11-22

us-hi-regs-official-e781497eb2ad3cd3628eb5775637639123e37cadb0ffcec1e0177b3199e9bb0711-22Regulation

TITLE 	11
DEPARTMENT OF 	HEALTH
CHAPTER 	22
§11-22-2
MORTUARIES, 	CEMETERIES, 	EMBALMERS, 	UNDERTAKERS,
AND MORTUARY AUTHORITIES
§11-22-1
§11-22-2
§11-22-3
§11-22-4
§11-22-5
§11-22-6
§11-22-7
§11-22-8
§11-22-9
Purpose
Definitions
Mortuaries
Embalming 	and 	embalmers
Burial
Transportation 	of 	bodies
Public 	funerals
Penalty
Severability
Historical 	Note: 	Chapter 	22 	of 	Title 	11, 	Adminis-
trative 	Rules, 	is 	based 	substantially on 	the 	former
Public 	Health 	Regulations 	Chapter 	1, 	Sections 	11, 	12,
13, 	14, 	and 	15) 	[Eff. 	11/1/37, 	am 	2/1/45, 	am 	9/17/51,
am 	4/20/53, 	am 	4/16/54, 	am 	8/1/60, 	am 	7/27/61, 	am
4/1/64, 	am 	7/1/64, 	am 1/16/71, 	am 	2/2/73, 	am 	9/12/75,
am 	2/3/79; 	R 	DEC 2 6 1981 	J
§11-22-1 	Purpose. 	The 	purpose 	of 	this 	chapter 	is
to 	provide minimum 	standards 	relating 	to 	the 	practice
of 	embalming, 	to 	the 	business 	of 	an 	undertaker, 	and 	to
the 	sanitary 	condition 	of 	places 	where 	such business 	or
practice 	is 	conducted. 	[Eff. 	oEc 2 6 1g 	] 	(Auth:
HRS 	§ 4 6 9- 2 ) 	( Imp : 	HRS 	§ 4 6 9- 2 )
§11-22-2 	Definitions. 	As 	used 	in 	this 	chapter:
"Cemetery" 	means 	a 	place 	dedicated 	to 	and 	used 	or
intended 	to 	be 	used 	for 	the 	permanent 	interment 	of
human 	remains. 	It may 	be 	either 	a 	burial 	park, 	for
earth 	interment; 	a 	mausoleum; 	for 	vault 	or 	crypt 	inter-
ments; 	a 	structure 	or 	place 	used 	or 	intended 	to 	be 	used
for 	the 	interment 	of 	cremated 	remains; 	or 	any 	combina-
tion 	of 	one 	or more 	thereof.
"Cemetery 	authority" 	means 	any 	person who 	under-
takes 	to 	establish, 	maintain, 	manage, 	operate, 	improve,
or 	conduct 	a 	cemetery, 	the 	interring 	of 	human 	remains,
or 	the 	care, 	preservation, 	and 	embellishment 	of 	cemetery
property, 	whether 	or 	not 	the 	person 	undertakes 	such
activity 	for 	profit.
"Director" 	means 	the 	director 	of 	health 	of 	the
22-1
Complete printed PDF page 1
§11-22-2
-tate~d-epartment-u:f-hea-lth-or--h±s-dui--y---author±-ze-,-+-------------~
agent.
"Embalm" 	means 	the 	injection 	of 	fluid 	or 	agent 	of
sufficient 	strength and 	quantity 	to 	accomplish 	a 	thorough
disinfection 	and 	preservation 	of 	a 	dead 	human 	body, 	the
fluid 	or 	agent 	being 	injected 	arterially 	in 	addition 	to
cavity 	injection.
"Funeral 	services" 	means 	arranging 	for 	or 	providing
for 	pick 	up 	of 	human 	remains, 	embalming, 	placing 	the
same 	on 	display, 	or 	otherwise 	providing 	for 	final
disposition 	of 	human 	remains.
11 State II 	means 	the 	State 	of 	Hawaii. 	[Eff.
DEC 2 6 1981 	] 	(Auth: 	HRS 	§§441-1, 	469-2) 	(Imp:
HRS 	§§441-1, 	469-2)
§11-22-3 	Mortuaries. 	(a) 	Requirements 	for
establishing, 	purchasing, 	or 	altering.
(1) 	It 	shall 	be 	unlawful 	to 	establish 	a 	mortuary
without 	the 	approval 	of 	plans 	and 	specifica-
tions 	by 	the 	director.
(2) 	Any 	person 	desiring 	to 	establish or 	purchase
a 	mortuary 	shall make 	application 	to 	the
director, 	submitting 	a 	complete 	set 	of 	plans
and 	specifications 	therefore, 	with 	full
description 	of 	the 	grounds, 	buildings, 	roads,
water 	supply, 	and 	sewage 	disposal 	system.
(3) 	The 	approved 	plans 	and 	specifications 	of 	a
mortuary 	shall 	not 	be 	changed without 	the
prior 	written 	approval 	of 	the 	director. 	The
facility 	shall 	be 	built 	or 	established 	only
in 	accordance 	with 	approved 	plgns.
(b) 	Equipment 	and 	sanitation. 	-
(1) 	A mortuary 	shall 	be 	devoted 	exclusively 	to
the 	business 	of 	providing 	funeral 	services
and 	shall 	include 	a 	preparation 	room 	equipped
with 	tile 	or 	cement 	floor, 	necessary 	drainage,
ventilation, 	and 	provided with 	proper 	and
convenient 	receptacles 	for 	refuse, 	bandages,
cotton, 	and 	other waste 	material 	and 	supplies,
embalming 	tables, 	hoppers, 	sinks, 	instruments,
and 	other 	appliances 	used 	in 	the 	embalming 	of
dead 	human 	bodies 	for 	burial 	or 	transportation.
(2) 	All 	mortuaries 	shall 	be 	kept 	and maintained
in 	a 	clean 	and 	sanitary 	condition 	and 	all
equipment, 	instruments 	and 	appliances 	used 	in
the 	preparation 	of 	dead 	human 	bodies 	for
burial 	or 	other 	disposition, 	shall 	be
thoroughly 	cleansed 	and 	sterilized 	immediately
after 	each 	individual 	case. 	No 	linens,
sheets, 	and 	other materials 	of 	any 	kind,
smocks 	or 	gowns, 	which 	shall 	have 	come 	in
contact with 	any 	dead 	human 	body, 	shall 	be
22-2
Complete printed PDF page 2
§11-22-4
used more 	than 	once 	without 	being 	laundered,
and 	such 	linens, 	sheets, 	and 	other materials,
gowns, 	or 	smocks, 	shall 	be 	sanitized 	in 	a
disinfectant 	before 	being 	laundered 	or 	before
they 	leave 	the 	premises 	to 	be 	laundered.
(c) 	Licensing.
(1) 	Each mortuary 	in 	the 	State 	shall 	upon 	applica-
tion 	and 	payment 	of 	a 	fee 	of 	$50, 	be 	licensed
by 	the 	director, 	provided 	that 	the 	mortuary
has 	been 	approved 	in 	accordance 	with
§ll-22-3(b) (1), 	and 	further 	provided 	that 	an
embalmer, 	licensed by 	the 	director, 	is
employed 	full-time 	by 	the 	mortuary, 	except
that 	the 	director may 	approve 	a 	part-time
embalmer 	in 	unusual 	circumstances; 	and 	that
the 	person 	in 	charge 	of 	the 	mortuary 	shall
have 	his 	name, 	residence, 	and 	official 	title
registered with 	the 	director.
(2) 	Each 	licensed mortuary 	shall, 	between 	July 	1
and 	10 	of 	each 	year, 	renew 	its 	license 	by
registering with 	the 	director, 	paying 	a
renewal 	fee 	of 	$10, 	and 	being 	inspected 	and
approved 	by 	the 	director within 	three 	months
immediately preceding 	the 	date 	of 	registration
for 	renewal. 	Every 	license 	that 	is 	not
renewed 	shall 	expire 	on August 	1, 	and 	shall
not 	be 	renewed 	except 	upon 	payment 	of 	$25 	and
compliance 	with 	other 	provisions 	for 	renewals.
(3) 	The 	director 	shall 	be 	notified when 	there 	is
a 	change 	in 	the 	person 	in 	charge 	of 	a 	mortuary,
and 	the 	new 	officer 	shall 	register 	with 	the
director 	in 	accordance 	with 	§ll-22-3(c) (1).
(d) 	Employment 	of 	part-time 	embalmers. 	Mortuaries
employing 	licensed 	embalmers 	on 	a 	part-time 	basis 	in
addition 	to 	a 	full-time 	embalmer 	as 	required 	by
§ll-22-3(c) (1), 	shall 	be 	required 	to 	have 	a 	contract 	in
writing with 	the 	employee 	showing 	a 	bona 	fide 	employer-
employee 	relationship 	and 	such 	agreement 	shall 	be
available 	for 	inspection 	by 	the 	director.
(e) 	Soliciting. 	A mortuary 	authority 	shall 	not
authorize 	or 	ratify 	the 	solicitation 	of 	funeral 	or
embalming 	business, 	after 	a 	death, 	or while 	a 	death 	is
impending, 	by 	its 	employees, 	agents, 	or by 	commission
persons. 	Violation 	of 	this 	provision 	shall 	constitute
grounds 	for 	suspension 	of 	license 	in 	addition 	to 	the
penalty provided 	in 	§11-22-8. 	This 	section 	does 	not
prohibit 	general 	advertising 	or 	the 	sale 	of 	insurance
plans 	involving 	embalming 	and 	funeral 	services. 	[Eff.
DEC 2 6 1981 	] 	(Auth: 	HRS 	§§321-9, 	321-11, 	469-2)
(Imp: 	HRS 	§§321-11, 	441-19.5, 	469-2)
§11-22-4 	Embalming 	and 	embalmers. 	(a) 	Embalming.
22-3
Complete printed PDF page 3
§11-22-4
-------------(.:_1-)-No_p_exson 	shall 	embalm a 	dead 	human 	body 	. 	,1
unless 	licensed by 	tnea~1re~ctoras~an-emba4me~r-----~-~-J-
or 	registered with 	the 	director 	as 	an 	appren-
tice 	embalmer 	under 	the 	supervision 	of 	a
licensed 	embalmer.
(2) 	Except 	as 	provided 	in 	§ll-22-4(a) (3), 	a 	dead
human 	body 	shall 	be 	embalmed, 	if 	the 	condition
of 	the 	body 	permits, 	cremated, 	or 	buried
within 	thirty 	hours 	after 	death, 	unless 	the
body 	has 	been 	placed 	in 	the 	custody 	of 	the
coroner, 	medical 	examiner, 	county, 	or 	county
physician. 	In 	such 	instances, 	the 	body 	shall
be 	embalmed, 	cremated, 	buried within 	thirty
hours 	after 	release, 	or 	placed 	in 	refrigerated
storage 	in 	a 	State 	approved 	hospital.
(3) 	No 	embalming 	fluid, 	or 	substitute 	therefor,
shall 	be 	injected 	into 	any 	dead 	body:
(A) 	if 	the 	death 	is 	subject 	to 	investigation
by 	the 	coroner 	or medical 	examiner, 	or
(B) 	if 	the 	death was 	from 	plague, 	asiatic
cholera, 	smallpox, 	epidemic 	typhus
fever, 	yellow 	fever, 	or 	louse-borne
relapsing 	fever, 	or 	any 	approved 	term
indicating 	such diseases. 	Permission 	to
embalm 	in 	case 	(A) 	above 	must 	be 	secured
from 	the 	office 	of 	the 	c0roner 	or medical
examiner 	and 	in 	case 	(B) 	from 	the
director.
(b) 	Embalmer's 	license.
(1) 	Any 	application 	for 	an 	embalmer's 	license 	in
the 	State must 	be made 	under 	oath 	to 	the
director 	on 	forms 	provided 	for 	that 	purpose.
The 	applicant 	shall 	meet 	the 	requirements
prescribed by 	§469-1, 	HRS.
(2) 	An 	examination 	shall 	be 	held 	at 	least 	once 	a
year 	and 	at 	such 	time 	as 	the 	director may
determine. 	All 	applications 	shall 	be 	filed
with 	the 	director 	on 	or 	before 	the 	first 	of
the month 	in which 	the 	examination 	is 	to 	be
held. 	A fee 	of 	$25 	shall 	be 'submitted with
the 	application.
(3) 	There 	shall 	be 	a 	written 	examination, 	supple-
mented by 	a 	practical 	examination. 	Applicants
shall 	be 	examined 	in 	the 	subjects 	of 	embalming,
anatomy, 	pathology, 	bacteriology, 	and 	chemis-
try 	and 	in 	such 	other 	related 	subjects 	as 	the
director may 	prescribe. 	All 	examination
papers 	shall 	be 	filed 	in 	the 	department 	of
health.
(c) 	Apprentice 	embalmers.
(1) 	Whenever 	any 	person wishes 	to 	qualify 	as 	an
apprentice 	embalmer, 	the 	person 	shall 	register
with 	the 	director 	upon 	forms 	furnished 	for
22-4
Complete printed PDF page 4
§11-22-5
the 	purpose 	and 	shall 	otherwise 	comply with
the 	requirements 	of 	§469-4, 	HRS.
(2) 	An 	apprentice who 	is 	a 	graduate 	of 	an
embalming 	school 	recognized 	by 	the 	Commission
of 	Schools 	of 	the 	American 	Board 	of 	Funeral
Service 	Education may 	begin 	embalming 	upon
registration; 	an 	apprentice 	without 	such
training may 	not 	actually 	embalm as 	defined
in 	§11-22-2, 	until 	after 	completing 	one 	year
of 	apprenticeship. 	In 	all 	cases, 	an 	appren-
tice 	shall 	embalm only 	in 	the 	presence 	of 	and
under 	the 	direction 	of 	a 	licensed 	embalmer.
(3) 	The maximum 	term of 	apprenticeship 	shall 	be
not more 	than 	two 	years 	beyond 	the 	required
period 	of 	practical 	experience 	specified 	in
§469-1, 	HRS, 	except 	that 	apprentices 	on
register 	as 	of 	July 	1, 	1957 	shall 	not 	be
affected.
(4) 	The 	director may 	grant 	leaves 	of 	absence 	and
approve 	absences 	during 	the 	term of 	apprentice-
ship.
(5) 	An 	apprentice must work 	under 	the 	personal
supervision 	of 	the 	licensed 	embalmer 	under
whom apprenticed. 	The 	director 	must 	be
notified 	of 	any 	substitute 	arrangement 	with
another 	licensed 	embalmer 	that 	is 	expected 	to
last more 	than 	one month. 	[Eff. 	DEC 2 6 1981
] 	(Auth: 	HRS 	§§321-11,
4 6 9- 2 ) 	( Imp : 	HRS 	§ § 3 21-11 , 	4 6 9-1 , 	4 6 9- 2 ,
469-4)
§11-22-5 	Burial. 	(a) 	Cemeteries; 	Requirements
for 	establishing, 	constructing, 	modifying, 	operating.
(1) 	No 	place 	shall 	be 	used 	as 	a 	cemetery 	(as
defined 	in 	§441-1, 	HRS) 	without 	the 	prior
written 	approval 	of 	the 	director.
(2) 	No 	place 	shall 	be 	approved 	for 	use 	as 	a
cemetery 	unless
(A) 	It 	has 	been 	dedicated 	pursuant 	to 	chapter
441, 	HRS;
(B) 	All 	planned 	construction 	and 	all 	existing
construction 	of 	the 	grounds, 	plots,
buildings, 	roads, 	water 	supply, 	and
sewage 	disposal 	system has 	been 	approved
by 	the 	director;
(C) 	Proposed 	rules 	governing 	the 	operation
of 	the 	cemetery have 	been 	approved 	by
the 	director; 	and
(D) 	A cemetery 	authority 	has 	registered
pursuant 	to 	§ll-22-5(a) (5) 	herein.
(3) 	All 	construction 	shall 	be 	only 	in 	accordance
with 	approved 	plans 	and 	specifications. 	Any
22-5
C
Complete printed PDF page 5
§11-22-5
---:---------__..:.___chan _g_e 	mu 	t 	be 	submitted 	in 	writing 	and
approved 	by 	the 	director 	prior 	to 	construction.
(4) 	Every 	cemetery 	shall 	have 	and 	be 	supervised
by 	a 	cemetery 	authority 	properly 	licensed
under 	chapter 	441, 	HRS. 	The 	cemetery 	authority
shall 	insure 	compliance 	with 	all 	regulations
made 	by 	the 	director 	relating 	to 	cemeteries
and 	burials.
(5) 	Every 	person who 	acts 	as 	a 	cemetery 	authority
shall 	register 	with 	the 	department 	of 	health
on 	a 	form 	to 	be 	designated 	by 	the 	director.
(6) 	A cemetery 	authority 	shall 	be 	responsible 	for
the 	prevention 	of 	any 	unhygienic 	condition 	or
danger 	to 	public 	health 	arising 	from 	operation
of 	the 	cemetery; 	shall 	oversee 	that 	no 	damage
is 	done 	to 	the 	tombs, 	grave 	markers, 	and
fences; 	shall 	prevent 	cattle 	and 	beasts 	from
entering 	the 	cemetery; 	shall 	maintain 	and
deliver, 	whenever 	required 	by 	the 	director,
records 	of 	burials; 	shall 	deliver 	said 	records
over 	to 	successor 	cemetery 	authorities; 	shall
provide 	for 	the 	indentification 	of 	tombs,
vaults, 	or 	other 	sites 	of 	burial 	by 	appropriate
markings; 	and 	shall 	prepare 	and 	keep 	up-to-
date 	a 	map 	or 	plot 	showing 	the 	location 	of
each 	body 	buried 	or 	interred within 	the
cemetery.
(b) 	Location; 	depth 	of 	grave.
(1) 	It 	shall 	be 	unlawful 	for 	any 	person 	to 	bury
any 	human 	body 	unless 	he 	has 	first 	obtained 	a
burial-transit 	permit 	from 	the 	local 	agent 	of
the 	department. 	The 	burial 	shall 	be made
only 	in 	a 	cemetery 	approved 	by 	the 	director.
(2) 	A dead 	human 	body 	shall 	be 	interred 	at 	a
depth 	sufficient 	to 	prevent 	the 	creation 	of
any 	public 	nuisance 	or 	public 	health 	hazard
and 	to 	make 	it 	impossible 	for 	hogs 	and 	other
animals, 	or 	surface 	drainage 	or wash, 	to
uncover 	it. 	[Eff. 	DEC 2 6 1981 	] 	(Auth:
HRS 	§§321-11, 	469-2) 	(Imp: 	HRS 	§·§321-11,
338-23, 	441-195)
§11-22-6 	Transportation 	of 	bodies. 	(a) 	By
common 	carrier.
(1) 	The 	transportation 	of 	dead 	human 	bodies 	by 	a
common 	carrier 	shall 	be 	conducted 	in 	such 	a
manner 	as 	not 	to 	be 	a 	menace 	to 	the 	health 	of
the 	general 	public.
(2) 	A burial-transit 	permit 	issued 	pursuant 	to
chapter 	338, 	HRS, 	or 	chapter 	841, 	HRS, 	shall
accompany 	the 	body.
(3) 	The 	body must 	be 	placed 	in 	a 	coffin 	or 	casket.
22-6
Complete printed PDF page 6
§11-22-9
If 	the 	death 	resulted 	from 	a 	disease 	specified
in 	§ll-22-4(a) (3) 	and 	the 	body 	is 	not 	embalmed,
it 	shall 	be 	placed 	in 	a 	hermetically 	sealed
coffin 	or 	casket 	and 	encased 	in 	an 	outer box;
provided, 	however, 	that 	no 	section 	of 	this
chapter 	shall 	be 	interpreted 	to 	prohibit 	the
transportation 	of 	dead 	bodies 	without 	the 	use
of 	an 	outer 	case 	or box 	in 	closed vehicles
designed 	exclusively 	for 	the 	transportation
of 	dead 	human 	bodies.
(b) 	Disinterred bodies. 	No 	disinterred 	body
shall 	be 	shipped 	or 	transported within 	the 	State 	or 	out
of 	the 	State 	without 	approval 	by 	the 	director. 	Such
approval 	shall 	be 	given 	in 	the 	form 	of 	burial-transit
permit, 	provided 	that 	no 	burial-transit permit 	shall 	be
issued 	until 	a 	disinterment 	permit 	is 	issued 	in
accordance 	with 	section 	338-25.5, 	HRS. 	[Eff.
DEC 2 6 	1981 	] 	(Auth: 	HRS 	§§321-11, 	469-2) 	(Imp:
HRS 	§§321-11, 	338-25, 	338-25.5)
§11-22-7 	Public 	funerals. 	A public 	or 	a 	church
funeral 	shall 	not 	be 	held 	for 	any 	person who 	has 	died
of 	a 	disease 	specified 	in 	§ll-22-4(a) (3) 	unless 	the
written 	consent 	of 	the 	director 	has 	first 	been 	obtained.
If 	a 	funeral 	is 	held, 	attendance 	at 	the 	funeral 	shall
be 	restricted 	to 	those 	persons 	who 	are 	not 	in 	the
quarantinable 	stage 	of 	the 	disease 	as 	determined by 	the
director. 	[Eff. 	OEC 2 6 1981 	] 	(Auth: 	HRS 	§§321-9,
321-11) 	(Imp: 	HRS 	§§321-1, 	321-11)
§11-22-8 	Penalties. 	(a) 	Any 	person who 	shall
violate 	any 	provision 	of 	this 	chapter 	shall 	be 	guilty
of 	a 	misdemeanor 	and, 	upon 	conviction, 	shall 	be 	punished
by 	a 	fine 	of 	not more 	than 	$500 	or 	by 	imprisonment 	for
not more 	than 	one 	year 	or 	both, 	as 	provided 	in
§321-18, 	HRS.
(b) 	Any 	person who 	practices 	as 	an 	embalmer 	or
undertaker without 	being 	registered with 	the 	department
of 	health 	as 	herein 	provided 	shall 	be 	fined 	not 	less
than 	$50 	nor 	more 	than 	$250 	or 	imprisoned 	not 	less 	than
thirty 	days 	nor more 	than 	ninety 	days, 	or 	both, 	as
provided 	in 	§469-8, 	HRS.
(c) 	Each 	and 	every 	violation 	of 	the 	provisions 	of
this 	chapter 	shall 	constitute 	a 	separate 	offense.
[Eff. 	DEC 2 6 1981 	] 	(Auth: 	HRS 	§§321-11, 	469-2)
(Imp: 	HRS 	§§321-18, 	469-8)
§11-22-9 	Severability. 	Should 	any 	section,
paragraph, 	sentence, 	clause, 	phrase, 	or 	application 	of
this 	chapter 	be 	declared 	unconstitutional 	or 	invalid
22-7
Complete printed PDF page 7
§11-22-9
------~o_:i:::_an_y_raason-,_tha___remainder_o_r___any_o_theI_appli-cati-ou.,._______,,__-4
of 	this 	chapter 	shall 	not 	be 	affected. 	[Eff.
DEC 2 6 	1981 	] 	(Auth: 	HRS 	§§321-9, 	321-11) 	(Imp:
HRS 	§321-9)
22-8
Complete printed PDF page 8
)
NOTICE 	OF 	CHANGE
11/14/97
The 	list 	of 	sections 	implemented 	by 	Section 	11-22-3, 	Hawaii
Administrative 	Rules, 	is 	changed 	to 	read 	as 	follows:
(Imp: 	HRS 	Sections 	321-11, 	462-2)
3
:=
:::0
w
0
~
\0
b
CX)
r
,.,.,
c::
--l
rr,
.:z
al>
-.;Z
-.,-.
n=-Jrr, C.)
<f"T'l
;:tJ
zQ
(J
2 0 89
Complete printed PDF page 9

Continue your research in ChatGPT or Claude

Connect Omnilex to search the legal corpus from your AI assistant.