ITTC Foam Test Application Form

Fill in this form in English except these columns Chinese required

Supplier No: / Supplier Name:
Supplier contact:
(English/ Chinese) / Phone/Mobile: / E-mail:
Address and Post Code:
Contact in IKEA: / Trading Office:
Phone/Mobile: / E-mail:
Test Type / Verifying Test (Incl. 0 Series) Prototype Test Follow Up Test (Only IKEA units Apply)
Payer Info. / Supplier Pay / Invoice Title: Contact Person: Phone/Mobile: E-mail:
Invoice Delivery Address (Only in Chinese):
IKEA Pay / Company Code: / HFB No.: / Cost Centre:
Service required: Regular Express (40% surcharge)
Sample Disposal: Not Return Return Tested Sample (Freight Collect) Return sample if test fail
Return Tested Sample (Pick up by applicant)

Sample Information (Items with * are very important)

Article
*Article No. : / *Article Name:
*Date Stamp: / Sample Amount:
Raw Material
Material Description: / Material Producer: / Material Identification Code:
Batch Number/Production Date: / Sample Amount:

If apply IOS-MAT-0076, Loss in thickness & hardness caused by fatigue, ISO3385:

*Foam Type:
Standard PU(STANDARD) Combustion modified ether PU(CM) High resilience PU(HR)
Combustion modified high resilience PU(CMHR)
*Foam Grade:

Additional Information *ITTC ONLY follows the EN standards and IKEA Specifications to perform the test. If there are special requirements or deviations from IKEA related documents that the article must be complied with, Supplier must print files out and send them with the TAF. Or put all the related information in below blank

The authorized signature gives ITTC approval to give a copy of test reports and relevant information to IKEA for reference.

Date: Authorized signature & Company chop:

Test Item(s) required (Please tick) and Sample requirement:

Foam Test IOS-MAT-0076

Loss in thickness & hardness caused by fatigue, ISO3385 (4pcs, 380mmx380mmx50mm)

Ash content test, ISO1171 (1pcs, 380mmx380mmx50mm)

IKEA TEST LAB &TRAINING CENTRE

GENERAL TERMS AND CONDITIONS OF BUSINESS.

1.  IKEA Distribution Services (Shanghai) Co Ltd, through its Test Lab and Training Center (hereinafter referred to as “ITTC”) agrees to provide its testing services to Client who duly submit the testing request in accordance with and subject to the terms and conditions herein (hereinafter “the Conditions”).

2.  All rights, including but not limited to copyright, in any test reports, surveys, certificate of inspection or other material produced by ITTC during testing service shall remain solely in the ITTC, and may not be reproduced, copied, disclosed and/or published to any third party without prior written consent of ITTC.

3.  In any circumstances, the liability of ITTC hereunder arising from or in connection with any failure or delay of testing service shall not exceed an amount equals service reimbursement paid to ITTC. In no circumstances ITTC shall undertake any indirect or consequential loss thereof.

4.  ITTC shall not be liable or responsible for delay or failure to testing service due to any force majeure event, including but not limited to acts of God or the public enemy, fire, explosion, flood, storm, earthquake, riots, threatened war or war, hostilities, civil commotion, any law or other acts of any government agency, or any other cause beyond the reasonable control of ITTC.

5.  ITTC is only responsible for its report on the tested samples.

6.  Client shall, at its own cost, deliver the testing samples to ITTC.

7.  Client shall guarantee, hold harmless and indemnify ITTC and its officers, employees, agents or subcontractors against any and all loss or damage suffered by ITTC as a result of testing service otherwise than resulting from ITTC’s own fault.

8.  Client shall, within 30 days upon issuance date of the invoice by ITTC, pay for the services rendered by ITTC. Client shall pay ITTC a liquidated damage in equivalent to 0.05% of the overdue payment for each day in delay. If the overdue payment exceeds 30 days, ITTC has a general and particular lien over all samples delivered to be tested for all claims and sums owing by Client to ITTC.

9.  In the event of any suspension of payment due to Client, ITTC shall be entitled to suspend all services and withhold the issue of any test report.

10.  Provided that Client becomes or is ruled by a court with jurisdiction bankrupt or insolvent, or is voluntarily or compulsorily liquidated or dissolved, ITTC shall be entitled to terminate all services and issuance of any test report to Client, without prejudice to any rights ITTC may have at law or hereunder to claim for cost and/or proportion of service fee for the service actually carried out.

11.  In the event that any unforeseen additional time or costs are incurred during testing services, ITTC shall be entitled to render additional reasonable charges.

12.  The Conditions and testing services provided by ITTC shall be governed and construed by the laws of the People’s Republic of China. Any and all disputes arising from or in connection with this Conditions or testing service shall be the Shanghai Arbitration Commission for arbitration in accordance with its then effective rules. Arbitration award shall be final and binding upon the Parties.

Notes:

1. After test report issued, furniture and VOCs sample will be destroyed after 5 working days, package sample will be destroyed after 3 working days, other samples will be destroyed after 2 months.

2. If the applicant wants to pick up the tested furniture sample by himself, ITTC will keep the samples in lab for 5 working days. Overdue tested samples will be delivered to applicant by freight collect without any further notice.

3. All test methods applied in one application form will be reported in one test report.

4. A working day commences at 8:30 AM. Test request received after 2:00 PM will be entertained as submission of the following work day. Saturday, Sunday

and public holidays are not work days.

5. Conditions and fees are subject to change without prior notice.

6. * means this method hasn`t been approved by IKEA yet.

7. All standards used for these test items are specified in related IKEA specifications. ITTC will follow the latest standard and specifications to perform the test if there is no additional requirement.

Client Service Contact Information

/ No.399, Gangwen Road, Fengxian District Shanghai, China 201413 Tel: (86-21) 3755 4800 Fax: (86-21) 3755 4819

Textile/Toy/Leather/Artificial Leather/Zipper/Blinds test:

Hyuki Xiang

Tel: +86-21-3755 4809, Email:

Anni Wang

Tel: +86-21-3755 4861, Email:

Janice Lu

Tel: +86-21-3755 4904, Email:

Kira Chen (Toy/Blinds Test)

Tel: +86-21-3755 4913, Email:

Chemical / Food contact test:
Star Zhao

Tel: +86-21-3755 4869, Email:

Aimee Yuan

Tel: +86-21-3755 4857, Email:

Sara Xiong

Tel: +86-21-3755 4852, Email:

Erin Zhou (Food contact)

Tel: +86-21-3755 4822, Email:

Furniture / Foam:
Phoenix Cai

Tel: +86-21-3755 4815, Email:
Elsie Chen

Tel: +86-21-3755 4881, Email:

Joan Huang

Tel: +86-21-3755 4897, Email:

Component / Candle test / Package:
Doria Zhang
Tel: +86-21-3755 4884, Email:

Yoyo Zhou

Tel: +86-21-3755 4847, Email:

Ellen Lu

Tel: +86-21-3755 4813, Email:

/ No.399, Gangwen Road, Fengxian District Shanghai, China 201413 Tel: (86-21) 3755 4800 Fax: (86-21) 3755 4819

Common Email:

Delivery Address:

IKEA Test Lab & Training Centre (ITTC)

Address: No.399 Gangwen Road, Fengxian District, Shanghai

Remark: Please mark “sample” on the package of the sample

Working and sample receiving time: Monday ~ Friday, 8:30 ~ 17:00

地址:上海市奉贤区海港经济开发区港文路399号 201413

(ITTC 位于进门后右边4层高楼房)

标注:请在样品外包装上注明“样品”字样

工作及收样时间:周一 ~ 周五, 8:30 ~ 17:00