11-17

us-hi-regs-official-e1bd25de5a7bff9ff45214f6883b33269bbfc8424c30c7da098a5351597956bb11-17Regulation

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TITLE 	11
DEPARTMENT OF 	HEALTH
CHAPTER 17
TATTOO ARTISTS
Scope 	of 	rules
Definitions
Permit 	for 	tattoo 	shop; 	fee
§11-17-2
License 	for 	tattoo 	artist; 	fee
Revocation 	or 	suspension 	of 	license 	or
permit
Sanitation 	requirements 	for 	a 	tattoo 	shop
Restrictions
Equipment
Dyes
Aseptic 	technique
Minimum operating 	standards
Records
Penalty
Severability
Historical 	Note: 	Chapter 	17 	of 	Title 	11, 	Adminis-
trative 	Rules, 	is 	based substantially on Public 	Health
Regulations 	Chapter 	26, 	Tattoo 	Artist, 	Department 	of
Health, 	State 	of 	Hawaii. 	[Eff. 	9/23/49, 	am 	1/31/58, 	am
6/29/64; 	R 	SEP 1 8 1981 	]
§11-17-1 	Scope 	of 	rules. 	This 	chapter 	sets 	forth
minimum requirements 	for 	the 	safety 	and 	protection 	of
public 	health. 	When 	standards, 	ordinances, 	or 	rules
are 	established by 	other 	divisions 	or 	subdivision 	of
government, 	the 	more 	stringent 	state 	or 	county 	rules
shall 	apply. 	[Eff. 	S 	P 1 8 198 	] 	(Auth: 	HRS
§§321-10, 	321-13) 	(Imp: 	HRS 	§321-13)
§11-17-2 	Definitions. 	As 	used 	in 	these 	rules:
"Adequate," 	"approved," 	and 	"proper," 	mean 	the
procedure 	is 	acceptable 	to 	the 	director 	based 	on 	the
determination 	as 	to 	its 	conformity with 	aseptic tech-
niques.
"Aseptic 	technique" 	means 	the 	practice 	which
prevent 	and 	hinder 	the 	transmission 	of 	disease 	producing
micro-organisms 	from 	one 	person 	or 	place 	to 	another
person 	or 	place.
"Department" 	means 	the 	department 	of 	health 	of 	the
State of 	Hawaii.
"Director" 	means 	the 	director 	of 	the 	department 	of
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§11-17-2
health 	or 	a 	duly 	authorized 	agent 	or 	representative.
"License" 	means 	a 	license 	issued 	to 	a 	tattoo
artist 	under 	this 	chapter.
"Permit" 	means 	a 	permit 	issued 	to 	a 	tattoo 	shop
under 	this 	chapter.
"Single-service" 	means 	articles 	intended 	for 	one-
time, 	one 	person 	use 	and 	then 	discarded.
"Tattoo 	artist" 	means 	one who 	engages 	in 	tattooing.
"Tattoo 	shop" 	means 	any 	premises 	where 	a 	tattoo
artist 	does 	tattooing 	for 	a 	fee 	or 	for 	other 	considera-
tion.
"Tattooing" 	means 	to 	mark 	or 	to 	color 	the 	skin 	by
pricking 	and 	introducing 	subcutaneously, 	non-toxic
dyes, 	pigments, 	or 	by 	the 	production __ Qf 	sqars 	to 	form
indelible 	marks 	and 	figures. 	[Eff. 	SEP 18-1981--]
(Auth: 	HRS 	§§321-10, 	321-13) 	(Imp: 	HRS 	§321-13)
§11-17-3 	Permit 	for 	tattoo 	shop; 	fee. 	(a) 	No
person, 	partnership, 	firm, 	or 	corporation 	shall 	operate
a 	tattoo 	shop 	unless 	such persbn, 	partnership, 	firm, 	or
corporation 	has 	registered 	such 	shop with 	the 	department
and 	has 	been 	issued 	a 	permit. 	No 	permit 	shall 	be
issued 	or 	renewed 	unless -the 	shop 	has 	been 	inspected 	by
the 	director 	and 	found 	to 	be 	in 	compliance with 	the
requirements 	of 	this 	chapter.
(b) 	The 	permit 	shall 	be 	non-transferable. 	A
valid 	permit 	shall 	be 	posted 	in a 	conspicuous 	place 	in
every 	tattoo 	shop.
(c) 	Each 	application 	under 	this 	section 	shall 	be
accompanied 	by 	a 	fee 	of 	$75 	for 	a 	permit. 	For 	renewal
of 	a 	permit, 	each 	applicant 	shall 	pay a 	fee 	of 	$7.50.
(d) 	In 	the 	event 	of withdrawal 	of 	an 	application
or 	failure 	to 	qualify 	for 	a 	permit, 	the 	fee 	shall 	not
be 	refunded 	to 	the 	applicant.
(e) 	All 	permits 	shall 	expire 	on 	January 	31 	of
each year. 	Application 	for 	the 	renewal 	of 	a 	permit
shall 	be 	submitted 	to 	the 	departITlent 	in wrii:ir1g 	before
January 	31 	of 	each year. 	[Eff. 	SEP 1 8 1981 	.J 	(Auth:
HRS 	§§321-10, 	321-11, 	321-13) 	(Imp: 	HRS 	§§321-11,
321-:--13)
§11-17-4 	License 	for 	tattoo 	artist; 	fee. 	(a) 	No
person 	shall 	practice 	the 	art 	of 	tattoo 	unless 	the
person 	holds 	a 	valid 	tattoo 	license 	issued by 	the
department. 	A physician 	licensed 	to 	practice 	medicine
in 	the 	State 	is 	exempt 	from 	this 	chapter.
(b) 	Any 	person 	desiring 	to 	engage 	in 	tattooing
shall 	apply 	in writing 	to 	the 	director 	on 	the 	form
provided 	by 	the 	department 	for 	this 	purpose. 	Any
applicant who 	has 	not 	previously 	been 	issued 	a 	license
----------'-'¥-the-directo-r-sha-l-l-be-:i:;:e-<Jt1-i-:i:;:ed--=Ge-pa-ss----a-w-r~i~1=1=en---------tc~r-_
examination -before 	a 	license may be 	issued. 	The 	appli-
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cant 	shall 	be 	required 	to 	show by 	examination 	a 	know-
ledge 	of 	the 	provisions 	of 	this 	chapter 	including
knowledge 	of 	bacteriology 	and 	aseptic 	techniques 	to
assure 	that 	infection 	and 	contagious 	disease 	shall 	not
be 	transmitted 	by 	tattoo 	practices.
(c) 	No 	license 	shall 	be 	issued 	or 	renewed 	unless
the 	applicant 	has 	undergone 	a 	physical 	examination
using 	report 	forms 	provided by 	the 	department. 	The
examination 	shall 	include 	a 	chest 	x-ray 	or 	tuberculin
skin 	test, 	and 	a 	blood 	test 	for 	syphilis. 	The 	physical
examination 	record 	shall 	be 	kept 	on 	file 	in 	the 	tattoo
shop 	by 	the 	permit 	holder.
(d) 	Each 	applicant 	shall 	pay 	an 	examination 	fee
of 	$75 	for .the 	initial 	license. 	For 	renewals 	of 	this
license, 	the 	applicant 	shall 	pay 	a 	fee 	of 	$7.50.
(e) 	In 	the 	event 	the 	applicant 	fails 	to 	qualify
for 	a 	license 	or 	for 	renewal, 	that 	fee 	shall 	not 	be
refunded 	to 	the 	applicant.
(f) 	All 	licenses 	shall 	expire 	on 	January 	31 	of
each 	year. 	All 	applications 	for 	renewal 	of 	a 	license
shall 	be 	submitted 	on 	the 	form 	provided 	by 	the 	depart-
ment 	in writing 	before 	January 	31 	of 	each year.
Delinquency 	shall 	be 	as 	provided 	for 	in 	§321-15, 	HRS.
[Eff. 	SEP 1 8 1981 	] 	(Auth: 	HRS 	§§321-10, 	321-13)
(Imp: 	HRS 	§§321-14, 	321-15)
§11-17-5 	Revocation 	or 	suspension 	of 	license 	or
permit. 	(a) 	After 	due 	notice 	and 	hearing 	the 	director
may 	suspend 	or 	revoke 	any 	license 	or 	permit 	issued
under 	this 	chapter 	for 	violation 	of 	the 	provisions 	of
this 	chapter.
(b) 	All 	revocation 	and 	suspension 	action 	shall
not 	become 	effective 	nor 	final 	until 	an 	opportunity 	for
a 	hearing 	has 	been 	offered 	the 	license 	or 	permit 	holder.
All 	hearings 	shall 	comply with 	chapter 	91, 	HRS 	and 	the
department of 	health 	rules 	of 	practice 	and 	procedures.
[Eff. 	SEP 1 8 1981 	] 	(Auth: 	HRS 	§§321-10, 	321-13)
(Imp: 	HRS 	§321-13)
§11-17-6 	Sanitation 	requirements 	for 	a 	tattoo
shop. 	A tattoo 	shop 	shall 	comply with 	the 	following
requirements 	in 	order 	to 	qualify 	for 	an 	operating
permit:
(1)
(2)
(3)
The 	owner 	or 	operator 	of 	a 	tattoo 	shop 	shall
locate 	and 	construct 	the 	shop 	in 	areas 	least
subjected 	to 	dust 	contamination.
The 	shop 	shall 	be maintained 	in 	a 	sanitary
condition 	by 	the 	owner 	or 	operator.
The 	walls 	and 	ceilings 	shall 	be 	easily 	clean-
able, 	smooth, 	and 	light 	colored. 	All 	walls
and 	ceilings 	shall 	be 	kept 	clean 	and 	in 	good
repairs.
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§11-17-6
(4) 	All 	floors 	shall 	be 	of 	smooth 	non-absorbent
materials 	and 	constructed 	so 	as 	to 	be 	easily
cleanable. 	All 	floors 	shall 	be 	kept 	clean
and 	in 	good 	repair.
(5) 	Adequate 	light 	and 	ventilation 	shall 	be
provided.
(6) 	Each 	tattoo 	shop 	shall 	be 	provided with 	a
sink 	for 	the 	exclusive 	use 	of 	the 	tattoo
artist 	for 	hand washing 	and 	preparing 	the
customers 	for 	tattooing. 	The 	sink 	shall 	be
provided with 	adequate 	hot 	and 	cold 	running
water 	under 	pressure with mixing 	valve 	or
combination 	faucet. 	There 	shall 	also 	be
available 	at 	the 	sink 	approved 	soap, 	clean
single 	use 	towels, 	and 	refuse 	containers.
(7) 	Water 	closet 	and 	hand 	basin 	shall 	be 	available
on 	the 	premises 	for 	use 	by 	customers 	and
tattoo 	artists. 	The 	plumbing 	fixtures 	and
toilet 	room 	shall 	be maintained 	in 	a 	sanitary
condition 	and 	in 	good 	repair.
(8) 	Each 	tattoo 	artist 	shall 	be 	provided with 	an
adequate 	work 	table 	and 	storage 	cabinets.
The 	surface 	of 	all 	work 	tables 	shall 	be
constructed 	of metal 	or 	other material 	which
is 	smooth, 	light 	colored, 	non-absorbent,
corrosive-resistant, 	and 	easily 	cleaned.
(9) 	The work 	tables 	shall 	be 	located 	at 	least 	ten
feet 	from 	observers 	and waiting 	customers 	or
shall 	be 	separated with 	a 	panel 	or 	other
barrier which 	shall 	be 	at 	least 	six 	feet
high. 	The 	panel may 	be 	constructed with
glass, 	solid 	plastic, 	or 	similar material.
(10) 	Approved 	closed 	cabinets 	for 	the 	exclusive
storage 	of 	instruments, 	dyes, 	pigments,
carbon, 	stencils, 	and 	other 	paraphernalia
used 	in 	the 	shop 	shall 	be 	provided 	for 	each
tattoo 	artist.
(11) 	The 	tattoo 	shop 	shall 	have 	covered 	receptacles
for 	the 	disposal 	of waste 	materials.
(12) 	Each 	tattoo 	artist 	shall 	have 	a 	hand 	brush
and 	fingernail 	file 	which 	shall 	be 	cleaned
and 	disinfected 	after 	each 	use.
(13) 	"No 	smoking" 	signs 	shall 	be 	posted 	in 	the
tattooing 	area.
(14) 	Only 	tattooing 	shall 	be 	permitted 	in 	a 	tattoo
shop. 	[Eff. 	SEP 1 8 1981 	] 	(Auth: 	HRS
§§321-10, 	321-13) 	(Imp: 	HRS 	§321-13)
§11-17-7 	Restrictions. 	(a) 	It 	shall 	be 	unlawful
to 	tattoo 	any 	person who 	is 	under 	the 	influence 	of
intoxicating 	substances. 	These 	substances 	include 	but
shall 	not 	be 	limited 	to 	alcohol_,~dr_ugJ~L,~-P.aints-,--and-----------"~
g 	ues.
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§11-17-10
(b) 	It 	shall 	be 	unlawful 	to 	tattoo 	any 	person
under 	the 	age 	of 	eighteen years 	without 	the 	written
consent 	of 	the 	parents 	or 	legal 	guardian. 	All 	written
consent 	shall 	be 	kept 	on 	file 	in 	the 	tattoo 	shop.
(c) 	No 	person with 	any 	disease 	in 	a 	communicable
form or 	suspected 	of 	having 	such 	disease 	shall 	engage
in 	tattooing. 	Such 	diseases may 	include 	but 	shall 	not
be 	limited 	to 	the 	common 	cold, 	influenza, 	tuberculosis,
scabies, 	impetigo, 	syphilis, 	chickenpox, 	measles
(rubeola), 	German measles 	(rubella), 	mumps, 	whooping
cough, 	hepatitis, 	infection on 	hands 	or 	arms, 	sore
throat 	or 	jaundice. 	The 	director may 	require 	a 	certifi-
cate 	signed by 	a 	duly 	licensed 	physician 	stating 	that
the 	tattoo 	artist 	is 	free 	from 	communicable 	disease
before 	returning 	to 	work. 	[Eff. 	SEP 1 8 1981 	]
(Auth: 	HRS 	§§321-10, 	321-13) 	(Imp: 	HRS 	§321-13)
§11-17-8 	Equipment. 	Not 	less 	than 	twenty-four
sets 	of 	sterilized 	needles 	and 	tubes 	or 	tips 	shall 	be
on 	hand 	for 	the 	entire 	day 	or 	night 	operation. 	Sterili-
zation 	shall 	be 	done 	by one 	of 	the 	following 	methods:
(1) 	By holding 	in 	an 	autoclave 	for 	fifteen 	minutes
at 	fifteen 	pounds 	pressure.
(2) 	By 	immersion 	in 	an 	approved 	germicidal
solution 	for 	an 	approved 	period 	of 	time. 	No
rusty, 	dull, 	or 	faulty 	needles 	shall 	be 	used
for 	tattooing.
(3) 	Any 	other method 	approved 	by 	the 	director.
[Eff. 	SEP 1 8 1981 	] 	(Auth: 	HRS 	§§321-10,
3 21-13 ) 	( Imp : 	HRS 	§ 3 21-13 )
§11-17-9 	Dyes. 	All 	dyes 	or 	pigments 	used 	in
tattooing 	shall 	be 	from 	batches 	certified 	under 	the
provisions 	of 	chapter 	32 8, 	HRS. 	[Eff. 	SEP 	1 8 19 	]
(Auth: 	HRS 	§§321-10, 	321-13) 	(Imp: 	HRS 	§321-13)
§11-17-10 	Aseptic 	technique. 	(a) 	Before 	working
on 	a 	customer 	the 	tattoo 	artists 	shall 	cleanse 	their
hands 	in 	the 	following 	manner:
(1) 	Thoroughly 	scrub hands 	and 	fingernails 	with
soap 	and 	a 	hand 	brush;
(2) 	Rinse 	hands 	under warm 	running 	water;
(3) 	Rinse 	hands 	in 	an 	approved 	antiseptic 	solution
such 	as 	seventy per 	cent 	alcohol; 	and
(4) 	Hands 	may 	be 	dried with 	clean 	single 	use
(b)
shall 	be
(1)
towels 	or 	other 	approved 	hand 	drying 	device;
The 	area 	of 	the 	customer's 	skin 	to 	be 	tattooed
prepared 	by:
Washing with warm water 	and 	approved 	soap. 	A
sterile 	handbrush 	shall 	be 	used 	to 	produce 	a
clean 	skin 	area;
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§11-17-10
(2) 	Shaving 	shall 	be 	done 	with 	a 	sterile 	razor
blade; 	and
(3) 	The 	shaved 	area 	shall 	be 	thoroughly 	cleansed
with warm water 	and 	approved 	soap.
(c) 	Before 	placing 	the 	design 	on 	the 	customer's
skin, 	the 	tattoo 	artist 	shall 	treat 	the 	skin 	area 	with
seventy 	per 	cent 	alcohol 	or 	other 	approved 	germicidal
solution which 	shall 	be 	applied with 	sterile 	cotton 	or
sterile 	gauze.
(d) 	Only 	petroleum 	jelly 	shall 	be 	applied 	to 	the
area 	to 	be 	tattooed 	and 	it 	shall 	be 	in 	collapsible
metal 	or 	plastic 	tubes. 	The 	application may 	be 	spread
by 	the 	use 	of 	sterile 	gauze 	but 	not 	directly with 	the
fingers.
(e)
the 	skin
approved
gauze.
The 	stencil 	for 	transferring 	the 	design 	to
shall 	be 	thoroughly 	cleansed 	and 	rinsed 	in 	an
germicidal 	solution 	and 	dried with 	sterile
(f) 	Single-service 	or 	individual 	portion 	of 	dyes
or 	pigments 	in 	sterilized 	containers 	or 	single-service
containers 	shall 	be 	used 	for 	each 	customer. 	After
tattooing, 	the 	remaining 	unused 	dye 	or 	pigments 	in 	the
single-service 	or 	individual 	containers 	shall 	be 	dis-
carded.
(g) 	As 	the 	tattoo 	operation progresses, 	any
excess 	dye 	or 	pigment 	applied 	to 	the 	skin 	shall 	be
removed with 	sterile material.
(h) 	The 	completed 	tattoo 	shall 	be 	washed with 	a
piece 	of 	sterile 	material 	saturated with 	an 	approved
germicidal 	solution. 	Antibiotic 	ointment 	registered
under 	United 	States 	Pharmacopoeia 	or 	National 	Formulary
shall 	be 	applied 	from 	a 	collapsible metal 	or 	plastic
tube 	and 	the 	entire 	area 	covered with 	a 	piece 	of 	sterile
dressing, 	which may 	in 	turn 	be 	covered with 	a 	piece 	of
tissue, 	and 	fasten 	to 	the 	site with 	an 	approved 	type 	of
adhesive.
(i) 	Immediately 	after 	tattooing, 	the 	tattoo
artist 	shall 	advise 	the 	customer 	on 	the 	care 	of 	the
tattoo 	and 	instruct 	the 	customer 	to 	consult 	a 	ph3sician
at 	the 	first 	sign 	of 	infection. 	[Eff. 	SEP 1 8 1981 	]
(Au th : 	HRS 	§ § 3 21-10 , 	3 21-13 ) 	( Imp : 	HRS 	§ 3 21-13)
§11-17-11 	Minimum operating 	standards. 	(a) 	The
tattoo 	artist 	shall 	use 	standards 	of 	aseptic 	technique
in 	tattooing, 	dressing, 	and 	other 	operations 	that 	are
approved 	by 	the 	director.
(b) 	The 	tattoo 	artist 	shall 	use 	only 	supplies 	and
equipment 	approved 	by 	the 	director.
(c) 	The minimum 	standards 	of 	§11-17-7 	through
§11-17-11 	shall 	be 	observed 	at 	all 	times. 	[Eff.
c:Ep 	t 8 1981 	] 	(Auth: 	HRS 	§§321-10, 	321-13) 	(Imp:
HRS 	§321 	13
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§11-17-14
§11-17-12 	Records. 	(a) 	The 	permit 	holder 	shall
maintain 	proper 	records 	of 	each 	customer. 	The 	records
shall 	include 	the 	following 	information:
(1) 	The 	date 	when 	the 	tattoo was 	applied.
(2) 	The 	name, 	address 	and 	age 	of 	the 	customer.
(3) 	The 	branch 	of 	service, 	rate 	or 	rank, 	and
serial 	number 	of 	the 	customer 	if 	in 	the 	armed
forces.
(4) 	The 	design 	and 	location 	of 	the 	tattoo.
(5) 	The 	name 	of 	the 	tattoo 	artist.
(6) 	The 	signature 	of 	the 	customer.
(b) 	The 	information 	required 	in 	subsection 	(a)
shall 	be 	permanently 	recorded, 	in 	ink 	or 	indelible
pencil, 	in 	a 	bound book 	kept 	solely 	for 	this 	purpose.
This 	book 	shall 	be 	available 	at 	reasonable 	hours 	for
examination 	by 	the 	director 	and 	shall 	be 	kept 	in 	the
tattoo 	shop 	for 	two 	years 	from 	the 	date 	of 	last 	entry.
(c) 	Written 	consents 	for 	persons 	under 	eighteen
years 	of 	age 	shall 	be 	kept on 	file 	for 	two 	years 	in 	the
tattoo 	shop. 	[Eff. 	SEP 	1 8 1981 	] 	(Auth: 	HRS 	§§321-10,
3 21-13 ) 	( Imp : 	HRS 	§ 3 21-13 )
§11-17-13 	Penalty. 	(a) 	Any 	person who 	shall
knowingly 	or 	wilfully make 	any 	false 	statement 	to 	the
department 	relative 	to 	any matter 	under 	this 	chapter 	or
who 	violates 	any 	provision 	of 	this 	chapter 	shall 	be
guilty 	of 	a 	misdemeanor 	and, 	upon 	conviction, 	shall 	be
punished by 	a 	fine 	of 	not more 	than 	$500 	or 	imprisonment
for 	not 	more 	than 	one 	year or 	both.
(b) 	Any 	person 	convicted 	under 	this 	section 	shall
have 	the 	license 	and 	permit 	suspended 	for 	one 	year.
[Eff. 	SEP 	1 8 19 ] 	(Auth: 	HRS 	§§321-10, 	321-13) 	(Imp:
HRS 	§321-18)
§11-17-14 	Severability. 	Should 	any 	section,
paragraph, 	sentence, 	clause, 	phrase 	or 	application 	of
this 	chapter 	be 	declared 	unconstitutional 	or 	invalid
for 	any 	reason, 	the 	remainder 	or 	any 	other 	application
of 	this 	chapter 	shall 	not 	be 	affected. 	[Eff.
SEP 	181981 	] 	(Auth: 	HRS 	§§321-10, 	321-13) 	(Imp:
HRS 	§321-13)
17-7
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