Body Art Sterilization Guidelines
(1) Universal precautions, as defined in
these rules, shall be observed to prevent contact with blood or other
infectious materials. Employees shall be trained in universal precautions.
Assume all human blood, plasma, serum, body fluids (semen, saliva, breast milk,
and any fluid contaminated with blood)
and tissues to be contaminated with Human
Virus (HIV) and/or Hepatitis viruses (e.g., HBV).
most susceptible route of occupational infection for HIV and HBV is by accidental
sticks, contamination of the mucous membranes, or through
broken, abraded, or irritated skin. Use
and maximum protection to prevent such contact.
decontamination procedures, emergency biohazard spill management, and proper use
biosafety equipment shall be utilized.
Use aseptic technique. Thorough hand washing is essential after client contact,
after handling blood
and body fluids, after wearing gloves,
and prior to exiting the work area.
TATTOO ARTIST AND TATTOO
ESTABLISHMENT CHAPTER 1200-23-3
(Rule 1200-23-3-.04, continued)
December, 2000 (Revised) 10
and needle bar assemblies shall be sterilized prior to use. It is permissible
to use sterilized
disposable needles and disposable needle
bar assemblies for tattooing.
(f) Nondisposable needle and
nondisposable needle bar assemblies shall be soaked in a disinfectant
for a minimum of thirty (30) minutes prior to removing the needle. Do not remove
needle from a needle bar by hand. Needles shall be
removed from needle bars through the use of
gloves and pliers
or similar means to prevent accidental puncture. Dispose of needles and other
sharps in puncture proof, autoclavable containers, or disposable
(g) After soldering a new needle to
the needle bar, the completed assembly (needle and needle bar) shall
(h) All regulated wastes shall be disposed of
in labeled, manufacturer's color-coded waste containers.
A spill kit (bleach, leak proof container, paper towels, gloves, spray bottle)
is to be used to clean up
infectious material spills. Small
spills can be wiped up, after donning protective gloves, with paper
and sprayed with freshly made ten percent (10%) bleach solution.
Clean all work areas and equipment used in handling human biohazardous materials
disinfectant (e.g., 10% dilution of bleach) when
concluding work to protect personnel from
(k) Eating, drinking, smoking, and applying cosmetics or lip
balm are not permitted in the work area.
Food shall be stored
in cabinets or refrigerators designated and used for this purpose only. Food
cabinets or refrigerators shall be located outside the work area.
All procedures shall be performed carefully to minimize the creation of aerosols.
(m) Report all work related accidents, incidents, and unexplained
illness to your supervisor and/or
Used gloves shall be removed after each operation and prior to contacting work
knobs, wall switches, or telephones. Dispose
of used gloves in a bagged, trash container.
of a tattoo establishment
(a) The tattoo establishment operator
shall make available, at no cost to the personnel, Hepatitis B
series, as well as any routine booster dose(s) to every person who may have
exposure to blood or other potentially infectious material. For new personnel
vaccine shall be made available within ten (10) working
days of initial work assignment.
(b) Personnel who decline
to accept the Hepatitis B vaccination series must sign a form indicating their
(c) The outer clothing of all
personnel shall be clean.
(d) Each tattoo artist shall use
a single use lap cloth.
(e) Tattoo artist/operators shall
wash their hands with antiseptic soap before and after treating each
(i.e., before glove placement and after glove removal) and after barehanded touching
inanimate objects likely to be contaminated by blood, saliva,
or respiratory secretions. Hands shall
be washed after removal
of gloves, smoking, eating, drinking, or using the toilet.
Tattoo artist/operators who have exudative lesions or weeping dermatitis, particularly
on the hands,
shall refrain from all direct client contact
and from handling equipment until the condition resolves.
ARTIST AND TATTOO ESTABLISHMENT CHAPTER 1200-23-3
December, 2000 (Revised) 11
Personnel shall consume food only in approved, designated areas. There shall be
no eating or
drinking in the operation area of the establishment.
(h) Personnel shall not use tobacco in any form while engaged
in the operation or process of tattooing,
nor while in areas
used for equipment or utensil washing. Personnel shall use tobacco only in
(i) Personnel shall maintain a high degree
of personal cleanliness and shall conform to good hygienic
during all working periods in tattoo studios.
of infection-control practices
(a) Disposable latex or vinyl
examination gloves shall be worn by a tattoo artist at all times while
any tattoo. Gloves shall be changed and properly disposed of each time there is
interruption in the application of a tattoo, or whenever
their ability to function as a barrier is
shall be changed between clients and used gloves shall be properly disposed
as provided in these rules.
(b) Only single use supplies (or
sterilized equipment) may be used to apply a tattoo and shall be
of after each tattoo. This subsection includes single use disposable razors; single
towels or wipes; lubricants removed from a collapsible
tube; and single use paper stencils or plastic
in a germicidal solution. If the design is drawn directly onto the skin, it shall
applied only with a single use article. Single use or individual
portions of dye and ink pots or trays
shall be used. After
tattooing, single use items, dyes, and containers shall be discarded and the
work area disinfected.
(c) When it is necessary to shave the
area to be tattooed, a new blade for each patron or customer shall
used when a safety razor is employed, and the permanent part of such razor shall
be treated as
hereinafter set forth for the care of the straight
razor or disposable safety razor. If a straight razor is
it shall be cleaned with soap and water, rinsed in clear water, and then sterilized
(d) A sterile set of
needles, needle bar, and tube shall be used for each patron or customer. Dried
and other materials on instruments must be removed by
either ultrasonic cleanser or by soaking in
or disinfectant solution followed by rinsing in clean water prior to sterilization.
(e) All tubes, needles, and needle bars shall be sealed for
individual client use in autoclave bags with a
autoclave indicator and date (month and year) of sterilization clearly visible.
tattooing, used non-disposable instruments such as tubes
shall be kept in a separate, puncture
until properly cleaned, disinfected, and sterilized using universal precautions
recognized medical methods. The needle tube of the tattooing
machine shall be cleaned and
sterilized in a similar method
(f) Microbiological monitoring for adequate functioning
of each autoclave will be done at least monthly
using a commercial
source of Bacillus stearothermophilus which is then tested in an accredited
laboratory. All laboratory reports will be logged and kept for two years and shall
available for inspection.
notification of a positive microbiological monitoring report (detection of viable
sterilizer shall be immediately checked for proper
use and function. A repeat test shall be performed
three (3) days. Upon a subsequent positive result from a repeat test, discontinue
use of the
sterilizer until properly serviced and a negative
TATTOO ARTIST AND TATTOO ESTABLISHMENT CHAPTER
(Rule 1200-23-3-.04, continued)
2000 (Revised) 12
(h) Sterilizer indicator tape and/or sterilizer
bags with indicator tape areas which change color will be
with all items sterilized to indicate the item has been autoclaved. All items
shall be marked
with the date of sterilization.
Sterilized items in the sealed, autoclaved bags shall be stored in a clean, dry
place, until used, for no
more than one (1) year.
Sterilization indicators must change color or discontinue use of autoclave until
a negative spore
sample is obtained.
The requirement for an autoclave shall be exempt in cases where there is only
the use of
manufactured, pre-sterilized single use, preassembled
needle and needle bar, disposable needles,
needle bars and
needle tubes and similar tattooing equipment, and/or the use of no other equipment
or tools requiring sterilization.
Minimum standards for tattooing
(a) After shaving the area
to be tattooed, or if the area does not need to be shaved, the site of the tattoo
shall be cleaned with soap and water, rinsed with clean water,
and germicidal solution applied or
wiped with alcohol in a
sanitary manner before the design is placed on the skin.
Single-use towels or gauze shall be used in preparing the site to be tattooed
and shall be disposed of
after use on each patron or customer.
The use of roll-on or stick deodorants for tattoo site
(c) Excess dye applied to the skin shall be
removed with single-use gauze pads, towels, or cotton only.
entire site shall be covered with a sterile gauze dressing or telfa pad.
The stencil for transferring the design to the skin shall be maintained in a clean,
(e) Records showing the date of the client’s
visit, printed name, signature, address, age, design of the
its location on the body, and tattooist’s name shall be kept on the establishment
a minimum of 2 years.
After each tattooing, written instructions shall be given to each patron or customer
on the care of the
skin of the tattooed site to prevent infection.
A copy of these instructions shall be posted in a
place in the tattoo establishment, clearly visible to the customer or patron being
tattooed. These instructions shall include, but are not limited
to, bandaging, cleaning, sun exposure,
scratching, and wearing
of clothing over or around the tattoo site.
4-5-202, 62-38-201 et seq., and 68-1-103. Administrative History: Original rule
September 26, 2000; effective December 10, 2000.
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