Skin test for special effects unit

1. MAKE-UP SKIN TEST SHEET
NAME: Janisha________________________________________
DATE OF TEST: ___17/11/17____________________________________________
Testonlyfor the materialsthatyouwant to use forthe make-upeffect.Testshouldbe carried out in
a well-ventilated area, close to a sink. The skin test should be carried out on the inside of the arm
around the wrist area. You should wait a few minutes after applying the test to see if irritation
occurs. Inthe case of irritationwashthe skin immediately with soap and running water. Do not use
this area for any further skin tests on the same day.
IF YOU ANSWER YES TO ANY OF THE FOLLOWING QUESTIONS, PLEASE EXPLAIN.
Do you have any known allergies? No_____________
_________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
Do you have any existing skin conditions?
___No_______________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
EXPLAIN OR ADDA DESIGN PICTURE FOR THE MAKE-UP EFFECT THAT WILL BE CARRIED OUT.
(INCLUDE WHICH AREA OF THE BODY THE FXWILL BE ADDED TO)

2. Product SkinTest Reaction
CLEANSERS, FIXERS AND BASE DESCRIBE REACTION IFANY OCCURS
CLEANSINGCREAM No reaction
UNDER MAKE-UP BASE No reaction
MASTIX REMOVER No reaction
MAKE-UP REMOVER No reaction
MULTI REMOVER No reaction
CLEANSINGLOTION No reaction
STOPPLEPASTE No reaction
MASTIX EXTRA No reaction
MASTIX WATERSOLUBLE No reaction
FIXINGPOWDER No reaction
TRANSPARRENTPOWDER No reaction

3. Product SkinTest Reaction
EFFECTS MAKE-UPAND
PROSTHETICS
DESCRIBE REACTION IFANY OCCURS
SILICONE(SKIN SCULPT) No reaction
DERMA WAX No reaction
NOSEWAX No reaction
EYEBROW PLASTIC No reaction
LATEX-RUBBER MILK No reaction
No reaction
LENSES/OTHER
No reaction
No reaction
No reaction

4. No reaction

5. Product SkinTest Reaction
MAKE-UPAND BLOOD DESCRIBE REACTION IFANY OCCURS
COLOUR POWDER
WATER MAKE-UP PURE
CAMOUFLAGE MAKE-UP PURE
CRÈME MAKE-UP PURE
BLOOD FX - ARTERIAL
BLOOD FX – FILM BLOOD A
BLOOD FX – FILM BLOOD B
BLOOD FX – BLOOD PASTE
BLOOD FX - CLOTTED
CORRECTOR STICK
ANTI-SHINE
TOOTH ENAMEL