​Overview of key changes

The Regulation contains provisions to support the Public Health Act 2010, including in relation to legionella control, disposal of bodies, control of skin penetration procedures, control of public swimming pools and spa pools, and codes of conduct for non-registered health practitioners.

Following consultation, a number of changes have been introduced to enhance the operation of the regulation and to improve public health in NSW. Some key changes to the Regulation are:

• simplification of paperwork requirements for cremation applications (Part 8 Disposal of bodies)
• clarification of equipment requirements for premises that carry out skin penetration procedures (Part 4 Skin penetration)
• two new penalty notice offences for legionella control (Part 2 Legionella control)
• simplification of monitoring requirements to ensure pools are properly disinfected (Part 3 Public swimming pools and spa pools)
• creation of a new code of conduct that is to apply to health organisations arising from changes to the Public Health Act in 2020 (Part 9 Miscellaneous).

Part 2 Legionella control

• Strengthening of the independence requirements for auditors in section 15 to address concerns around conflict of interest.
• Two new penalty notice offences for:
• failing to have documents available for inspection by an authorised officer
• failing to notify the local government authority when details relating to a cooling water system change.

Part 3 Public swimming pools and spa pools

• New requirement excluding water play parks and other recreational structures from the definition of swimming pool or spa pool if they use a public water supply, do not use a recirculation system and do not store water.
• Removal of ORP (Oxidation Reduction Potential) as a method of measuring disinfection effectiveness. ORP systems may still be used however disinfectant levels and monitoring must comply with Schedule 1 requirements.

Part 4 Skin penetration

• Hand basins must not be obstructed or used for storage.
• Equipment must be cleaned in a dedicated sink.
• Hand basins must be supplied with liquid soap and alcohol based cleaner.
• The requirement to comply with AS2182:1998 has been removed as this standard was rescinded and will not be remade.
• New requirements for autoclaves to be calibrated every 12 months.
• Autoclave is defined.
• New requirement to notify the local government authority before skin penetration procedures are carried out.

The Regulation was updated in November 2025 to refer to two new Australian Standards as follows:

• Appropriate sharps container – a new definition has been included in section 31 (A) to define an appropriate sharps container as a sharps container that complies with Australian Standard 23907:2023, Sharps injury protection - Requirements and test methods -Sharps containers (ISO 23907-2:2019, MOD).
• Sterilisation of reusable articles – section 37 requires all reusable articles to be sterilised in line with Australian Standard 5369:2023 Reprocessing of reusable medical devices and other devices in health and non-health related facilities.

Part 6 Scheduled medical conditions

• Removal of references to AIDS, as it is no longer a category 2 condition.
• The matters that must be considered by an authorised medical practitioner in deciding whether to make a public health order has been expanded to include whether reasonable attempts have been made to provide the person with information about the effects of the contact order condition.
• Who may give advice to a person suffering from a Category 2 or 3 condition has been expanded.
• The definition of relevant health practitioner now includes a person who provides public and population health services for the purposes of notifying a person who may have been in contact with a person suffering from a Category 2, 3 or 4 condition.

Part 7 Other disease control measures

• A new exemption from pre-enrolment immunisation requirements relating to childcare facilities to allow the principal of a childcare facility to permit enrolment of a child that meets certain requirements.

Part 8 Disposal of bodies

• The length of time a body can be kept in a hospital has been increased from 5 to 21 days.
• The requirement to comply with the 'Australian Guidelines for the Prevention and Control of Infection in Healthcare' published by the National Health and Medical Research Council (NHMRC) has been removed.
• To improve the process for registration of bodies, mortuaries are to register bodies immediately after the body is delivered to the mortuary for preparation instead of after the body is prepared.
• The Secretary of the Ministry of Health (the Secretary) can now grant a general exemption, in addition to an individual exemption, for shallow burials (less than 900mm below the natural surface level of the soil).
• Removal of the requirement for the Secretary to approve the material used to hermetically enclose a body when buried in a vault.
• A cremation certificate is no longer required.
• A relevant medical practitioner needs to provide written advice about the physical risk of cremation of the body of a deceased person.
• A relevant medical practitioner in this context is a medical practitioner who:
•  attended the person immediately before or during the illness terminating in the death of the person, or
• has relevant knowledge of the dead person’s medical history.
• Medical referees are no longer required to make an external examination of the body as a condition to issue a cremation permit, however they may conduct one if they think it is necessary.
• The Regulation was updated in December 2025 to allow the Secretary to grant a general exemption (ongoing exemption), or an exemption for a particular case (individual exemption) allowing the cremation of unidentified remains without documentation required under section 103 of the Regulation.

Part 9 Miscellaneous

A new code of conduct has been prescribed for the purposes of section 100 of the Act for the provision of health services by a relevant health organisation. This new code of conduct is similar to the existing code of conduct for non-registered health practitioners.

​Part 10 Reusable sharps

Further advice and resources

• Contact your local council.
• Contact your local Public Health Unit by calling 1300 066 055.
• Public Health Act 2010
• Public Health Regulation 2022
• Standards Australia

Further resources to help affected stakeholders understand the requirements of the Act and Regulation can be found at:

• Public health legislation
• Legionella control
• Public swimming pools and spa pools
• Skin penetration
• Safety measures for drinking water
• Scheduled medical conditions
• Other disease control measures
• Final arrangements of the deceased
• Code of Conduct
• Fees and penalties