Tattooing - Safe and hygienic practice

This standard specifies hygiene requirements before, during tattooing and tattoo aftercare. It provides guidance for tattooists and their routine interactions with clients and public authorities. It gives guidance for the correct procedures to be used to ensure optimum protection of the client, the tattooist and others in the tattoo workspace.

Tätowierdienstleistungen - Sichere Praxis und Hygieneanforderungen

Dieses Dokument legt Anforderungen an die Hygiene vor und während des Tätowierens sowie für die Nachsorge fest. Sie gibt Leitlinien für Tätowierer und deren regelmäßigen Interaktionen mit Kunden und öffentlichen Behörden. Sie gibt Leitlinien für die korrekten Verfahren, um den optimalen Schutz für den Kunden, den Tätowierer sowie andere Personen in dem Tätowier-Arbeitsbereich sicherzustellen.

Services de tatouage - Pratiques sûres et exigences d'hygiène

Ce document spécifie les exigences en matière d’hygiène applicables avant et pendant le tatouage, ainsi que pendant les soins post-tatouage. Elle donne des recommandations aux tatoueurs pour leurs échanges courants avec les clients et les autorités publiques. Elle fournit des recommandations sur les procédures correctes à suivre pour garantir une protection optimale au client et au tatoueur ainsi qu’aux autres personnes présentes dans l’espace de travail.

Tetoviranje - Zahteve za varno in higiensko prakso

Ta standard določa higienske zahteve pred in med tetoviranjem ter pri negi tetovaže. Zagotavlja smernice za osebe, ki tetovirajo, in njihove rutinske interakcije s strankami in javnimi organi. Podaja smernice za pravilnost postopkov, ki so potrebni za zagotavljanje optimalne varnosti stranke, osebe, ki tetovira, in drugih posameznikov v delovnem prostoru, kjer se izvaja tetoviranje.

General Information

Status
Published
Public Enquiry End Date
04-Dec-2017
Publication Date
04-Feb-2020
Current Stage
6060 - National Implementation/Publication (Adopted Project)
Start Date
17-Jan-2020
Due Date
23-Mar-2020
Completion Date
05-Feb-2020

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SLOVENSKI STANDARD
SIST EN 17169:2020
01-marec-2020
Tetoviranje - Zahteve za varno in higiensko prakso
Tattooing - Safe and hygienic practice
Tätowierdienstleistungen - Sichere Praxis und Hygieneanforderungen
Services de tatouage - Pratiques sûres et exigences d'hygiène
Ta slovenski standard je istoveten z: EN 17169:2020
ICS:
03.080.30 Storitve za potrošnike Services for consumers
SIST EN 17169:2020 en,fr,de

2003-01.Slovenski inštitut za standardizacijo. Razmnoževanje celote ali delov tega standarda ni dovoljeno.

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SIST EN 17169:2020
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SIST EN 17169:2020
EN 17169
EUROPEAN STANDARD
NORME EUROPÉENNE
March 2019
EUROPÄISCHE NORM
ICS 03.080.30
English Version
Tattooing - Safe and hygienic practice

Tatouage - Bonnes pratiques d'hygiène et de salubrité Tätowieren - Sichere und hygienische Praxis

This European Standard was approved by CEN on 6 January 2019.

CEN members are bound to comply with the CEN/CENELEC Internal Regulations which stipulate the conditions for giving this

European Standard the status of a national standard without any alteration. Up-to-date lists and bibliographical references

concerning such national standards may be obtained on application to the CEN-CENELEC Management Centre or to any CEN

member.

This European Standard exists in three official versions (English, French, German). A version in any other language made by

translation under the responsibility of a CEN member into its own language and notified to the CEN-CENELEC Management

Centre has the same status as the official versions.

CEN members are the national standards bodies of Austria, Belgium, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Estonia,

Finland, Former Yugoslav Republic of Macedonia, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Latvia, Lithuania,

Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Romania, Serbia, Slovakia, Slovenia, Spain, Sweden, Switzerland,

Turkey and United Kingdom.
EUROPEAN COMMITTEE FOR STANDARDIZATION
COMITÉ EUROPÉEN DE NORMALISATION
EUROPÄISCHES KOMITEE FÜR NORMUNG
CEN-CENELEC Management Centre: Rue de la Science 23, B-1040 Brussels

© 2019 CEN All rights of exploitation in any form and by any means reserved Ref. No. EN 17169:2019 E

worldwide for CEN national Members.
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EN 17169:2020 (E)
Contents Page

European foreword ....................................................................................................................................................... 4

Introduction .................................................................................................................................................................... 5

1 Scope .................................................................................................................................................................... 6

2 Normative references .................................................................................................................................... 6

3 Terms and definitions ................................................................................................................................... 6

4 Responsibilities for the business owner/operator.......................................................................... 10

4.1 General requirements for the business owner/operator ............................................................. 10

4.2 Training ........................................................................................................................................................... 10

4.3 First aid and unintended needle-stick injury .................................................................................... 11

4.4 Vaccination ..................................................................................................................................................... 11

5 Facilities .......................................................................................................................................................... 11

5.1 General requirements for facilities ....................................................................................................... 11

5.2 Requirements for tattooing premises .................................................................................................. 11

5.3 Requirements for tattooing area ............................................................................................................ 12

5.4 Waste management ..................................................................................................................................... 13

5.4.1 Waste associated risks ............................................................................................................................... 13

5.4.2 Waste disposal process .............................................................................................................................. 13

5.4.3 Sharps disposal ............................................................................................................................................. 13

5.5 Conventions .................................................................................................................................................... 14

6 Cleaning, disinfection and sterilization of equipment and premises........................................ 14

6.1 General requirements for cleaning, disinfection and sterilization............................................ 14

6.2 Environmental cleaning and disinfection ........................................................................................... 15

6.3 Cleaning and disinfection of equipment .............................................................................................. 15

6.3.1 General requirements for cleaning, disinfection and sterilization of equipment ................ 15

6.3.2 Equipment for single use ........................................................................................................................... 17

6.3.3 Treatment of equipment for reuse ........................................................................................................ 17

6.4 Sterilization process ................................................................................................................................... 18

6.4.1 General requirements for the sterilization process ........................................................................ 18

6.4.2 Requirements for steam sterilizers ....................................................................................................... 19

6.4.3 Packaging to maintain product sterility .............................................................................................. 19

6.4.4 Post sterilization inspection and storage ............................................................................................ 20

7 Tattooing process ......................................................................................................................................... 20

7.1 Interaction with the client ........................................................................................................................ 20

7.2 Client suitability ........................................................................................................................................... 20

7.3 Aftercare information................................................................................................................................. 21

7.4 Hand hygiene ................................................................................................................................................. 22

7.5 Personal protective equipment (PPE) .................................................................................................. 22

7.5.1 Gloves ............................................................................................................................................................... 22

7.5.2 Other PPE ........................................................................................................................................................ 23

7.6 Tattooing area ............................................................................................................................................... 23

7.7 Equipment ...................................................................................................................................................... 24

7.8 Tattoo inks ...................................................................................................................................................... 25

7.9 Lubricant, shaver, spatula, paper towels, ink caps and skin cleansing .................................... 26

7.10 Skin preparation........................................................................................................................................... 26

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7.11 Rinsing the needle while tattooing ......................................................................................................... 27

7.12 Procedure ........................................................................................................................................................ 27

Annex A (informative) Basic framework for training and qualification on infection

prevention and control ............................................................................................................................... 29

A.1 General ............................................................................................................................................................. 29

A.2 Structure of the skin .................................................................................................................................... 29

A.3 Microbiology and the skin ......................................................................................................................... 30

A.4 Transmission of infection .......................................................................................................................... 30

A.5 Clinical presentation of skin conditions ............................................................................................... 30

A.6 Inks .................................................................................................................................................................... 30

A.7 Occupational safety ...................................................................................................................................... 31

A.8 Client information / selection / exclusion ........................................................................................... 31

A.9 Legal aspects ................................................................................................................................................... 31

A.10 Work premises .............................................................................................................................................. 32

A.11 Waste management...................................................................................................................................... 32

A.12 Cleaning, disinfection and sterilization ................................................................................................ 32

A.13 Safe practice for tattooing ......................................................................................................................... 32

Annex B (informative) Body fluid exposure..................................................................................................... 33

Annex C (informative) Ultrasonic cleaning ...................................................................................................... 34

Annex D (normative) Processes for subcontracted sterilization ............................................................. 36

Annex E (normative) Method for packing and sterilizing instruments ................................................. 37

Annex F (informative) Consent Form ................................................................................................................. 38

F.1 Example of a consent form ........................................................................................................................ 38

F.2 Client information to accompany the consent form ......................................................................... 41

Annex G (informative) Aftercare .......................................................................................................................... 43

G.1 General ............................................................................................................................................................. 43

G.2 Aftercare treatment ..................................................................................................................................... 43

G.2.1 Aftercare by the tattooist immediately after the procedure ........................................................ 43

G.2.2 Aftercare at home ......................................................................................................................................... 44

G.3 Activities to avoid during the healing period ..................................................................................... 45

G.4 Descriptions of signs of normal healing and signs of infection and allergy ............................ 45

G.4.1 General ............................................................................................................................................................. 45

G.4.2 Normal signs ................................................................................................................................................... 45

G.4.3 Abnormal signs .............................................................................................................................................. 46

Annex H (normative) Hand hygiene .................................................................................................................... 47

Bibliography ................................................................................................................................................................. 49

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EN 17169:2020 (E)
European foreword

This document (EN 17169:2020) has been prepared by Technical Committee CEN/TC 435 “Tattooing

services”, the secretariat of which is held by DIN.

This European Standard shall be given the status of a national standard, either by publication of an

identical text or by endorsement, at the latest by July 2020, and conflicting national standards shall be

withdrawn at the latest by July 2020.

Attention is drawn to the possibility that some of the elements of this document may be the subject of

patent rights. CEN shall not be held responsible for identifying any or all such patent rights.

According to the CEN-CENELEC Internal Regulations, the national standards organisations of the

following countries are bound to implement this European Standard: Austria, Belgium, Bulgaria,

Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland,

Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Republic of

North Macedonia, Romania, Serbia, Slovakia, Slovenia, Spain, Sweden, Switzerland, Turkey and the

United Kingdom.
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EN 17169:2020 (E)
Introduction

This document provides requirements and recommendations on hygienic and safe tattoo practice to

protect both the client and the tattooist against infection. It is essential to minimize infection risks

caused by tattooing to clients, tattooists and others working in tattoo premises by use of appropriate

hygiene procedures. Anyone carrying out tattooing is bound to be responsible for their own, their

clients’ and others’ safety in respect of the tattooing process.

It is essential to also apply relevant European and national regulations, where they exist.

The verbal forms “shall” and “shall not” are used to express requirements.
The verbal forms “should” and “should not” are used to express recommendations.
The verbal forms “may” and “need not” are used to express permission.

The verbal forms “can” and “cannot” are used to express possibility and capability.

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EN 17169:2020 (E)
1 Scope

This document specifies hygiene requirements before and during tattooing and for aftercare. It gives

guidelines for tattooists and their routine interactions with clients and public authorities. It gives

guidelines for the correct procedures to be used to ensure optimum protection of the client, the

tattooist and others in the tattoo work area.
2 Normative references

The following documents are referred to in the text in such a way that some or all of their content

constitutes requirements of this document. For dated references, only the edition cited applies. For

undated references, the latest edition of the referenced document (including any amendments) applies.

EN 374 (all parts), Protective gloves against chemicals and micro-organisms
EN 455 (all parts), Medical gloves for single use

EN 1500, Chemical disinfectants and antiseptics - Hygienic handrub - Test method and requirements

(phase 2/step 2)
EN 13060, Small steam sterilizers

EN ISO 11607-1, Packaging for terminally sterilized medical devices - Part 1: Requirements for materials,

sterile barrier systems and packaging systems (ISO 11607-1)

EN ISO 17665-1, Sterilization of health care products - Moist heat - Part 1: Requirements for the

development, validation and routine control of a sterilization process for medical devices (ISO 17665-1)

EN ISO 23907-1, Sharps injury protection - Requirements and test methods - Part 1: Single-use sharps

containers (ISO 23907-1)
3 Terms and definitions
For the purposes of this document, the following terms and definitions apply.

ISO and IEC maintain terminological databases for use in standardization at the following addresses:

— IEC Electropedia: available at http://www.electropedia.org/
— ISO Online browsing platform: available at http://www.iso.org/obp
3.1
aftercare
care process following tattooing to promote optimal healing
3.2
body fluids

fluids such as blood, serum and other fluids that may be contaminated with these substances that

present a risk of infection transmission in the context of tattooing

Note 1 to entry: Bodily fluids such as tears, sweat or vomit do not present a specific tattooing hazard.

3.3
cleaning
removal of foreign materials from a surface
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3.4
connector cable
clip cord
electrical cable connecting power supply and drive unit for tattooing
3.5
convention

any premises or place used on a temporary basis for an event such as an exhibition, fair, festival or

similar type of arrangement where tattooing is intended to be provided to the public with or without

payment
3.6
disinfectant

chemical that is able to produce a defined reduction of specific microorganisms under defined

conditions

Note 1 to entry: The Biocidal Products Regulation, as per 1 September 2013 (BPR, Regulation (EU) 528/2012),

with a transitional period for certain provisions, will apply to relevant disinfectants.

3.7
disinfection

act of disinfecting, using controlled techniques, that reduces the number of microorganisms to a level

safe for that particular application
3.8
drive unit
motor used to power tattoo apparatus
3.9
grip

textured surface cylinder which connects tube and tip intended to provide a secure grasp for the

tattooist during the process of tattooing
3.10
hand hygiene

process used to inactivate or remove transmittable microorganisms on hands regardless of the resident

skin flora
3.11
high risk equipment

equipment that penetrates the skin, comes into contact with broken skin and/or body fluids or may

contaminate items that do so (e.g. needle holder, tube, grip, tip)
3.12
hygienic hand rub

product (liquid, gel or foam) applied to hands and rubbed to dryness intended to inactivate

transmittable microorganisms regardless of the resident skin flora
3.13
ink cap
cap that contains tattoo ink
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3.14
ink cap tray
tray with recesses to hold a number of ink caps
3.15
needle bar
rod connecting tattoo machine and needle
3.16
needle cartridge
single use item containing needle and housing
3.17
personal protective equipment

special device or appliance designed to be worn or held by an individual for protection against one or

more health and safety hazards
[SOURCE: IEC 82079-1:2012, 3.27]
3.18
pre-treatment

treatment of equipment to aid subsequent effective cleaning, disinfection and/or sterilization

3.19
sharps disposal container

container designed for the safe containment and disposal of sharps such as tattoo needles

3.20
single use
product intended to be used once and then discarded
[SOURCE: EN ISO 11810:2015, 3.18]
3.21
skin preparation

procedure for cleaning, disinfecting and, where necessary, shaving the skin prior to tattooing

3.22
steam sterilizer
autoclave

device using super-atmospheric steam at over 100 °C in a validated process to render processed items

sterile
3.23
stencil
device allowing the transfer of a drawing onto the skin
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3.24
sterile
free from viable microorganisms
[SOURCE: EN ISO 11139:2018, 3.271]
3.25
sterilization
validated process used to render product free from viable microorganisms
[SOURCE: EN ISO 11139:2018, 3.277 – modified: Note 1 omitted]
3.26
sterilization container

container that allows sterilization of the contents and protects that sterility afterwards whilst it

remains unopened for a defined time period

Note 1 to entry: The time period should be specified by the manufacturer of the container or, in the absence of

such instruction for use, should be a period of no longer than six months.
EXAMPLE Pouches and boxes.
3.27
tattooing

procedure that penetrates the skin or mucous membrane for the purpose of insertion of tattoo ink to

create a permanent or long-lasting design
3.28
tattoo machine
fully assembled device that produces reciprocal movement of a tattooing needle

EXAMPLE Coil machine, rotary machine, permanent make-up pen, manual operated device, handle.

3.29
tip

tapered hollow cylinder that holds and guides a tattooing needle during the tattooing process

3.30
tube
hollow cylinder through which the needle bar passes
3.31
ultrasonic cleaner
device that cleans by immersion aided by ultrasonic energy
3.32
validation

confirmation, through the provision of objective evidence, that the requirements for a specific intended

use or application have been fulfilled
[SOURCE: EN ISO 17664:2017, 3.20]
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4 Responsibilities for the business owner/operator
4.1 General requirements for the business owner/operator

Business owners/operators shall be responsible for ensuring that the necessary registrations and

licences required for the business are in place and copies of all relevant documents are available for

inspection.

The owners/operators of a tattooing business shall document, maintain and update a procedures

manual to ensure that good practice is used in the premises.
The content of the manual should include, but is not limited to:
— hand hygiene;
— the use of personal protective equipment;
— the management of exposure to body fluids;

— the cleaning and disinfection of tattoo premises (including all equipment and surfaces);

— waste management;
— aftercare procedures.

Where the business carries out sterilization, documented procedures shall be available for:

— the validation of the sterilization process;

— the method of inspection of packing and seals, copies of sterilizer maintenance details and

verification records;
— the storage facilities and practices for sterile packs.
4.2 Training

Business owners/operators providing tattooing services shall ensure that all staff are trained

commensurate with their activities. Training may be provided by the authorized operators according to

national regulations, where they exist, using documented procedures that address the activities of the

business.

All persons undertaking tattooing shall have received training in the following areas:

1) the basics of hygiene including hygiene for personal and client safety as well as environmental

hygiene such as cleaning and disinfection;

2) sterilization procedures, if the tattooist carries out sterilization of equipment;

3) the basics of microbiology and relevant infection prevention;
4) the anatomy of the skin and basics of wound care, and contraindications;
5) the principles of occupational health and safety;

6) first aid, including potential infection due to unintended needle-stick injuries;

7) an understanding of legal and other relevant requirements applicable to the business activities.

Information regarding the content of the basic framework for training is given in Annex A.

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The curriculum shall be delivered in a manner to achieve the learning objectives as outlined below.

The objective of the training is to provide comprehensive knowledge of the content of this document

such that it can be put effectively into practice.
The training shall include:
— the curriculum as specified in this document;
— at least one day of practical training; and
— an assessment by a competent person in an appropriate environment.

A refresher course to maintain competence and update previous training shall be undertaken at least

every five years. A record of training received by all persons undertaking tattooing shall be retained and

updated as required in 1) to 7). This record shall be available for inspection.

To ensure that training is uniform and of equivalent quality, training courses should reference the

European Qualification Framework (EQF).
4.3 First aid and unintended needle-stick injury

All persons undertaking tattooing shall have received training in first aid measures relevant to the

context of tattooing.

The tattooist shall provide documented evidence of being trained in such first aid. First aid training

should be performed according to national regulations, where they exist.
First aid equipment shall be available and adequately stocked.

If the client has had an unintended needle stick injury (i.e. percutaneous exposure to a sharp

contaminated with somone else's body fluid), they shall be advised and assisted to seek immediate

medical advice.

Where the tattooist has a needle-stick injury, immediate action shall be taken because of the risk of

infection with blood borne viruses (HIV, Hepatitis B and C).

The tattooist should comply with the instructions in Annex B following a needle-stick injury.

4.4 Vaccination

All tattooists should be vaccinated against Hepatitis B and records of all such vaccinations should be

retained.
5 Facilities
5.1 General requirements for facilities

The facilities to be provided by the business owners/operators are detailed below including those to be

provided at conventions and other non-permanent and temporary operations.
5.2 Requirements for tattooing premises
All areas shall be kept clean and uncluttered at all times.
The following shall apply to the premises:
— a documented cleaning programme in place for all areas and records maintained;
— all hard surfaces shall be in good repair and easily cleanable;
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— all areas shall be clean and free from extraneous items;
— sterile products shall be stored appropriately.
5.3 Requirements for tattooing area

Tattooing shall be carried out in a specific area of the premises separated from the other areas and

clearly identified.

— The walls and floors shall be smooth, impervious, and easy to clean and disinfect.

— The construction, equipment and furnishings shall be suitable to ensure hygienic tattooing.

— The tattooing area shall be well ventilated and adequately lit.

— Work surfaces in the tattooing area shall be smooth, impervious and easy to clean and disinfect.

— A single use impervious barrier film/paper should be placed on the chair/couch/arm rest.

— The floor in the tattooing area shall not be carpeted.

The following waste containers shall be provided and clearly identified to facilitate separation of

domestic and contaminated waste:

— a waste bin with hands-free opening for contaminated waste, where it is a national regulation

requirement;
— an open waste bin lined with a clean plastic bag for general waste;
— a sharps container (see 5.4.3).
The work area sh
...

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