Directed by: Tony Randel
Starring: Ashley Laurence, Clare Higgins, Doug Bradley, Imogen Boorman, Kenneth Cranham
Channard Cenobite: And to think... I hesitated.
Pinhead: It is not hands that summon us. It is desire.
Pinhead: Your suffering will be legendary, even in hell.
Channard Cenobite: I recommend... amputation.
Kyle MacRae: I'll get your clothes. I can do that. I'm a doctor.
Revealing mistake: Any time when the two girls are in hell's corridors and running around, you see these corridors as stone walls, yet whenever they back up against one of these walls, you can clearly see they are merely rubber sheeting overlayed on a framework as the rubber sheeting bends and contracts very clearly.
Question: When Elliot Spenser is being transformed into Pinhead, who was cutting lines into his face and head and driving nails into him?
Answer: Presumably another cenobite/cenobites. The choice not to show them makes for a better scene, as that moment is all about him, becoming the iconic Pinhead; the cenobites who made him that way are of no consequence to the story, and their own grotesque appearance would have distracted from his transformation.
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Answer: All we can see (in abstract closeup) is serpent-like tendrils cutting him and driving the pins into his head. As someone else said, it's likely another cenobite, although alternately it could also be the same "contraption" that turns Channard into a cenobite late in the film, given the tendrils are similar to the ones he sprouts.