A. 
Body art is becoming prevalent and popular throughout the Commonwealth. To prevent the transmission of disease and injury to the client and practitioner, the body art practitioner must know and practice universal precautions, sanitation, personal hygiene, sterilization, and proper aftercare requirements.
B. 
These regulations provide minimum requirements for any individual performing body art and for any establishment where body art is performed. In addition, these regulations establish licensing requirements for all individuals performing body art; regular inspections of establishments where body art is performed; and revocation of the licenses of practitioners or permits of establishments when the Board finds a violation of these regulations.
C. 
An annual, non-transferable license or permit fee must be paid by any individual and establishment licensed or permitted under these regulations.
The Easton Board of Health promulgates these regulations under MGL c. 111, § 31, which grants to local health boards the authority to promulgate reasonable regulations for the protection of public health and to impose a fine for the violation of any such regulation.
Individuals conducting the following activities are exempt from the provisions of these regulations:
A. 
Physicians licensed in accordance with MGL c. 112, § 2, who perform body art procedures as part of patient treatment; and
B. 
Individuals who pierce only the ear with a sterilized single-use stud-and-clasp ear-piercing system.
No mobile or temporary body art establishments shall be allowed to operate in Easton.
If any provision contained in these regulations is deemed invalid for any reason, it shall be severed and shall not affect the validity of the remaining provisions.
As used in this chapter, the following terms shall have the meanings indicated:
APPLICANT
Any person who applies to the Easton Board of Health for either a body art establishment license or a body art practitioner permit.
APPRENTICE
A body art practitioner who has completed all other requirements of the license, but lacks the necessary experience or education and is therefore learning the trade, art, or occupation under a fully licensed practitioner for a set period of time.
AUTOCLAVE
An apparatus for sterilization that uses steam pressure at a specific temperature over a period of time. The term "autoclaving" is sometimes used by health agents to refer to the destruction of all forms of microbial life, including highly resistant spores, by the use of an autoclave for a minimum of 30 minutes at 20 pounds of pressure per square inch (PSI) at a temperature of 270° F.
BLOODBORNE PATHOGENS STANDARD
The standard defined in the Federal Occupational Safety and Health Administration guidelines published at Title 29, Code of Federal Regulations, Section 1910.1030 "Occupational Exposure to Bloodborne Pathogens."
BOARD; BOARD OF HEALTH
The Easton Board of Health or its authorized representative having authority to monitor, administer, and enforce these regulations.
BODY ART ESTABLISHMENT or ESTABLISHMENT
A location, place, or business, whether public or private, that has been granted a license by the Easton Board of Health in which body art procedures are performed, whether for profit or not for profit.
BODY ART PRACTITIONER or PRACTITIONER
A specifically identified individual to whom the Easton Board of Health has granted a permit to perform body art procedures in an establishment to which the Board has granted a license.
BODY ART PROCEDURES
The practice of physical body adornment by licensed establishments and approved practitioners using but not limited to the following procedures: body piercing, tattooing, cosmetic tattooing, branding, and scarification. This definition does not include practices that are considered medical procedures by the Board of Registration in Medicine, such as implants under the skin, which procedures shall not be performed in a body art establishment or by a body art practitioner.
BODY PIERCING
[See "Piercing."]
BRAIDING
The cutting of strips of skin of a person, which strips are then to be intertwined with one another and placed onto such person so as to cause or allow the incised and interwoven strips of skin to heal in such intertwined condition.
BRANDING
Inducing a pattern of scar tissue by use of a heated material (usually metal) to the skin, making a serious burn that eventually becomes a scar.
CLEANING AREA
The area in a body art establishment that is dedicated to the sterilization, sanitation, or other cleaning of instruments or other equipment used in the practice of body art. Cleaning areas must be located away from workstations and away from areas frequented by persons other than the employees.
CLIENT
A member of the public who requests a body art procedure at a body art establishment.
CONTAMINATED WASTE
Waste as that is defined in Title 105, Code of Massachusetts Regulations, Chapter 480.000 "Disposal of Infectious or Physically Dangerous Medical or Biological Waste" (State Sanitary Code, Chapter VIII), and Title 29, Code of Federal Regulations, Part 1910.1030. This waste includes any liquid or semi-liquid blood or other potentially infectious material; contaminated items that would release blood or other potentially infectious materials in a liquid or semi-liquid state if compressed; items on which there is dried blood or other potentially infectious materials and which are capable of releasing these materials during handling; sharps; and any wastes containing blood or other potentially infectious materials.
COSMETIC TATTOOING
The implantation of permanent pigment around the eyes, lips and cheeks of the face, and hair imitation. Cosmetic tattooing is also known as permanent cosmetics, micro-pigment implantation, or dermal pigmentation.
DISINFECTANT
A product registered as a disinfectant by the U.S. Environmental Protection Agency (EPA).
DISINFECTING
The destruction of disease-causing microorganisms on inanimate objects or surfaces, thereby rendering these surfaces and objects safe for use or handling.
EMPLOYEE
Persons who work in a body art establishment, including independent body art practitioners.
EQUIPMENT
All machinery, including fixtures, containers, vessels, tools, devices, implements, furniture, display and storage areas, sinks, and all other apparatus and appurtenances used in the operation of a body art establishment.
EXPOSURE
An event whereby there is an eye, mouth or other mucus membrane, non-intact skin, or parenteral contact with the blood or bodily fluids of another person or with other potentially infectious matter.
HAND SINK
A lavatory equipped with hot and cold running water under pressure, used solely for washing hands, arms, or other portions of the body.
HOT WATER
Water that attains and maintains a temperature of 110 - 130° F.
INFECTIOUS
The ability to cause or communicate infection/disease, as from one person to another or from one part of the body to another. Infectious should not be confused with "contagious," which is an infection or disease that is capable of being transmitted. An infectious person or item carries or spreads a contagious disease.
INSTRUMENTS USED FOR BODY ART
Hand pieces, needles, needle bars, and other devices that may be used by the practitioner to perform any body art procedure.
INVASIVE
Entry into the human body either by incision or insertion of any instrument into or through the skin or mucosa (mucous membranes) or by any other means intended to puncture, break, or otherwise compromise the skin or mucosa.
JEWELRY
Any ornament inserted into a newly pierced area that must be made of surgical implant-grade stainless steel; solid 14K or 18K white or yellow gold, niobium, titanium, or platinum; or a dense, low-porosity plastic. Such ornament must be free of nicks, scratches, or irregular surfaces and properly sterilized before use.
LICENSE
Board approval in writing to operate a body art establishment. Said license is exclusive of the establishment's compliance with other licensing or permitting requirements that may exist within the jurisdiction of the Board.
LIGHT COLORED
A light reflectance value of 70% or greater, which means that where these regulations require a light colored surface, such surface shall be white or off-white.
MINOR
Any person under the age of 18 years.
MOBILE BODY ART ESTABLISHMENT
Any trailer, truck, car, van, camper or other motorized or non-motorized vehicle, shed, tent, movable structure, bar, home, or other facility wherein a person desires to or actually does body art procedures. Mobile body art establishment also means a concert, faire, party or other event where a person desires to or actually does body art.
OPERATOR
Any person who individually or jointly or severally with others owns, manages, or controls a body art establishment, but is not a body art practitioner.
PERMIT
Board approval in writing to function as a body art practitioner within a body art establishment. Board approval shall be granted solely for the practice of body art pursuant to these regulations.
PERSON
An individual, any form of business or social organization, or any other non-governmental legal entity including but not limited to a corporation, partnership, limited-liability company, association, trust, or unincorporated organization.
PIERCING
A. 
BODY PIERCINGThe puncturing or penetrating the skin of a client with pre-sterilized single-use needles and the insertion of pre-sterilized jewelry or other adornment into the opening. This definition does not encompass ear-piercing system, which system shall not be used for body piercing.
B. 
EAR PIERCINGThe puncturing of the lobe of the ear with a pre-sterilized single use stud-and-clap ear-piercing system following the instructions of the manufacturer.
PRE-STERILIZED
Instruments or procedure setups that are sold individually packaged and sterilized. Each package shall have a sterilization lot number that may be audited.
PROCEDURE SURFACE
Any surface of an inanimate object that contacts the client's unclothed body during a body art procedure or any work area that may require sanitizing that is associated with the body art procedure. Procedure surface also refers to the actual skin area of the body art procedure and any adjacent skin area that requires cleaning, shaving, or other preparation for the body art procedure.
SANITARY
Clean and free of agents of infection or disease affecting human health; taking measures for guarding against the spread of infection or disease. When a surface or object is not free of agents of infection or disease, the surface or object is "insanitary" and likely to cause disease.
SANITIZE
The effective disinfectant treatment that reduces to a safe level or eliminates pathogens on procedure surfaces as those are defined in these regulations. Sanitizing may be accomplished with the use of an U.S. EPA registered disinfectant, such as iodophor, chlorine, or phenolic, on a clean surface in accordance with the label instructions.
SCARIFICATION
Altering skin texture by cutting the skin and controlling the body's healing process to produce wounds, which result in permanently raised wheals or bumps known as keloids.
SHARPS
Any object, sterile or contaminated, that may intentionally or accidentally cut or penetrate the skin or mucosa, including but not limited to needle devices, lancets, scalpel blades, razor blades, and broken glass.
SHARPS CONTAINER
A puncture-resistant, leak-proof container that can be closed for handling, storage, transportation, and disposal and that is labeled with the International Biohazard Symbol.
SINGLE-USE ITEMS
Products that are intended for one-time, one-person use and are disposable after use. Single-use items include but are not limited to cotton swabs or balls, tissues or paper products, paper or plastic cups, gauze and other sanitary coverings, razors, piercing needles, lancets, scalpel blades, stencils, ink cups, and protective gloves.
STERILIZE
The use of a physical or chemical procedure to destroy all microbial life including highly resistant bacterial endospores.
TATTOO
The indelible mark, figure, or decorative design introduced by insertion of dyes or pigments into or under the subcutaneous portion of the skin.
TATTOOING
Any method of placing ink or other pigment into or under the skin or mucosa by the aid of needles or any other instrument used to puncture the skin, resulting in permanent coloration of the skin or mucosa. This term includes all forms of cosmetic tattooing.
TEMPORARY BODY ART ESTABLISHMENT
[See "Mobile Body Art Establishment."]
THREE-DIMENSIONAL "3D" BODY ART or BEADING or IMPLANTATION
The form of body art consisting of or requiring the placement, injection, or insertion of an object, device, or other thing made of material such as steel, titanium, rubber, latex, plastic, glass, or other inert matter, beneath the surface of the skin of a person. This term does not include body piercing.
ULTRASONIC CLEANING UNIT
A unit, approved by the Easton Board of Health, physically large enough to fully submerge instruments in liquid, which removes all foreign matter from the instruments by means of high frequency oscillations transmitted through the contained liquid.
UNIVERSAL PRECAUTIONS
A. 
A method of infection control requires all persons to assume that all human blood and specified human body fluids are infectious for the human immunodeficiency virus (HIV), hepatitis B virus (HBV), and other blood pathogens. Precautions include hand washing; gloving; personal protective equipment; injury prevention; and proper handling and disposal of needles, other sharp instruments, and blood and body fluid-contaminated products.
B. 
The Universal Precautions guidelines and controls are published by the Centers for Disease Control and Prevention (CDC), as "Guidelines for Prevention of Transmission of Human Immunodeficiency Virus (HIV) and Hepatitis B Virus (HBV) to Health-Care and Public-Safety Workers" in Morbidity and Mortality Weekly Report, June 23, 1989, vol. 38, No. S-6, and as "Recommendations for Preventing Transmission of Human Immunodeficiency Virus and Hepatitis B Virus to Patients During Exposure-Prone Invasive Procedures" in Morbidity and Mortality Weekly Report, July 12, 1991, Vol. 40, No. RR-8.