1: 2003, AS/NZS 3500.2: 2003 and AS/NZS
3500.4: 2003;
8(12) All operators must ensure water filters are properly fitted to the colonhydrotherapy system and that filters are replaced at the manufacturer’s
recommended intervals and as necessary;8(13) All operators must ensure that there are no pumps, other pressureenhancing devices or suction facilities on the customer side of the water tank.
Mechanisms for regulating water temperature must be installed at the mains andthe tank;
Only sterile or single-use disposable instruments are to be used
8(14) All instruments or like articles used for colon hydrotherapy must be:(a) single-use disposable; or(b) cleaned and sterilised in accordance with the provisions of MinimumStandard 3(24) and kept in such a manner to maintain their sterility;
8(15) All rectal tubes must be sterile and single-use disposable;
Cleaning and disinfecting
8(16) All re-usable equipment that does not need to be sterile must be cleaned andthen disinfected by a thermal or chemical disinfection procedure appropriate to
the level of disinfection required and the item being disinfected maintaining the52

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product-specific recommended contact time, to the satisfaction of the council;
8(17) Single-use disposable paper towels must be placed on the customer couchand made available for each customer after the procedure;
Disposal of contaminated material
8(18) All operators must ensure premises have one waste receptacle for clinicaland related waste (for any item contaminated with blood) and another waste
receptacle for other single-use items;
8(19) All operators must ensure clinical / biohazard waste is disposed of by anapproved waste contractor.

Additional Standards
In addition to the minimum standards above, several other legislative acts, guidelines
and codes of practice are also relevant:

The International Association for Colon Hydrotherapy aims to implement bestpractice and heighten awareness of the colon hydrotherapy profession, andensure continuing and progressive education in the field of colon hydrotherapy.
The association recommends the use of registered equipment with the Foodand Drug Administration or New Zealand Medicines and Medical Devices
Safety Authority.

Additional Recommended Best Practice
It is also advisable for operators to keep records of the following: A checklist of equipment operation procedures, including a record of settings
used on each customer; An equipment maintenance record including any related repair orders; An emergency procedure checklist in the event of any unforeseen
circumstances; and The manufacturer’s operation manual in close proximity to the colonhydrotherapy equipment.

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Part 9Public Swimming Pools
Public swimming pools are pools other than for domestic use, and include commercial,school, institutional, club, hospitality industry, community and local authority pools.
Public swimming pools carry the risk of transferring waterborne illnesses, such as
gastrointestinal infections from faecal contamination of the water or vomiting, andswimmers swallowing, breathing, or having contact with the infected water. Infection
can also be spread through direct animal contamination in the case of outdoor publicswimming pools (e.g. from birds and rodents). There is also the risk of chemical
poisoning from pool chemicals.
The minimum standards contained in this part of the code aim to ensure that operators
who are providing swimming pools conduct their operations in a safe and hygienic
manner so as to reduce risks to public health.
Minimum Standard 9: Swimming Pools
All operators must comply with the following standards:


Minimum Standard 1A (Permanent Premises)Minimum Standard 2 (Operator Conduct)

New Zealand standard for pool water quality
9(1) All public pool operators must comply with NZS 5826: 2010 and any updates,
additions or amendments to that standard;9(2) All public pool operators must ensure that there are written procedures
available for faecal and vomiting accidents in pools and that these are to thesatisfaction of the council;
9(3) All public pool operators must ensure pool water is chemically balanced. If the
public pool operator continually fails to maintain chemical balancing then thewater treatment pool risk management plan must reflect how the operator isgoing to ensure safe water quality;
9(4) All public pool operators must ensure pool water treatment is the responsibilityof a person or persons who have undertaken training in relevant NZQA Unit
Standards;
Public swimming pool not to be used
9(5) A public swimming pool must not be used in the following circumstances:(a) when the pool does not meet all of the water quality standards in MinimumStandard 9(1) as applicable; or(b) when the council requires specific water quality testing and the pool isshown to be unsafe; or(c) when the filtration system is not operating; or(d) when back washing of the filtration system needs to be undertaken during
operating hours for longer than 45 minutes, provided FAC and pH levels

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remain within the standards of NZS 5826: 2010;
Testing frequency
9(6) The council may specify the frequency of tests for total available chlorine, freeavailable chlorine or total bromine if the pool is likely to be subject to high usage;
provided that the frequency is at least as great as specified in NZS 5826: 2010;
9(7) The council may specify the frequency of tests for total dissolved solids andcalcium hardness and the frequency at which water in any public pool less than
5000 litres must be changed, if there is evidence that the chemical standards ofthis code of practice are not being maintained, or there is significant public healthrisk from faecal accidents;
Record keeping
9(8) All operators must maintain records of all tests for free available chlorinelevels, total chlorine or bromine levels, pH levels, chemical additions and waterchanges to the pool. In any case, where alternative water treatment processes or
chemicals have been approved in accordance with Minimum Standard 9(1),records of the testing of these chemical levels/ water treatment processes must
be kept to the satisfaction of the council;
9(9) Such records must be kept for a minimum of 2 years and made available tothe council for inspection on request;
Warning signs
9(10) A permanent legible sign must be displayed at or near:(a) any pool recommending customers to shower before using the pool;(b) the entrance to every pool requesting that customers:(i) do not wear street clothing into the pool;(ii) who are suffering skin, throat, eye or ear infections do not enter into
the pool; and(iii) who currently have diarrhoea, or have suffered diarrhoea in the last
two weeks do not enter the pool.
(c) any pool requesting customers to wash their hands after going to the toilet
and changing nappies;(d) any pool requiring children under 4 years of age who enter the pool to wear
a tight-fitting bathing costume with elasticated legs capable of retaining
faeces or a swimmer nappy;
Geothermal pools
9(11) All public geothermal pool premises must comply with specific requirements
for geothermal pools in NZS 5826: 2010;
9(12) All public geothermal pool premises must display a permanent legible sign ator near the pool advising swimmers to keep their head above the water toprevent Amoebic Meningitis.

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Additional Standards
In addition to the minimum standards above, several other legislative acts, guidelines
and codes of practice are also relevant:

The New Zealand Standard for Swimming Pool Design provides guidance on
the suitable minimum requirements to set when contracting for desgin andconstruction of swimming pools, and requirements that should be met toachieve safety and good operational management.

Additional Recommended Best PracticeSaunas and steam roomsAll operators should ensure any seating in a sauna or steam room isconstructed so that the floor beneath the seating can be easily cleaned andwater drained;

Cleaning of saunas
 Saunas are commonly made of wood and skin particles can adhere to thewood. It is recommended that wooden saunas are scrub washed every day withlarge quantities of water.

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Part 10
Commercial Sexual Services
Commercial sexual service is the physical participation by a person in sexual acts with,and for the gratification of, another person; and provided for payment or other reward(irrespective of whether the reward is given to the person providing the services oranother person).
Commercial sexual services carry a risk of transfering communicable diseases, as wellas transmitting bacterial and viral infections. Health risks include the practices involvedin the industry, as well as concerns about the hygiene standards of the premises inwhich the sex industry operates.
To reduce health risks associated with commercial sexual services, the industry is
required to comply with the standards set by the Prostitution Reform Act 2003 and the
Health and Safety in Employment Act 1992.
Minimum Standard 10: Commercial Sexual Services
All operators are advised to comply with the following standards:


Minimum Standard 1A (Permanent Premises) or Minimum Standard 1B (Mobile
or Temporary Premises)Minimum Standard 2(6) to 2(17) inclusive

Additional Standards
In addition to the recommended minimum standards above, several other legislative
acts, guidelines and codes of practice are relevant:

The Prostitution Reform Act 2003 (PRA).

The Health and Safety in Employment Act 1992 (HSE Act). The HSE Act isadministered by the Labour Group of the Ministry of Business, Innovation and
Employment (MBIE).
The Prostitution Reform Act 2003

OperatorsOperators must comply with section 8 of the PRA:

Operators of businesses of prostitution must adopt and promote safer sex practices(1) Every operator of a business of prostitution must:(a) take all reasonable steps to ensure that no commercial sexual services
are provided by a sex worker unless a prophylactic sheath or otherappropriate barrier is used if those services involve vaginal, anal, or oral
penetration or another activity with a similar or greater risk of acquiring ortransmitting sexually transmissible infections; and(b) take all reasonable steps to give health information (whether oral or
written) to sex workers and clients; and(c) if the person operates a brothel, display health information prominently inthat brothel; and57

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Health and Hygiene Code of Practice 2013(d) not state or imply that a medical examination of a sex worker means thesex worker is not infected, or likely to be infected, with a sexuallytransmissible infection; and(e) take all other reasonable steps to minimise the risk of sex workers orclients acquiring or transmitting sexually transmissible infections.
Sex workers and clientsSex workers and clients must comply with section 9 of the PRA:
Sex workers and clients must adopt safer sex practices(1) A person must not provide or receive commercial sexual services unless heor she has taken all reasonable steps to ensure a prophylactic sheath or otherappropriate barrier is used if those services involve vaginal, anal, or oral
penetration or another activity with a similar or greater risk of acquiring ortransmitting sexually transmissible infections.
(2) A person must not, for the purpose of providing or receiving commercial
sexual services, state or imply that a medical examination of that person meansthat he or she is not infected, or likely to be infected, with a sexuallytransmissible infection.
(3) A person who provides or receives commercial sexual services must take allother reasonable steps to minimise the risk of acquiring or transmitting sexuallytransmissible infections.

Health and Safety in Employment Act 1992


Sex workers, clients and operators must comply with section 10 of the PRA:
Application of Health and Safety in Employment Act 1992
(1) A sex worker is at work for the purposes of the Act while providing
commercial sexual services.
(2) However, nothing in this Act (including subsection (1)) limits that Act or any
regulations or approved codes of practice under that Act.
The Health and Safety in Employment Act 1992

OperatorsThe operator of any business providing commercial sexual services has a duty
under the HSE Act to make sure that any premises or equipment they operate
are safe. This means ensuring that hazards do not harm any people who are:(a) lawfully at work in the place;(b) there as customers or to undertake an activity; or(c) in the vicinity.

In some circumstances, there may also be a duty to warn authorised visitors ofany significant hazards in a place of work. These duties are set out in section
16 of the HSE Act.



Employers have the most duties under the HSE Act. Most are directed towards
keeping employees safe and healthy. In the case of the sex industry, an
employer may be a brothel owner or operator, an outcall service proprietor or
manager, or a massage parlour owner or manager (a customer for commercial

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sexual services is not an “employer” of the sex worker providing the services).
An employer is defined by the HSE Act as a person (including a company) who
employs any other person to do any work for hire or reward. The person must
be employed under a contract of service (employment agreement). For the
purposes of the HSE Act, the contract or agreement may be expressed or
implied, written or verbal.

Employers are required to take “all practicable steps” to protect the health,safety and welfare of their employees at work. This includes providing aworkplace that is safe for employees and free from health risks.

For employers to meet their responsibilities they must:(a) Maintain places of work under their control in a safe condition and provide
and maintain systems of work that are safe and without risk to health,including safe access to and from the workplace (section 6).
(b) Provide and maintain work-related equipment (including personal protective
clothing and equipment), at no cost to the employee (section 10).
(c) Identify and manage any hazards in the place of work (sections 7-10).
(d) Make arrangements for the safe use, handling, storage and transportation ofequipment and substances, and provide employees with adequate
information (sections 6 and 12).
(e) Develop emergency procedures and provide employees with the information
they need about them (section 6 and 12).
(f) Provide the information, instruction, training and supervision needed toensure the health and safety of all employees (sections 12 and 13).
(g) Where employees are exposed to hazards, monitor their exposure and,
where necessary, their health in relation to the hazard, and inform
employees of the results of monitoring (sections 10 and 11).
(h) Provide reasonable opportunities for employees to participate effectively in
the improvement of health and safety (section 19B).
(i) Record, notify and report as appropriate any accidents or occurrences ofserious harm to employees or others in the place of work (section 25).

An employer’s duties under the HSE Act are in addition to those of the PRA.

Additional Recommended Best Practice“Sex Industry: A Guide to Occupational Health and Safety in New Zealand”


The issue of health for the commercial sex industry is articulated in the Ministryof Business, Innovation and Employment – Labour Group health and safety
guidelines for the industry, “Sex Industry; A Guide to Occupational Health and
Safety in New Zealand” (the guide).

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







Health and Hygiene Code of Practice 2013

The guide sets out the relevant health and safety duties that are necessary forowners, operators, employees, and other participants in the commercial sex
industry to prevent harm to a worker’s health and wellbeing.
The guide covers the following health issues: sex worker health (including
sexual health education, immunisation, personal protective equipment,
reproductive health and overuse disorders); work place amenities (including wet
areas, linen, laundry facilities, cleaning of body fluid spills and lighting); andpsychosocial factors (including security and safety from violence, alcohol, drugs
and smoking).
Sections 4–13 of the guide provide more detail on accepted means of
employers meeting these duties. Appendix 2 provides more detail on accident
and illness recording, notification and reporting requirements.
Section 3 of the guide sets out the roles and responsibilities under a number oflaws administered by a number of different agencies within New Zealand. The
table below is based on page 29 of the guide:

Legislation

Area it covers in relation to the sex
industry

Agency responsible

Prostitution
Reform Act 2003

Decriminalised prostitution and covers suchmatters as:• safeguarding the human rights of sex
workers and protecting them from exploitation;and safety requirements• setting health and safety requirements inregard to safe sex.
Specified infectious diseases are notifiable to
the Medical Officers of Health.

Medical Officers of Health(or their appointed
inspectors) as appointed
by Director General of
Health under section 25.

Health Act 1956

Medical Officers of Health may undertakeprevention and control measures in relation tothese diseases.

Medical Officers of Healthas appointed by Director
General of Health.

Health and Safety
in Employment Act
1992

Covers health and safety in all in workplaces.

The Occupational Safety
and Health Service of the
Ministry of Business,
Innovation and
Employment – Labour
Group.

Employment
Relations Act 2000

Covers employment relationships in the work
place.

The Employment
Relations Service of the
Ministry of Business,
Innovation and
Employment – Labour
Group

Injury Prevention,
Rehabilitation andCompensation Act
2001

Governs the accident compensation scheme,
which provides accident insurance for all New
Zealand citizens, residents and temporary
visitors to New Zealand.

Accident Compensation
Corporation (ACC)60

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New Zealand Prostitutes Collective (NZPC)

NZPC advocates for the human rights, health and well-being of all sex workers.
NZPC is committed to working for the empowerment of sex workers, so that sex
workers may have control over all aspects of their work and lives.
NZPC works to support sex workers by ensuring they have appropriate
information to help them make informed decisions that will enhance theiroccupational safety and health, enable them to work safely and in supportive,
safe environments, and to overcome situations that are detrimental to theiroccupational safety and health.
NZPC also works as a liaison with government and non-government agencies
that engage with sex workers and sex industry workers, and assists theseagencies to do so in an effective, culturally appropriate way.

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