Kodak Health, Safety and Environment Product Specifications by zqc90133

VIEWS: 17 PAGES: 11

									 Kodak Health, Safety and Environment Product Specifications
 Declaration Form DF-2008
                                                                                    Version: 2.00                                            7.00


This form is used to document compliance to Eastman Kodak Company Health, Safety and Environmental Specifications for Equipment, Packaging, Articles and Chemical Products or their comp
purchased or used for Kodak products. As a Kodak supplier, you can send Declaration Forms to sub-suppliers, however, you should combine into one declaration form submitted to Kodak.
 Instructions: You will need to refer to the appropriate specifications (EKSP-1636, 1594 & 1614) to accurately complete this form. The
 specifications can be found by clicking the link to the right. If you would like to declare other parts your company supplies to Kodak on
 this declaration add them to the table below. This form holds a maximum of 30 parts. Mandatory fields are highlighted in blue.
 Complete information in all workbook tabs and click the "Certify, Save & Submit" button to return to Kodak. The form will check for
 incomplete items when you when you click "Certify, Save & Submit".

 NOTE: Use either the tab key or right arrow to navigate the cells in this form.
                                                                                                                                             www.kodak.com/go/hsesupplier.
                    Kodak Information                                                                                         Supplier Information
    Contact Name:             Melanie Marshall                        Company Name:           Supplier
    Telephone Number:         (585) 722-5994                          Contact Name:
    Email:                    ww-mcd@kodak.com                        Telephone Number:
    Request Date:             17 Dec 2009 12:51:33:257                Email:


I certify that I am authorized to declare this Material Composition Declaration Form on behalf of my company; that this product was produced by my company. I also certify that if this product wa
using parts from another company, that I am responsible for the accuracy of information provided.

In addition, I certify that my company has obtained and will maintain any necessary approvals and authorizations of regulatory agencies and other government organizations to manufacture in an
from the country of manufacture.
                                                                                 Certified By:
                                                                                         Title:
                                                                                         Date:
                                                                                                                                                    Click this button to add a new part number.

                                                                                                                                                          Add New Part Number
Supplier Part Numbers requiring Material Composition Declaration:
       Kodak Part #                     Item Description                  Supplier part #                    Product Type                                          Comments
           1e                              Equipment                            1e                             Equipment
           2a                                 Article                           2a                               Article
           3c                               Chemical                            3c                             Chemical
           4p                         Packaging component                       4p                        Packaging Component
           5p                  All packaging provided for a product             5p                       Packaging Subassembly




                              Remember to complete all tabs in the workbook before clicking "Certify, Save & Submit".
                                                                                                                                                        Certify, Save & Submit
                                                                                                                                                        Certify, Save & Submit
                              When you click the button the form will check for missing data and inform you to fix any
                              errors before submitting.
                                          MATERIALS REQUIRING DECLARATION FOR ALL PRODUCTS


General Instructions: Answer yes or no to the question "Is the material of concern known to be present?" If yes report either the weight and unit of
(UoM), or the concentration (PPM). Provide a description of use and answer yes or no to the question "Is use intentional?". The button "Autofill all -
clicked to automatically answer "No" to the question "Is the material of concern known to be present?". This button will not work if macros are disab

For Packaging Product Types: For the Heavy Metals material of concern, supplier must report concentration (ppm) , it is optional to provide weig
appropriate unit of measure (UoM).

For Equipment Product Types: The RoHS six materials are identified with dual asterisks (**), suppliers must report the worst case concentration
homogeneous material level. See HSE Product Specification EKSP-1614 for a definition of homogeneous material level. It is optional to provide the
of the substance in the item.


                                                                              Is the material   Autofill all - No
                                                                                of concern
                                                                               known to be
   Part No.     Product Type                 Category Name                       present?       Weight      UoM     PPM      Describe Use
     1e         Equipment      Asbestos
                               Azo Colorants which form certain aromatic
     1e         Equipment      amines
     1e         Equipment      Cadmium/Cadmium Compounds**
     1e         Equipment      Cadmium/Cadmium in Batteries
                               Hexavalent Chromium/Hexavalent Chromium
     1e         Equipment      Compounds (Cr+6)**
     1e         Equipment      Lead/Lead Compounds**
     1e         Equipment      Lead/Lead Compounds in Batteries
     1e         Equipment      Mercury/Mercury Compounds**
                               Mercury/Mercury Compounds in Batteries
     1e         Equipment
                               Ozone Depleting Substances- Class I CFCs,
     1e         Equipment      HBFCs
                               Ozone Depleting Substances- Class II
     1e         Equipment      HCFCs
     1e         Equipment      Polybrominated biphenyls (PBBs)**
                               Polybrominated diphenyl ethers (PBDEs)**
     1e         Equipment
     1e         Equipment      Other Brominated Flame Retardants
                               Polychlorinated Biphenyls (PCBs) and
     1e         Equipment      specific substitutes
     1e         Equipment      Polychlorinated Terphenyls (PCTs)
                               Polychlorinated Naphthalenes (more than 3
     1e         Equipment      chlorine atoms)
                               Polyvinyl Chloride (PVC) Polyvinylidene
     1e         Equipment      dichloride (PVDC)
     1e         Equipment      PVC and PVDC in the battery casing.
     1e         Equipment      Radioactive Substances
     1e         Equipment      Short Chained Chlorinated Paraffins
                               Tributyl Tin (TBT) and Triphenyl Tin (TPT)
     1e         Equipment
     1e         Equipment      Tributyl Tin Oxide (TBTO)
     1e         Equipment      Natural rubber latex
     1e         Equipment      PFOS, PFOA, or related substances
     1e         Equipment      Beryllium Oxide
     1e         Equipment      Nickel (external applications only)
     1e         Equipment      Phthalates (DEHP, DBP, BBP)
     1e         Equipment      Phthalates (DINP, DIDP, DNOP)
     1e         Equipment      Formaldehyde
     1e         Equipment      Perchorates
                               Fluorinated Greenhouse Gases (HFC, PFC,
     1e         Equipment      SF6)
                               Phenol,2-(2H-benzotriazol-2-yl)-4,6-bis(1,1-
     1e         Equipment      dimethylethyl)
                               Azo Colorants which form certain aromatic
     2a            Article     amines
     2a            Article     Cadmium/Cadmium Compounds
                               Hexavalent Chromium/Hexavalent Chromium
     2a            Article     Compounds (Cr+6)
     2a            Article     Lead/Lead Compounds
2a    Article    Mercury/Mercury Compounds
2a    Article    Formaldehyde
2a    Article    Certain Phthalates
                 Ozone Depleting Substances- Class I CFCs,
2a    Article    HBFCs
                 Ozone Depleting Substances- Class II
2a    Article    HCFCs
2a    Article    Polybrominated biphenyls (PBBs)
                 Polybrominated diphenyl ethers (PBDEs)
2a    Article
                 Brominated Flame Retardants (other than
2a    Article    PBB or PBDE)
                 Polyvinyl Chloride (PVC) and Polyvinylidene
2a    Article    dichloride (PVDC)
2a    Article    PFOS, PFOA, or related substances
2a    Article    Bisphenol A (BPA)
                 Azo Colorants which form certain aromatic
3c   Chemical    amines
3c   Chemical    Cadmium/Cadmium Compounds
                 Hexavalent Chromium/Hexavalent Chromium
3c   Chemical    Compounds (Cr+6)
3c   Chemical    Lead/Lead Compounds
3c   Chemical    Mercury/Mercury Compounds
3c   Chemical    Formaldehyde
3c   Chemical    Certain Phthalates
                 Ozone Depleting Substances- Class I CFCs,
3c   Chemical    HBFCs
                 Ozone Depleting Substances- Class II
3c   Chemical    HCFCs
3c   Chemical    Polybrominated biphenyls (PBBs)
                 Polybrominated diphenyl ethers (PBDEs)
3c   Chemical
                 Brominated Flame Retardants (other than
3c   Chemical    PBB or PBDE)
                 Polyvinyl Chloride (PVC) and Polyvinylidene
3c   Chemical    dichloride (PVDC)
3c   Chemical    PFOS, PFOA, or related substances
3c   Chemical    Bisphenol A (BPA)
                 Azo Colorants which form certain aromatic
4p   Packaging   amines
                 Ozone Depleting Substances- Class I CFCs,
4p   Packaging   HBFCs
                 Ozone Depleting Substances- Class II
4p   Packaging   HCFCs
4p   Packaging   Polybrominated biphenyls (PBBs)
                 Polybrominated diphenyl ethers (PBDEs)
4p   Packaging
                 Brominated Flame Retardants (other than
4p   Packaging   PBB or PBDE)
                 Polyvinyl Chloride (PVC) Polyvinylidene
4p   Packaging   dichloride (PVDC)
4p   Packaging   PFOS, PFOA, or related substances
                 Heavy Metals (Cadmium, Chromium(Cr+6),
4p   Packaging   Lead, Mercury)
                 Azo Colorants which form certain aromatic
5p   Packaging   amines
                 Ozone Depleting Substances- Class I CFCs,
5p   Packaging   HBFCs
                 Ozone Depleting Substances- Class II
5p   Packaging   HCFCs
5p   Packaging   Polybrominated biphenyls (PBBs)
                 Polybrominated diphenyl ethers (PBDEs)
5p   Packaging
                 Brominated Flame Retardants (other than
5p   Packaging   PBB or PBDE)
                 Polyvinyl Chloride (PVC) Polyvinylidene
5p   Packaging   dichloride (PVDC)
5p   Packaging   PFOS, PFOA, or related substances
                 Heavy Metals (Cadmium, Chromium(Cr+6),
5p   Packaging   Lead, Mercury)
                                     FOR CHEMICAL AND ARTICLE PRODUCTS
1. Does this product contain other known, probable or potential carcinogens,
mutagens or reproductive toxicants?
  If yes, declare below. Please select the chemical or article part number that contains the compound.


                                                                   Level          Associated with
            Compound                        CAS No.                (ppm)           Part Number           Describe Use




2. Does this product contain materials with other health concerns?
  If yes, declare below. Please select the chemical or article part number that contains the compound.


                                                                   Level          Associated with
            Compound                        CAS No.                (ppm)           Part Number           Describe Use




3. Does this product contain materials with environmental concerns?
  If yes, declare below. Please select the chemical or article part number that contains the compound.


                                                                   Level          Associated with
            Compound                        CAS No.                (ppm)           Part Number           Describe Use




4. Does this product contain potent sensitizers?
  If yes, declare below. Please select the chemical or article part number that contains the compound.


                                                                   Level          Associated with
            Compound                        CAS No.                (ppm)           Part Number           Describe Use




5. Does this product contain Substances of Very High concern (SVHC)?
  If yes, declare below. Please select the chemical or article part number that contains the compound.


                                                                                  Associated with
            Compound                        CAS No.          Weight Percent        Part Number           Describe Use
6. Does this product generate or emit airborne emissions during normal
conditions of use or foreseeable misuse?
  If yes, declare below. Please select the chemical or article part number that contains the compound.


                                                                   Level          Associated with
            Compound                        CAS No.                (ppm)           Part Number           Describe Use




General Comments
                                                  FOR CHEMICAL AND ARTICLE PRODUCTS
              Instructions: Indicate whether all components of chemical products or substances released from articles are included in the following countries' chemical control inventories.
              Blue highlighted items are mandatory.


                                                                                                                                                                                                                                                                                                                                                            Have you      Will you ensure
              Are substances                                                                                                                                                                                                                                             Exempt from                                                        Part          appointed an     Kodak's use /
               released from                                                                                                                                                                                                                                               REACH                                                      preregistered or         only        volumes are
               Article during     United States                                        Canada        Province of Ontario                                                               Philippines                                         Describe notifications if   preregistration or                             Manufactured in registered under   representative   included in the
 Part No.           use?            (TSCA)        Australia (AICS) Canada (DSL)        (NDSL)             Canada                 China           Korea (ECL)       Japan (METI)         (PICCS)           Switzerland      New Zealand           applicable.             registration?      If exempt, explain why?      the EU?          REACH?          for REACH?       registration?
    2a
    3c




              Instructions: Answer questions for each Article and Chemical listed below. The dropdown choices distinguish between "chemical", "article" and "chemical & article"
              product types. An example of a single part number being a "chemical & article" product type is an ink cartridge full of ink. Blue highlighted items are mandatory.
                                          Biocides                                                                                 Mutagenicity Testing                                                        Hazardous Waste                             Toy Safety                                    Nanoparticles
                                                                                   Has the
                                                                                  chemical                                                                                                              Upon disposal is Describe and/or                                                 Does the product contain
                                 Is biocide          Is biocide    Is biocide   product been                                 Has each dye or                       Have any other                         this product       provide        Has the product been                        intentionally manufactured
              Does the product approved for        approved for  approved for     tested for                                pigment within the                      components                           considered a       hazardous     tested against toy safety     Are the results particles that have at least
                 contain a     this use in US       this use in this use in the mutagenicity                               product been tested   What are the      been tested for    What are the         hazardous          waste       migration protocol EN71-     below regulatory one dimension of 1 to 100
 Part No.        biocide?         (FIFRA)?        Canada (PCA)?   EU (BPD)?     (AMES test)?          Results of test?      for mutagenicity?     results?          mutagenicity?      results?              waste?       classification.    3 or ASTM F963?                limits?            nanometers?           Describe use.
    2a
    3c



                                    FOR CHEMICALS ONLY                                                                                     FOR ARTICLES ONLY



                                                                                                                                                 List applicable
                                                                                      Identify the      Identify the       Identify the Forest    product safety
                                                                                      mill(s) that     percentage of          Certification       standards that    Are all plastic
                                                     Have you                         sourced all     recycled pulp or     Scheme (I.e. FSC,       this product      parts >25 g    Weight of plastic   Total weight of
                                                  provided Kodak      Identify the    composite        paper material       SFI) for the pulp       meets (i.e.   marked per ISO used in product            product         % recycled
part number     Product Type       Provide pH       with a SDS?         support         wood.              used.                 source.       flammability etc)? Standard 11469?     (in grams)          (in grams)         plastic
    2a             Article
    3c            Chemical
             FOR EQUIPMENT PARTS OR PRODUCTS
0
0   Does this product contain Substances of Very High concern (SVHC)?
         If yes, declare below. Please select the part number containing this compound.
                                                      Weight             Associated with
       Compound                CAS No.                Percent             Part Number                  Describe Use




0
    Does this product generate or emit airborne emissions during normal
    conditions of use or foreseeable misuse?
         If yes, declare below. Please select the part number containing this compound.

                                                       Level             Associated with
       Compound                CAS No.                 (ppm)              Part Number                  Describe Use




                                 Noise            Plastic Marking        Composite Wood                 Nanoparticles                                                EU RoHS                             Plastic Composition
                                                                                                   Does the product contain
                                                 Are all plastic parts                            intentionally manufactured
                           Does the product      >25 g marked per        Identify the mill(s)   particles that have at least one                                                             Weight of plastic Total weight of
                          meet the ISO-7779        ISO Standard            that sourced all          dimension of 1 to 100                                 EU RoHS          EU RoHS          used in product       product     % recycled
1     Part Number         standard for noise?          11469?             composite wood.                nanometers?                  Describe use.        Declaration      Exemption          (in grams)        (in grams)     plastic nano valid all valid
0            1e                                                                                                                                                                                                                               0         0



                    Batteries
    Instructions: For each equipment part number containing a battery identify the battery type, chemistry, size/shape, voltage, quantity of each type, weight, world wide transportation classification and if percholorate is present.
                                                                                                                                                           Weight per    WW transportation     Percholorate
    Parent part number        Battery type           Chemistry             Size / Shape                     Voltage                Quantity of this type   battery (g)    classification        present?
                              FOR PACKAGING SUBASSEMBLIES AND PACKAGING COMPONENTS
Instructions: Complete the table by filling in data in
the cells shaded blue. For packaging subassembly
items the answers must represent all of the
subassembly's components. Comments pertaining
to the item can be provided on the General tab.

                                                        For the products indicated below, does the sub assembly
                                                         comply with the requirements for the following regions:              REACH                               For Rigid Plastic Containers                    For Paper            For Solid or Composite Wood


                                                                                                                                                                                               Does RPPC      Identify the Forest  Do you have the
                                                                                                                   Does this product               Does the use of plastic   Is the RPPC     contain at least    Certification    capability to supply   Are your wood
                                                                                                                     contain >0.1                  meet the definition of a marked with the     25% post      Scheme (I.e. FSC, wood packaging that        packaging
 Supplier Part                                                                 European      South       United      weight % of       Describe   "Rigid Plastic Container" appropriate SPI     consumer       SFI) for the pulp     meets the UN        materials free of
     No.             Component Description               China       Japan      Union        Korea       States        SVHC?             use              (RPPC)?                code?      recycled content?       source.       Standard ISPM-15?          bark?
      4p                Packaging component
      5p         All packaging provided for a product
Equipment tab

EU RoHS Declaration                               EU RoHS Exemptions
1 - Item(s) does not contain RoHS restricted
substances per definition                         0 None Applicable
2 - Item(s) contains RoHS restricted
substances above the limits per definition & is   1 Mercury compact fluorescent lamps not exceeding 5
not under exemption                               mg per lamp
3 - Item(s) does not contain RoHS restricted
substances per definition except for selected     2-1 Mercury halophosphate straight fluorescent lamps
exemptions                                        for general purposes 10mg
4 - Item(s) is obsolete, no information is        2-2 Mercury triphosphate straight fluorescent lamps
available                                         normal lifetime 5 mg
5 - Item(s) is unknown, no information is         2-3 Mercury triphosphate straight fluorescent lamps
available                                         long lifetime 8 mg
                                                  3 Mercury straight fluorescent lamps for special
                                                  purposes
                                                  4 Mercury Other Lamp types
                                                  5 Lead glass of cathode ray tubes, electronic
                                                  components and fluorescent tubes
                                                  6-1 Lead Alloying Element in Steel up to 0.35%

                                                  6-2 Lead Alloying Element in Aluminium up to 0.4%
                                                  6-3 Lead Alloying Element in Copper up to 4%
                                                  7-1 Lead high melting temperature type solders (i.e.
                                                  lead-based alloys containing 85% by weight or more
                                                  lead)

                                                  7-2 Lead solders for servers, storage and storage array
                                                  systems, network infrastructure equipment for
                                                  switching, signalling, transmission as well as network
                                                  management for telecommunication
                                                  7-4 Lead in electronic ceramic parts (e.g.
                                                  piezoelectronic devices)

                                                  8 Cadmium and its compounds in electrical contacts
                                                  and plating except for appliations banned under EU
                                                  Directive 91/338/EEC amending directive 76/769/EEC
                                                  relating to restrictions on the marketing and use of
                                                  certain dangerous substances and preparations

                                                  9 Hexavalent chromium as an anti-corrosion of the
                                                  carbon steel cooling system in absorption refrigerators

                                                  11 Lead used in compliant pin connector systems
                                                  12 Lead as a coating material for a thermal conduction
                                                  module c-ring
                                                  13-1 Lead in optical and filter glass
                                                  13-2 Cadmium in optical and filter glass
14 Lead in solders consisting of more than two
elements for the connection between the pins and the
package of microprocessors with a lead content of more
than 80% and less than 85% by weight

15 Lead in solders to complete a viable electrical
connection between semiconductor die and carrier
within integrated circuit Flip Chip packages
9a DecaBDE in polymeric applications

9b Lead in lead-bronze bearing shells and bushes
16 Lead in linear incandescent lamps with silicate
coated tubes.
17 Lead halide as radiant agent in High Intensity
Discharge (HID) lamps used for professional
reprography applications.

18 Lead as activator in the fluorescent powder (1 %
lead by weight or less) of discharge lamps when used
as sun tanning lamps containing phosphors such as BSP
(BaSi2O5:Pb) as well as when used as speciality lamps
for diazo-printing reprography, lithography, insect
traps, photochemical and curing processes containing
phosphors such as SMS ((Sr,Ba)2MgSi2O7:Pb).
19 Lead with PbBiSn-Hg and PbInSn-Hg in specific
compositions as main amalgam and with PbSn-Hg as
auxiliary amalgam in very compact Energy Saving
Lamps (ESL).
20 Lead oxide in glass used for bonding front and rear
substrates of flat fluorescent lamps used for Liquid
Crystal Displays (LCD).
21-1 Lead in printing inks for the application of
enamels on borosilicate glass.
21-2 Cadmium in printing inks for the application of
enamels on borosilicate glass.
22 Lead as impurity in RIG (rare earth iron garnet)
Faraday rotators used for fibre optic communications
systems.

23 Lead in finishes of fine pitch components other than
connectors with a pitch of 0.65 mm or less with NiFe
lead frames and lead in finishes of fine pitch
components other than connectors with a pitch of 0.65
mm or less with copper lead frames.
24 Lead in solders for the soldering to machined
through hole discoidal and planar array ceramic
multilayer capacitors.
25 Lead oxide in plasma display panels (PDP) and
surface conduction electron emitter displays (SED)
used in structural elements; notably in the front and rear
glass dielectric layer, the bus electrode, the black stripe,
the address electrode, the barrier ribs, the seal frit and
frit ring as well as in print pastes.
26 Lead oxide in the glass envelope of Black Light
Blue (BLB) lamps.
27 Lead alloys as solder for transducers used in high-
powered (designated to operate for several hours at
acoustic power levels of 125 dB SPL and above)
loudspeakers.

28 Hexavalent chromium in corrosion preventive
coatings of unpainted metal sheetings and fasteners
used for corrosion protection and Electromagnetic
Interference Shielding in equipment falling under
category three of Directive 2002/96/EC (IT and
telecommunications equipment). EXPIRED 1st July
2007
29 Lead bound in crystal glass as defined in Annex I
(Categories 1, 2, 3 and 4) of Council Directive
69/493/EEC
30 Cadmium alloys as electrical/mechanical solder
joints to electrical conductors located directly on the
voice coil in transducers used in high-powered
loudspeakers with sound pressure levels of 100 dB (A)
and more

31 Lead in soldering materials in mercury free flat
fluorescent lamps (which e.g. are used for liquid crystal
displays, design or industrial lighting)
32 Lead in seal frit used for making window assemblies
for Argon and Krypton laser tubes
33 Lead in solders for the soldering of thin copper
wires of 100 µm diameter and less in power
transformers.
34 Lead in cermet-based trimmer potentiometer
elements.
35 Cadmium in photoresistors for optocouplers applied
in professional audio equipment until 31 December
2009.
36 Mercury used as a cathode sputtering inhibitor in
DC plasma displays with a content up to 30 mg per
display until 1 July 2010.
37 Lead in the plating layer of high voltage diodes on
the basis of a zinc borate glass body.

38 Cadmium and cadmium oxide in thick film pastes
used on aluminium bonded beryllium oxide.

								
To top