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Medical Waste Hauler <br /> Street Address p"i kA <br /> City, ST, Zip <br /> 1. Sterilization of Jewelry: Describe the procedure for the sterilization of jewelry prior to placing into <br /> newly pierced skin. <br /> J. Sterilization Equipment: List the equipment used in the decontamination and sterilization room <br /> and describe the procedure for decontaminating instruments prior to placing inside the autoclave. <br /> Indicate whether instruments are manually washed or machine washed, such as with an <br /> Ultrasonic machine. Include the material used for soaking dirty instruments in the machine, <br /> such as TTeergazyme. <br /> K. Disinfection Products: List the disinfectant products used at the body art facility. <br /> L. Time and Temperature: List the duration of time and temperature of the autoclave required for <br /> the sterilization of clean instruments. <br /> Time <br /> Temperature <br /> Psi <br /> M. Personal Protective Equipment: Lest the personal protective equipment used during a body art <br /> procedure. <br /> V✓ <br /> N. Handwashing Sink: List the locations of the handwash sinks and describe the items supplied at <br /> each sink. w <br /> �t 15 -o(f lkh " S <br /> ae <br /> ja:RB G:\Admin\HAZMATIFORMS\MEDICAL WASTE&BODY ARTMnfection Prevention and Control Plan Page 5 of 9 <br />