Marion County Public Health Department Tattoo Licensing Packet Table of Contents Regulations
Marion County Public Health Department
Tattoo Licensing Packet Table of Contents
Regulations
Marion County Code Chapter 19-Minimum Standards for Tattoo and Body Piercing Facilities
Page 3
State of Indiana Regulations: Title 410 Indiana State Department of Health Article 1
Page 5
City of Indianapolis Zoning Ordinance
Page 4 8
Licensing Documents
Cover letter explaining pre-licensing and annual licensing requirements
Page 2
Marion County Public Health Department, Tattoo and/or Body Piercing Site Survey
Checklist
Page 23
Marion County Public Health Department, Tattoo and/or Body Piercing Equipment Form
Page 24
Exposure Control Plan
Page 25
Hepatitis B Declination For Employees, Tattoo and/or Body Piercing Facility
Page 35
Hepatitis B Vaccine Fact Sheet
Page 36
Spore Test Companies
Page 37
Infectious Waste Disposal Companies
Page 38
Fact Sheets and Guidance Documents
Prevention of Cross Contamination in Tattooing
Page 39
Hepatitis B Information
Page 42
Hepatitis C Information
Page 44
HIV and AIDS: How to Reduce Your Risk
Page 46
The Code of the Health and Hospital Corporation of
Marion County, Indiana
Minimum Standards for Tattoo and Body Piercing Facilities
Sec. 19-701. Definitions in 410 IAC 1-5 apply in this article. A facility shall be
operated in accordance with this article and 410 IAC 1-5.
Sec. 19-702. A facility shall have a sink with an approved running water source
supplying hot and cold water, soap, and single use towels at each station. The sink shall
be separate from the public restroom.
Sec. 19-703. A facility shall be well-ventilated and provided with an artificial light
source equivalent to at least twenty (20) foot candles three (3) feet off the floor, except
that at least one hundred (100) foot candles shall be provided at the level where a
procedure is performed and equipment is assembled.
Sec. 19-704. An operator shall keep disinfection and sterilization equipment in a
secure area. A new facility shall have a sink in the room where the autoclave or
sterilization equipment is kept.
Sec. 19-705. A facility shall have a sharps container at each station. Needles shall be
single-use only. Needles shall be discarded in sharps containers immediately after use.
Sec. 19-706. A facility shall place single-use disposable barriers on equipment used
during a procedure that cannot be sterilized. Barriers shall be discarded immediately
after use.
Sec. 19-707. An operator shall ensure that a tattoo artist and body piercer prepares
the skin area before a procedure by cleaning with germicidal soap, rinsing with water,
and disinfecting with antiseptic solution. An operator shall ensure a tattoo artist protects
the tattooed area after a procedure by applying germicidal solution, antibacterial
ointment, and a sterile bandage. An operator shall ensure that a tattoo artist and body
piercer gives written and oral care instructions on proper cleansing, side effects, and
activity restrictions after a procedure.
Sec. 19-708. An operator shall have all disinfection and sterilization equipment tested
by an approved, independent laboratory on a monthly basis. An operator shall provide
test results to the Health Officer on a monthly basis. An operator shall pay a fifty dollar
fee ($50) if the Health Officer does not receive test results by the 21st day of the
following month.
Sec. 19-709. An operator shall maintain at the facility and make available for
inspection by the Health Officer patron records including a copy of photo and age
identification for two (2) years.
Sec. 19-710. An operator shall require a tattoo artist and body piercer to show proof
of having received the hepatitis B vaccination or proof of having declined said
vaccination by signing a waiver. An operator shall maintain at the facility and make
available for inspection by the Health Officer dated waste disposal records, proof of
purchase for needles, and other single-use equipment.
Sec. 19-711. License and License Fees
(a) A person may not operate a facility without a license. The operator shall post the
license in a conspicuous place at the facility. The license begins September 1 and
expires August 31 of the following year. The operator shall renew the license
annually.
(b) The license fee shall be three hundred dollars ($300) annually. The license fee
for a facility not open in the previous licensing year, filing after March 1, shall be
one hundred and fifty dollars ($150).
(c) An additional fee of seventy five dollars ($75) shall be imposed for license
renewal fees submitted after September 1.
(d) An additional fee of seventy five dollars ($75) shall be imposed when a facility is
opened without obtaining a license.
(e) A site survey inspection fee of fifty dollars ($50) shall be paid in advance by a
facility not open in the previous licensing year. An additional fee of one hundred
dollars ($100) shall be imposed for each reinspection.
(f) Payment of fees shall be submitted within thirty (30) days of an invoice date.
(g) A temporary or mobile facility shall be prohibited from obtaining a license.
(h) No license issued under this article may be transferred to another person or
another location.
(i) No refund will be granted for any unexpired period of the license.
Sec. 19-712. Closure of Tattoo and Body Piercing Facilities.
The Health Officer may close a facility and suspend a license when any of
following occur:
(a) Untimely reporting of test results.
(b) Proper hand-washing sink not provided at each station.
(c) Conditions that present an imminent threat to public health or transmission of
communicable disease.
(d) Three (3) or more occurrences of the conditions described in this article within a
12-month period.
The Health Officer may post a sign notifying the public that the facility has been closed.
It is a violation of this article for any person other than the Health Officer to remove
this sign.
[Gen.Ord. 5-2006 Passed 6/20/06 Effective Date 7/1/06]
Tattoo and Body Piercings
TITLE 410 INDIANA STATE DEPARTMENT OF HEALTH ARTICLE
1. COMMUNICABLE DISEASE CONTROL
Rule 5. Sanitary Operation of Tattoo Parlors (includes requirements for
the sanitary operation of body piercing facilities)
Filed with the Secretary of State on June 30, 2000
Authority: Indiana Code 16-19-3
410 IAC 1-5-1 Applicability
Sec. 1. The definitions in this rule apply throughout this rule.
410 IAC 1-5-2 "Blood" defined
Sec. 2. "Blood" means human blood.
410 IAC 1-5-3 "Bloodborne pathogens" defined
Sec. 3. "Bloodborne pathogens" means pathogenic micro-organisms
that are present in human blood and can cause disease in humans.
These pathogens include, but are not limited to, the following:
(1) HBV.
(2) HCV.
(3) HIV.
410 IAC 1-5-3.5 "Body piercer" defined
Sec. 3.5. "Body piercer" means any person who performs body
piercing on an individual.
410 IAC 1-5-3.6 "Body piercing" defined
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.
410 IAC 1-5-4 "Cleaned" defined
Sec. 4. "Cleaned" means removal of all visible dust, soil, or any
other foreign material.
410 IAC 1-5-5 "Contaminated" defined
Sec. 5. "Contaminated" means the presence or reasonably
anticipated presence of blood or OPIM on an item or surface.
410 IAC 1-5-6 "Decontaminated" defined
Sec. 6. "Decontaminated" means the use of physical or chemical
means to remove, inactivate, or destroy bloodborne pathogens on
a surface or item which does not require sterilization to the point
where they are no longer capable of transmitting infectious
particles and the surface or item is rendered safe for handling, use,
or disposal.
410 IAC 1-5-7 "Department" defined
Sec. 7. "Department" means the Indiana state department of
health.
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.
410 IAC 1-5-8 "HBV" defined
Sec. 8. "HBV" means the hepatitis B virus.
410 IAC 1-5-9 "HCV" defined
Sec. 9. "HCV" means the hepatitis C virus.
410 IAC 1-5-9.5 "High level disinfection" defined
Sec. 9.5. "High level disinfection" means a process that destroys all
micro-organisms, with the exception of high numbers of bacterial
spores.
410 IAC 1-5-10 "HIV" defined
Sec. 10. "HIV" means the human immunodeficiency virus.
410 IAC 1-5-11 "Infectious waste" defined
Sec. 11. "Infectious waste" means waste that epidemiologic
evidence indicates is capable of transmitting a dangerous
communicable disease. Infectious waste includes, but is not limited
to, the following:
(1) Contaminated sharps or contaminated objects that
could potentially become contaminated sharps.
(2) Infectious biological cultures, infectious associated
biologicals, and infectious agent stock.
(3) Pathological waste.
(4) Blood and blood products in liquid and semiliquid
form.
(5) Carcasses, body parts, blood and body fluids in
liquid and semiliquid form, and bedding of laboratory
animals.
(6) Other waste that has been intermingled with
infectious waste.
410 IAC 1-5-11.2 "Intermediate level disinfection" defined
Sec. 11.2. "Intermediate level disinfection" means a process that
inactivates:
(1) Mycobacterium tuberculosis;
(2) vegetative bacteria;
(3) most viruses; and
(4) most fungi;
but does not necessarily kill bacterial spores.
410 IAC 1-5-11.5 "Operator" defined
Sec. 11.5. "Operator" means any person who controls, operates,
manages, or owns any facility.
410 IAC 1-5-12 "Other potentially infectious materials" or "OPIM"
defined
Sec. 12. "Other potentially infectious materials" or "OPIM" means
the following:
(1) Human body fluids as follows:
(A) Semen.
(B) Vaginal secretions.
(C) Cerebrospinal fluid.
(D) Synovial fluid.
(E) Pleural fluid.
(F) Pericardial fluid.
(G) Peritoneal fluid.
(H) Amniotic fluid.
(I) Saliva in dental procedures.
(J) Any body fluid that is visibly
contaminated with blood.
(K) All body fluids where it is difficult or
impossible to differentiate between body
fluids.
(2) Any unfixed tissue or organ, other than intact
skin, from a human, living or dead.
(3) HIV-containing cell or tissue cultures, and HIV or
HBV-containing culture medium or other solutions,
and blood, organs, or other tissues from experimental
animals infected with HIV or HBV.
410 IAC 1-5-13 "Parenteral" defined
Sec. 13. "Parenteral" means piercing the mucous membranes or
the skin barrier through such events as needlesticks, human bites,
cuts, or abrasions.
410 IAC 1-5-14 "Personal protective equipment" defined
Sec. 14. "Personal protective equipment" means specialized
clothing or equipment worn for protection against contact with
blood or OPIM.
410 IAC 1-5-15 "Secure area" defined
Sec. 15. "Secure area" means an area that is designated and
maintained to prevent the entry of unauthorized persons.
410 IAC 1-5-16 "Semiliquid blood, blood products" defined
Sec. 16. "Semiliquid blood, blood products" means blood, blood
products that have intermediate fluid properties and are capable of
flowing in a manner similar to liquid.
410 IAC 1-5-17 "Sterilize" defined
Sec. 17. "Sterilize" means the use of a physical or chemical
procedure to destroy all microbial life, including highly resistant
bacterial endospores.
410 IAC 1-5-18 "Store" defined
Sec. 18. "Store" means the containment of infectious waste in such
a manner as not to constitute collection, treatment, transport, or
disposal.
410 IAC 1-5-19 "Tattoo" defined
Sec. 19. "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.
410 IAC 1-5-20 "Tattoo artist" defined
Sec. 20. "Tattoo artist" means any person who provides a tattoo to
an individual.
410 IAC 1-5-21 "Tattoo operator" defined (Repealed)
Sec. 21. (Repealed by Indiana State Department of Health; filed
Jun 30, 2000, 4:10 p.m.: 23 IR 2714)
410 IAC 1-5-22 "Tattoo parlor" defined (Repealed)
Sec. 22. (Repealed by Indiana State Department of Health; filed
Jun 30, 2000, 4:10 p.m.: 23 IR 2714)
410 IAC 1-5-23 "Universal precautions" defined
Sec. 23. "Universal precautions" means an approach to infection
control in which all human blood and certain human body fluids are
treated as if known to be infectious for HIV, HBV, HCV, and other
bloodborne pathogens.
410 IAC 1-5-24 Operator training responsibilities
Sec. 24. An individual or entity that is an 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 and
body piercers, anyone employed by the facility or anyone acting on
behalf of the facility, 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 and body piercers, or anyone
employed by the facility or anyone acting on behalf of the facility
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.
410 IAC 1-5-25 Operator responsibilities
Sec. 25. (a) The operator shall ensure that tattoo artists, body
piercers, or anyone employed by the facility or anyone acting on
behalf of the facility who has a reasonably anticipated risk for skin,
eye, mucous membrane, or parenteral contact with blood have and
use 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 operator shall require tattoo artists and body piercers,
anyone employed by the facility, or anyone acting on behalf of the
facility 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 operator shall display a description of compliance with the
requirements contained in subsection (d).
(d) The 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.
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.
410 IAC 1-5-27 Tattoo artist and body piercer minimum training and
certification requirements
Sec. 27. (a) All tattoo artists, body piercers, anyone employed by
the facility, and anyone acting on behalf of the facility, 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
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
provided by a health care agency.
(b) All tattoo artists, body piercers, anyone employed by the
facility, and anyone acting on behalf of the facility, who has a
reasonably anticipated risk for skin, eye, mucous membrane, or
parenteral contact with blood or OPIM must be trained in the
facility's policies on the handling of infectious waste.
410 IAC 1-5-28 Patron records
Sec. 28. Records of each patron shall be maintained by the
operator for two (2) years. The record shall include the following,
but not be limited to:
(1) Patron's name.
(2) Address.
(3) Age.
(4) Date tattooed or body pierced.
(5) Design of the tattoo.
(6) Location of the tattoo or body piercing on the patron's body.
(7) The name of the tattoo artist or body piercer who performed
the work.
(8) Jewelry or other decoration used.
410 IAC 1-5-29 Illness
Sec. 29. Tattoo artists or body piercers who are experiencing
symptoms of acute disease that 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 or body piercing.
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.
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.
410 IAC 1-5-32 Tattooing equipment
Sec. 32. (a) Only single-use razors shall be used to shave the area
to be tattooed.
(b) All stencils shall be properly disposed of after a single use.
(c) If the design is drawn directly onto the skin, it shall be applied
with a single-use article only.
410 IAC 1-5-33 Needles
Sec. 33. (a) Needles shall be individually packaged and sterilized
prior to use.
(b) Needles shall be single-use only.
(c) Needles shall be discarded in sharps containers immediately
after use.
(d) Contaminated needles shall not be bent or broken or otherwise
manipulated by hand.
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 shall comply with all other
equipment manufacturer's recommendations.
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 singleuse or individual containers shall be discarded along with the
container.
(d) Any object placed under the skin shall be sterile.
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.
410 IAC 1-5-37 Infectious waste containment
Sec. 37. (a) Contaminated disposable needles or instruments shall
be:
(1) stored in:
(A) leak-resistant; and
(B) puncture-resistant;
containers;
(2) tightly sealed to prevent expulsion;
(3) labeled with the biohazard symbol; and
(4) effectively treated in accordance with this rule prior to being
stored in an unsecured area and sent for final disposal.
(b) Infectious wastes that are not contaminated sharps or objects
that could potentially become contaminated sharps shall be placed
in containers that meet the following requirements:
(1) Impervious to moisture.
(2) Sufficient strength and thickness to prevent expulsion.
(3) Secured to prevent leakage expulsion.
(4) Labeled with the biohazard symbol.
(5) Effectively treated in accordance with this rule prior to being
placed in an unsecured area and sent for final disposal.
(c) If infectious waste is stored prior to final disposal, all persons
subject to this rule shall store infectious waste in a secure area
that:
(1) is locked or otherwise secured to eliminate access by or
exposure to the general public;
(2) affords protection from adverse environmental conditions and
vermin; and
(3) has a prominently displayed biohazard symbol.
(d) Infectious waste shall be stored in a manner that preserves the
integrity of the container and is not conducive to rapid microbial
growth and putrefaction.
(e) Disinfect reusable containers for infectious waste each time that
they are emptied unless the surfaces of the reusable containers
have been protected from contamination by disposable liners, bags,
or other devices that are removed with the infectious waste.
410 IAC 1-5-38 Treatment and transport of infectious waste
Sec. 38. (a) All 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 operator shall ensure that infectious waste, effectively
treated or not is transported off-site in compliance with 410 IAC 13.
WATER QUALITY &
HAZARDOUS MATERIALS MANAGEMENT
TATTOO and/or BODY PIERCING
SITE SURVEY CHECKLIST
The following checklist includes all of the required paperwork that must be submitted for licensure of a new tattoo and/or
body piercing facility. ALL REQUIRED PAPERWORK, INCLUDING THIS SIGNED CHECKLIST, MUST BE COMPLETE AND
INCLUDE THE $50 SITE SURVEY FEE BEFORE AN INSPECTION WILL BE SCHEDULED. Once the facility has passed the site
survey inspection, the license can be obtained by paying the license fee of $300 ($150 after March 1).
FACILITY NAME:
ADDRESS:
❏ COMPLETED EXPOSURE CONTROL PLAN
❏ BLOODBORNE PATHOGEN CERTIFICATES FOR ALL EMPLOYEES
❏ HEPATITIS B WAIVERS SIGNED BY ALL EMPLOYEES
❏ SPORE TEST RESULTS WITHIN LAST 30 DAYS (IF APPLICABLE)
❏ CONTRACT WITH INFECTIOUS WASTE COMPANY
❏ RECEIPTS FOR DISPOSABLE EQUIPMENT (NEEDLES, ETC.)
❏ TATTOO & PIERCING EQUIPMENT FORM
ZONING NOTICE:
The City of Indianapolis’ Department of Code Enforcement will be contacted regarding all new facilities. Please ensure
that the facility is in compliance with all applicable zoning ordinances, including the special exception required for
tattoo facilities, before obtaining the license. For more information, contact the department of code enforcement at
317.327.8700 or visit their website at www.Indy.Gov/egov/city/codeenforcement.
OWNER SIGNATURE:
OWNER NAME PRINTED:
DATE:
WATER QUALITY &
HAZARDOUS MATERIALS MANAGEMENT
TATTOO and/or BODY PIERCING
EQUIPMENT FORM
Please check which method your facility uses in regards to tattoo and/or body piercing equipment, then sign and
date where indicated. THE MARION COUNTY HEALTH DEPARTMENT MUST BE NOTIFIED ABOUT ANY CHANGES.
FACILITY NAME:
ADDRESS:
❏
This facility uses only pre-sterilized, disposable equipment. Receipts must verify that all equipment has been properly sterilized and copies must be kept at the facility for review. THERE MUST NOT
BE ANY EXPIRED OR NON-DISPOSABLE EQUIPMENT PRESENT IN THE FACILITY.
If this facility changes methods, the Marion County Public Health Department must be notified
and given a recent negative spore test result for the sterilization equipment that will be used.
DATE:
OPERATOR SIGNATURE:
❏
This facility uses sterilization equipment to sterilize all non-disposable equipment. Monthly
spore tests must be run and the results must be submitted to the Marion County Public Health Department by the 21st of the following month.
If this facility changes methods, the Marion County Public Health Department must be notified.
All sterilization and non-disposable equipment must be removed from the facility.
UNIT 1: ____________________________ ______________________________
MAKE/MODEL
SERIAL NUMBER
UNIT 2: ____________________________ ______________________________
MAKE/MODEL
SERIAL NUMBER
UNIT 3: ____________________________ ______________________________
MAKE/MODEL
OPERATOR SIGNATURE:
SERIAL NUMBER
DATE:
EXPOSURE CONTROL PLAN
Written Policy for Tattoo and/or Body Piercing Facilities
as required under 410 IAC 1-5-26
Name of Facility:
Address:
Policies were prepared by:
Preparer's Relationship to the Facility:
Date:
This policy must be reviewed annually. Please list the month and day that the plan was reviewed for the years listed
below; indicate if changes were made, and list the name of the person reviewing the plan. Do not indicate the month
and day of the review until the review has been completed.
Year
Month and day of review
Place check mark if changes were made
Name of reviewer
2010
2011
2012
2013
2014
2015
This "fill-in-the-blank" model policy was prepared by the Indiana State Department of Health to assist tattoo and/or
body piercing facilities in developing written policies to comply with 410 IAC1-5. Citations from the law are written in
italics. Dot points without any "fill-in-the-blanks" are policies that all facilities must observe. The operator should
signify that the policies are observed by placing his/her initials on the line immediately after these dot points.
Information that the facility must provide is to be placed in the blanks.
Disclaimer: The attached material should be used by the operator as a starting point in the preparation of written
policies. Review of applicable law and/or consultation with the operator's legal counsel on specific matters of
concern is recommended. The material addresses only the requirements of 410 IAC 1-5.
410 IAC 1-5-24
Operator training responsibilities
Sec. 24. An individual or entity that is an 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 and body piercers, anyone
employed by the facility or anyone acting on behalf of the facility, 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 and body piercers, or
anyone employed by the facility or anyone acting on behalf of the facility 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.
____ Bloodborne Pathogen training and training on handling infectious waste in this facility is provided
yearly. A list of individuals at the facility that may have contact with blood or other potentially infectious
materials, the date that the individual began working at the facility, the date and location (i.e. Red Cross) of
their training, and the date the individual quit working at the facility is included in this written policy.
____Training records are kept at the facility for ______ years.
410 IAC 1-5-25
Operator responsibilities
Sec. 25. (a) The operator shall ensure that tattoo artists, body piercers, or anyone employed by the facility or anyone
acting on behalf of the facility who has a reasonably anticipated risk for skin, eye, mucous membrane, or parenteral
contact with blood have and use 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 operator shall require tattoo artists and body piercers, anyone employed by the facility, or anyone acting on
behalf of the facility 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 operator shall display a description of compliance with the requirements contained in subsection (d).
(d) The 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.
List the personal protective equipment and expendables needed for tattooing and/or piercing (i.e. razors,
gauze, soap, towels) that each tattoo artist or body piercer in the facility has available. The Operator of the
facility does not need to provide the supplies but must be sure that the supplies are available. Personal
protective equipment and expendables available for tattoo artists are listed below:
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
Personal protective equipment and expendables available for body piercers are listed below:
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
410 IAC 1-5-26
Operator written 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.
____This facility requires the use of universal precautions.
____This facility requires disinfection or sterilization of contaminated reusable items.
____This facility requires the safe handling of infectious waste.
Sanctions when persons who have contact with blood and/or other potentially infectious materials but do not
follow the requirements of this law are as follows:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
410 IAC 1-5-27
Tattoo artist and body piercer minimum training and certification requirements
Sec. 27. (a) All tattoo artists, body piercers, anyone employed by the facility, and anyone acting on behalf of the
facility, 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 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 provided by a health care agency.
(b) All tattoo artists, body piercers, anyone employed by the facility, and anyone acting on behalf of the facility, who
has a reasonably anticipated risk for skin, eye, mucous membrane, or parenteral contact with blood or OPIM must be
trained in the facility's policies on the handling of infectious waste.
Tattoo artists and body piercers have received training regarding bloodborne pathogens and handling of
infectious waste. See the "fill in the blanks" training record on the following page.
Bloodborne Pathogen Training Record for (Name of Facility) ______________________________for
the Year _________________
Person that needs yearly bloodborne pathogen
training (each person requiring training must
provide the date and location of training every
year)
Date that the
person began
working at the
facility
Date and
location of
training
Date employee
quit working at
the facility
410 IAC 1-5-28
Patron records
Sec. 28. Records of each patron shall be maintained by the operator for two (2) years. The record shall include the
following, but not be limited to:
(1) Patron's name.
(2) Address.
(3) Age.
(4) Date tattooed or body pierced.
(5) Design of the tattoo.
(6) Location of the tattoo or body piercing on the patron's body.
(7) The name of the tattoo artist or body piercer who performed the work
(8) Jewelry or other decoration used.
Training records are kept for ___ years in the following location at the facility: _______________________.
____The record meets the requirements of the law.
410 IAC 1-5-29
Illness
Sec. 29. Tattoo artists or body piercers who are experiencing symptoms of acute disease that 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 or body piercing.
____Tattoo artists or body piercers who are acutely ill with any of the illnesses listed in the law are not
allowed to work.
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.
____Handwashing sinks are accessible and the tattoo artist or body piercer can reach the sink without
contaminating any object.
____Hands are washed with soap and running water immediately before putting on gloves and after taking
gloves or other personal protective equipment off.
____Only single use towels are used.
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.
Clean protective clothing is worn performing the following tasks: _____________________________
_________________________________________________________________________________
____Disposable gloves are surgical or examination type and are worn during tattooing or body piercing. They
are always changed whenever there is an interruption in the tattoo or body piercing process and when torn.
____Disposable gloves are not reused.
____Gloves are worn when decontaminating surfaces.
List any other personal protective equipment used in the facility for tattooing:
_________________________________________________________________________________
_________________________________________________________________________________
List any other personal protective equipment used in the facility for piercing:
_________________________________________________________________________________
_________________________________________________________________________________
410 IAC 1-5-32
Tattooing equipment
Sec. 32. (a) Only single-use razors shall be used to shave the area to be tattooed.
(b) All stencils shall be properly disposed of after a single use.
(c) If the design is drawn directly onto the skin, it shall be applied with a single-use article only.
Razors, stencils, and articles, such as pens used to place designs on the skin, are single use. List how the
facility disposes of these items:
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
410 IAC 1-5-33
Needles
Sec. 33. (a) Needles shall be individually packaged and sterilized prior to use.
(b) Needles shall be single-use only.
(c) Needles shall be discarded in sharps containers immediately after use.
(d) Contaminated needles shall not be bent or broken or otherwise manipulated by hand.
___Needles are only used on one patron and discarded immediately into a "sharps" container.
The needles used on all patrons are sterile and packaged in (list type of packaging)
_________________________________________________________________________________
___Contaminated needles are never bent, broken, or manipulated by hand.
List any other practices that your facility has concerning needles:
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
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 shall comply with all other equipment manufacturer's recommendations.
This facility uses ______________________________________ to sterilize equipment. The equipment
cleaning sterilization procedure used at this facility is as follows:
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
In Section 1 of the table below, list all equipment used in the facility during tattooing or body piercing. In Section 2,
check whether it is single use or reusable (only one check mark in Section 2), In Section 3, check the method used
for sterilization of reusable equipment. Check ONLY ONE, the highest level of disinfection/sterilization (i.e. for
equipment that is soaked in a disinfectant before you sterilize, check sterilize). Note that Section 3 is not completed
for equipment that is single use.
Section 1
Section 2
Section 3
Name of Equipment
Single Reusable
Use
Reused:
Heat
Sterilized
Reused: Highlevel
Disinfection
Reused: Intermediate-level
Disinfection
___Single use packaging is used for equipment being sterilized and the equipment is not taken out of the
packaging until immediately prior to use.
___All manufacturers’ recommendations are followed.
Step
Step
Step
Step
Step
Step
Step
Step
Step
Step
List each step used in sterilizing equipment (includes cleaning before sterilizing):
1: _________________________________________________________________________________
2: _________________________________________________________________________________
3: _________________________________________________________________________________
4: _________________________________________________________________________________
5: _________________________________________________________________________________
6: _________________________________________________________________________________
7: _________________________________________________________________________________
8: _________________________________________________________________________________
9: _________________________________________________________________________________
10: ________________________________________________________________________________
List any other policies relating to reusable equipment (procedure for high-level and intermediate level
disinfection, if applicable):
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
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. Singleuse 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.
Dyes or pigments at this facility are purchased from the following:
__________________________________________________________________________________
___Single use containers are used for dyes and unused dyes or pigments are discarded use.
Any object (such as sand) placed under the skin must be sterile. List items placed under the skin in this
facility:____________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
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 twentyfour (24) hours old.
___Tattooing or body piercing is not performed in living quarters or in areas that open up to living areas.
___The only live animals that can come into the facility are patrol dogs and guide dogs.
___Eating, drinking, smoking, applying cosmetics, or handling contact lenses is not allowed in the work area
___Work surfaces are non-absorbent, easily cleaned, smooth and free of breaks, open seams, cracks, pits,
and similar imperfections.
Environmental surfaces in the work area and equipment contaminated with blood must be cleaned and
disinfected. The disinfectant used in this facility is as follows:
410 IAC 1-5-37
Infectious waste containment
Sec. 37. (a) Contaminated disposable needles or instruments shall be:
(1) stored in:
(A) leak-resistant; and
(B) puncture-resistant;
containers;
(2) tightly sealed to prevent expulsion;
(3) labeled with the biohazard symbol; and
(4) effectively treated in accordance with this rule prior to being stored in an unsecured area and sent for final
disposal.
(b) Infectious wastes that are not contaminated sharps or objects that could potentially become contaminated sharps
shall be placed in containers that meet the following requirements:
(1) Impervious to moisture.
(2) Sufficient strength and thickness to prevent expulsion.
(3) Secured to prevent leakage expulsion.
(4) Labeled with the biohazard symbol.
(5) Effectively treated in accordance with this rule prior to being placed in an unsecured area and sent for final
disposal.
(c) If infectious waste is stored prior to final disposal, all persons subject to this rule shall store infectious waste in a
secure area that:
(1) is locked or otherwise secured to eliminate access by or exposure to the general public;
(2) affords protection from adverse environmental conditions and vermin; and
(3) has a prominently displayed biohazard symbol.
(d) Infectious waste shall be stored in a manner that preserves the integrity of the container and is not conducive to
rapid microbial growth and putrefaction.
(e) Disinfect reusable containers for infectious waste each time that they are emptied unless the surfaces of the
reusable containers have been protected from contamination by disposable liners, bags, or other devices that are
removed with the infectious waste.
List infectious waste items that are placed in leak-resistant, puncture-resistant containers immediately after
use:
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
List other infectious waste items (i.e. gauze soaked with blood) and state disposal method for those items:
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
After infectious waste containers are appropriately filled, the containers are stored in the following location in
the facility:____________________________________________________________________________
o The storage area meets these requirements: the area is secure (either locked or has no public access),
protected from adverse environmental conditions, and displays the biohazard symbol.
o If reusable containers are used (i.e. plastic liners used in the container), list how they are disinfected
if contaminated with blood:
_________________________________________________________________
____________________________________________________________________________
410 IAC 1-5-38
Treatment and transport of infectious waste
Sec. 38. (a) All 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 operator shall ensure that infectious waste, effectively treated or not is transported off-site in compliance
with 410 IAC 1-3.
___This facility does not compact untreated infectious waste.
If infectious waste is treated in the facility, state the method of treatment:
_________________________________________________________________________________
If transported off-site for treatment, state treatment facility:
_________________________________________________________________________________
___When infectious waste is treated, either at the facility or somewhere other than the facility (usually a
commercial vendor), a form is generated that has the following information: name, address, and telephone
number of the tattoo/body piercing facility and the treatment facility if the infectious waste is being sent to a
treatment facility, a brief description of the infectious waste (i.e. used tattoo needles), the method of
effective treatment, and the signature of a responsible person at the tattoo/body piercing facility.
MARION COUNTY HEALTH DEPARTMENT
Department of Water Quality and Hazardous Materials Management
3838 N. Rural Street, 5th floor
Indianapolis, IN 46205-2930
PHONE: 317-221-2266 FAX: 317-221-2288
HEPATITIS B DECLINATION FOR EMPLOYEES
Tattoo and/or Body Piercing Facility
I understand that due to my occupational exposure to blood or other
potentially infectious materials, I may be at risk of acquiring Hepatitis B
virus (HBV) infection. I have been given the opportunity to be vaccinated
with Hepatitis B vaccine. However, I decline Hepatitis B vaccination at this
time. I understand that by declining this vaccine, I will remain at risk of
acquiring Hepatitis B, a serious disease. If in the future I continue to have
occupational exposure to blood or other potentially infectious materials and
want to be vaccinated with the Hepatitis B vaccine, I can receive the vaccine.
OR
I received the Hepatitis B vaccine at: ___________________(specific location)
on the following dates: ____________, ____________, and ____________.
OR
I have had Hepatitis B in the past and was tested for surface antigens, surface
antibodies or core antibodies at: ______________________(specific location).
The results of the test were:
Surface antigen (HBSAG) _____________________
Surface antibodies (HBSAB) ___________________
Core antibodies (HBCAB) _____________________
Name: _______________________________________
Signature: ____________________________________ Date: _____________
Witness: _____________________________________ Date: _____________
HEPATITIS B VACCINE FACT SHEET
Hepatitis B is spread when blood or certain body fluids from an infected person get into
the body of a person who is not infected. This can happen by getting stuck with a used
needle, blood splashing into a person's eyes, nose or mouth, or by having sexual contact
with someone who has Hepatitis B.
The Hepatitis B virus has been found to survive for more than a week in dried blood. This
means artists can still be exposed to the virus long after an infected person has left the
shop if shop counters, chairs, or equipment are not properly disinfected.
Symptoms of Hepatitis B may not show up for several months after a person has been
infected and only 70% of people who are infected have symptoms. This means a person
could be infected, but still look and feel healthy. People who do not show symptoms can
still spread the virus and may eventually develop liver cancer or liver failure. Hepatitis B
can also cause life-long infection, cirrhosis (scarring) of the liver, and death.
The Hepatitis B vaccine is the best protection against the virus and involves a series of
three shots. The Marion County Health Department operates five immunization clinics,
which offer the Hepatitis B vaccine at a reduced cost. It is encouraged that anyone with
a reasonably anticipated risk gets vaccinated to protect themselves and their customers.
IMMUNIZATION CLINICS & HOURS
LOCATION
MONDAY
TUESDAY
THURSDAY
NORTHWEST OFFICE
6940 N. Michigan Rd.
(317) 221-7500
12PM – 4PM
8AM – 4PM
NORTHEAST OFFICE
6042 E. 21st St.
(317) 221-7300
8am – 4PM
12PM – 4PM
SOUTH OFFICE
505 E. National Ave
(317) 221-5700
8AM – 4PM
8AM – 12PM
3PM – 7PM
(Apr-Nov)
3PM – 6PM
(Dec-Mar)
12PM – 4PM
FRIDAY
12PM – 4PM
8AM – 12PM
HASBROOK CLINIC
3838 N. Rural St.
(317) 221-2366
GEORGETOWN OFFICE
3974 Georgetown Rd.
(317) 221-3441
WEDNESDAY
3PM – 7PM
(Apr-Nov)
3PM – 6PM
(Dec-Mar)
3PM – 7PM
(Apr-Nov)
3PM – 6PM
(Dec-Mar)
8AM – 4PM
8AM – 4PM
12PM – 4PM
12PM – 4PM
8AM – 4PM
8AM – 12PM
8AM – 12PM
8AM – 4PM
8AM – 12PM
For more information, contact the clinic at the phone number listed above or contact the
Marion County Health Department’s Immunization Program at (317) 221-2122.
SPORE TESTING COMPANIES
(List compiled by the Marion County Health Department)*
Autoclave Testing Service (ATS)
P.O. Box 270
Pearl River, NY 10965
(877) 287-1199
Indiana University School of Dentistry
Infection Control Research Services
1121 W. Michigan Street
Indianapolis, IN 46202
(317) 274-5411
North Bay/Bioscience
13606 S. West Bay Shore Drive
P.O. Box 4319
Traverse City, MI 49685
(800) 289-7786
SPS Medical
6789 W. Henrietta Road
Rush, NY 14543
(800) 722-1529
*This list is in no way an endorsement of the above listed companies, nor is intended for
exclusion of any companies not listed. This list may not be complete, and therefore,
tattoo and piercing facilities are encouraged to also search on their own to find
additional companies that may be capable of providing these services. We welcome any
additional information on companies that can be added to this list. Please contact the
Dept. of Water Quality & Hazardous Materials Mgmt. at (317) 221-2266 with
suggestions or comments.
INFECTIOUS WASTE DISPOSAL COMPANIES
(List compiled by the Marion County Health Department)*
Statewide Medical Services
3601 E. 9th Street
Indianapolis, IN 46201
(317) 634-0801
Stericycle
2525 N. Shadeland Avenue
Indianapolis, IN 46219
(317) 352-9875
*This list is in no way an endorsement of the above listed companies, nor is intended for
exclusion of any companies not listed. This list may not be complete, and therefore,
tattoo and piercing facilities are encouraged to also search on their own to find
additional companies that may be capable of providing these services. We welcome any
additional information on companies that can be added to this list. Please contact the
Dept. of Water Quality & Hazardous Materials Mgmt. at (317) 221-2266 with
suggestions or comments.
Prevention of Cross-Contamination in Tattooing
Cross-contamination refers to the unintentional transmission of infection from
person to object, then from the contaminated object to another person. In a tattoo
shop, this most commonly occurs in the work area, or is a result of improper procedure
during the cleaning and sterilizing of contaminated instruments.
Hepatitis viruses can remain active on a surface for a period of days to weeks,
depending on the environmental conditions. A contaminated object, surface, or
instrument can become a common link between two or more people, and transmission
of infection can occur from client to client. The possibility of client to staff, and staff to
client transmission must also be considered. If correct procedures are established and
maintained, the possibility of disease transmission can be minimized.
Zones
Infection control requires that a shop environment be considered in terms of
separate areas or zones. The zones are established by usage – reception area, work
area, cleaning area, and washroom. The zones should be designated clean or
contaminated. The integrity of these zones, once established, must not be
compromised.
A contaminated zone is an area in which there has been any exposure of bodily
fluids, especially blood. Overspray created during the tattooing procedure may contain
microorganisms that can settle and survive on surfaces, establishing an area as
contaminated. Any person entering an area whish is potentially contaminated must be
aware of this fact or access to this area should be restricted.
An area in which any possible exposure to contaminants has been eliminated is a
clean zone; this area can be maintained through disinfection and adherence to
procedure.
Contaminated zones in a shop should be contained, and separated as much as
possible from the rest of the shop. This area should not be accessible to anyone,
except staff and the client being tattooed. Any person with an uncovered, fresh tattoo
should not be allowed outside the designated contaminated zone. The tattooist should
never leave the work area with contaminated gloves on.
The reception area of a shop should be established and maintained as a clean
zone.
The area where instruments are cleaned prior to sterilization must be considered
a contaminated area. There should be no public access.
The area in which tattooing is done should be considered contaminated as soon
as the session begins. Before the next client enters this area it must be returned to a
safe, clean, condition. The preparation of the tattooing area is disinfection after the
previous appointment. During the tattooing procedure any surface or object in the
room that the tattooing is being done in may become contaminated. The tattooing
area must be easily cleaned. Waste receptacles should have a large opening with a lid.
Plastic bags should be a heavy gauge, which will not easily tear or puncture. Materials
that will be needed during the tattooing procedure should be laid out for each session.
They should be easily accessible to avoid unnecessary hand contact and consequent
contamination of counter surfaces, drawer handles, and cabinet knobs. A disposable
cup of water should be used to rinse the machine tube during the procedure, as sinks
are problematic due to the difficulty in re-establishing cleanliness.
Disposable Items
Disposable items should be used wherever possible. Disposable caps should be
used for pigment. Disposable razors should be used once only and then discarded.
Items that will be re-used, such as tubes, should be made of stainless steel and
sterilized after each use.
Non-Disposable Items
Items that are not disposable, and cannot be sterilized must be covered with a
disposable plastic barrier, to prevent contamination from reaching surfaces. Anything
that will be touched by the tattoo artist during the tattooing procedure must be covered
with plastic bags, such as spray bottles, clip cords, and tattoo machines. Plastic backed
napkins should be used to create a disposable work surface. When removing plastic
barriers, care must be taken not to contaminate the area it was covering.
Surfaces and Objects
Objects and surfaces in the tattooing work area that are either not disposable,
sterilized after one use, or have not been covered, must be brought to a high level of
disinfection. Efficient chemical disinfection requires exposure to the disinfectant for a
significant amount of time, for many products it is as much as twenty minutes. This is
difficult in a busy shop environment, where clients are seen consecutively in the same
work area. Extensive use of disposable plastic barriers, such as dental bibs, can reduce
the need for chemical disinfection of the work area between clients. Counters and
tabletops that have not been covered have been exposed to airborne particles, which
may contain contaminants. These areas must be wiped down with a hospital-grade
tuberculocidal disinfectant or 10% bleach solution and left to air-dry between
appointments.
When a tattooing session is completed, the instruments that are to be sterilized
must be taken to an area designated for cleaning contaminated instruments prior to
sterilization. Thorough pre-cleaning to physically remove all matter is mandatory prior
to sterilization. As it is nearly impossible to clean the small spaces between needles in
multiple needle configurations, re-use is prohibited. Any object to be sterilized must be
physically clean prior to sterilization. Any particles left on the instruments can impair
the sterilization process.
Ultrasonic cleaning is not a substitute for sterilization. It should be considered as
a cleaning process only. Ultrasonic cleaning is preferred over manual cleaning, for it
has more efficient penetration into the small spaces of tubes. A major concern is the
risk of nicks or cuts by anyone scrubbing the instruments by hand, as well as exposure
to overspray and splatter. These should be considered as common potentials for crosscontamination.
Items should be packaged and sealed in autoclave bags and dated prior to
sterilization. Care should be taken that the packages are completely dry before they
are stored. Paper/plastic peel pouches are said to be safe for six to twelve months.
Contamination is event-related, not time related. The conditions of storage and the
amount of handling to which the packs are subjected are more important determinants
of contamination. Sterile packs should be kept in closed containers away from moisture
or possible contamination, and handled as little as possible prior to use.
Waste Disposal
Garbage containers should be lined with heavy gauge garbage bags. Never
allow bags to overfill. Do not place hard or heavy objects in bags, which could cause
potential tears or punctures. Keep waste from contaminated areas out of clean areas.
In all areas bags should be sealed, then promptly removed. Waste collection
receptacles and dumpsters should be kept locked awaiting collection.
Although waste produced during the tattooing process should be considered
contaminated, it generally does not fall within the scope of regulated hazardous waste.
The Bloodborne Pathogen Standard uses the term “regulated waste” to refer to the
following categories of waste which requires special handling at a minimum:
- Liquid or semi-liquid blood or other potentially infectious materials
- Items contaminated with blood or other potentially infectious material and
which would release these substances in a liquid or semi-liquid state if
compressed
- Items that are caked with dried blood or other potentially infectious material
and are capable of releasing these materials during handling
- Contaminated sharps
- Pathological and microbiological wastes containing blood or other potentially
infectious material
These items considered regulated infectious waste must be stored in punctureresistant, leakproof containers labeled with the biohazard symbol. They must be stored
in a secure and then picked up by an infectious waste disposal company.
In summary, cross-contamination can be prevented by establishing zones and
properly cleaning, disinfecting, and sterilizing all equipment and surfaces. Taking these
protective measures can ensure that everyone involved in the tattooing process is safe
from exposure to infection through cross-contamination.
Hepatitis B
What is hepatitis B?
Hepatitis B is a liver infection caused by the hepatitis B virus. Chronic hepatitis B is a long-term infection of the liver that
can sometimes develop after a bout of acute, or short term, hepatitis B.
How does a person get hepatitis B?
The virus that causes hepatitis B is spread through contact with infected blood or other body fluids of people who have
hepatitis B. For example, you can get hepatitis B by having unprotected sex with an infected person.
People who use intravenous drugs can get hepatitis B when they share needles with someone who has the virus. Health
care workers, such as nurses, lab technicians and doctors, can get these infections if they are accidentally stuck with a
needle that was used on an infected patient.
Pregnant women who are infected with hepatitis B can also pass the virus on to their babies.
Hepatitis B cannot be transmitted through casual contact. For example, you cannot get hepatitis B by hugging or shaking
hands with someone who is infected.
What are the symptoms of acute hepatitis B?
Symptoms of hepatitis B:
nausea
vomiting
loss of appetite
abdominal pain
jaundice (the skin turns yellow)
weakness
fatigue
brown urine (may look like tea)
Symptoms of hepatitis B can range from mild to severe. If you have a mild case of hepatitis, you may not even realize
that you have it. It may not cause symptoms or may only cause symptoms similar to the stomach flu.
What is the difference between acute and chronic hepatitis B?
When you are having symptoms for the first time, this is called acute hepatitis. Acute hepatitis lasts 6 weeks or less. Most
people recover from the infection and have no long-lasting problems.
Hepatitis B can become an illness that lasts a long time. This is called chronic hepatitis B. It lasts six months or longer.
Chronic hepatitis occurs when the liver has been damaged from the acute illness and can't recover. Chronic hepatitis
develops in 10% to 20% of people who have hepatitis B.
What are the complications of chronic hepatitis B?
People with chronic hepatitis B may not have any symptoms at all. In some people, chronic hepatitis can lead to cirrhosis
of the liver. Cirrhosis occurs when the liver cells die and are replaced by scar tissue and fat. The damaged areas of the
liver stop working and can't cleanse the body of wastes. The early stages of cirrhosis may not have symptoms, but the
following symptoms may arise as cirrhosis gets worse and more of the liver is damaged:
weight loss
fatigue
jaundice
nausea
vomiting
loss of appetite
Cirrhosis can lead to liver failure and even liver cancer.
If you have hepatitis B, you are also susceptible to hepatitis D (also called "Delta agent). Hepatitis D can only develop in
people who already have hepatitis B. It can make your symptoms of hepatitis B or liver disease worse. It is spread
through contact with infected blood or other body fluids of people who have hepatitis D.
How long does it take chronic hepatitis to develop after acute hepatitis B?
The time between the acute illness and signs of chronic hepatitis B varies. It may take a short time, or it may be years
after the acute infection before chronic hepatitis B develops.
How is hepatitis B diagnosed?
Blood tests are used to diagnose hepatitis B. Blood tests can tell your doctor whether your liver is working properly, and
they can also be used to follow your condition during treatment.
Your doctor may want to look at your liver with an ultrasound exam or x-rays. A liver biopsy may also be needed. With a
liver biopsy, a small piece of the liver is removed through a needle and looked at under a microscope. A liver biopsy can
help your doctor diagnose your illness and see the condition of your liver directly.
How is chronic hepatitis B treated?
If you have chronic hepatitis B, your family physician will probably refer you to a gastroenterologist or other subspecialist
that treats people with chronic liver problems. There are a number of medical treatments available that are often
successful. These include Interferon alfa-2b and other antiviral medicines. Treatment may take a year or more, depending
on the severity of the infection and the response to treatment.
Can hepatitis B be prevented?
The best way to prevent hepatitis B is to have protected sex (use a condom) and to avoid sharing needles.
A vaccine is available to prevent hepatitis B. It is now routinely given in the first year of life to all newborn infants. It is
safe and requires 3 shots over a 6-month period. This vaccine should be given to people who are at high risk for this
illness, such as health care workers, all children, drug users, people who get tattoos or body piercing, and those with
multiple sex partners.
Copyright © 1996-2008 American Academy of Family Physicians
Hepatitis C
What is hepatitis?
Hepatitis is an inflammation of the liver. Inflammation causes soreness and swelling. Hepatitis can be caused by many
things. Lack of blood supply to the liver, poison, autoimmune disorders, an injury to the liver, and taking some medicines
can cause hepatitis. However, hepatitis is most commonly caused by a virus.
There are 2 main kinds of hepatitis, acute hepatitis and chronic hepatitis. When a person has hepatitis, the liver may
become inflamed very suddenly. This is called acute hepatitis. If you have acute hepatitis, you might have nausea,
vomiting, fever and body aches. Or you may not have any symptoms. Most people get over the acute inflammation in a
few days or a few weeks. Sometimes, however, the inflammation doesn't go away. When the inflammation doesn't go
away, the person has chronic hepatitis.
How does hepatitis affect the liver?
The liver breaks down waste products in your blood. When the liver is inflamed, it doesn't do a good job of getting rid of
waste products. One waste product in the blood, called bilirubin, begins to build up in the blood and tissues when the
liver isn't working right. The bilirubin makes the skin of a person with hepatitis turn a yellow-orange color. This is called
jaundice. Bilirubin and other waste products may also cause itching, nausea, fever and body aches.
What is hepatitis C?
There are 3 viruses that cause hepatitis. Each hepatitis virus is named with a letter of the alphabet: hepatitis A, hepatitis
B and hepatitis C. Hepatitis C is usually spread through contact with blood products, like accidentally being stuck with a
dirty (used) needle, using IV drugs and sharing needles, or getting a blood transfusion before 1992. Most people don't
feel sick when they are first infected with hepatitis C. Instead, the virus stays in their liver and causes chronic liver
inflammation.
Most people who are infected with hepatitis C don't have any symptoms for years. However, hepatitis C is a chronic
illness (it doesn't go away). If you have hepatitis C, you need to be watched carefully by a doctor because it can lead to
cirrhosis (a liver disease) and liver cancer.
I've never used IV drugs or been stuck with a dirty needle. How did I get hepatitis C?
Hepatitis C is usually spread through direct contact with the blood of a person who has the disease. Many times, the
cause of hepatitis C is never found. Sharing razors or toothbrushes can transmit the hepatitis C virus. It can be
transmitted by needles used for tattooing or body piercing. It can even be passed from a mother to her unborn baby.
This virus can be transmitted through sex, but this is rare. All of these ways of catching hepatitis C are uncommon, but
they do occur.
Hepatitis C can't be spread unless a person has direct contact with infected blood. This means a person who has hepatitis
C can't pass the virus to others through casual contact such as sneezing, coughing, shaking hands, hugging, kissing,
sharing eating utensils or drinking glasses, swimming in a pool, using public toilets or touching doorknobs.
Could I give hepatitis C to someone else?
Yes, as far as we know, once you have hepatitis C, you can always give it to someone else. If you have hepatitis C, you
can't donate blood. You should avoid sharing personal items like razors and toothbrushes. Always use a condom when
you have sex. If you have hepatitis C, your sex partners should be tested to see if they also have it.
Talk to your doctor first if you want to have children. The virus isn't spread easily by sexual contact or from a mother to
her unborn baby. If you're trying to have a baby, don't have sex during the menstrual cycle, because the hepatitis C virus
spreads more easily in menstrual blood.
How should I take care of myself if I have hepatitis C?
You should eat a healthy diet and start exercising regularly. A dietitian can help you plan a diet that is healthy and
practical. Talk to your doctor about medications that you are taking, including over-the-counter medications. Many
medicines, including acetaminophen (brand name: Tylenol) are broken down by the liver and may increase the speed of
liver damage. It is very important that you drink only a minimal amount of alcohol. An occasional alcoholic drink is
probably OK, but check with your doctor first.
Is there a vaccine for hepatitis C?
No, not for hepatitis C. There are vaccines for hepatitis A and hepatitis B. If you have hepatitis C, your doctor may want
you to take the vaccine for hepatitis B (and maybe the vaccine for hepatitis A), if you don't already have these viruses. If
you have hepatitis C, you are more likely to catch hepatitis A or hepatitis B, and that would cause more damage to your
liver.
Is there a treatment for hepatitis C?
Good health habits are essential for those who have hepatitis C, especially avoidance of alcohol and other medications
and drugs that can harm the liver. Although there is not yet a proven cure for hepatitis C, some people benefit from drug
treatment. You should discuss treatment with a doctor if you have hepatitis C.
Copyright © 2000-2008 American Academy of Family Physicians
HIV and AIDS: How to Reduce Your Risk
What is AIDS?
AIDS (acquired immunodeficiency syndrome) is a disease caused by a virus called HIV (human immunodeficiency virus).
HIV attacks the body's immune system. A healthy immune system is what keeps you from getting sick.
When people have AIDS, their bodies can't fight disease. They get sick easily and have trouble getting well. They usually
die of an infection or cancer.
How do people get HIV?
HIV can only be passed from person to person through body fluids, like blood, semen and vaginal fluid. The most
common ways HIV is passed are:
By having unprotected anal, vaginal or oral sex with an infected person.
By sharing needles and syringes for injecting drugs with an infected person.
You may be at risk of getting HIV if you have any of the risk factors listed in the box below. Children born to infected
mothers can also become infected during pregnancy.
Possible risk factors for HIV infection
You should be tested for HIV if you:
Have had unprotected sex with many sex partners.
Have a sexually transmitted infection (STI).
Use illegal injected drugs.
Had blood transfusions or received blood products before 1985.
Have a sex partner with any of the above risk factors.
What contact is safe?
HIV can't live very long outside the body, so you can't get it through casual contact. You can't get the virus by touching,
shaking hands, hugging, swimming in a public pool, giving blood, or using hot tubs, public toilets, telephones, doorknobs
or water fountains. You also can't get it from food, mosquitoes or other insects.
Should I be tested for HIV?
You should think about getting tested for HIV infection if you think you're at risk. Most HIV antibody tests done by your
doctor are accurate if they are done 3 to 6 months or longer after you think you may have been infected. It takes this
long for the antibodies to show up in the blood.
How can I avoid getting HIV?
The best ways to protect yourself from getting infected with HIV are to:
Not have sex with a person who is infected or is having sex with others.
Practice "safer" sex if you do have sex.
Not share needles and syringes.
You can't tell who's infected with HIV by how they look. It takes an average of 8 years for symptoms of AIDS to develop
after a person is infected with HIV. So even people who don't look or feel sick can give you AIDS.
What if I share needles?
The best decision for your health is to get help for your drug abuse. If you do share needles and syringes, clean them
twice with bleach and water to help kill HIV. Draw bleach into the syringe and needle, then squirt it out. Do the same
with water. Do both steps again.
Copyright © 1996-2008 American Academy of Family Physicians
CITY OF INDIANAPOLIS ZONING ORDINANCE
Sec. 732-203. C-3 Neighborhood Commercial District
Statement of purpose: The C-3 District is designed to permit the development of a complete range of
retail sales and personal, professional and business services required to meet the maximum demand of
a fully developed residential neighborhood, regardless of its size. Examples of such types of uses include
neighborhood shopping centers, sales of retail convenience or durable goods, shopping establishments,
retail and personal and professional service establishments. It does not make provision, however, for
those businesses that draw customers in significant numbers from well beyond a neighborhood boundary
and are, therefore, unusually heavy traffic generators, such as theaters. It does not allow those
businesses that require the outdoor display, sale or storage of merchandise; require outdoor operations;
or permit outdoor service and consumption of food and beverages. In general, to achieve maximum
flexibility of permitted land use, the C-3 District makes possible a highly varied grouping of indoor retail
and business functions.
Permitted C-3 uses. Permitted uses in the C-3 District shall conform to the general commercial
district regulations and performance of section 732-200, and the C-3 District development
standards of subsection 732-203(b). The following uses shall be permitted in the C-3 District:
(1) Any use permitted in the C-1 District (except convalescent or nursing home, assistedliving facility, day care center).
(2) Automobile oil change or lubrication shops, subject to the provisions of subsection
732-203(b)(1)f.
(3) Check cashing or validation service.
(4) Coupon or trading stamp redemption service.
(5) Drinking place (no dancing or entertainment), subject to the provisions of subsection
732-203(b)(1)e., including:
a. Bar
b. Tavern
(6) Eating place, any type of restaurant, subject to the provisions of subsection 732203(b)(1)e.
(7) Emergency shelter.
(8) Gasoline service station (except truck stop), subject to the provisions of subsection
732-203(b)(1)f.
(9) Outdoor advertising signs, subject to the sign regulations of Chapter 734 of this Code.
(10) Parcel packing/mailing service (excluding industrial).
(11) Personal service establishment, including the following:
a. Barber shop
b. Beauty shop
c. Dry cleaning or laundry pickup stations
d. Garment pressing laundromats
e. Interior decorator
f. Key duplicating shop
g. Locksmith
h. Mail order store
i. Photofinishing ("one-hour" photo service)
j. Photography studio
k. Power laundry
l. Radio or television service
m. Tailor, seamstress or dressmaker
n. Tanning salon
o. Tattoo parlor, subject to the grant of a Special Exception and the provisions of
section 732-215
Sec. 732-215. Special exception provisions
Statement of purpose: Because of the exceptional land use characteristics and locational impacts of
certain commercial uses which, if inappropriately located within commercial zoning districts, may have a
deleterious effect upon other land uses and values within the county, it is recognized that the further
classification, subclassification or subdivision and regulation of such uses is essential in order to
preserve property values, as well as to promote the public health, safety, comfort, morals, convenience
and general welfare within Marion County.
(a) Uses permitted by special exception. The following uses shall be permitted in the applicable
commercial zoning districts only upon the grant of a special exception by the Board of Zoning Appeals:
(1) Amusement arcade; or similar amusement, recreation or entertainment center or facility
(except any such arcade, center or
facility having four (4) or less amusement machines).
(2) Massage parlor, service, or facility (except any therapeutic, medical or surgical services or
facilities or regularly licensed hospital or dispensary, or the professional services of a
physician, osteopath or chiropractor duly registered with and licensed by the state).
(3) Methadone clinic or treatment facility.
(3) Tattoo parlor.
(b) Special regulations for uses permitted by special exception. In whatever commercial zoning district
within Marion County the uses designated in section 732-215(a) are included as permitted uses, such
uses shall be subject to the following special regulations. These special regulations shall be in addition to
the applicable district's standards and requirements and, in case of any conflict, the more stringent
regulations shall control:
(1) No use of any land, structure, or premises, as designated in section 732-215(a), shall be
permitted except upon the grant of a
special exception by the Board of Zoning Appeals to permit such a use.
(2) No use of any land, structure or premises, as designated in section 732-215(a), shall be
permitted if any portion of the
perimeter of the subject lot is located within five hundred (500) feet of the following zoning
districts:
a. Dwelling districts.
b. Historic preservation districts.
c. Market square district.
d. Park districts.
e. University quarter districts.
f. SU-1 District (church).
g. SU-2 District (school).
h. SU-37 District (library).
i. SU-38 District (community center).
In addition to the zoning districts noted above, this regulation shall also apply to any portion of
the perimeter of a lot containing an elementary school, junior high school or high school, as
defined in IC 20-10.1-1, regardless of zoning classification. If such use is a part of or included
within an integrated center, the perimeter of the portion thereof or leased spaces occupied by
such use shall be deemed the perimeter of the lot for purposes of the above distance
computation and as required for section 732-215(c)(2).
(c) Grant of special exception. The Board of Zoning Appeals is hereby authorized to grant special
exceptions to permit uses designated in section 732-215(a), subject to the following requirements:
(1) A petition for special exception to permit any use designated in section 732-215(a) shall be
filed with the Board of Zoning
Appeals in accordance with the Board's rules of procedure. In addition to the site plan and
area map filing requirements of the
Board's rules of procedure or special exception petition forms, the petitioner shall file with the
special exception petition:
a. An area map, drawn to scale, indicating the existing zoning classification of all land within
five hundred (500) feet of the
perimeter of the subject lot and any elementary school, junior high school, or high school,
as defined in IC 20-10.1-1, located
within such distance.
b. Proposed detailed findings of fact in support of the four (4) determinations by the Board
(hereinafter specified in section
732-215(c)(2) of this chapter), required for the grant of a special exception. The petition,
or evidence presented to the
Board at the public hearing, may include any additional pertinent exhibits, such as
photographs depicting the subject site or
other land uses and properties in the subject area; neighborhood or community economic,
social, land use or environmental
impact statements; or other relevant evidence.
(2) Findings of fact: A special exception shall be granted following public hearing of the petition
and upon the Board's
determination that:
a. The proposed use will not be injurious to the public health, safety, comfort, morals,
convenience or general welfare;
b. The perimeter of any portion of the subject lot is not located within five hundred (500) feet
of the following districts:
1. Dwelling districts.
2. Historic preservation districts.
3. Market square district.
4. Park districts.
5. University quarter districts.
6. SU-1 District (church).
7. SU-2 District (school).
8. SU-37 District (library).
9. SU-38 District (community center).
In addition to the zoning districts noted above, this finding shall also apply to any portion
of the perimeter of a lot containing an elementary school, junior high school or high
school, as defined in IC 20-10.1-1, regardless of zoning classification.
c. The proposed use will not injure or adversely affect the adjacent area or property values
therein; and
d. The proposed use will be consistent with the character of the district, land use authorized
therein and the Comprehensive
Plan for Marion County.
(3) The grant of a special exception shall be subject to the following requirements:
a. The proposed use shall conform to all performance and development standards of the
applicable zoning district.
b. The proposed use shall conform to all conditions attached to the grant of the special
exception by the Board. All such conditions shall be imposed by the Board to ensure
compliance with standards a., c., and d. of section 732-215(c)(2) above. Such conditions may
include any reasonable site, development, operational and performance standards,
requirements and restrictions. The grant of the special exception may be for a limited period
of time, as specified by the Board.
© Copyright 2024