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Town of Weymouth, MA
Norfolk County
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Town of Weymouth is promulgating rules and regulations in the form of this Body Art Ordinance which provide minimum requirements to be met by any person performing body art activities for hire upon another individual and for any establishment wherein body art activities are to be performed. These requirements include, but are not limited to, requirements concerning the general sanitation of the establishment wherein body art activities are to be performed and the sterilization of instruments to be used in the conduct of body art. By enacting this Body Art Ordinance, the Town of Weymouth has determined that these rules and regulations are necessary to protect the public's health by preventing disease, including, but not limited to, the transmission of Hepatitis B and/or human immunodeficiency virus (HIV) or acquired immune deficiency syndrome (AIDS).
In addition, this Body Art Ordinance establishes:
1. 
A requirement for registration and a procedure for the registration with the Health Department of the Town of Weymouth of all persons performing such body art activities;
2. 
A requirement for minimal training standards for such practitioners, including requirements for the prevention of disease transmission and for knowledge of anatomy and physiology;
3. 
Provisions for the regular inspection of establishments wherein body art activities are to be performed; and
4. 
Provisions for revocation of the registration of any person or establishment deemed in violation of the rules and regulations promulgated under this Body Art Ordinance, or for other means of enforcement of the provisions of this Body Art Ordinance.
This Body Art Ordinance provides for an annual fee to be paid by a person and establishment registered under this Body Art Ordinance. This fee is intended to help defray the cost to the Town of Weymouth of the administration of the requirements of this Body Art Ordinance.
This Body Art Ordinance shall be administered and enforced by the Health Department of the Town of Weymouth.
The following terms used in this Body Art Ordinance, unless the context otherwise requires, shall have the following meanings:
AFTERCARE INSTRUCTIONS
Written instructions, approved by the Department, given to a person upon whom one or more body art activities have been performed, specific to the body art procedure(s) rendered or performed, concerning the proper care to be given to the area of the body upon which the body art has been performed and concerning the surrounding area of the body.
ANTISEPTIC
An agent that destroys disease-causing microorganisms on human skin or mucosa.
AUTOCLAVE
An apparatus for sterilization utilizing steam pressure at a specific temperature over a designated period of time.
AUTOCLAVING
The process which results in the destruction of all forms of microbial life, including highly resistant bacterial spores, by the use of an autoclave for a minimum of 30 minutes at 17 pounds of pressure (PSI) at a temperature of 250° F.
BODY ART
The practice of physical body adornment, alteration or modification by means including, but not limited to, piercing, tattooing, branding, braiding, beading/implantation or scarring.
BODY ART ESTABLISHMENT
Any facility that has been inspected and approved by the Department for use in conducting body art activities and for which a current permit is issued by the Department in accordance with this Body Art Ordinance.
BODY ART ORDINANCE
Section 6-1200 of the Weymouth Code of Ordinances, as amended from time to time.
BODY ART PRACTITIONER
A person who has received a license to perform body art activities by the Department pursuant to this Body Art Ordinance.
BODY ART PRACTITIONER PERMIT
A permit issued by the Weymouth Department of Health to a person qualified to engage in the practice of body art in accordance with this Body Art Ordinance.
BODY PIERCING
The form of body art requiring or consisting of the puncturing or penetration of the skin or of a membrane of a person, other than the lobe of the ear, for the purpose of the temporary or permanent placement or insertion of jewelry or other adornment or device therein.
BRAIDING
The form of body art requiring or consisting of 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
The form of body art consisting of or requiring the inducement of a burn and/or the resulting scarring of the skin of a person by means of the use of a heated instrument or object.
CLEANING AREA
The area in a body art establishment used in the sterilization, sanitation or other cleaning of instruments or other equipment used for the practice of body art.
CONTAMINATED or CONTAMINATION
The presence of or a reasonable possibility of the presence of blood, bodily fluids, infectious or potentially infectious matter on an inanimate object.
CONTAMINATED WASTE
Any liquid or semi-liquid blood or other potentially infectious material; contaminated items that would release blood or other potentially infectious material in a liquid or semi-liquid state if compressed; items on which there is dried blood or other potentially infectious material and which are capable of releasing these materials during handling; sharps and any wastes containing blood or other potentially infectious materials, as defined in Code of Federal Regulation, 29 CFR 1910.1030, as defined in Code of Massachusetts Regulations 105 CMR 480.00 et seq., or in this Body Art Ordinance.
COSMETIC TATTOOING
Also known as permanent cosmetics, micropigment implantation or dermal pigmentation; the form of body art requiring the implantation of permanent pigment around the eyes, lips and cheeks of the face and hair imitation.
CUSTOMER or CLIENT
A person upon whom one or more body art activities is/are to be performed, and shall include a minor client.
CUSTOMER WAITING AREA
The area in a body art establishment for use and occupation by persons and clients prior to and after the conduct of body art.
DEPARTMENT
The Weymouth Health Department, established in accordance with MGL c. 111.
DERMIS
The deeper, thicker portion on the skin lying beneath the epidermis, to include the subcutaneous layer.
DISINFECT
The destruction of pathogenic microorganisms using a liquid chemical germicide.
DISINFECTANT
The same as "liquid chemical germicide."
EAR PIERCING
The puncturing of the outer perimeter of the lobe of the ear using a presterilized single-use stud-and-clasp ear piercing system following manufacturer's instructions.
EPIDERMIS
The outer layer of skin which is composed of four recognizable layers of cells usually a total of about 0.1 mm thick.
EQUIPMENT
All machinery, fixtures, containers, vessels, tools, devices, implements, furniture, display cases, storage units, sinks, and all other apparatus and appurtenances used in connection with the operation of a body art establishment.
EXPOSURE
An event whereby there is an eye, mouth or other mucous membrane, nonintact skin or parenteral contact with the blood or bodily fluids of another person or contact of an eye, mouth or other mucous membrane, nonintact skin or parenteral contact with other potentially infectious matter.
EXPOSURE CONTROL PLAN
A plan drafted by an operator pursuant to the requirements of the U.S. Occupational Safety and Health Administration (OSHA) to eliminate or minimize the potential for an exposure.
EXPOSURE INCIDENT REPORT
A written report detailing the circumstances of an exposure.
GERMICIDE or GERMICIDAL SOLUTION
The same as "liquid chemical germicide."
HAND SINK
A sink supplied with hot and cold potable water under pressure which is used solely for washing hands, arms, or other portions of the body.
HEALTH BOARD
The Department of Health of the Town of Weymouth established in accordance with MGL c. 111.
HOT WATER
Water which is heated to attain and maintain a temperature of between 110° F. and 130° F.
INFECTIOUS WASTE
The same as "contaminated waste."
INSTRUMENT STORAGE AREA
The area in a body art establishment used for the storage of linens, equipment and instruments used for body art.
INSTRUMENT or INSTRUMENT USED FOR BODY ART
Those hand pieces, needles, needle bars and other instruments that may come in contact with a client's body or possible exposure to bodily fluids during body art procedures.
INVASIVE
A procedure causing entry into the body either by incision or by the insertion of an instrument into or through the skin or mucosa, or by any other means intended to puncture, break or compromise the skin or mucosa.
JEWELRY
Any device or adornment inserted into a pierced or incised area or portion of the body.
LICENSE
A document issued by the Weymouth Board of Licensing Commissioners, pursuant to this Body Art Ordinance, authorizing a person to conduct body art procedures in the Town of Weymouth.
LIQUID CHEMICAL GERMICIDE
A substance registered with the United States Environmental Protection Agency (EPA) for use in the destruction of pathogenic microorganisms or an approximate 1:100 dilution of household chlorine bleach in clean water mixed fresh daily.
MINOR or MINOR CLIENT
A person of less than 18 years of age as of that person's last birthday.
MOBILE BODY ART ESTABLISHMENT
Any trailer, truck, car, van, camper or other motorized or nonmotorized vehicle, a shed, tent, movable structure, bar, home or other facility wherein, or concert, fair, party or other event whereat one desires to or actually does conduct body art procedures, excepting only a licensed body art establishment which has also obtained a permit from the Department.
OPERATOR
Any person alone or jointly with other persons who owns, controls, operates or manages a body art establishment.
PARENTERAL
The invasion of the skin barrier or mucous membranes.
PERMIT
A document issued by the Department pursuant to this Body Art Ordinance authorizing the performance of body art activities or the use of a facility for the conducting of body art activities.
PHYSICIAN
A person licensed by the Commonwealth of Massachusetts in accordance with MGL c. 112, § 2.
PROCEDURE SURFACE
Any surface of an inanimate object that contacts an unclothed part of a person upon whom body art is to be performed.
PROHIBITED FORMS OF BODY ART
Those forms of body art prohibited under this Body Art Ordinance and set forth in § 6-1218 hereof.
SANITIZE
The process of reducing the number of microorganisms on a surface to a safe level using a liquid chemical germicide.
SANITIZER
The same as "liquid chemical germicide."
SCARIFICATION
That form of body art that requires the use of an instrument to cut a design into the skin to produce a scar.
SHARPS
Any object (sterile or not) that may purposefully or accidentally cut or penetrate the skin or mucosa of a person, including, but not limited to, needles, scalpel blades, razor blades and lancets.
SHARPS CONTAINER
A puncture-resistant, leakproof container that can be closed for handling, storage, transportation or disposal and is labeled with the International Biohazard Symbol.
SINGLE USE
Products or items that are intended for one-time, one-person use and are to be disposed of after such use, including, but not limited to: cotton swabs or balls, tissues or paper products, paper or plastic cups, gauze and sanitary coverings, razors, piercing needles, scalpel blades, stencils, ink cups and protective gloves.
STERILIZATION UNIT
A unit designed to and which is effective at killing all microorganisms, including bacterial spores, and which is approved by the Department for use for sterilization in a body art establishment.
STERILIZE
To effectively kill all microorganisms, including bacterial spores.
TATTOO
The form of body art consisting of the injection of ink, dye or other medium to form or create an indelible mark, figure or decorative design in the subcutaneous portion of the skin.
TATTOO GUN
An electric, vertically vibrating tool used for tattooing.
TATTOOING
The act or process of creating a tattoo.
TATTOO INKS/PIGMENTS/DYES or INKS/PIGMENTS/DYES
The metal or salt-based substance injected into the subcutaneous portion of the skin in the act or process of creating a tattoo.
TEMPORARY BODY ART ESTABLISHMENT
The same as "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 item made of matters such as steel, titanium, rubber, latex, plastic, glass or other inert materials beneath the surface of the skin of a person. These terms do not include body piercing.
ULTRASONIC CLEANING KIT
A unit approved by the Department and 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 or STANDARD PRECAUTIONS
The set of guidelines and controls published by the Centers for Disease Control and Prevention as "guidelines for prevention of transmission of human immunodeficiency virus and Hepatitis B virus to health-care and public-safety workers" in Morbidity and Mortality Weekly Report by the Centers for Disease Control (CDC), 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, each as amended or updated. This method of infection control requires the employer and the employee to assume that all human blood and specified human body fluids are infectious for HIV, 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.
WORKSTATION
An area within a body art facility designated for use in the conducting of body art activities.
If any provision or subpart thereof contained in this Body Art Ordinance is found to be invalid or unconstitutional by a court of competent jurisdiction, the validity of all remaining provisions or subparts thereof shall not be so affected but shall remain in full force and effect.
No person shall conduct any form of body art activity unless such person holds a valid body art practitioner permit issued by the Department pursuant to this Body Art Ordinance.
No person shall establish a facility for the conduct of a business consisting of or including the performance of one or more body art activities upon the person of another without a valid permit to operate such facility as a venue within which to conduct body art activities issued by the Department in accordance with this Body Art Ordinance.
Physicians who practice body art activities as a part of patient treatment are exempt from the provisions of this Body Art Ordinance so long as such body art activities are performed in a medically acceptable manner.
Individuals who pierce only the lobe of the ear with a presterilized, single-use stud-and-clasp ear piercing system, without the use of a so-called "piercing gun," are exempt from the provisions of this Body Art Ordinance.
The requirements of this Body Art Ordinance to obtain a body art practitioner permit and a body art facility permit are separate from and in addition to the requirements of MGL c. 110, § 5. An applicant for a body art establishment permit must comply with the requirements of MGL c. 110, § 5. Prior to the issuance of a body art establishment permit, an applicant must demonstrate compliance therewith by way of presentment to the Department of the original business certificate issued by the Town Clerk under the provisions of MGL c. 110, § 5.
The requirements of this Body Art Ordinance to obtain a body art practitioner permit and/or a body art facility permit are separate from and in addition to any similar requirements that may be mandated by the Commonwealth of Massachusetts.
(a) 
Application for registration and permit; fees. Any person seeking registration under this Body Art Ordinance so as to obtain a body art practitioner permit shall secure a license from the Board of License Commissioners prior to any final action being taken upon the application for a body art practitioner permit to the Department. Any person seeking registration under this Body Art Ordinance so as to obtain a body art practitioner permit shall submit a completed application provided by the Department and shall pay to the Town of Weymouth a fee of $200. A body art practitioner permit shall be valid for no more than one year. The Department may renew a body art practitioner permit under this Body Art Ordinance and each applicant for such renewal shall pay to the Town of Weymouth a renewal fee of $200. All body art practitioner permits shall expire on December 31 of the year of issuance.
(b) 
Compliance with Body Art Ordinance requirements. An applicant for a body art practitioner permit shall demonstrate to the Department his/her successful compliance with all training, disclosure, consent and educational requirements of this Body Art Ordinance relative to the form of body art activities for which such applicant seeks a body art practitioner permit prior to the issuance or renewal of a body art practitioner permit by the Department.
(c) 
Hepatitis B vaccination status; disclosure:
1. 
A Hepatitis B vaccination is highly recommended.
2. 
An applicant for a body art practitioner permit shall provide to the Department, and shall provide to the owner of any body art establishment in which the applicant intends to perform or in which he does perform body art activity, valid documentation of his Hepatitis B virus (HBV) vaccination status stating:
a. 
Certification of completed vaccination;
b. 
Laboratory evidence of immunity;
c. 
Documentation stating the vaccine is contraindicated for medical reasons. Contraindication requires a dated and signed licensed health care professional's statement specifying the name of the body art practitioner permit applicant employee and that the vaccine cannot be given;
d. 
Certificate of vaccination declination of HBV, i.e., for medical or religious reasons as provided in MGL c. 76, § 15.
(d) 
Hygiene. Every body art practitioner shall maintain a high degree of personal cleanliness, conform to hygienic practices and wear clean clothes when conducting body art activity. If the clothes of a body art practitioner are or become contaminated, clean clothing shall be donned prior to commencement of any further body art activity.
(e) 
Minimum training requirements. Every applicant for a body art practitioner permit or a renewal of a body art practitioner license, in order to be qualified for such permit, shall provide to the Department evidence of satisfaction of the following minimum training requirements:
[Amended 6-21-2021 by Order No. 21-090]
1. 
Basic training in first aid and advanced CPR as well as proof of attendance at required renewal.
2. 
Documentation of attendance and completion of courses approved by the Department, or completion of an examination, on the following subjects:
(i) 
Anatomy.
(ii) 
Skin diseases, disorders, and conditions (including diabetes).
(iii) 
Infectious disease control, including waste disposal, hand washing techniques, sterilization equipment operation and methods, and sanitization/disinfection/sterilization methods and techniques.
3. 
Proof of completion of a bloodborne pathogen training program (or equivalent), given or approved by the Department. Examples of courses approved by the Department include courses such as "Preventing Disease Transmission" (American Red Cross) and "Bloodborne Pathogen Training" (U.S. OSHA) and must include the requirements of standards in 29 CFR 1910.1030. Training courses provided by professional body art organizations or associations or by equipment manufacturers may also be submitted to the Department for approval.
4. 
Evidence satisfactory to the Department of at least one year of actual experience in the practice of performing body art activities of the kind for which the applicant seeks a body art practitioner permit to perform, whether such experience was obtained within or outside of the commonwealth.
5. 
Evidence of a completed apprenticeship program as approved by the Commonwealth of Massachusetts or the Department, with instruction in the kind of body art for which the applicant seeks a body art practitioner permit to perform.
(f) 
Consent to comply with Body Art Ordinance. An applicant for a body art practitioner permit shall sign a statement provided by the Department consenting to and agreeing to abide by all of the provisions of this Body Art Ordinance.
(g) 
Department authorized to issue permits. If an applicant for a body art practitioner permit demonstrates compliance with Subsection (e), the Department is hereby authorized to issue a body art practitioner permit pursuant to the provisions of this Body Art Ordinance, which authorizes the applicant to conduct body art activities consisting of body piercing and tattooing.
(h) 
Acting within scope of permit. A body art practitioner shall only perform those forms of body art for which he holds a body art practitioner permit issued by the Department.
[Amended 6-20-2016 by Ord. No. 16-095]
(i) 
Permit posting requirements. A body art practitioner and/or operator shall post in an area of the body art establishment accessible to the Department and to clients the original of the current body art practitioner permit of the body art practitioner.
(j) 
Impairment by drugs or alcohol. No body art practitioner shall conduct any form of body art activity while under the influence of alcohol or drugs.
(k) 
Restriction of certain body art activities. No body art practitioner shall:
1. 
Tattoo a minor client;
2. 
Brand a minor client;
3. 
Scar or perform scarification upon a minor client;
4. 
Pierce the genitalia of a minor client;
5. 
Pierce a client under 14 years of age, with the sole exception of ear piercing;
6. 
Perform or engage in any of the activities prohibited under § 6-1218 of this Body Art Ordinance.
(l) 
Sterile conditions. A body art practitioner shall only conduct body art activities under sterile conditions.
(m) 
Rash, lesion or visible sign of infection. The skin of a body art practitioner shall be free of rash, any lesion or visible sign of infection. A body art practitioner shall not conduct any form of body art activity upon any area of a client that evidences the presence of any rash, lesion or visible sign of infection.
(n) 
Use of licensed facility. A body art practitioner shall only conduct body art activities within a facility with a current body art establishment permit, and which establishment is in compliance with all provisions of the Body Art Ordinance.
(o) 
Use of mobile or temporary body art establishment prohibited. No body art practitioner shall conduct any form of body art activity in a mobile or temporary body art establishment.
(a) 
Application and consent for body art activity required. Every client shall complete an application and consent form approved by the Department prior to having any body art activity performed upon or to his/her body.
(b) 
Content of application and consent form. Every application and consent form required by Subsection (a) shall contain a minimum of the following:
1. 
General information regarding body art, including, at a minimum, the following statements:
a. 
Tattoos should be considered permanent;
b. 
The removal of tattoos and scars would require surgery or other medical procedure that may result in scarring or additional scarring of the skin.
2. 
Information as to the side effects of body art, including, but not limited to: hypertrophic scarring, possible adverse reaction to ink/dye/pigment, possible change in color of ink/dye/pigment over time, a decreased ability of physician to locate skin melanoma in regions concealed by tattoos, brands, scars and other forms of body art, possible nerve damage, febrile illness, tetanus, systemic infection, and keloid formation.
3. 
Client information, including:
a. 
Name;
b. 
Proof of age and valid identification;
c. 
In the case of a minor client, the parent's or legal guardian's name, proof of parentage or legal guardianship through a copy of a birth certificate or court order of guardianship respectively, or a notarized document signed by the parent or legal guardian attesting to the parent's or legal guardian's relationship to the minor client, and the consent to the conduct of the contemplated body art activity upon the minor client;
d. 
The type of the body art activity to be performed.
4. 
Instructions requiring the client to adhere to the exposure control plan as such plan relates to the client's conduct in the body art establishment.
5. 
The address and telephone number of the Department and instructions for the client, or in the case of a minor client, the minor client and his/her parent or legal guardian, to contact the Department with any questions or concerns regarding safety, sanitization or sterilization procedures.
6. 
The name of the body art practitioner who is to conduct the body art upon the client or minor client and that practitioner's Department registration number.
7. 
The manufacturer codes, if any, the identity of the manufacturer, and lot numbers of any dye/ink or pigment to be used in the body art activity.
8. 
Signature of client.
9. 
In the case of a minor client, the signature of the client's parent or legal guardian. The parent or legal guardian shall sign the consent form in the presence of the body art practitioner.
10. 
The signature of body art practitioner.
11. 
The date(s) of all signatures.
12. 
The date(s) of the body art procedure, including a daily estimate of progress for the conduct of body art requiring multiple days to complete.
(c) 
Disclosure of certain health-related information.
1. 
A client shall inform the body art practitioner of any known chronic medical or communicable conditions, including, but not limited to, the following:
a. 
Diabetes;
b. 
History of hemophilia (bleeding);
c. 
History of skin disease, skin lesions or skin sensitivities to soap, disinfectants, etc.;
d. 
History of allergies or adverse reactions to pigments, dyes or other skin sensitivities;
e. 
History of epilepsy, seizures, fainting or narcolepsy;
f. 
The taking of medications such as aspirin or other anticoagulants, which thin the blood and/or interfere with blood clotting;
g. 
History of or suspicion of adverse reaction to latex or products containing latex.
2. 
A client shall inform the body art practitioner of a known pregnancy or possibility of pregnancy.
3. 
The body art practitioner shall require the client to sign a release form confirming that the above information was obtained or attempted to be obtained and the client refused to disclose the same.
(d) 
Impairment by drugs or alcohol. No person shall receive any form of body art activity while under the influence of drugs or alcohol.
(e) 
Aftercare instructions. All clients shall obtain and read and follow the Department-approved aftercare instructions appropriate for the form of body art conducted upon such person.
(f) 
Minimum content or aftercare instructions. Aftercare instructions shall be approved by the Department and shall include, at a minimum, the following:
1. 
Responsibilities and proper care following the procedure;
2. 
Restrictions, if any, upon the client;
3. 
Signs and symptoms of infection; and
4. 
Instructions to contact a physician if possible signs of infection occur or if bleeding occurs that is not controlled by light pressure or if problems with urination or heavy vaginal bleeding occurs (for genital body piercing or tattooing).
(g) 
Age requirements for certain body art activities.
1. 
No minor client shall receive a tattoo;
2. 
No minor client shall be branded;
3. 
No minor client shall be scarred;
4. 
No minor client shall have his or her genitalia pierced;
5. 
No client under 14 years of age shall be pierced, with the sole exception of ear piercing.
(h) 
Rash, lesion or visible signs of infection. The skin area or mucosa of a client to receive any form of body art activity shall be free of rash, any lesion or from any visible sign of infection.
(i) 
Injury report. A written report of any injury, infection complication or disease to a client as a result of a body art procedure, or complaint of injury, infection complication or disease, shall be forwarded by the operator or practitioner to the Department with a copy to the complainant or injured client within five working days of its occurrence or knowledge thereof. The report shall include:
1. 
Name of the affected client;
2. 
Name and location of the body art establishment involved;
3. 
Nature of the injury, infection complication or disease;
4. 
Name and address of the affected client's health care provider, if any;
5. 
Other information considered relevant to the situation.
(a) 
Application for registration and permit; fees. Any person seeking registration under this Body Art Ordinance so as to obtain a body art establishment permit shall secure a license from the Board of License Commissioners prior to any final action being taken upon the application for a body art establishment permit to the Department. A person seeking registration under this Body Art Ordinance so as to obtain a body art establishment permit shall submit a completed application provided by the Department and shall pay to the Town of Weymouth a fee of $200. A body art establishment permit shall be valid for no more than one year. The Department may renew a body art establishment permit under this Body Art Ordinance and each applicant for such renewal shall pay to the Town of Weymouth a renewal fee of $200. All body art establishment permits shall expire on December 31 of the year of issuance. A body art establishment permit shall not be transferable from one place or person to another.
(b) 
Business activity. The operation of a body art establishment and/or the conduct of any body art activity under a body art practitioner permit shall occur within the hours of operation set forth by the Board of Licensing Commissioners.
(c) 
Plans. Every operator or applicant for a body art establishment permit shall submit to the Department scaled plans and specifications of the proposed facility wherein any body art activity is intended to be conducted demonstrating the compliance of the facility with this Body Art Ordinance. The Department may require an on-site inspection of the proposed facility to determine and/or ensure compliance with the requirements of this Body Art Ordinance prior to the issuance by the Department of a body art establishment permit pursuant to this Body Art Ordinance.
(d) 
Workstations.
1. 
Every workstation shall have minimum of 45 square feet.
2. 
Each body art establishment shall have at least one workstation.
3. 
The area within each workstation shall be completely screened from view from any person outside such workstation.
4. 
A workstation shall be used for no purpose other than body art.
5. 
Each workstation shall be separated from any other area of the body art facility, including other workstations within such body art facility, by a wall or curtain or other solid barrier extending from the floor to a minimum height of eight feet.
6. 
A workstation shall be maintained in a clean and sterile condition.
(e) 
Separate areas.
1. 
The cleaning area shall have an area for the placement and use of an autoclave or other sterilization unit located or positioned so as to be a minimum of 36 inches from a required ultrasonic cleaning unit.
2. 
Every body art establishment shall have therein an instrument storage area exclusive of the cleaning area. The instrument storage area shall be equipped with cabinets for the storage of all instruments and equipment. The required cabinets shall be located a sufficient distance from the cleaning area so as to prevent contamination of the instruments and equipment stored therein.
3. 
Every body art establishment shall have therein a customer waiting area exclusive of and separate from any workstation, instrument storage area or cleaning area.
(f) 
Walls, floors, ceilings.
1. 
Every workstation, instrument storage area, toilet room, and cleaning area shall be constructed and maintained as follows so as to provide a durable, smooth, nonabsorbent and washable surface:
a. 
Floors: constructed of commercially rated continuous sheet vinyl, smooth-sealed cement, ceramic tile with sealed grout, or other similar materials approved by the Department and shall be maintained in good repair free of any holes or cracks;
b. 
Walls: covered with a semi-gloss or gloss enamel paint, or constructed of fiberglass-reinforced panel, ceramic tile with sealed grout or other similar materials approved by the Department and shall be maintained in good repair free of any holes or cracks;
c. 
Ceiling: covered with semi-gloss or gloss enamel paint, or approved commercially rated panels or tiles and maintained in good repair free of any holes, cracks or falling matter.
2. 
All such floors, walls and ceilings shall be light-colored. For purposes of this Body Art Ordinance, "light-colored" shall mean a light reflectance value of 70% or greater.
(g) 
Electrical wiring.
1. 
All electrical wiring shall be installed and maintained in accordance with the state and local wiring codes.
2. 
All electrical outlets in all workstations and cleaning areas shall be equipped with approved ground fault circuit interrupter (GFCI) protected receptacles.
(h) 
Lighting and ventilation.
1. 
Every workstation shall be well ventilated and have a minimum light service maintained at all times during the conducting of body art activities at an equivalent of not less than 20 footcandles as measured 36 inches above the floor, except that a minimum of 100 footcandles shall be provided on the area of the client's body subject to the conduct of body art, in any area where instruments or sharps are assembled, and all cleaning areas.
2. 
Every workstation, cleaning area and every area in a body art establishment where linens, instruments, sharps or other equipment exposed, sanitized or sterilized shall be equipped exclusively with readily cleanable light fixtures with light bulbs, lenses or globes of shatterproof material.
(i) 
Plumbing.
1. 
All plumbing and plumbing fixtures shall be installed in compliance with local plumbing codes.
2. 
To the extent permitted by applicable federal, state and local laws and ordinances, all liquid wastes shall be discharged through the plumbing system into the public sewerage system or into a Department-approved private sewage disposal system.
3. 
An adequate pressurized potable water supply shall be provided to every body art establishment.
4. 
The public water supply entering a body art establishment shall be protected by a testable, reduced pressure backflow preventer installed in accordance with MGL c. 142 and 248 CMR, as amended from time to time.
(j) 
Toilet rooms.
1. 
Every body art establishment shall provide toilet rooms with adequate lighting and ventilation to the outside for use by employees and clients, which shall be available to clients during business hours.
2. 
The number and construction of toilet rooms shall be in accordance with local building and plumbing codes.
3. 
Every water closet or toilet stall shall be enclosed and have a well-fitting, self-closing door.
4. 
An adequate supply of toilet tissue shall be provided in a permanently installed dispenser in each water closet or toilet stall.
5. 
Toilet rooms shall not be used for the storage of instruments or other supplies used for body art activity.
(k) 
Hand washing sinks.
1. 
A hand washing sink shall be provided within or adjacent to any toilet room, and there shall be at least one hand washing sink for every three workstations.
2. 
Every hand washing sink shall be equipped with an adequate supply of hot and cold water under pressure with fixtures to allow for washing of hands, liquid hand cleanser, single-use sanitary towels in devices for dispensing, and a waste container of washable construction.
3. 
A hand washing sink shall not be used as a janitorial sink.
(l) 
Janitorial sink. At least one janitorial sink shall be provided in every body art establishment for use in cleaning the body art establishment and proper disposal of liquid wastes in accordance with all applicable federal, state and local laws. For purposes of this Body Art Ordinance, a "janitorial sink" means a sink of adequate size equipped with hot and cold water under pressure so as to permit the cleaning of the body art establishment and any equipment used for cleaning.
(m) 
Instrument sink.
1. 
Every cleaning area shall have a sink used exclusively for the cleaning of instruments.
2. 
Every instrument sink shall be of adequate size and equipped with hot and cold water under pressure so as to permit the cleaning of instruments.
(n) 
Exposure control plan required. Each operator shall create, update as needed, and comply with an exposure control plan.
(o) 
Exposure control plan submission and accessibility.
1. 
The exposure control plan for a body art establishment shall be submitted by the operator to the Department for review so as to meet all of the requirements of OSHA regulations, to include, but not limited to, 29 CFR 1910.1030 et seq., as amended from time to time.
2. 
A copy of the body art establishment's exposure control plan shall be maintained at the body art establishment at all times and shall be made available to the Department upon request.
(p) 
Telephone access; emergency communication. A body art establishment shall be required to have a telephone in good working order and easily accessible to all employees and clients during all hours of operation for the purpose of contacting police, fire or emergency medical assistance or ambulance services in the event of an emergency or perceived emergency. A legible sign shall be posted at or adjacent to the telephone indicating the correct emergency telephone numbers and the number of the Department.
(q) 
Restrictions on other activities. No operator shall permit the use of a body art establishment:
1. 
For the sale of food and/or beverages, whether to be consumed at the body art establishment or off-site;
2. 
As a barbershop or hair salon;
3. 
As a nail salon;
4. 
As a bar, with or without a license for the sale of alcoholic beverages;
5. 
As a bowling alley;
6. 
For human habitation;
7. 
As a tanning salon;
8. 
As a massage parlor;
9. 
For any other use which, in the opinion of the Department, may cause the contamination of instruments, equipment, a procedure surface or workstation.
(r) 
Posting of permit. The operator of a body art establishment shall post in an area of the body art establishment accessible to the Department and to clients the original of the current body art establishment permit issued by the Department.
(s) 
Mobile or temporary body art establishment. No person shall establish or operate a mobile or temporary body art establishment.
(t) 
Health of body art establishment employees. No person affected with boils, infected wounds, open sores, abrasions, weeping dermatological lesions or acute respiratory infection shall work in any area of, or in any capacity in, a body art establishment which would create a likelihood that that person could contaminate equipment, instruments, supplies, procedure surfaces, workstations or other otherwise compromise or could reasonably be expected to compromise the sterility of the body art establishment with body substances or pathogenic organisms.
(a) 
Equipment and furnishings. The procedure surface and the surface of all furniture and countertops located in a workstation, instrument storage area and cleaning area shall be made of materials that are, or shall be treated so as to be, smooth, nonabsorbent, nonporous, easily cleanable and able to withstand repeated cleaning and disinfecting. Such surfaces shall be maintained in a good condition free from holes and cracks.
(b) 
Sanitizing and sterilization units.
1. 
Every body art establishment shall have at a minimum the following:
a. 
One or more ultrasonic cleaning units sold for cleaning purposes under approval of the U.S. Food and Drug Administration. Every ultrasonic cleaning unit shall be clearly labeled "Biohazardous" and shall be installed or placed in the cleaning area at a minimum distance of 36 inches from the required autoclave or other sterilization unit.
b. 
One or more autoclave or other sterilization units sold for medical sterilization purposes under approval of the U.S. Food and Drug Administration.
2. 
Every operator and body art practitioner shall be knowledgeable in the required washing, cleaning and sterilization procedures, including the proper operation of the ultrasonic cleaning unit and autoclave or other sterilization unit.
(c) 
Waste receptacles.
1. 
Every workstation shall have a foot-operated, covered, cleanable waste receptacle for disposal of trash and other debris.
2. 
Every workstation shall have an approved sharps container exclusively used for the disposal of contaminated waste in accordance with the Weymouth Health Department.
(d) 
Linens. Every body art establishment or body art practitioner shall maintain an adequate supply of reusable, launderable linens or single-use linens, such as drapes, lap cloths and aprons, to be used in conducting body art activities.
(e) 
Rotary pens. If used in body art activity, rotary pens, also known as "cosmetic machines," shall have detachable, disposable, sterile combo couplers and shall have detachable, disposable casings or casings designed and manufactured to be easily cleaned and sterilized.
(f) 
Ink, dye and pigment.
1. 
All inks, dyes, and pigments used to alter the color of skin in the conduct of body art shall be specifically manufactured for such purpose, approved, properly labeled as to their ingredients, manufacturer and lot number in accordance with applicable United States Food and Drug Administration (FDA) requirements, and shall not be contaminated or adulterated. The mixing of such inks, dyes or pigments or the dilution of the same with potable sterile water is acceptable, unless prohibited or not recommended by the product manufacturer.
2. 
Inks, dyes and pigments prepared by or at the direction of a body art practitioner for use in body art activity shall be made exclusively of nontoxic and noncontaminated ingredients approved by the Department or the FDA.
(g) 
Inserted objects; jewelry.
1. 
Jewelry shall be sterilized, free from polishing compounds, free from nicks, scratches, burrs or irregular surface conditions.
2. 
Jewelry of sixteen-gauge girth or thicker shall not have raised external threads or threading.
3. 
Jewelry shall be in good condition, designed and manufactured for insertion into the intended body part of the client.
4. 
The use of previously worn jewelry or jewelry brought into the body art establishment by the client or another is prohibited.
5. 
Only jewelry manufactured of surgical implant stainless steel of American Society for Testing and Material Standards (ASTM) grade F138, surgical implant solid 14K or 18K white or yellow gold, niobium, surgical implant titanium of Ti6A4V ELI, ASTM F-136-98, platinum or other materials considered by the Department to be equally biocompatible and capable of adequate cleaning and sterilization shall be inserted into a client.
(h) 
Single-use equipment and instruments. Equipment, instruments and supplies intended for single use shall not be used more than one time.
(i) 
Prohibited instruments and materials. No operator, body art practitioner or other person shall utilize or have available in a body art establishment any:
1. 
Instruments or materials, such as styptic pencils or devices, alum, or any similar material used to check the flow of blood;
2. 
Liquid sterilants for the attempted sterilization of any reusable instrument or component;
3. 
Rotary pens that are designed or manufactured with a sponge-type material at the opening of the chamber for the purpose of prohibiting the backflow of pigment and body fluid into the machine;
4. 
Multiple-use instruments or components that are designed in such a manner that restricts or prevents proper washing, cleaning or sterilization;
5. 
Drugs, chemicals or agents that require a licensed medical practitioner's authorization for use, application or dispensation;
6. 
Suturing kits or suturing devices, scalpels, cauterizing tools or devices, or other tools, devices or instruments used for or in conjunction with any prohibited body art activity, and not otherwise properly used for any allowed body art activity;
7. 
Piercing needles or piercing tapers for sale or use by one not a body art practitioner;
8. 
Needles used in the practice of "play piercing," so-called.
(a) 
Animals.
1. 
No body art practitioner shall conduct any form of body art upon an animal.
2. 
No animal, except one actually serving as any guide animal, signal animal or service animal accompanied by a totally or partially blind person or deaf person or a person whose hearing is impaired or handicapped person, shall be allowed in a body art establishment.
3. 
Fish aquariums shall be allowed in the waiting area and nonprocedural areas of a body art establishment.
(b) 
Smoking, eating and drinking prohibited. No person shall smoke, or otherwise use any form of tobacco, eat or drink at or in a workstation, instrument storage area or cleaning area. Only in the case of medical need may fluids be consumed by a client.
(c) 
Disease transmission. Except as set forth in these regulations, no operator, body art practitioner or other person shall commit or permit any act that may expose any client or person to disease or illness or otherwise contaminate any instrument or area in a body art establishment.
(d) 
Exposure incident report.
1. 
An exposure incident report shall be completed by the close of the business day during which an exposure has or might have taken place by the involved or knowledgeable body art practitioner for every exposure incident occurring in the conduct of any body art activity.
2. 
Each exposure incident report shall contain:
a. 
A copy of the application and consent form for body art activity completed by any client or minor client involved in the exposure incident;
b. 
A full description of the exposure incident, including the portion of the body involved therein;
c. 
Instrument(s) or other equipment implicated;
d. 
A copy of the body art practitioner permit of the involved body art practitioner;
e. 
Date and time of exposure;
f. 
A copy of any medical history released to the body art establishment or body art practitioner; and
g. 
Information regarding any recommendation to refer to a physician or waiver to consult a physician by persons involved.
(e) 
Record maintenance.
1. 
Every operator shall have and retain at the body art establishment for inspection by the Department the following information for the time period specified below, to be updated as needed to remain current:
a. 
Exposure control plan: one copy of the exposure control plan for the body art establishment submitted to the Department;
b. 
Employee records for the previous three years indicating: name, home address, home phone number, identification photograph, state identification card number, physical description as detailed on state identification card, date of birth, type(s) of body art procedures conducted, dates of employment at the body art establishment, body art practitioner registration number, Hepatitis B vaccination status or declination notification;
c. 
Body art practitioner independent operator (nonemployee of the body art establishment) records for the previous three years indicating: name, home address, phone number, state identification card number, physical description as detailed on state identification card, date of birth, type(s) of body art procedures conducted, dates operating at the body art establishment; body art practitioner registration number, Hepatitis B vaccination status or declination notification;
d. 
Client records for the previous two years: copies of all application and consent forms for body art activity;
e. 
Waste hauler manifests for contaminated waste transport and disposal for the previous three years;
f. 
Training records for the previous three years: documentation to verify training of exposure control plan for all employees and body art practitioner independent operators conducting body art activity at such establishment;
g. 
Commercial biological monitoring (spore) system test results for the previous three years;
h. 
Body Art Ordinance: one copy of the most current version of this Body Art Ordinance and any state regulations concerning the practice of body art.
2. 
Every operator shall have and permanently retain at the body art establishment for inspection by the Department all exposure incident reports. The disposal or destruction of these reports is prohibited.
(f) 
Establishment maintenance. Every area of a body art establishment shall be kept in good repair, clean and free of all vermin and maintained so as to prevent contamination of clients and other persons.
(g) 
Toilet room and plumbing maintenance. Every toilet room, all plumbing and all plumbing fixtures shall be kept clean, fully operative, and in good repair.
(h) 
Equipment and instrument maintenance.
1. 
All instruments, equipment and procedure surfaces used for body art activity, including, but not limited to, devices, containers, cabinets, storage compartments, chairs, tables, counters, and dispensers, shall be maintained clean, fully operative, and in good repair and free from contamination.
2. 
All instruments manufactured for performing any specific body art activity shall be so designated, used and approved, and shall not be modified, adulterated, contaminated or improperly used. Instruments used for body piercing shall be constructed of stainless surgical-grade steel, and designed and manufactured for such use.
(i) 
Contaminated instruments.
1. 
Every contaminated reusable instrument or component thereof, including, but not limited to, needles, needle bars, needle tubes, needle caps, body piercing tubes, rotary pens, and coil machines, shall be immersed in water or other approved liquid solution in the cleaning area until cleaned and sterilized.
2. 
Prior to sterilization, every such instrument shall be thoroughly washed by scrubbing with an appropriate disinfectant and hot water in accordance with manufacturer's instructions so as to remove contamination and foreign matter.
3. 
Upon completion of the washing process as set forth in Subsection (i)(2) above, every such instrument shall be cleaned using an ultrasonic cleaning unit in accordance with manufacturer's instructions.
4. 
Upon completion of the cleaning process as set forth in Subsection (i)(3) above, every such instrument shall be packaged into procedure set-up packages with color-change indicators designed to indicate complete sterilization thereof, initials of the person responsible for sterilizing the instruments and date of such sterilization. Instruments may be packaged individually or with other instruments to the extent permitted under the package manufacturer's instructions.
5. 
Upon completion of the packaging process as set forth in Subsection (i)(4) above, every such instrument shall be properly sterilized by properly autoclaving in an approved autoclave or sterilized in another type of sterilization unit according to manufacturer's instructions.
6. 
If a package becomes wet, is opened or is otherwise compromised so as to allow the possible contamination of the contents of the package, any instrument therein shall be deemed contaminated and shall again be washed, cleaned, packaged and sterilized as indicated above prior to use.
7. 
Sterilized instruments shall be stored in a dry, clean cabinet or tightly covered container. Cabinets and containers designated for the storage of sterilized instruments shall be used for that purpose exclusively.
8. 
Every sterilized package shall be deemed expired six months after the date of sterilization. Every instrument therein shall again be washed, cleaned, packaged and sterilized consistent with the provisions of this section prior to use.
9. 
Liquid sterilants shall not be used for the sterilization of any reusable instrument.
(j) 
Instrument storage. All instruments must be stored in the instrument storage area in a manner so as to prevent contamination. Identical instruments shall be exclusively stored together, unless intermingled storage with different instruments does not represent a hazard as determined by the Department.
(k) 
Use of chemicals and cleansers. All germicides, disinfectants, chemicals, and cleansers must be used according to the manufacturer's requirements, used only for the purpose approved and intended by the manufacturer and properly labeled and stored so as to prevent contamination and hazard.
(l) 
Labeling. All storage containers, cabinets, shelves and other storage areas in the instrument storage area shall be properly labeled as to their contents, including, but not limited to, identification of contaminated or soiled contents as appropriate.
(m) 
Linen storage and cleaning.
1. 
Clean linen shall be stored in a manner so as to prevent contamination. Containers used for the storage of such linen shall be clearly labeled as to the contents and used for no other purpose. Linens that have become soiled or contaminated shall be disposed of, or not be used, until properly laundered. Contaminated linen shall be labeled, handled, stored, transported, and laundered or disposed of so as to prevent hazard in a manner approved by the Department.
2. 
Any other protective clothing, garment or cloth items worn during or used during in body art activity and intended for reuse shall be mechanically washed with detergent and dried after each use. The items shall be stored in a clean, dry manner and protected from contamination until used. Should such items become contaminated directly or indirectly with bodily fluids, the items shall be washed in accordance with standards applicable to hospitals and medical care facilities, at a temperature of 160° F. or a temperature of 120° F. with the use of chlorine disinfectant.
(n) 
Cleaning and testing of ultrasonic cleaning units and sterilization units.
1. 
Every ultrasonic cleaning unit and autoclave or sterilization unit shall be used and maintained according to manufacturer's specifications. Each ultrasonic cleaning unit, autoclave or other sterilization unit shall be emptied and thoroughly cleaned and disinfected at least once each day that the unit is used.
2. 
Every autoclave or sterilization unit shall be tested with a commercial biological monitoring (spore) system test in a manner and frequency consistent with the manufacturer's instructions, but no less than once every week, to monitor the efficacy of the eradication of all living organisms, including spores, by the autoclave or other sterilization unit.
3. 
Biological monitoring (spore) system testing of the autoclave or other sterilization unit shall be performed by an independent commercial testing laboratory contracted by the operator and/or body art practitioner. A provision shall be included in the contact between the operator and/or body art practitioner with the commercial testing laboratory requiring the commercial testing facility to notify the Department of any failure of the autoclave or other sterilization unit to eradicate all living organisms, including spores.
(o) 
Waste hauling.
1. 
All waste shall be removed from the body art establishment on a daily basis and placed in an approved secured receptacle for pickup and removal.
2. 
All contaminated waste in solid form and sharps shall be disposed of through use of an approved waste hauler in accordance with all applicable state, federal and local laws and/or regulations. The frequency of disposal shall be determined by the Department, but shall be no less than every 30 days.
(a) 
Workstation sanitizing.
1. 
All surfaces in a workstation which come in contact with a client or which become contaminated or which may reasonably have become contaminated shall be cleaned with water and soap or other appropriate cleaning compound immediately following the conduct of body art upon a client.
2. 
The workstation, including, but not limited to, the client's chair, table, tray, procedure surface and similar surfaces, shall be thoroughly sanitized with an approved disinfectant immediately before and immediately after the conduct of body art upon a client therein/thereon.
(b) 
Hand washing and use of gloves.
1. 
A body art practitioner shall clean his/her hands and forearms thoroughly by washing with antibacterial soap and warm water and promptly dry the same with single-use paper towels or like material prior to conducting any body art activity.
2. 
A body art practitioner shall wear new, clean, single-use examination gloves while assembling all instruments and other supplies intended for use in the conduct of body art and during the conduct of body art upon a client. New, clean, single-use nonlatex examination gloves shall be used during the preparation for and the conduct of any body art activity upon a client with a known or a suspected latex allergy.
3. 
If an examination glove is pierced, torn or contaminated through contact with any part of the client not subject to the conduct of body art or such other surface so as to present the possibility of contamination, any person other than the client, or otherwise exposed to an unsanitary or nonsterile surface, both gloves must be promptly removed and discarded into an appropriate waste receptacle. The body art practitioner shall don new gloves before proceeding with the conduct of body art.
4. 
If the gloves of a body art practitioner are removed at any time during assembly of instruments or supplies, or the conduct of body art, the body art practitioner must clean his/her hands and don new gloves in accordance with this section.
5. 
The use of single-use examination gloves does not preclude or substitute for the above hand washing requirement.
(c) 
Instrument and equipment preparation.
1. 
Every body art practitioner shall use linens, properly cleaned in accordance with these regulations, or new single-use drapes, lap cloths, and aprons for each element of body art conducted upon a client.
2. 
Every substance used in the conduct of body art shall be dispensed from containers so as to prevent contamination or the possibility of contamination of the unused portion. Immediately before tattooing a client, a sufficient quantity of the ink, dye or pigment to be used therefor shall be transferred from its original bottle or container into sterile, single-use disposable cups, caps or containers.
3. 
Upon sanitization of the workstation, the instrument tray shall be covered with an uncontaminated single-use paper towel, tray cover or similar material.
4. 
Every instrument required for the conduct of body art upon a client shall be placed and arranged on the instrument tray in a manner so as to prevent contamination of sterilized instruments. All sterilized instruments shall remain in sterile packages until opened in front of the client.
5. 
Sharps containers shall be easily accessible to the body art practitioner and located as close as is feasible to the immediate area where the sharps will be used.
(d) 
Use of workstation.
1. 
The conduct of body art shall occur only upon a client or minor client in a workstation under sterile conditions.
2. 
Only the client, the parent or legal guardian of a minor client, the guide or service animal of a client, the body art practitioner conducting the body art and an assistant or apprentice to the body art practitioner, with the express permission of the client, shall be permitted in the workstation during the conduct of body art.
(e) 
Use of instruments, supplies and sharps.
1. 
All instruments used in the conduct of body art shall be without contamination, and shall be properly cleaned, sanitized and sterilized in accordance with this Body Art Ordinance.
2. 
All instruments and other equipment or supplies used in the conduct of body art that are designed or intended for single use shall only be used once.
3. 
All sharps shall be properly disposed of in a sharps container immediately following use.
4. 
All products applied to the skin, including body art stencils, shall be single-use and shall be used only once.
5. 
Products used in the application of body art stencils shall be dispensed and applied to the area of the client upon which the body art activity is to be performed with sterile gauze or other sterile applicator so as to prevent contamination of the container and contents of the product in use. The gauze or other applicator shall be used only once.
6. 
Only single-use disposable razors shall be used in the conduct of body art activities, and such single-use disposable razors shall not be used more than one time.
(f) 
Waste disposal. Disposable items such as gloves, wipes, cotton balls, Q-tips, water cups, rinse cups (used alone or in an ultrasonic cleaning unit), drapes, lap cloths, aprons and other single-use items that have come into contact with any person, client, workstation, instrument trays, counters, towels or linens used for the conduct of body art, or have otherwise become contaminated, shall be promptly discarded into an appropriate waste receptacle during or upon completion of the conduct of body art in accordance with this Body Art Ordinance.
(g) 
Multiple body art activities. The following shall be deemed to be multiple body art activities on a single client, each requiring proper washing, cleaning, sanitization and sterilization of instruments, workstations and other equipment and areas as set forth under these regulations:
1. 
Creating two or more tattoos on different areas of the body of a single client;
2. 
The use of more than one needle or scalpel during the conduct of body art upon a single client;
3. 
Creating one tattoo and the use of one needle or scalpel on a single client.
(a) 
Piercing gun. The use of a piercing gun is prohibited at all times.
(b) 
Cosmetic tattooing; micropigmentation, etc. Cosmetic tattooing, also known as permanent cosmetics, micropigment implantation or dermal pigmentation, is hereby prohibited unless performed by a medical doctor licensed by the Commonwealth of Massachusetts or such other person who receives a license, permit or registration by the Commonwealth of Massachusetts specifically to perform such activities.
If a person obtains such a license, permit or registration from the commonwealth, such person may conduct such body art activity, provided all requirements of this Body Art Ordinance are complied with, except § 6-1206.
(c) 
Particular body piercings prohibited or restricted. The following body piercings are hereby prohibited:
1. 
Piercing of the uvula;
2. 
Piercing of the tracheal area;
3. 
Piercing of the neck;
4. 
Piercing of the ankle;
5. 
Piercing between the ribs or vertebrae;
6. 
Piercing of the web area of the hand or foot;
7. 
Piercing of the lingual frenum (tongue web);
8. 
Piercing of the clitoris;
9. 
Any form of chest or deep muscle piercings, excluding piercing the nipple;
10. 
Piercing of the anus;
11. 
Piercing of an eyelid, whether the top or bottom;
12. 
The form of body piercing known as "pocketing";
13. 
Piercing of the gums;
14. 
Piercing or skewering of a testicle;
15. 
So-called "deep" piercing of the penis, meaning piercing through the shaft of the penis, or "trans-penis" piercing in any area from the corona glandis to the pubic bone;
16. 
So-called "deep" piercing of the scrotum, meaning piercing through the scrotum, or "trans-scrotal" piercing;
17. 
So-called "deep" piercing of the vagina, to include, but not limited to so-called "triangles."
(d) 
Tongue splitting. The cutting, splitting or other bifurcation of the tongue is hereby prohibited unless performed by a medical doctor licensed by the Commonwealth of Massachusetts.
(e) 
Braiding. The braiding of the skin is hereby prohibited unless performed by a medical doctor licensed by the Commonwealth of Massachusetts.
(f) 
Three dimensional body art; implantation. Three dimensional body art, including "beading," and implantation is hereby prohibited unless performed by a medical doctor licensed by the Commonwealth of Massachusetts.
(g) 
Tooth filing, fracturing or removal. The filing or shaping or the intentional fracturing or extraction of a tooth is hereby prohibited unless performed by a dentist licensed by the Commonwealth of Massachusetts.
(h) 
Cartilage modification. The cutting, notching, sculpting or other modification of cartilage is hereby prohibited unless performed by a doctor licensed by the Commonwealth of Massachusetts.
(i) 
Amputation. The intentional amputation of any part of the body is hereby prohibited unless performed by a doctor licensed by the Commonwealth of Massachusetts.
(j) 
Genital modification. Modification of the genitalia by means of subincision, bifurcation, castration, male or female nullification or other surgical means is hereby prohibited unless performed by a doctor licensed by the Commonwealth of Massachusetts.
(k) 
Introduction of saline or other liquids. The introduction of saline solution or other liquid or semi-liquid substance into the body of another for the purposes of causing a modification of the body is hereby prohibited unless performed by a medical doctor licensed by the Commonwealth of Massachusetts.
(l) 
Branding or scarring. Branding or scarring may not be performed under the permit and may only be performed by a licensed medical doctor.
(a) 
Violation by a body art practitioner.
1. 
A body art practitioner permit shall be suspended by the Health Department immediately upon written notice of such suspension to the subject body art practitioner when, in the opinion of the Health Department nurse or inspector, the Health Department nurse or inspector has reason to believe that, due to a condition or practice of the subject body art practitioner, a threat to the public health exists.
[Amended 6-21-2021 by Order No. 21-090]
2. 
When the condition or practice believed to cause such threat to the public health is abated or corrected to the satisfaction of Health Department personnel, the Health Department may terminate the suspension of the body art practitioner permit of the subject body art practitioner and reinstate the same upon written notice to the subject body art practitioner, and the body art practitioner permit of such body art practitioner shall remain in full force and in effect until the expiration of the same or until the subsequent suspension, termination, revocation or modification thereof.
3. 
In all other instances of a violation of this Body Art Ordinance by a body art practitioner, the Health Department shall serve upon the subject body art practitioner written notice of violation detailing the condition, event or practice determined by the Health Department to be in violation of this Body Art Ordinance. Such written order to correct shall instruct the body art practitioner that he shall have a time period as determined by the nurse or inspector to abate or correct such condition, event or practice to the satisfaction of the Health Department.
[Amended 6-20-2016 by Ord. No. 16-095; 6-21-2021 by Order No. 21-090]
4. 
Should a body art practitioner, subject to a notice of violation pursuant to Subsection (a)(3), fail to abate or correct the condition, event or practice which is the subject of a notice of violation, or to otherwise comply with a notice of violation, the Health Department may suspend, terminate, revoke or modify the permit held by such body art practitioner.
[Amended 6-21-2021 by Order No. 21-090]
(b) 
Violation by an operator or in a body art establishment.
1. 
A body art establishment permit shall be suspended by the Health Department immediately upon written notice of such suspension to the subject operator when, in the opinion of the Health Department nurse or inspector, due to a condition of or practice in the body art establishment, the nurse or inspector of the Health Department has reason to believe that a threat to the public health exists.
[Amended ]
2. 
When the condition or practice believed to cause such threat to the public health is abated or corrected to the satisfaction of the Health Department personnel, the Health Department may terminate the suspension of the body art establishment permit of the subject operator and reinstate the same upon written notice to the subject operator, and the body art establishment permit of such body art establishment shall remain in full force and in effect until the expiration of the same or until the subsequent suspension, termination, revocation or modification thereof.
3. 
In all other instances of a violation of this Body Art Ordinance by an operator or in a body art establishment, the Health Department shall serve upon the subject operator written notice of violation detailing the condition, event or practice determined by the Health Department to be in violation of this Body Art Ordinance. Such order of notice shall instruct the operator that he shall have a time period as determined by the nurse or inspector to abate or correct such condition, event or practice to the satisfaction of the Health Department.
[Amended 6-20-2016 by Ord. No. 16-095; 6-21-2021 by Order No. 21-090]
4. 
Should an operator subject to an order of notice pursuant to Subsection (b)(3) fail to abate or correct the condition, event or practice which is the subject of a notice of violation, or to otherwise comply with a notice of violation, the Health Department may suspend, terminate, revoke or modify the body art establishment permit held by such operator.
[Amended 6-21-2021 by Order No. 21-090]
(c) 
Criminal prosecution. In accordance with §§ 1-109 and 1-110 of these ordinances, as amended from time to time, at the discretion of the Health Department, whoever violates any provision of this Body Art Ordinance may be penalized by indictment or on a criminal complaint brought in the District Court.
[Amended 6-21-2021 by Order No. 21-090]
(d) 
Fine for violation; each day a separate offense. The fine for a violation of any provision of this Body Art Ordinance shall be no less than $10 and no greater than $1,000 per day, per offense.
(e) 
Noncriminal disposition. In accordance with MGL c. 40, § 21D, and §§ 1-109 and 1-110 of these ordinances, as amended from time to time, at the discretion of the Health Department, whoever, in the opinion of the Health Department, violates any provision of this Body Art Ordinance may be penalized by a noncriminal disposition as provided in MGL c. 40, § 21D. The range of fines associated with this noncriminal disposition shall be not less than $10 nor more than $1,000 per day, per offense.
[Amended 6-21-2021 by Order No. 21-090]
(f) 
Health Department regulations. The Health Department may from time to time promulgate and amend regulations pertaining to the requirements for all applicants for a body art practitioner permit and a body art facility permit. In addition to the Body Art Ordinance, body art practitioners and applicants for a body art facility permit are required to adhere to the requirements set forth in the Health Department regulations. In the event these regulations conflict with any section or subsection of the Body Art Ordinance, it is the Body Art Ordinance which shall take precedence.
[Amended 6-21-2021 by Order No. 21-090]