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HOME/ABOUT/GALLERY/NEWS/STORE/EVENTS/FAQ/GAMES/HISTORY/BIOS/LINKS/LAWS Tattoo & Piercing Laws - United States - Indiana Back to United States Tattoo & Piercing Laws State Of Indiana IC 35-42-2-7 Sec. 7. (a) As used in this section, "tattoo" means: (1) any indelible design, letter, scroll, figure, symbol, or other mark placed with the aid of needles or other instruments; or (2) any design, letter, scroll, figure, or symbol done by scarring; upon or under the skin. (b) As used in this section, "body piercing" means the perforation of any human body part other than an earlobe for the purpose of inserting jewelry or other decoration or for some other nonmedical purpose. (c) Except as provided in subsection (e), a person who provides a tattoo to a person who is less than eighteen (18) years of age commits tattooing a minor, a Class A misdemeanor. (d) This subsection does not apply to an act of a health care professional (as defined in IC 16-27-2-1) licensed under IC 25 when the act is performed in the course of the health care professional's practice. Except as provided in subsection (e), a person who performs body piercing upon a person who is less than eighteen (18) years of age commits body piercing a minor, a Class A misdemeanor. (e) A person may provide a tattoo to a person who is less than eighteen (18) years of age or perform body piercing upon a person who is less than eighteen (18) years of age if a parent or legal guardian of the person receiving the tattoo or undergoing the body piercing: (1) is present at the time the tattoo is provided or the body piercing is performed; and (2) provides written permission for the person to receive the tattoo or undergo the body piercing. (f) Notwithstanding IC 36-1-3-8(a), a unit (as defined in IC 36-1-2-23) may adopt an ordinance that is at least as restrictive or more restrictive than this section or a rule adopted under IC 16-19-3-4.1 or IC 16-19-3-4.2. As added by P.L.181-1997, SEC.3. Amended by P.L.166-1999, SEC.2. INDIANA ADMINISTRATIVE CODE; Copyright (c) 2002 State of Indiana and West Group TITLE 410. INDIANA STATE DEPARTMENT OF HEALTH ARTICLE 1. COMMUNICABLE DISEASE CONTROL :<ISL>IAC410--1. RULE 5. SANITARY OPERATION OF TATTOO PARLORS 410 IAC 1-5-7.5 "Facility" defined Sec. 7.5. "Facility" means a tattoo parlor or a body piercing facility, or both, which is any room or space where tattooing or body piercing, or both, is provided or where the business of tattooing or body piercing, or both, is conducted. AUTHORITY: Authority: IC 16-19-3-4.1; IC 16-19-3-4.2 Affected: IC 16-19-3 HISTORY: Indiana State Department of Health; 410 IAC 1-5-7.5; filed Jun 30, 2000, 4:10 p.m.: 23 Ind. Reg. 2710 NOTES: TITLE NOTE: Under IC 16-1-1-6, the name of the Indiana State Board of Health is changed to Indiana State Department of Health, effective January 1, 1992. TITLE CITED IN: 675 IAC 20-2-24; 675 IAC 20-3-7; 675 IAC 24-1-1. RULE CITED IN: 410 IAC 1-5-1; 410 IAC 1-5-25; 410 IAC 1-5-26; 410 IAC 1-5-37; 410 IAC 1-5-38. THE INDIANA REGISTER ISSUE: Volume 23, Number 11 ISSUE DATE: August 1, 2000 SUBJECT: FINAL RULES AGENCY: INDIANA STATE DEPARTMENT OF HEALTH 23 Ind. Reg. 2710 INDIANA ADMINISTRATIVE CODE CITATION: 410 IAC 1-5 [A> UPPERCASE TEXT WITHIN THESE SYMBOLS IS ADDED <A] [D> Text within these symbols is deleted <D] ------------------------------------------------------------------------------ Star pagination is in accord with In. Reg. hardcopy pagination To view the next page, type .np* and TRANSMIT. To view a specific page, transmit p* and the page number. E.G. p*1. ------------------------------------------------------------------------------ [*2710] TITLE 410 INDIANA STATE DEPARTMENT OF HEALTH LSA Document # 99-157(F) DIGEST Amends 410 IAC 1-5 to include requirements for the sanitary operation of body piercing facilities. Effective 30 days after filing with the secretary of state. 410 IAC 1-5-3.5 410 IAC 1-5-3.6 410 IAC 1-5-7.5 410 IAC 1-5-9.5 410 IAC 1-5-11.2 410 IAC 1-5-11.5 410 IAC 1-5-21 410 IAC 1-5-22 410 IAC 1-5-24 410 IAC 1-5-25 410 IAC 1-5-26 410 IAC 1-5-27 410 IAC 1-5-28 410 IAC 1-5-29 410 IAC 1-5-30 410 IAC 1-5-31 410 IAC 1-5-34 410 IAC 1-5-35 410 IAC 1-5-36 410 IAC 1-5-38 SECTION 1. 410 IAC 1-5-3.5 IS ADDED TO READ AS FOLLOWS: 410 IAC 1-5-3.5 "Body piercer" defined Authority: IC 16-19-3-4.1; IC 16-19-3-4.2 Affected: IC 16-19-3 [A> SEC. 3.5. "BODY PIERCER" MEANS ANY PERSON WHO PERFORMS BODY PIERCING ON AN INDIVIDUAL. <A] (Indiana State Department of Health; 410 IAC 1-5-3.5; filed Jun 30, 2000, 4:10 p.m.: 23 IR 2710) SECTION 2. 410 IAC 1-5-3.6 IS ADDED TO READ AS FOLLOWS: 410 IAC 1-5-3.6 "Body piercing" defined Authority: IC 16-19-3-4.1; IC 16-19-3-4.2 Affected: IC 16-19-3 [A> SEC. 3.6. "BODY PIERCING" MEANS THE PERFORATION OF ANY HUMAN BODY PART OTHER THAN EAR LOBE FOR THE PURPOSE OF INSERTING JEWELRY OR OTHER DECORATION OR FOR SOME OTHER NONMEDICAL PURPOSE. <A] (Indiana State Department of Health; 410 IAC 1-5-3.6; filed Jun 30, 2000, 4:10 p.m.: 23 IR 2710) SECTION 3. 410 IAC 1-5-7.5 IS ADDED TO READ AS FOLLOWS: 410 IAC 1-5-7.5 "Facility" defined Authority: IC 16-19-3-4.1; IC 16-19-3-4.2 Affected: IC 16-19-3 [A> SEC. 7.5. "FACILITY" MEANS A TATTOO PARLOR OR A BODY PIERCING FACILITY, OR BOTH, WHICH IS ANY ROOM OR SPACE WHERE TATTOOING OR BODY PIERCING, OR BOTH, IS PROVIDED OR WHERE THE BUSINESS OF TATTOOING OR BODY PIERCING, OR BOTH, IS CONDUCTED. <A] (Indiana State Department of Health; 410 IAC 1-5-7.5; filed Jun 30, 2000, 4:10 p.m.: 23 IR 2710) SECTION 4. 410 IAC 1-5-9.5 IS ADDED TO READ AS FOLLOWS: 410 IAC 1-5-9.5 "High level disinfection" defined Authority: IC 16-19-3-4.1; IC 16-19-3-4.2 Affected: IC 16-19-3 [A> SEC. 9.5. "HIGH LEVEL DISINFECTION" MEANS A PROCESS THAT DESTROYS ALL MICRO-ORGANISMS, WITH THE EXCEPTION OF HIGH NUMBERS OF BACTERIAL SPORES. <A] (Indiana State Department of Health; 410 IAC 1-5-9.5; filed Jun 30, 2000, 4:10 p.m.: 23 IR 2710) SECTION 5. 410 IAC 1-5-11.2 IS ADDED TO READ AS FOLLOWS: 410 IAC 1-5-11.2 "Intermediate level disinfection" defined Authority: IC 16-19-3-4.1; IC 16-19-3-4.2 Affected: IC 16-19-3 [A> SEC. 11.2. "INTERMEDIATE LEVEL DISINFECTION" MEANS A PROCESS THAT INACTIVATES: <A] [A> (1) MYCOBACTERIUM TUBERCULOSIS; <A] [A> (2) VEGETATIVE BACTERIA; <A] [*2711] [A> (3) MOST VIRUSES; AND <A] [A> (4) MOST FUNGI; <A] [A> BUT DOES NOT NECESSARILY KILL BACTERIAL SPORES. <A] (Indiana State Department of Health; 410 IAC 1-5-11.2; filed Jun 30, 2000, 4:10 p.m.: 23 IR 2710) SECTION 6. 410 IAC 1-5-11.5 IS ADDED TO READ AS FOLLOWS: 410 IAC 1-5-11.5 "Operator" defined Authority: IC 16-19-3-4.1; IC 16-19-3-4.2 Affected: IC 16-19-3 [A> SEC. 11.5. "OPERATOR" MEANS ANY PERSON WHO CONTROLS, OPERATES, MANAGES, OR OWNS ANY FACILITY. <A] (Indiana State Department of Health; 410 IAC 1-5-11.5; filed Jun 30, 2000, 4:10 p.m.: 23 IR 2711) SECTION 7. 410 IAC 1-5-24 IS AMENDED TO READ AS FOLLOWS: 410 IAC 1-5-24 Operator training responsibilities Authority: IC 16-19-3-4.1; IC 16-19-3-4.2 Affected: IC 16-19-3 Sec. 24. An individual or entity that is [D> a tattoo <D] [A> AN <A] operator shall comply with the following training responsibilities: (1) Ensure that the training described in the Indiana occupational safety and health administration's bloodborne pathogens standard (as found in 29 CFR 1910.1030) is provided to all tattoo artists [A> AND BODY PIERCERS, <A] anyone employed by the [D> tattoo parlor <D] [A> FACILITY <A] or anyone acting on behalf of the [D> tattoo parlor, <D] [A> FACILITY, <A] who has a reasonably anticipated risk for skin, eye, mucous membrane, or parenteral contact with blood or OPIM. (2) Ensure that training on the handling of infectious waste is provided to all tattoo artists [A> AND BODY PIERCERS, OR <A] anyone employed by the [D> tattoo parlor <D] [A> FACILITY <A] or anyone acting on behalf of the [D> tattoo parlor <D] [A> FACILITY <A] who has a reasonably anticipated risk for skin, eye, mucous membrane, or parenteral contact with blood or OPIM. (3) Ensure that a record of training described in subdivision (1) is maintained, as required under the Indiana occupational safety and health administration's bloodborne pathogens standard (as found in 29 CFR 1910.1030) of an individual's participation in the training that is provided. The record shall be made available to the department for inspection upon request. (4) Ensure that a record of training described in subdivision (2) is maintained. (Indiana State Department of Health; 410 IAC 1-5-24; filed May 12, 1998, 10:00 a.m.: 21 IR 3817; filed Jun 30, 2000, 4:10 p.m.: 23 IR 2711) SECTION 8. 410 IAC 1-5-25 IS AMENDED TO READ AS FOLLOWS: 410 IAC 1-5-25 Operator responsibilities Authority: IC 16-19-3-4.1; IC 16-19-3-4.2 Affected: IC 16-19-3 Sec. 25. (a) The [D> tattoo <D] operator shall ensure that tattoo artists, [A> BODY PIERCERS, OR <A] anyone employed by the [D> tattoo parlor <D] [A> FACILITY <A] or anyone acting on behalf of the [D> tattoo parlor <D] [A> FACILITY <A] who has a reasonably anticipated risk for skin, eye, mucous membrane, or parenteral contact with blood [D> is provided <D] [A> HAVE AND USE <A] personal protective equipment and expendables needed to implement the precautions required by this rule and the Indiana occupational safety and health administration's bloodborne pathogens standard (as found in 29 CFR 1910.1030). (b) The [D> tattoo <D] operator shall require tattoo artists [A> AND BODY PIERCERS, <A] anyone employed by the [D> tattoo parlor, <D] [A> FACILITY, <A] or anyone acting on behalf of the [D> tattoo parlor, <D] [A> FACILITY <A] who has a reasonably anticipated risk for skin, eye, mucous membrane, or parenteral contact with blood to provide evidence of compliance with the universal precautions education requirements contained in section 27 of this rule. (c) The [D> tattoo <D] operator shall display a description of compliance with the requirements contained in subsection (d). (d) The [D> tattoo <D] operator shall display written materials prepared or approved by the department explaining universal precautions and patrons' rights under this rule. These materials shall include information on how to report violations of universal precautions and shall include information regarding the department's duties to investigate. (Indiana State Department of Health; 410 IAC 1-5-25; filed May 12, 1998, 10:00 a.m.: 21 IR 3817; errata filed Aug 31, 1998, 1:08 p.m.: 22 IR 127; filed Jun 30, 2000, 4:10 p.m.: 23 IR 2711) SECTION 9. 410 IAC 1-5-26 IS AMENDED TO READ AS FOLLOWS: 410 IAC 1-5-26 Operator policies Authority: IC 16-19-3-4.1; IC 16-19-3-4.2 Affected: IC 16-19-3 Sec. 26. The [D> tattoo <D] operator shall develop a written policy in compliance with this rule and the requirements of the Indiana occupational safety and health administration's bloodborne pathogen standard (as found in 29 CFR 1910.1030) that: (1) requires the use of universal precautions when performing tattooing [A> OR BODY PIERCING <A] and any activity or duty that includes any reasonably anticipated skin, eye, mucous membrane, or parenteral contact with blood or OPIM; (2) requires disinfection or sterilization of contaminated reusable items; (3) includes the safe handling of infectious waste; and (4) provides sanctions, including discipline and dismissal, if warranted, for failure to use universal precautions or handle infectious waste safely, or both. [*2712] (Indiana State Department of Health; 410 IAC 1-5-26; filed May 12, 1998, 10:00 a.m.: 21 IR 3818; filed Jun 30, 2000, 4:10 p.m.: 23 IR 2711) SECTION 10. 410 IAC 1-5-27 IS AMENDED TO READ AS FOLLOWS: 410 IAC 1-5-27 Tattoo artist and body piercer minimum training and certification requirements Authority: IC 16-19-3-4.1; IC 16-19-3-4.2 Affected: IC 16-19-3 Sec. 27. (a) All tattoo artists, [A> BODY PIERCERS, <A] anyone employed by the [D> tattoo parlor, <D] [A> FACILITY <A], and anyone acting on behalf of the [D> tattoo parlor, <D] [A> FACILITY, <A] who has a reasonably anticipated risk for skin, eye, mucous membrane, or parenteral contact with blood or OPIM shall complete the training program that is required under the requirements of the Indiana occupational safety and health administration's bloodborne pathogen standard (as found in 29 CFR 1910.1030). The programs under this section shall be as follows: (1) A bloodborne pathogen training session provided by the [D> tattoo <D] operator meeting the requirements under the Indiana occupational safety and health administration's bloodborne pathogens standard (as found in 29 CFR 1910.1030). (2) Any bloodborne pathogen continuing education program [D> accredited <D] [A> PROVIDED <A] by a health care [D> licensing entity. <D] [A> AGENCY. <A] (b) All tattoo artists, [A> BODY PIERCERS, <A] anyone employed by the [D> tattoo parlor, <D] [A> FACILITY, <A] and anyone acting on behalf of the [D> tattoo parlor, <D] [A> FACILITY, <A] who has a reasonably anticipated risk for skin, eye, mucous membrane, or parenteral contact with blood or OPIM must be trained in the [D> tattoo parlor's <D] [A> FACILITY'S <A] policies on the handling of infectious waste. (Indiana State Department of Health; 410 IAC 1-5-27; filed May 12, 1998, 10:00 a.m.: 21 IR 3818; filed Jun 30, 2000, 4:10 p.m.: 23 IR 2712) SECTION 11. 410 IAC 1-5-28 IS AMENDED TO READ AS FOLLOWS: 410 IAC 1-5-28 Patron records Authority: IC 16-19-3-4.1; IC 16-19-3-4.2 Affected: IC 16-19-3 Sec. 28. Records of each patron shall be maintained [A> BY THE OPERATOR <A] for two (2) years. The record shall include the following, [A> BUT NOT BE LIMITED TO: <A] (1) Patron's name. (2) Address. (3) Age. (4) Date tattooed [A> OR BODY PIERCED. <A] (5) Design of the tattoo. (6) Location of the tattoo [A> OR BODY PIERCING <A] on the patron's body. (7) The name of the tattoo artist [A> OR BODY PIERCER <A] who performed the work. [A> (8) JEWELRY OR OTHER DECORATION USED. <A] (Indiana State Department of Health; 410 IAC 1-5-28; filed May 12, 1998, 10:00 a.m.: 21 IR 3818; filed Jun 30, 2000, 4:10 p.m.: 23 IR 2712) SECTION 12. 410 IAC 1-5-29 IS AMENDED TO READ AS FOLLOWS: 410 IAC 1-5-29 Illness Authority: IC 16-19-3-4.1; IC 16-19-3-4.2 Affected: IC 16-19-3 Sec. 29. Tattoo artists [A> OR BODY PIERCERS <A] who are experiencing symptoms of acute disease [D> which <D] [A> THAT <A] include, but are not limited to: (1) diarrhea; (2) vomiting; (3) fever; (4) rash; (5) productive cough; (6) jaundice; or (7) draining (or open) skin infections, boils, impetigo, or scabies; shall refrain from providing tattoos [A> OR BODY PIERCING. <A] (Indiana State Department of Health; 410 IAC 1-5-29; filed May 12, 1998, 10:00 a.m.: 21 IR 3818; filed Jun 30, 2000, 4:10 p.m.: 23 IR 2712) SECTION 13. 410 IAC 1-5-30 IS AMENDED TO READ AS FOLLOWS: 410 IAC 1-5-30 Handwashing Authority: IC 16-19-3-4.1; IC 16-19-3-4.2 Affected: IC 16-19-3 Sec. 30. (a) Handwashing facilities shall be readily accessible where tattooing [A> OR BODY PIERCING, OR BOTH, <A] is provided. (b) Hands shall be washed with soap and running water immediately before putting on gloves and after removal of gloves or other personal protective equipment. (c) Only single-use towels shall be used. (Indiana State Department of Health; 410 IAC 1-5-30; filed May 12, 1998, 10:00 a.m.: 21 IR 3818; filed Jun 30, 2000, 4:10 p.m.: 23 IR 2712) SECTION 14. 410 IAC 1-5-31 IS AMENDED TO READ AS FOLLOWS: 410 IAC 1-5-31 Personal protective equipment Authority: IC 16-19-3-4.1; IC 16-19-3-4.2 Affected: IC 16-19-3 Sec. 31. Appropriate personal protective equipment shall be worn as follows: (1) A clean protective clothing layer shall be worn whenever there is a reasonably anticipated risk of contamination of clothing by blood or OPIM. [*2713] (2) Masks in combination with eye protection devices, such as goggles or glasses with solid side shield, or chin length face shield, shall be worn whenever splashes, spray, splatter, or droplets of blood or OPIM may be generated and eye, nose, or mouth contamination can be reasonably anticipated. (3) Disposable gloves, [A> SUCH AS SURGICAL OR EXAMINATION TYPE, <A] shall be worn during the tattooing [A> OR BODY PIERCING <A] process. Gloves shall be changed and properly disposed of each time there is an interruption in the application of the tattoo [A> OR BODY PIERCING, <A] when the gloves become torn or punctured, or whenever the ability to function as a barrier is compromised. Disposable gloves shall not be reused. (4) Gloves shall be worn when decontaminating environmental surfaces and equipment. (Indiana State Department of Health; 410 IAC 1-5-31; filed May 12, 1998, 10:00a.m.: 21 IR 3818; filed Jun 30, 2000, 4:10 p.m.: 23 IR 2712) SECTION 15. 410 IAC 1-5-34 IS AMENDED TO READ AS FOLLOWS: 410 IAC 1-5-34 Reusable equipment Authority: IC 16-19-3-4.1; IC 16-19-3-4.2 Affected: IC 16-19-3 Sec. 34. (a) Heating procedures capable of sterilization must be used when heat stable, nondisposable equipment is sterilized. (b) Equipment that is to be sterilized shall be put in single-use packaging. (c) Records must be maintained to document the following: (1) Duration of sterilization technique. (2) Determination of effective sterility, such as use of a biological indicator, is performed monthly. (3) Equipment is maintained as recommended by the owner's manual, and proof is available that the owner's manual recommendations are reviewed monthly. (d) Reusable contaminated equipment shall not be stored or processed in a manner that requires any person to reach by hand into the containers where these sharp items have been placed. (e) Reusable contaminated equipment shall be: (1) placed in puncture-resistant containers; (2) labeled with the biohazard symbol; (3) leakproof on both sides and bottom; and (4) stored in a manner that does not require reaching by hand into the container where the equipment is stored until cleaning prior to sterilization. (f) Reusable contaminated equipment shall be effectively cleaned prior to sterilization [A> OR DISINFECTION. <A] (g) [A> ANY <A] reusable [D> tubes <D] [A> CONTAMINATED EQUIPMENT THAT COMES INTO DIRECT CONTACT, OR IS LIKELY TO COME INTO DIRECT CONTACT, WITH AN INSTRUMENT THAT PENETRATES THE SKIN OTHER THAN A PIERCING GUN <A] shall be effectively cleaned and sterilized [D> before reuse. <D] [A> PRIOR TO USE. <A] [A> (H) ALL STERILIZED EQUIPMENT SHALL NOT BE REMOVED FROM WRAPPERS OR STERILIZER PACKAGING UNTIL IMMEDIATELY PRIOR TO USE. <A] [A> (I) ANY REUSABLE EQUIPMENT THAT COMES INTO CONTACT WITH MUCUS <A] [sic., mucous] [A> MEMBRANES SHALL BE EFFECTIVELY CLEANED AND STERILIZED PRIOR TO USE. <A] [A> (J) PIERCING GUNS SHALL BE CLEANED AND UNDERGO, AT A MINIMUM, HIGH LEVEL DISINFECTION AFTER EACH USE AND WHENEVER VISIBLY CONTAMINATED. <A] [A> (K) ALL REUSABLE EQUIPMENT THAT HAS CONTACT WITH INTACT SKIN SHALL UNDERGO, AT A MINIMUM, INTERMEDIATE LEVEL DISINFECTION. <A] [A> (L) ALL OTHER EQUIPMENT USED DURING THE TATTOOING OR BODY PIERCING PROCEDURE SHALL BE SINGLE USE, INCLUDING CORKS. <A] [A> (M) ALL BODY PIERCERS AND TATTOO ARTISTS SHALL COMPLY WITH ALL OTHER EQUIPMENT MANUFACTURER'S RECOMMENDATIONS. <A] (Indiana State Department of Health; 410 IAC 1-5-34; filed May 12, 1998, 10:00 a.m.: 21 IR 3819; filed Jun 30, 2000, 4:10 p.m.: 23 IR 2713) SECTION 16. 410 IAC 1-5-35 IS AMENDED TO READ AS FOLLOWS: 410 IAC 1-5-35 Dyes or pigments or other objects placed under the skin Authority: IC 16-19-3-4.1; IC 16-19-3-4.2 Affected: IC 16-19-3 Sec. 35. (a) All dyes or pigments used in tattooing shall be from professional suppliers specifically providing dyes or pigments for the tattooing of human skin. (b) In preparing dyes or pigments to be used by tattoo artists, only nontoxic, sterile materials shall be used. Single-use or individual portions of dyes or pigments in clean, single-use containers shall be used for each patron. (c) After tattooing, the remaining unused dye or pigment in single-use or individual containers shall be discarded along with the container. [A> (D) ANY OBJECT PLACED UNDER THE SKIN SHALL BE STERILE. <A] (Indiana State Department of Health; 410 IAC 1-5-35; filed May 12, 1998, 10:00 a.m.: 21 IR 3819; filed Jun 30, 2000, 4:10 p.m.: 23 IR 2713) SECTION 17. 410 IAC 1-5-36 IS AMENDED TO READ AS FOLLOWS: 410 IAC 1-5-36 Work environment Authority: IC 16-19-3-4.1; IC 16-19-3-4.2 Affected: IC 16-19-3 [*2714] Sec. 36. (a) No tattooing [A> OR BODY PIERCING <A] shall be conducted in any room used as living quarters or in any room that opens directly into living or sleeping quarters. (b) Live animals shall be excluded from areas where tattooing [A> OR BODY PIERCING <A] is being conducted. This exclusion does not apply to the following: (1) Patrol dogs accompanying security or police officers. (2) Guide dogs accompanying the following: (A) Blind persons. (B) Partially blind persons. (C) Physically disabled persons. (D) Guide dog trainers. (E) Persons with impaired hearing. (c) Eating, drinking, smoking, [D> or <D] applying cosmetics, [A> OR HANDLING CONTACT LENSES <A] shall not be allowed in work areas where there is a likelihood of exposure to blood or OPIM. (d) Food and drink shall not be kept in areas where there is a reasonably anticipated risk of exposure to blood or OPIM. (e) All equipment and environmental surfaces shall be cleaned and disinfected after contact with blood or OPIM. (f) Environmental surfaces and equipment not requiring sterilization that have been contaminated by blood shall be cleaned and disinfected. (g) All work surfaces shall be: (1) nonabsorbent; (2) easily cleanable; (3) smooth; and (4) free of: (A) breaks; (B) open seams; (C) cracks; (D) chips; (E) pits; and (F) similar imperfections. (h) Disinfectant solutions shall be: (1) a hospital grade, tuberculocidal Environmental Protection Agency (EPA) registered disinfectant; or (2) sodium hypochlorite, five-tenths percent (0.5%) concentration, by volume (common household bleach in ten percent (10%) concentration in water); the solution shall be dated and shall not be used if it is more than twenty-four (24) hours old. (Indiana State Department of Health; 410 IAC 1-5-36; filed May 12, 1998, 10:00 a.m.: 21 IR 3821; errata filed Aug 31, 1998, 1:08 p.m.: 22 IR 127; filed Jun 30, 2000, 4:10 p.m.: 23 IR 2713) SECTION 18. 410 IAC 1-5-38 IS AMENDED TO READ AS FOLLOWS: 410 IAC 1-5-38 Treatment and transport of infectious waste Authority: IC 16-19-3-4.1; IC 16-19-3-4.2 Affected: IC 16-19-3 Sec. 38. (a) All [D> tattoo <D] operators shall ensure that infectious waste is either treated on-site in accordance with this rule or transported off-site for treatment in accordance with this rule. (b) A treatment is effective if it reduces the pathogenic qualities of infectious waste for safe handling, is designed for the specific waste involved, and is carried out in a manner consistent with this rule. Effective treatment may include: (1) incineration in an incinerator designed to accommodate infectious waste; (2) steam sterilization; (3) chemical disinfection under circumstances where safe handling of the waste is assured; (4) thermal inactivation; (5) irradiation; or (6) discharge in a sanitary sewer or septic system that is properly installed and operating in accordance with state and local laws. (c) All persons subject to this rule shall: (1) transport infectious waste in a manner that reasonably protects waste haulers and the public from contracting a dangerous communicable disease; and (2) effectively treat infectious waste in accordance with this rule before it is compacted. (d) The [D> tattoo <D] operator shall ensure that infectious waste, effectively treated or not is transported off-site in compliance with 410 IAC 1-3. (Indiana State Department of Health; 410 IAC 1-5-38; filed May 12, 1998, 10:00 a.m.: 21 IR 3821; errata filed Aug 31, 1998, 1:08 p.m.: 22 IR 127; filed Jun 30, 2000, 4:10 p.m.: 23 IR 2714) SECTION 19. THE FOLLOWING ARE REPEALED: 410 IAC 1-5-21; 410 IAC 1-5-22. LSA Document # 99-157(F) Notice of Intent Published: 22 IR 3946 Proposed Rule Published: March 1, 2000; 23 IR 1480 Hearing Held: March 24, 2000 Approved by Attorney General: June 12, 2000 Approved by Governor: June 29, 2000 Filed with Secretary of State: June 30, 2000, 4:10 p.m. Incorporated Documents Filed with Secretary of State: None ISSUE: Volume 23, Number 6 ISSUE DATE: March 1, 2000 SUBJECT: PROPOSED RULES AGENCY: INDIANA STATE DEPARTMENT OF HEALTH 23 Ind. Reg. 1480 INDIANA ADMINISTRATIVE CODE CITATION: 410 IAC 1-5 [A> UPPERCASE TEXT WITHIN THESE SYMBOLS IS ADDED <A] [D> Text within these symbols is deleted <D] ------------------------------------------------------------------------------ TITLE 410 INDIANA STATE DEPARTMENT OF HEALTH Proposed Rule LSA Document # 99-157 DIGEST Amends 410 IAC 1-5 to include requirements for the sanitary operation of body piercing facilities. Effective 30 days after filing with the secretary of state. 410 IAC 1-5-3.5 410 IAC 1-5-3.6 410 IAC 1-5-7.5 410 IAC 1-5-9.5 410 IAC 1-5-11.2 410 IAC 1-5-11.5 410 IAC 1-5-21 410 IAC 1-5-22 410 IAC 1-5-24 410 IAC 1-5-25 410 IAC 1-5-26 410 IAC 1-5-27 410 IAC 1-5-28 410 IAC 1-5-29 410 IAC 1-5-30 410 IAC 1-5-31 410 IAC 1-5-34 410 IAC 1-5-35 410 IAC 1-5-36 410 IAC 1-5-38 SECTION 1. 410 IAC 1-5-3.5 IS ADDED TO READ AS FOLLOWS: 410 IAC 1-5-3.5 "Body piercer" defined Authority: IC 16-19-3-4.1; IC 16-19-3-4.2 Affected: IC 16-19-3 [A> SEC. 3.5. "BODY PIERCER" MEANS ANY PERSON WHO PERFORMS BODY PIERCING ON AN INDIVIDUAL. <A] (Indiana State Department of Health; 410 IAC 1-5-3.5) SECTION 2. 410 IAC 1-5-3.6 IS ADDED TO READ AS FOLLOWS: 410 IAC 1-5-3.6 "Body piercing" defined Authority: IC 16-19-3-4.1; IC 16-19-3-4.2 Affected: IC 16-19-3 [A> SEC. 3.6. "BODY PIERCING" MEANS THE PERFORATION OF ANY HUMAN BODY PART OTHER THAN EAR LOBE FOR THE PURPOSE OF INSERTING JEWELRY OR OTHER DECORATION OR FOR SOME OTHER NONMEDICAL PURPOSE. <A] (Indiana State Department of Health; 410 IAC 1-5-3.6) SECTION 3. 410 IAC 1-5-7.5 IS ADDED TO READ AS FOLLOWS: 410 IAC 1-5-7.5 "Facility" defined Authority: IC 16-19-3-4.1; IC 16-19-3-4.2 Affected: IC 16-19-3 [A> SEC. 7.5. "FACILITY" MEANS A TATTOO PARLOR OR A BODY PIERCING FACILITY, OR BOTH, WHICH IS ANY ROOM OR SPACE WHERE TATTOOING OR BODY PIERCING, OR BOTH, IS PROVIDED OR WHERE THE BUSINESS OF TATTOOING OR BODY PIERCING, OR BOTH, IS CONDUCTED. <A] (Indiana State Department of Health; 410 IAC 1-5-7.5) SECTION 4. 410 IAC 1-5-9.5 IS ADDED TO READ AS FOLLOWS: 410 IAC 1-5-9.5 "High level disinfection" defined Authority: IC 16-19-3-4.1; IC 16-19-3-4.2 Affected: IC 16-19-3 [A> SEC. 9.5. "HIGH LEVEL DISINFECTION" MEANS A PROCESS THAT DESTROYS ALL MICRO-ORGANISMS, WITH THE EXCEPTION OF HIGH NUMBERS OF BACTERIAL SPORES. <A] (Indiana State Department of Health; 410 IAC 1-5-9.5) SECTION 5. 410 IAC 1-5-11.2 IS ADDED TO READ AS FOLLOWS: 410 IAC 1-5-11.2 "Intermediate level disinfection" defined Authority: IC 16-19-3-4.1; IC 16-19-3-4.2 Affected: IC 16-19-3 [A> SEC. 11.2. "INTERMEDIATE LEVEL DISINFECTION" MEANS A PROCESS THAT INACTIVATES: <A] [A> (1) MYCOBACTERIUM TUBERCULOSIS; <A] [A> (2) VEGETATIVE BACTERIA; <A] [A> (3) MOST VIRUSES; AND <A] [A> (4) MOST FUNGI; <A] [A> BUT DOES NOT NECESSARILY KILL BACTERIAL SPORES. <A] (Indiana State Department of Health; 410 IAC 1-5-11.2) SECTION 6. 410 IAC 1-5-11.5 IS ADDED TO READ AS FOLLOWS: [*1481] 410 IAC 1-5-11.5 "Operator" defined Authority: IC 16-19-3-4.1; IC 16-19-3-4.2 Affected: IC 16-19-3 [A> SEC. 11.5. "OPERATOR" MEANS ANY PERSON WHO CONTROLS, OPERATES, MANAGES, OR OWNS ANY TATTOO PARLOR OR BODY PIERCING FACILITY. <A] (Indiana State Department of Health; 410 IAC 1-5-11.5) SECTION 7. 410 IAC 1-5-24 IS AMENDED TO READ AS FOLLOWS: 410 IAC 1-5-24 Operator training responsibilities Authority: IC 16-19-3-4.1; IC 16-19-3-4.2 Affected: IC 16-19-3 Sec. 24. An individual or entity that is [D> a tattoo <D] [A> AN <A] operator shall comply with the following training responsibilities: (1) Ensure that the training described in the Indiana occupational safety and health administration's bloodborne pathogens standard (as found in 29 CFR 1910.1030) is provided to all tattoo artists [A> AND BODY PIERCERS, <A] anyone employed by the [D> tattoo parlor <D] [A> FACILITY <A] or anyone acting on behalf of the [D> tattoo parlor, <D] [A> FACILITY, <A] who has a reasonably anticipated risk for skin, eye, mucous membrane, or parenteral contact with blood or OPIM. (2) Ensure that training on the handling of infectious waste is provided to all tattoo artists [A> AND BODY PIERCERS, OR <A] anyone employed by the [D> tattoo parlor <D] [A> FACILITY <A] or anyone acting on behalf of the [D> tattoo parlor <D] [A> FACILITY <A] who has a reasonably anticipated risk for skin, eye, mucous membrane, or parenteral contact with blood or OPIM. (3) Ensure that a record of training described in subdivision (1) is maintained, as required under the Indiana occupational safety and health administration's bloodborne pathogens standard (as found in 29 CFR 1910.1030) of an individual's participation in the training that is provided. The record shall be made available to the department for inspection upon request. (4) Ensure that a record of training described in subdivision (2) is maintained. (Indiana State Department of Health; 410 IAC 1-5-24; filed May 12, 1998, 10:00 a.m.: 21 IR 3817) SECTION 8. 410 IAC 1-5-25 IS AMENDED TO READ AS FOLLOWS: 410 IAC 1-5-25 Operator responsibilities Authority: IC 16-19-3-4.1; IC 16-19-3-4.2 Affected: IC 16-19-3 Sec. 25. (a) The [D> tattoo <D] operator shall ensure that tattoo artists, [A> BODY PIERCERS, OR <A] anyone employed by the [D> tattoo parlor <D] [A> FACILITY <A] or anyone acting on behalf of the [D> tattoo parlor <D] [A> FACILITY <A] who has a reasonably anticipated risk for skin, eye, mucous membrane, or parenteral contact with blood [D> is provided <D] [A> HAVE AND USE <A] personal protective equipment and expendables needed to implement the precautions required by this rule and the Indiana occupational safety and health administration's bloodborne pathogens standard (as found in 29 CFR 1910.1030). (b) The [D> tattoo <D] operator shall require tattoo artists [A> AND BODY PIERCERS, <A] anyone employed by the [D> tattoo parlor, <D] [A> FACILITY, <A] or anyone acting on behalf of the [D> tattoo parlor <D] [A> FACILITY <A] who has a reasonably anticipated risk for skin, eye, mucous membrane, or parenteral contact with blood to provide evidence of compliance with the universal precautions education requirements contained in section 27 of this rule. (c) The [D> tattoo <D] operator shall display a description of compliance with the requirements contained in subsection (d). (d) The [D> tattoo <D] operator shall display written materials prepared or approved by the department explaining universal precautions and patrons' rights under this rule. These materials shall include information on how to report violations of universal precautions and shall include information regarding the department's duties to investigate. (Indiana State Department of Health; 410 IAC 1-5-25; filed May 12, 1998, 10:00 a.m.: 21 IR 3817; errata filed Aug 31, 1998, 1:08 p.m.: 22 IR 127) SECTION 9. 410 IAC 1-5-26 IS AMENDED TO READ AS FOLLOWS: 410 IAC 1-5-26 Operator policies Authority: IC 16-19-3-4.1; IC 16-19-3-4.2 Affected: IC 16-19-3 Sec. 26. The [D> tattoo <D] operator shall develop a written policy in compliance with this rule and the requirements of the Indiana occupational safety and health administration's bloodborne pathogen standard (as found in 29 CFR 1910.1030) that: (1) requires the use of universal precautions when performing tattooing [A> OR BODY PIERCING <A] and any activity or duty that includes any reasonably anticipated skin, eye, mucous membrane, or parenteral contact with blood or OPIM; (2) requires disinfection or sterilization of contaminated reusable items; (3) includes the safe handling of infectious waste; and (4) provides sanctions, including discipline and dismissal, if warranted, for failure to use universal precautions or handle infectious waste safely, or both. (Indiana State Department of Health; 410 IAC 1-5-26; filed May 12, 1998, 10:00 a.m.: 21 IR 3818) SECTION 10. 410 IAC 1-5-27 IS AMENDED TO READ AS FOLLOWS: 410 IAC 1-5-27 Tattoo artist and body piercer minimum training and certification requirements Authority: IC 16-19-3-4.1; IC 16-19-3-4.2 Affected: IC 16-19-3 Sec. 27. (a) All tattoo artists, [A> BODY PIERCERS, <A] anyone employed [*1482] by the [D> tattoo parlor, <D] [A> FACILITY <A], and anyone acting on behalf of the [D> tattoo parlor, <D] [A> FACILITY, <A] who has a reasonably anticipated risk for skin, eye, mucous membrane, or parenteral contact with blood or OPIM shall complete the training program that is required under the requirements of the Indiana occupational safety and health administration's bloodborne pathogen standard (as found in 29 CFR 1910.1030). The programs under this section shall be as follows: (1) A bloodborne pathogen training session provided by the [D> tattoo <D] operator meeting the requirements under the Indiana occupational safety and health administration's bloodborne pathogens standard (as found in 29 CFR 1910.1030). (2) Any bloodborne pathogen continuing education program accredited by a health care licensing entity. (b) All tattoo artists, [A> BODY PIERCERS, <A] anyone employed by the [D> tattoo parlor, <D] [A> FACILITY, <A] and anyone acting on behalf of the [D> tattoo parlor, <D] [A> FACILITY, <A] who has a reasonably anticipated risk for skin, eye, mucous membrane, or parenteral contact with blood or OPIM must be trained in the [D> tattoo parlor's <D] [A> FACILITY'S <A] policies on the handling of infectious waste. (Indiana State Department of Health; 410 IAC 1-5-27; filed May 12, 1998, 10:00 a.m.: 21 IR 3818) SECTION 11. 410 IAC 1-5-28 IS AMENDED TO READ AS FOLLOWS: 410 IAC 1-5-28 Patron records Authority: IC 16-19-3-4.1; IC 16-19-3-4.2 Affected: IC 16-19-3 Sec. 28. Records of each patron shall be maintained [A> BY THE OPERATOR <A] for two (2) years. The record shall include, [A> BUT NOT BE LIMITED TO, <A] the following: (1) Patron's name. (2) Address. (3) Age. (4) Date tattooed [A> OR BODY PIERCED. <A] (5) Design of the tattoo. (6) Location of the tattoo [A> OR BODY PIERCING <A] on the patron's body. (7) The name of the tattoo artist [A> OR BODY PIERCER <A] who performed the work. [A> (8) JEWELRY OR OTHER DECORATION USED. <A] (Indiana State Department of Health; 410 IAC 1-5-28; filed May 12, 1998, 10:00 a.m.: 21 IR 3818) SECTION 12. 410 IAC 1-5-29 IS AMENDED TO READ AS FOLLOWS: 410 IAC 1-5-29 Illness Authority: IC 16-19-3-4.1; IC 16-19-3-4.2 Affected: IC 16-19-3 Sec. 29. Tattoo artists [A> OR BODY PIERCERS <A] who are experiencing symptoms of acute disease [D> which <D] [A> THAT <A] include, but are not limited to: (1) diarrhea; (2) vomiting; (3) fever; (4) rash; (5) productive cough; (6) jaundice; or (7) draining (or open) skin infections, boils, impetigo, or scabies; shall refrain from providing tattoos [A> OR BODY PIERCING. <A] (Indiana State Department of Health; 410 IAC 1-5-29; filed May 12, 1998, 10:00 a.m.: 21 IR 3818) SECTION 13. 410 IAC 1-5-30 IS AMENDED TO READ AS FOLLOWS: 410 IAC 1-5-30 Handwashing Authority: IC 16-19-3-4.1; IC 16-19-3-4.2 Affected: IC 16-19-3 Sec. 30. (a) Handwashing facilities shall be readily accessible where tattooing [A> OR BODY PIERCING, OR BOTH, <A] is provided. (b) Hands shall be washed with soap and running water immediately before putting on gloves and after removal of gloves or other personal protective equipment. (c) Only single-use towels shall be used. (Indiana State Department of Health; 410 IAC 1-5-30; filed May 12, 1998, 10:00 a.m.: 21 IR 3818) SECTION 14. 410 IAC 1-5-31 IS AMENDED TO READ AS FOLLOWS: 410 IAC 1-5-31 Personal protective equipment Authority: IC 16-19-3-4.1; IC 16-19-3-4.2 Affected: IC 16-19-3 Sec. 31. Appropriate personal protective equipment shall be worn as follows: (1) A clean protective clothing layer shall be worn whenever there is a reasonably anticipated risk of contamination of clothing by blood or OPIM. (2) Masks in combination with eye protection devices, such as goggles or glasses with solid side shield, or chin length face shield, shall be worn whenever splashes, spray, splatter, or droplets of blood or OPIM may be generated and eye, nose, or mouth contamination can be reasonably anticipated. (3) Disposable gloves, [A> SUCH AS SURGICAL OR EXAMINATION TYPE, <A] shall be worn during the tattooing [A> OR BODY PIERCING <A] process. Gloves shall be changed and properly disposed of each time there is an interruption in the application of the tattoo [A> OR BODY PIERCING, <A] when the gloves become torn or punctured, or whenever the ability to function as a barrier is compromised. Disposable gloves shall not be reused. (4) Gloves shall be worn when decontaminating environmental surfaces and equipment. (Indiana State Department of Health; 410 IAC 1-5-31; filed May 12, 1998, 10:00 a.m.: 21 IR 3818) [*1483] SECTION 15. 410 IAC 1-5-34 IS AMENDED TO READ AS FOLLOWS: 410 IAC 1-5-34 Reusable equipment Authority: IC 16-19-3-4.1; IC 16-19-3-4.2 Affected: IC 16-19-3 Sec. 34. (a) Heating procedures capable of sterilization must be used when heat stable, nondisposable equipment is sterilized. (b) Equipment that is to be sterilized shall be put in single-use packaging. (c) Records must be maintained to document the following: (1) Duration of sterilization technique. (2) Determination of effective sterility, such as use of a biological indicator, is performed monthly. (3) Equipment is maintained as recommended by the owner's manual and proof is available that the owner's manual recommendations are reviewed monthly. (d) Reusable contaminated equipment shall not be stored or processed in a manner that requires any person to reach by hand into the containers where these sharp items have been placed. (e) Reusable contaminated equipment shall be: (1) placed in puncture-resistant containers; (2) labeled with the biohazard symbol; (3) leakproof on both sides and bottom; and (4) stored in a manner that does not require reaching by hand into the container where the equipment is stored until cleaning prior to sterilization. (f) Reusable contaminated equipment shall be effectively cleaned prior to sterilization [A> OR DISINFECTION. <A] (g) [D> Reusable tubes shall be effectively cleaned and sterilized before reuse. <D] [A> ANY REUSABLE CONTAMINATED EQUIPMENT THAT COMES INTO DIRECT CONTACT WITH AN INSTRUMENT THAT PENETRATES THE SKIN OTHER THAN A PIERCING GUN SHALL BE STERILIZED PRIOR TO USE. <A] [A> (H) ALL STERILIZED EQUIPMENT SHALL NOT BE REMOVED FROM WRAPPERS OR STERILIZER PACKAGING UNTIL IMMEDIATELY PRIOR TO USE. <A] [A> (I) ANY REUSABLE EQUIPMENT THAT COMES INTO CONTACT WITH MUCUS MEMBRANES MUST UNDERGO, AT A MINIMUM, HIGH LEVEL DISINFECTION. <A] [A> (J) PIERCING GUNS SHALL BE CLEANED AND UNDERGO, AT A MINIMUM, HIGH LEVEL DISINFECTION. <A] [A> (K) ALL REUSABLE CONTAMINATED EQUIPMENT THAT COMES INTO DIRECT CONTACT WITH AN INSTRUMENT THAT PENETRATES THE SKIN OTHER THAN A PIERCING GUN SHALL BE EFFECTIVELY CLEANED AND STERILIZED PRIOR TO USE. <A] [A> (L) ALL REUSABLE EQUIPMENT THAT HAS CONTACT WITH INTACT SKIN SHALL UNDERGO, AT A MINIMUM, INTERMEDIATE LEVEL DISINFECTION. <A] [A> (M) ALL OTHER EQUIPMENT USED DURING THE TATTOOING OR BODY PIERCING PROCEDURE SHALL BE SINGLE USE. <A] [A> (N) ALL BODY PIERCERS AND TATTOO ARTISTS SHALL COMPLY WITH ALL OTHER EQUIPMENT MANUFACTURER'S RECOMMENDATIONS. <A] (Indiana State Department of Health; 410 IAC 1-5-34; filed May 12, 1998, 10:00 a.m.: 21 IR 3819) SECTION 16. 410 IAC 1-5-35 IS AMENDED TO READ AS FOLLOWS: 410 IAC 1-5-35 Dyes or pigments or other objects placed under the skin Authority: IC 16-19-3-4.1; IC 16-19-3-4.2 Affected: IC 16-19-3 Sec. 35. (a) All dyes or pigments used in tattooing shall be from professional suppliers specifically providing dyes or pigments for the tattooing of human skin. (b) In preparing dyes or pigments to be used by tattoo artists, only nontoxic, sterile materials shall be used. Single-use or individual portions of dyes or pigments in clean, single-use containers shall be used for each patron. (c) After tattooing, the remaining unused dye or pigment in single use or individual containers shall be discarded along with the container. [A> (D) ANY OBJECT PLACED UNDER THE SKIN SHALL BE STERILE. <A] (Indiana State Department of Health; 410 IAC 1-5-35; filed May 12, 1998, 10:00 a.m.: 21 IR 3819) SECTION 17. 410 IAC 1-5-36 IS AMENDED TO READ AS FOLLOWS: 410 IAC 1-5-36 Work environment Authority: IC 16-19-3-4.1; IC 16-19-3-4.2 Affected: IC 16-19-3 Sec. 36. (a) No tattooing [A> OR BODY PIERCING <A] shall be conducted in any room used as living quarters or in any room that opens directly into living or sleeping quarters. (b) Live animals shall be excluded from areas where tattooing [A> OR BODY PIERCING <A] is being conducted. This exclusion does not apply to the following: (1) Patrol dogs accompanying security or police officers. (2) Guide dogs accompanying the following: (A) Blind persons. (B) Partially blind persons. (C) Physically disabled persons. (D) Guide dog trainers. (E) Persons with impaired hearing. [*1484] (c) Eating, drinking, smoking, or applying cosmetics shall not be allowed in work areas where there is a likelihood of exposure to blood or OPIM. (d) Food and drink shall not be kept in areas where there is a reasonably anticipated risk of exposure to blood or OPIM. (e) All equipment and environmental surfaces shall be cleaned and disinfected after contact with blood or OPIM. (f) Environmental surfaces and equipment not requiring sterilization that have been contaminated by blood shall be cleaned and disinfected. (g) All work surfaces shall be: (1) nonabsorbent; (2) easily cleanable; (3) smooth; and (4) free of: (A) breaks; (B) open seams; (C) cracks; (D) chips; (E) pits; and (F) similar imperfections. (h) Disinfectant solutions shall be: (1) a hospital grade, tuberculocidal Environmental Protection Agency (EPA) registered disinfectant; or (2) sodium hypochlorite, five-tenths percent (0.5%) concentration, by volume (common household bleach in ten percent (10%) concentration in water); the solution shall be dated and shall not be used if it is more than twenty-four (24) hours old. (Indiana State Department of Health; 410 IAC 1-5-36; filed May 12, 1998, 10:00 a.m.: 21 IR 3821; errata filed Aug 31, 1998, 1:08 p.m.: 22 IR 127) SECTION 18. 410 IAC 1-5-38 IS AMENDED TO READ AS FOLLOWS: 410 IAC 1-5-38 Treatment and transport of infectious waste Authority: IC 16-19-3-4.1; IC 16-19-3-4.2 Affected: IC 16-19-3 Sec. 38. (a) All [D> tattoo <D] operators shall ensure that infectious waste is either treated on-site in accordance with this rule or transported off-site for treatment in accordance with this rule. (b) A treatment is effective if it reduces the pathogenic qualities of infectious waste for safe handling, is designed for the specific waste involved, and is carried out in a manner consistent with this rule. Effective treatment may include: (1) incineration in an incinerator designed to accommodate infectious waste; (2) steam sterilization; (3) chemical disinfection under circumstances where safe handling of the waste is assured; (4) thermal inactivation; (5) irradiation; or (6) discharge in a sanitary sewer or septic system that is properly installed and operating in accordance with state and local laws. (c) All persons subject to this rule shall: (1) transport infectious waste in a manner that reasonably protects waste haulers and the public from contracting a dangerous communicable disease; and (2) effectively treat infectious waste in accordance with this rule before it is compacted. (d) The [D> tattoo <D] operator shall ensure that infectious waste, effectively treated or not is transported off-site in compliance with 410 IAC 1-3. (Indiana State Department of Health; 410 IAC 1-5-38; filed May 12, 1998, 10:00 a.m.: 21 IR 3821; errata filed Aug 31, 1998, 1:08 p.m.: 22 IR 127) SECTION 19. THE FOLLOWING ARE REPEALED: 410 IAC 1-5-21; 410 IAC 1-5-22. Notice of Public Hearing Under IC 4-22-2-24, notice is hereby given that on March 24, 2000 at 2:00 p.m., at the Indiana State Department of Health, Rice Auditorium, 2 North Meridian Street, Indianapolis, Indiana the Indiana State Department of Health will hold a public hearing on proposed amendments to include requirements for the sanitary operation of body piercing facilities. Copies of these rules are now on file at the Indiana State Department of Health, Public Health Services Commission, 2 North Meridian Street, Sixth Floor and Legislative Services Agency, Indiana Government Center-South, 302 West Washington Street, Room E011, PAGE 12 23 Ind. Reg. 1480, *1484 Indianapolis, Indiana and are open for public inspection. Richard D. Feldman, M.D. State Health Commissioner Indiana State Department of Health INDIANA ADMINISTRATIVE CODE; Copyright (c) 2002 State of Indiana and West Group *** THIS DOCUMENT IS CURRENT THROUGH 25 IR 8, AND INCLUDES ALL SECTIONS OFFICIALLY FILED UP TO 4:45 P.M., APRIL 10, 2002 *** TITLE 410. INDIANA STATE DEPARTMENT OF HEALTH ARTICLE 1. COMMUNICABLE DISEASE CONTROL :<ISL>IAC410--1. RULE 5. SANITARY OPERATION OF TATTOO PARLORS 410 IAC 1-5-36 410 IAC 1-5-36 Work environment Sec. 36. (a) No tattooing or body piercing shall be conducted in any room used as living quarters or in any room that opens directly into living or sleeping quarters. (b) Live animals shall be excluded from areas where tattooing or body piercing is being conducted. This exclusion does not apply to the following: (1) Patrol dogs accompanying security or police officers. (2) Guide dogs accompanying the following: (A) Blind persons. (B) Partially blind persons. (C) Physically disabled persons. (D) Guide dog trainers. (E) Persons with impaired hearing. (c) Eating, drinking, smoking, applying cosmetics, or handling contact lenses shall not be allowed in work areas where there is a likelihood of exposure to blood or OPIM. (d) Food and drink shall not be kept in areas where there is a reasonably anticipated risk of exposure to blood or OPIM. (e) All equipment and environmental surfaces shall be cleaned and disinfected after contact with blood or OPIM. (f) Environmental surfaces and equipment not requiring sterilization that have been contaminated by blood shall be cleaned and disinfected. (g) All work surfaces shall be: (1) nonabsorbent; (2) easily cleanable; (3) smooth; and (4) free of: (A) breaks; (B) open seams; (C) cracks; (D) chips; (E) pits; and (F) similar imperfections. (h) Disinfectant solutions shall be: (1) a hospital grade, tuberculocidal Environmental Protection Agency (EPA) registered disinfectant; or (2) sodium hypochlorite, five-tenths percent (0.5%) concentration, by volume (common household bleach in ten percent (10%) concentration in water); the solution shall be dated and shall not be used if it is more than twenty-four (24) hours old. AUTHORITY: Authority: IC 16-19-3-4.1; IC 16-19-3-4.2 Affected: IC 16-19-3 HISTORY: Indiana State Department of Health; 410 IAC 1-5-36; filed May 12, 1998, 10:00 a.m.: 21 Ind. Reg. 3821; errata filed Aug 31, 1998, 1:08 p.m.: 22 Ind. Reg. 127; filed Jun 30, 2000, 4:10 p.m.: 23 Ind. Reg. 2713 NOTES: TITLE NOTE: Under IC 16-1-1-6, the name of the Indiana State Board of Health is changed to Indiana State Department of Health, effective January 1, 1992. TITLE CITED IN: 675 IAC 20-2-24; 675 IAC 20-3-7; 675 IAC 24-1-1. RULE CITED IN: 410 IAC 1-5-1; 410 IAC 1-5-25; 410 IAC 1-5-26; 410 IAC 1-5-37; 410 IAC 1-5-38. INDIANA ADMINISTRATIVE CODE; Copyright (c) 2002 State of Indiana and West Group *** THIS DOCUMENT IS CURRENT THROUGH 25 IR 8, AND INCLUDES ALL SECTIONS OFFICIALLY FILED UP TO 4:45 P.M., APRIL 10, 2002 *** TITLE 410. INDIANA STATE DEPARTMENT OF HEALTH ARTICLE 1. COMMUNICABLE DISEASE CONTROL :<ISL>IAC410--1. RULE 5. SANITARY OPERATION OF TATTOO PARLORS 410 IAC 1-5-31 410 IAC 1-5-31 Personal protective equipment Sec. 31. Appropriate personal protective equipment shall be worn as follows: (1) A clean protective clothing layer shall be worn whenever there is a reasonably anticipated risk of contamination of clothing by blood or OPIM. (2) Masks in combination with eye protection devices, such as goggles or glasses with solid side shield, or chin length face shield, shall be worn whenever splashes, spray, splatter, or droplets of blood or OPIM may be generated and eye, nose, or mouth contamination can be reasonably anticipated. (3) Disposable gloves, such as surgical or examination type, shall be worn during the tattooing or body piercing process. Gloves shall be changed and properly disposed of each time there is an interruption in the application of the tattoo or body piercing, when the gloves become torn or punctured, or whenever the ability to function as a barrier is compromised. Disposable gloves shall not be reused. (4) Gloves shall be worn when decontaminating environmental surfaces and equipment. AUTHORITY: Authority: IC 16-19-3-4.1; IC 16-19-3-4.2 Affected: IC 16-19-3 HISTORY: Indiana State Department of Health; 410 IAC 1-5-31; filed May 12, 1998, 10:00 a.m.: 21 Ind. Reg. 3818; filed Jun 30, 2000, 4:10 p.m.: 23 Ind. Reg. 2712 NOTES: TITLE NOTE: Under IC 16-1-1-6, the name of the Indiana State Board of Health is changed to Indiana State Department of Health, effective January 1, 1992. TITLE CITED IN: 675 IAC 20-2-24; 675 IAC 20-3-7; 675 IAC 24-1-1. RULE CITED IN: 410 IAC 1-5-1; 410 IAC 1-5-25; 410 IAC 1-5-26; 410 IAC 1-5-37; 410 IAC 1-5-38. INDIANA ADMINISTRATIVE CODE; Copyright (c) 2002 State of Indiana and West Group *** THIS DOCUMENT IS CURRENT THROUGH 25 IR 8, AND INCLUDES ALL SECTIONS OFFICIALLY FILED UP TO 4:45 P.M., APRIL 10, 2002 *** TITLE 410. INDIANA STATE DEPARTMENT OF HEALTH ARTICLE 1. COMMUNICABLE DISEASE CONTROL :<ISL>IAC410--1. RULE 5. SANITARY OPERATION OF TATTOO PARLORS 410 IAC 1-5-34 410 IAC 1-5-34 Reusable equipment Sec. 34. (a) Heating procedures capable of sterilization must be used when heat stable, nondisposable equipment is sterilized. (b) Equipment that is to be sterilized shall be put in single-use packaging. (c) Records must be maintained to document the following: (1) Duration of sterilization technique. (2) Determination of effective sterility, such as use of a biological indicator, is performed monthly. (3) Equipment is maintained as recommended by the owner's manual, and proof is available that the owner's manual recommendations are reviewed monthly. (d) Reusable contaminated equipment shall not be stored or processed in a manner that requires any person to reach by hand into the containers where these sharp items have been placed. (e) Reusable contaminated equipment shall be: (1) placed in puncture-resistant containers; (2) labeled with the biohazard symbol; (3) leakproof on both sides and bottom; and (4) stored in a manner that does not require reaching by hand into the container where the equipment is stored until cleaning prior to sterilization. (f) Reusable contaminated equipment shall be effectively cleaned prior to sterilization or disinfection. (g) Any reusable contaminated equipment that comes into direct contact, or is likely to come into direct contact, with an instrument that penetrates the skin other than a piercing gun shall be effectively cleaned and sterilized prior to use. (h) All sterilized equipment shall not be removed from wrappers or sterilizer packaging until immediately prior to use. (i) Any reusable equipment that comes into contact with mucus [sic.,mucous] membranes shall be effectively cleaned and sterilized prior to use. (j) Piercing guns shall be cleaned and undergo, at a minimum, high level disinfection after each use and whenever visibly contaminated. (k) All reusable equipment that has contact with intact skin shall undergo, at a minimum, intermediate level disinfection. (l) All other equipment used during the tattooing or body piercing procedure shall be single use, including corks. (m) All body piercers and tattoo artists shallcomply with all other equipment manufacturer's recommendations. AUTHORITY: Authority: IC 16-19-3-4.1; IC 16-19-3-4.2 Affected: IC 16-19-3 HISTORY: Indiana State Department of Health; 410 IAC 1-5-34; filed May 12, 1998, 10:00 a.m.: 21 Ind. Reg. 3819; filed Jun 30, 2000, 4:10 p.m.: 23 Ind. Reg. 2713 NOTES: TITLE NOTE: Under IC 16-1-1-6, the name of the Indiana State Board of Health is changed to Indiana State Department of Health, effective January 1, 1992. TITLE CITED IN: 675 IAC 20-2-24; 675 IAC 20-3-7; 675 IAC 24-1-1. RULE CITED IN: 410 IAC 1-5-1; 410 IAC 1-5-25; 410 IAC 1-5-26; 410 IAC 1-5-37; 410 IAC 1-5-38. INDIANA ADMINISTRATIVE CODE; Copyright (c) 2002 State of Indiana and West Group *** THIS DOCUMENT IS CURRENT THROUGH 25 IR 8, AND INCLUDES ALL SECTIONS OFFICIALLY FILED UP TO 4:45 P.M., APRIL 10, 2002 *** TITLE 410. INDIANA STATE DEPARTMENT OF HEALTH ARTICLE 1. COMMUNICABLE DISEASE CONTROL :<ISL>IAC410--1. RULE 5. SANITARY OPERATION OF TATTOO PARLORS 410 IAC 1-5-30 410 IAC 1-5-30 Handwashing Sec. 30. (a) Handwashing facilities shall be readily accessible where tattooing or body piercing, or both, is provided. (b) Hands shall be washed with soap and running water immediately before putting on gloves and after removal of gloves or other personal protective equipment. (c) Only single-use towels shall be used. AUTHORITY: Authority: IC 16-19-3-4.1; IC 16-19-3-4.2 Affected: IC 16-19-3 HISTORY: Indiana State Department of Health; 410 IAC 1-5-30; filed May 12, 1998, 10:00 a.m.: 21 Ind. Reg. 3818; filed Jun 30, 2000, 4:10 p.m.: 23 Ind. Reg. 2712 NOTES: TITLE NOTE: Under IC 16-1-1-6, the name of the Indiana State Board of Health is changed to Indiana State Department of Health, effective January 1, 1992. TITLE CITED IN: 675 IAC 20-2-24; 675 IAC 20-3-7; 675 IAC 24-1-1. RULE CITED IN: 410 IAC 1-5-1; 410 IAC 1-5-25; 410 IAC 1-5-26; 410 IAC 1-5-37; 410 IAC 1-5-38. INDIANA ADMINISTRATIVE CODE; Copyright (c) 2002 State of Indiana and West Group *** THIS DOCUMENT IS CURRENT THROUGH 25 IR 8, AND INCLUDES ALL SECTIONS OFFICIALLY FILED UP TO 4:45 P.M., APRIL 10, 2002 *** TITLE 410. INDIANA STATE DEPARTMENT OF HEALTH ARTICLE 1. COMMUNICABLE DISEASE CONTROL :<ISL>IAC410--1. RULE 5. SANITARY OPERATION OF TATTOO PARLORS 410 IAC 1-5-26 410 IAC 1-5-26 Operator policies Sec. 26. The operator shall develop a written policy in compliance with this rule and the requirements of the Indiana occupational safety and health administration's bloodborne pathogen standard (as found in 29 CFR 1910.1030) that: (1) requires the use of universal precautions when performing tattooing or body piercing and any activity or duty that includes any reasonably anticipated skin, eye, mucous membrane, or parenteral contact with blood or OPIM; (2) requires disinfection or sterilization of contaminated reusable items; (3) includes the safe handling of infectious waste; and (4) provides sanctions, including discipline and dismissal, if warranted, for failure to use universal precautions or handle infectious waste safely, or both. AUTHORITY: Authority: IC 16-19-3-4.1; IC 16-19-3-4.2 Affected: IC 16-19-3 HISTORY: Indiana State Department of Health; 410 IAC 1-5-26; filed May 12, 1998, 10:00 a.m.: 21 Ind. Reg. 3818; filed Jun 30, 2000, 4:10 p.m.: 23 Ind. Reg. 2711 NOTES: TITLE NOTE: Under IC 16-1-1-6, the name of the Indiana State Board of Health is changed to Indiana State Department of Health, effective January 1, 1992. TITLE CITED IN: 675 IAC 20-2-24; 675 IAC 20-3-7; 675 IAC 24-1-1. RULE CITED IN: 410 IAC 1-5-1; 410 IAC 1-5-25; 410 IAC 1-5-26; 410 IAC 1-5-37; 410 IAC 1-5-38. INDIANA ADMINISTRATIVE CODE; Copyright (c) 2002 State of Indiana and West Group *** THIS DOCUMENT IS CURRENT THROUGH 25 IR 8, AND INCLUDES ALL SECTIONS OFFICIALLY FILED UP TO 4:45 P.M., APRIL 10, 2002 *** TITLE 410. INDIANA STATE DEPARTMENT OF HEALTH ARTICLE 1. COMMUNICABLE DISEASE CONTROL :<ISL>IAC410--1. RULE 5. SANITARY OPERATION OF TATTOO PARLORS 410 IAC 1-5-35 410 IAC 1-5-35 Dyes or pigments or other objects placed under the skin Sec. 35. (a) All dyes or pigments used in tattooing shall be from professional suppliers specifically providing dyes or pigments for the tattooing of human skin. (b) In preparing dyes or pigments to be used by tattoo artists, only nontoxic, sterile materials shall be used. Single-use or individual portions of dyes or pigments in clean, single-use containers shall be used for each patron. (c) After tattooing, the remaining unused dye or pigment in single-use or individual containers shall be discarded along with the container. (d) Any object placed under the skin shall be sterile. AUTHORITY: Authority: IC 16-19-3-4.1; IC 16-19-3-4.2 Affected: IC 16-19-3 HISTORY: Indiana State Department of Health; 410 IAC 1-5-35; filed May 12, 1998, 10:00 a.m.: 21 Ind. Reg. 3819; filed Jun 30, 2000, 4:10 p.m.: 23 Ind. Reg. 2713 NOTES: TITLE NOTE: Under IC 16-1-1-6, the name of the Indiana State Board of Health is changed to Indiana State Department of Health, effective January 1, 1992. TITLE CITED IN: 675 IAC 20-2-24; 675 IAC 20-3-7; 675 IAC 24-1-1. RULE CITED IN: 410 IAC 1-5-1; 410 IAC 1-5-25; 410 IAC 1-5-26; 410 IAC 1-5-37; 410 IAC 1-5-38. 410 IAC 1-5-35 Dyes or pigments or other objects placed under the skin Sec. 35. (a) All dyes or pigments used in tattooing shall be from professional suppliers specifically providing dyes or pigments for the tattooing of human skin. (b) In preparing dyes or pigments to be used by tattoo artists, only nontoxic, sterile materials shall be used. Single-use or individual portions of dyes or pigments in clean, single-use containers shall be used for each patron. (c) After tattooing, the remaining unused dye or pigment in single-use or individual containers shall be discarded along with the container. (d) Any object placed under the skin shall be sterile. AUTHORITY: Authority: IC 16-19-3-4.1; IC 16-19-3-4.2 Affected: IC 16-19-3 HISTORY: Indiana State Department of Health; 410 IAC 1-5-35; filed May 12, 1998, 10:00 a.m.: 21 Ind. Reg. 3819; filed Jun 30, 2000, 4:10 p.m.: 23 Ind. Reg. 2713 NOTES: TITLE NOTE: Under IC 16-1-1-6, the name of the Indiana State Board of Health is changed to Indiana State Department of Health, effective January 1, 1992. TITLE CITED IN: 675 IAC 20-2-24; 675 IAC 20-3-7; 675 IAC 24-1-1. RULE CITED IN: 410 IAC 1-5-1; 410 IAC 1-5-25; 410 IAC 1-5-26; 410 IAC 1-5-37; 410 IAC 1-5-38. - DIGEST Amends 410 IAC 1-5 to include requirements for the sanitary operation of body piercing facilities. Effective 30 days after filing with the secretary of state. 410 IAC 1-5-3.5 410 IAC 1-5-3.6 410 IAC 1-5-7.5 410 IAC 1-5-9.5 410 IAC 1-5-11.2 410 IAC 1-5-11.5 410 IAC 1-5-21 410 IAC 1-5-22 410 IAC 1-5-24 410 IAC 1-5-25 410 IAC 1-5-26 410 IAC 1-5-27 410 IAC 1-5-28 410 IAC 1-5-29 410 IAC 1-5-30 410 IAC 1-5-31 410 IAC 1-5-34 410 IAC 1-5-35 410 IAC 1-5-36 410 IAC 1-5-38 SECTION 1. 410 IAC 1-5-3.5 IS ADDED TO READ AS FOLLOWS: 410 IAC 1-5-3.5 "Body piercer" defined Authority: IC 16-19-3-4.1; IC 16-19-3-4.2 Affected: IC 16-19-3 [A> SEC. 3.5. "BODY PIERCER" MEANS ANY PERSON WHO PERFORMS BODY PIERCING ON AN INDIVIDUAL. <A] (Indiana State Department of Health; 410 IAC 1-5-3.5) SECTION 2. 410 IAC 1-5-3.6 IS ADDED TO READ AS FOLLOWS: 410 IAC 1-5-3.6 "Body piercing" defined Authority: IC 16-19-3-4.1; IC 16-19-3-4.2 Affected: IC 16-19-3 [A> SEC. 3.6. "BODY PIERCING" MEANS THE PERFORATION OF ANY HUMAN BODY PART OTHER THAN EAR LOBE FOR THE PURPOSE OF INSERTING JEWELRY OR OTHER DECORATION OR FOR SOME OTHER NONMEDICAL PURPOSE. <A] (Indiana State Department of Health; 410 IAC 1-5-3.6) SECTION 3. 410 IAC 1-5-7.5 IS ADDED TO READ AS FOLLOWS: 410 IAC 1-5-7.5 "Facility" defined Authority: IC 16-19-3-4.1; IC 16-19-3-4.2 Affected: IC 16-19-3 [A> SEC. 7.5. "FACILITY" MEANS A TATTOO PARLOR OR A BODY PIERCING FACILITY, OR BOTH, WHICH IS ANY ROOM OR SPACE WHERE TATTOOING OR BODY PIERCING, OR BOTH, IS PROVIDED OR WHERE THE BUSINESS OF TATTOOING OR BODY PIERCING, OR BOTH, IS CONDUCTED. <A] (Indiana State Department of Health; 410 IAC 1-5-7.5) SECTION 4. 410 IAC 1-5-9.5 IS ADDED TO READ AS FOLLOWS: 410 IAC 1-5-9.5 "High level disinfection" defined Authority: IC 16-19-3-4.1; IC 16-19-3-4.2 Affected: IC 16-19-3 [A> SEC. 9.5. "HIGH LEVEL DISINFECTION" MEANS A PROCESS THAT DESTROYS ALL MICRO-ORGANISMS, WITH THE EXCEPTION OF HIGH NUMBERS OF BACTERIAL SPORES. <A] (Indiana State Department of Health; 410 IAC 1-5-9.5) SECTION 5. 410 IAC 1-5-11.2 IS ADDED TO READ AS FOLLOWS: 410 IAC 1-5-11.2 "Intermediate level disinfection" defined Authority: IC 16-19-3-4.1; IC 16-19-3-4.2 Affected: IC 16-19-3 [A> SEC. 11.2. "INTERMEDIATE LEVEL DISINFECTION" MEANS A PROCESS THAT INACTIVATES: <A] [A> (1) MYCOBACTERIUM TUBERCULOSIS; <A] [A> (2) VEGETATIVE BACTERIA; <A] [A> (3) MOST VIRUSES; AND <A] [A> (4) MOST FUNGI; <A] [A> BUT DOES NOT NECESSARILY KILL BACTERIAL SPORES. <A] (Indiana State Department of Health; 410 IAC 1-5-11.2) SECTION 6. 410 IAC 1-5-11.5 IS ADDED TO READ AS FOLLOWS: [*1481] 410 IAC 1-5-11.5 "Operator" defined Authority: IC 16-19-3-4.1; IC 16-19-3-4.2 Affected: IC 16-19-3 [A> SEC. 11.5. "OPERATOR" MEANS ANY PERSON WHO CONTROLS, OPERATES, MANAGES, OR OWNS ANY TATTOO PARLOR OR BODY PIERCING FACILITY. <A] (Indiana State Department of Health; 410 IAC 1-5-11.5) SECTION 7. 410 IAC 1-5-24 IS AMENDED TO READ AS FOLLOWS: 410 IAC 1-5-24 Operator training responsibilities Authority: IC 16-19-3-4.1; IC 16-19-3-4.2 Affected: IC 16-19-3 Sec. 24. An individual or entity that is [D> a tattoo <D] [A> AN <A] operator shall comply with the following training responsibilities: (1) Ensure that the training described in the Indiana occupational safety and health administration's bloodborne pathogens standard (as found in 29 CFR 1910.1030) is provided to all tattoo artists [A> AND BODY PIERCERS, <A] anyone employed by the [D> tattoo parlor <D] [A> FACILITY <A] or anyone acting on behalf of the [D> tattoo parlor, <D] [A> FACILITY, <A] who has a reasonably anticipated risk for skin, eye, mucous membrane, or parenteral contact with blood or OPIM. (2) Ensure that training on the handling of infectious waste is provided to all tattoo artists [A> AND BODY PIERCERS, OR <A] anyone employed by the [D> tattoo parlor <D] [A> FACILITY <A] or anyone acting on behalf of the [D> tattoo parlor <D] [A> FACILITY <A] who has a reasonably anticipated risk for skin, eye, mucous membrane, or parenteral contact with blood or OPIM. (3) Ensure that a record of training described in subdivision (1) is maintained, as required under the Indiana occupational safety and health administration's bloodborne pathogens standard (as found in 29 CFR 1910.1030) of an individual's participation in the training that is provided. The record shall be made available to the department for inspection upon request. (4) Ensure that a record of training described in subdivision (2) is maintained. (Indiana State Department of Health; 410 IAC 1-5-24; filed May 12, 1998, 10:00 a.m.: 21 IR 3817) SECTION 8. 410 IAC 1-5-25 IS AMENDED TO READ AS FOLLOWS: 410 IAC 1-5-25 Operator responsibilities Authority: IC 16-19-3-4.1; IC 16-19-3-4.2 Affected: IC 16-19-3 Sec. 25. (a) The [D> tattoo <D] operator shall ensure that tattoo artists, [A> BODY PIERCERS, OR <A] anyone employed by the [D> tattoo parlor <D] [A> FACILITY <A] or anyone acting on behalf of the [D> tattoo parlor <D] [A> FACILITY <A] who has a reasonably anticipated risk for skin, eye, mucous membrane, or parenteral contact with blood [D> is provided <D] [A> HAVE AND USE <A] personal protective equipment and expendables needed to implement the precautions required by this rule and the Indiana occupational safety and health administration's bloodborne pathogens standard (as found in 29 CFR 1910.1030). (b) The [D> tattoo <D] operator shall require tattoo artists [A> AND BODY PIERCERS, <A] anyone employed by the [D> tattoo parlor, <D] [A> FACILITY, <A] or anyone acting on behalf of the [D> tattoo parlor <D] [A> FACILITY <A] who has a reasonably anticipated risk for skin, eye, mucous membrane, or parenteral contact with blood to provide evidence of compliance with the universal precautions education requirements contained in section 27 of this rule. (c) The [D> tattoo <D] operator shall display a description of compliance with the requirements contained in subsection (d). (d) The [D> tattoo <D] operator shall display written materials prepared or approved by the department explaining universal precautions and patrons' rights under this rule. These materials shall include information on how to report violations of universal precautions and shall include information regarding the department's duties to investigate. (Indiana State Department of Health; 410 IAC 1 |