Attached Certificate
Date:
(Company name)
Company seal
<Preparing Attached Certificates>
1.Indicate details of the product under application for certification in ”Fill in this Column.”
Shaded areas in “Fill in this Column” do not require entry.
2.Prepare yourself or have other interests prepare the certificates specified in “Documents to be Submitted.” Submit these certificates with this document when applying for Eco Mark Product certification or use.
3.Prepare certificates referring to the examples provided.
4.The issuer(s) in the ”Issued by” column must prepare “Documents to be Submitted.”
5.This certificate consists of “Common criteria”, “Material Criteria” for each component material category (A-G), and “Criteria on individual products” and “Quality criteria” for each product category (A-D). Appropriate items should be selected according to the product under application. Component materials are used for parts other than small accessories (screws, adhesives and other small parts that are required to ensure functions of the products). If two or more materials are used in the component material, certificates must be submitted for appropriate categories.
Item / Documents to be Submitted / Issued byPlanned Display of Eco Mark / < > Yes
< > Product < > Packaging
Catalogue/leaflet < > User manual
< > Other ( )
< > No (If an Eco Mark is displayed, design drawing should be submitted)
(Select where appropriate) / Applicant
Article 3 of Usage Regulations
Display of intended location of Eco Mark, display of environmental information below mark / Design drawing to be provided (Format free, text)
Article 7 of Usage Regulations
Display of Eco Mark user name and address, display of certification number
Item / Fill in this Column / Documents to be Submitted / Issued by
Manufacturer of product / < > Other companies < > Own company
(Select where appropriate) / If developed by other companies, attach Application Consent Form (Example 1). / Who Consented Application
If a product with Eco Mark certification under the category is submitted for approval as another brand / Are there any changes in addition to brand name? < > Yes < > No
(Select where appropriate)
(If only the brand name has been changed, the following items do not have to be proved.) / A copy of notice of Eco Mark certification review results
Product category match table between the existing eco product and one under application
Documents certifying changes, if any, meet applicable criteria
Subject / < > A. Rubber base material
< > B. Kitchenware and tableware
< > C. Shoes
< > D. Other daily needs
(Select where appropriate) / Catalog for product details / Applicant
Item / Fill in this Column / Documents to be Submitted
Use of electricity / This product uses electricity
This product does not use electricity
Subject / Kitchenware and tableware
Eating and drinking ware
Fork, spoon, chopsticks and belongings
Tableware
Cooking utensils
Cooking outfits
Food storage instruments
Kitchen sink supplies
Other kitchenware and tableware / (Name of smaller classification: )
(Name of smaller classification: )
(Name of smaller classification: )
(Name of smaller classification: )
(Name of smaller classification: )
(Name of smaller classification: )
(Name of smaller classification: ) / Catalog for product details
Lunch and picnic supplies
Lunch and picnic supplies / (Name of smaller classification: )
Washing instruments and washing supplies
Washing instruments and washing supplies / (Name of smaller classification: )
Fixtures in bathroom and toilet articles
Fixtures in bathroom and toilet articles
Toilet articles
Other fixtures in bathroom / (Name of smaller classification: )
(Name of smaller classification: )
(Name of smaller classification: )
Sanitary
Sanitary supplies / (Name of smaller classification: )
Cleaning goods
Cleaning goods / (Name of smaller classification: )
Storage
Cupboard and closet storage goods
Kitchen storage goods
Living room storage goods
Sanitary storage goods
Small articles storage goods
Other storage goods / (Name of smaller classification: )
(Name of smaller classification: )
(Name of smaller classification: )
(Name of smaller classification: )
(Name of smaller classification: )
(Name of smaller classification: )
Accessories, personal adornments and silverware
Beauty products, hair care products, wig and similar / (Name of smaller classification: )
Bird and animal products (except for livestock and poultry)
Bird and animal products / (Name of smaller classification: )
Home garden supplies
Home garden supplies / (Name of smaller classification: )
Rubber base materials
Rubber hose
Rubber mat
Rubber gloves / (Name of smaller classification: )
(Name of smaller classification: )
(Name of smaller classification: )
Consumer electronic and electric appliances
Filter bags for vacuum cleaner / (Name of smaller classification: )
Item / Fill in this Column / Documents to be Submitted
Shoes
Rubber shoes
Plastic shoes
Sports shoes
Japanese style shoes
Room slippers
Other shoes / (Name of smaller classification: )
(Name of smaller classification: )
(Name of smaller classification: )
(Name of smaller classification: )
Clothing and related products
Home treatment apparatus
Supplies for the sick / Catalog for product details
Other daily needs
Art and decorations
Curtain and veil
Cover, blind and bamboo blind
Hot-water bottle
Letter box and letter rack
Flapper, flytrap and mousetrap
Other daily needs not classified above / (Name of smaller classification: )
(Name of smaller classification: )
Other living and cultural supplies
Matches, candles, aromatics and incense sticks
Sewing articles
Religious accessories / (Name of smaller classification: )
(Name of smaller classification: )
4-1-1. <Common criteria>
Item / Fill in this Column / Documents to be Submitted(1) – (5) / See attached certificate on page 4
4-1-2. <Material criteria >
Item / Fill in this column (Check all used materials) / Documents to be SubmittedUsed material / Paper / See attached certificate on page 5
Wood / See attached certificate on page 6
Plastic / See attached certificate on page 7
Glass / See attached certificate on page 8
Fiber / See attached certificate on page 9
Rubber / See attached certificate on page 10
Pottery / See attached certificate on page 11
4-1-3. <Individual product criteria>
Item / Fill in this column (Check all used materials) / Documents to be SubmittedSubject / Kitchenware and tableware / See attached certificate on page 12-13
Cleaning goods / See attached certificate on page 14
Shoes / See attached certificate on page 15
Other daily needs / See attached certificate on page 16
Other than above
4-1-4. Quality criteria
Item / Fill in this Column / Documents to be Submitted(49) – (52) / See attached certificate on page 18
4-1. <Environmental criteria>
4-1-1. <Common criteria>
Item / Fill in this Column / Documents to be Submitted / Issued by4-1.(1)
Environmental laws and regulations / Finished product manufacturing plant
( ) / Certificate (Example 2) / Manager of finished product manufacturing plant
4-1 (2)
Disposable / < > Paper diaper
< > Pet products
< > Other than above
State product usage
Usage
(
)
4-1 (3)
Metallic material / (Metallic)Kitchen sink corner strainer
(Metallic)Kitchen sink draining strainer
< > Edible oil filter
< > Can refuse collectors
< > Other than above
Weight percentage for metallic materials ( )% / Entry table 3 / Applicant
4-1.(4)
Packaging material
(Material indication recycled material) / < > Non packaged
Simplified packaging
Packaging material
Paper: Percentage of waste paper in the pulp mixture ( ) %
Cardboard: Percentage of waste paper in the pulp mixture ( ) % / Material display design / Applicant
< > Plastic
Recycled material content ( )%
Material indication (Applied only to plastic)
Yes / No
Reasons for omitting material indication ( )
4-1.(5)
Packaging material for product
(Halogen) / < > No use of plastic packaging material
< > Use of packaging material
Material name ( )
Polymers including halogen and organic halogens added as prescription constituents?
< > Yes / < > No
(Select where appropriate)
4-1-2. < Material criteria >
A. Paper
Item / Fill in this Column / Documents to be Submitted / Issued by4-1.(6)
Waste paper percentage in the pulp mixture / < > Filtering bag for electric cleaner
Waste paper percentage in the pulp mixture of filter ( )%
Waste paper percentage in the pulp mixture other than filter ( )% / Certificate (Example A-1) / Paper manufacturer
< > Rotten cooking oil absorbent
< > Pet sheet
< > Cat litter
< > Other than above
Waste paper percentage in the pulp mixture ( )% / Certificate (Example A-1) / Paper manufacturer
4-1.(7)
Coating amount / Both sides ( )g/m2 one side ( )g/ m2 / Certificate (Example A-1) / Paper manufacturer
4-1.(8)
Whiteness / Whiteness ( )% *(Applied product only) / Certificate (Example A-1) / Paper manufacturer
4-1.(9)
Fluorescent whitening agent / Addition of fluorescent whitening agent
< > Yes ( )ppm/%
< > No / Certificate (Example A-1) / Paper manufacturer
4-1.(10)
Chlorine gas / Certificate (Example A-1) / Paper manufacturer
128 (Certificate)1
4-1-2. <Material criteria >
B. Woods
Item / Fill in this Column / Documents to be Submitted / Issued by4-1.(11)
Mixture amount of raw materials for wooden parts or cellulose / Cooking oil absorbent
< > Pet sheet
< > Cat litter
” The percentage of thinned wood, waste wood, construction waste wood, less useful wood and waste plant fiberprovided by terminologyas materials for wooden parts shall be 100%.”
Yes/< > No
(Select where appropriate) / A list of the raw material vendors (Entry Table B)
* If vendors are over 10 / Applicant
(List of certification of the top 10 vendors)Raw material certificate (Example B-1) / Raw material supplier
4-1.(12)
Wood preservatives / “Wood preservatives (wood termicides, wood preservatives, wood pesticides, and wood fungicides) are not used ”
< > Applicable/< > Not applicable
(Select where appropriate)
4-1.(13)
Toluene and xylene / Toluene or xylene is not added as prescription constituents
Toluene or xylene is added as prescription constituents
“Wood preservatives of toluene or xylene shall not be detected at product shipment”
Applicable / < > Not applicable
(Select where appropriate) / Results of tests according to the JISA 1901 method / Third party testing body or Applicant
4-1.(14)
Formaldehyde
Emissions / < > No use of adhesives and coatings
< > Use of adhesives
< > Use of coatings / Results of tests according to the JISA 1460 or 1901, appropriate JAS, and similar methods, or a certificate or copy indicating that emissions from the product is graded as F****; the JAS approves the display of non-formaldehyde adhesive use; or adhesives used fall out of Ministerial regulations. / Applicant or third party testing body
128 (Certificate)1
4-1-2. <Material criteria >
C. Plastic
Item / Fill in this Column / Documents to be Submitted / Issued byOutline of product manufacturing process / Entry table C / Applicant
4-1.(15)
Recycled polymer weight percentage / < > Cooking oil absorbent
< > Rubber shoes
< > Plastic shoes
< > Sports shoes
< > Pet sheet
< > Cat litter
< > Other than above
(Film product/Non-film product) / Entry table C-1 / Applicant
Certificate (Example C-2) / Recycled plastic collector
4-1.(16)
HCFCs / Certificate (Example C-3) / Manager of finished product manufacturing plant
4-1. (17)
Halogens / “Polymers including halogens and organic halogenides shall not be added to plastic products as prescription constituents.”
< > Applicable/< > Not applicable
(Select where appropriate)
4-1.(18) Heavy metal
(cadmium, lead, hexavalent chromium, arsenic, total mercury,
selenium) / Results of recycled material tests based on the soil contamination requirement (Environment Ministry Notice No. 46, August 23, 1991)
* The test methods specified in EM Notice No. 370, EN71-3 are also acceptable
* Results of test of products or parts containing recycled plastic are also acceptable / Third party testing body, etc.
* If additives to the recycled plastic have been identified, certificates should be issued by recycled plastic virgin resin suppliers or manufactures.
(Example 4) is also acceptable
Certificate (Example C-4) / Specific manufacturers
(Recycled plastic supplier or fabricator, virgin plastic resin supplier or fabricator)
4-1.(19)
Residual organic chemical substance / Certificate (Example C-5) / Manager of finished product manufacturing plant
4-1.(20)
Allergy information / Instruction manual, product label and pamphlet, etc., / Applicant
4-1-2. <Material criteria >
D. Glass
Item / Fill in this Column / Documents to be Submitted / Issued by4-1.(20)
Glass cullet utilization factor / Entry table 3 / Applicant
4-1.(21)
Verification of glass cullet / ”Safety of the glass cullet (elution of cadmium, lead, total mercury, chromium, arsenic, selenium) shall be verified and explained. The elution of the subject materials shall conform to the requirement of the Environmental Standard concerning soil pollution (the Ministry of Environment Notice No.46, Aug.23, 1991).”
< > Applicable / < > Not applicable
(Select where appropriate) / 1) and 2) should be submitted
1) Way of glass cullet buying
2) Confirmation criteria for glass cullet importing / Glass cullet supplier
4-1.(21)
Verification of glass cullet / < > Tableware, cooking ware, or other apparatus for food or food additives that comes in contact with them as defined in the Food Sanitation Law / Results of tests based on the soil contamination requirement (Environment Ministry Notice No. 46, August 23, 1991)
(total mercury, chromium, arsenic, selenium) / Third party testing body or Applicant
< > Other / Results of tests based on the soil contamination requirement (Environment Ministry Notice No. 46, August 23, 1991) (cadmium, lead, total mercury, chromium, arsenic, selenium)
4-1.(22)
Addition of coloring agent / < > No use of coloring agent
< > Use of coloring agent
“Coloring agents used in products shall not contain cadmium, lead, mercury, chromium, arsenic, selenium and their compounds as prescription constituents.”
< > Applicable/< > Not applicable
(Select where appropriate) / Following 1) or 2) should be submitted
1) Constituents table of coloring agent
2) MSDS / Coloring agent manufacturer
4-1-2 . <Material criteria >
E. FiberItem / Fill in this Column / Documents to be Submitted / Issued by
4-1.(23)
Fiber area / Kitchen sink filter water draining paper bag
Other than above
Surface area of product ( )%
4-1.(24)
Choice / Cooking oil absorbent material
Rubber shoes
Plastic shoes
Sports shoes
Pet sheet
Cat litter
< > Other than above
a < > b < > c < >
4-1.(24)
Choice a
(fill in only who selected “ａ”) / Waste fibers /< > Recycled fiber
(Select where appropriate) / Certificate
(Example E-1a) / Applicant
Certificate
(Example E-2) / Spinner
4-1.(24)
Choice b
(fill in only who selected “b”) / < > Hydrogen peroxide bleaching/< > Non bleached
(Select where appropriate) / Certificate
(Example E-1b) / Applicant
Certificate
(Example E-3) / Spinner, etc.
4-1.(24)
Choice c
(fill in only who selected “c”) / < > 100% natural fiber
< > Organically grown / Certificate
(Example E-1b) / Applicant
Certificate （Example E-4） / Qualified organization of cotton- producing center, etc.
4-1.(25)
Chemical substance / Name of dye plant
( )
(If there are multiple plant names, and space is inadequate to list all, write on a separate sheet) / Certificate (Example E-5) / Applicant
Certificate (Example E-6)
(for each fiber material) / Dye plant manager
4-1.(25)
Amount of free formaldehyde in product / Result of formaldehyde test
(Required in different textiles) / Applicant or third party testing body
4-1.(26)
Resin made of halogens / Use of resin structured by halogens
< > Yes/ < > No
(Select where appropriate)
128 (Certificate)1
4-1-2. <Material criteria >
F. Rubber
Item / Fill in this Column / Documents to be Submitted / Issued by4-1.(27)
Weight percentage of recycled rubber / Dust controlling mat
< > Rubber shoes
< > Plastic shoes
< > Sports shoes
< > Other than above
Cold work product using rubber powder
< > Yes/ < > No
(Select where appropriate)
Weight percentage or recycled rubber ( )%
* Weight percentage of recycled rubber
= Weight of recycled rubber/Total weight of rubber materials / Entry table 3 / Applicant
Certificate (Example F-1) / Raw material supplier
4-1.(28)
Heavy metal
(cadmium, lead, arsenic, hexavalent chromium, total mercury, selenium) / Results of recycled material tests based on the soil contamination requirement (Environment Ministry Notice No. 46, August 23, 1991)
* The test methods specified in EM Notice No. 370, EN71-3 are also acceptable
* Results of test of products or parts containing recycled rubber are also acceptable / Third party testing body
Dust controlling mat
4-1.(29)
Information / Other than above
Location
< > Instruction manual < > Product label
< > Product pamphlet < > Other ( ) / Display design / Applicant
Contents
< > Not natural rubber
< > Natural rubber
128 (Certificate)1
4-1-2. <Material criteria >
G. Pottery
Item / Fill in this Column / Documents to be Submitted / Issued by4-1. (30)
Mixture amount of recycled material / Name of recycled material / Mixture amount (%) / Certificate (Example G-1) / Raw material supplier
Total / %
Name of the other material / Mixture amount
(*) For products applicable to several standard mixture amounts in Attachment 1 due to multiple recycled materials used, calculate the standard mixture amount (lower limit of recycled material mixture amount) on a proportional basis according to the following formula. In the following instance, the total content of A and B should be over the recycled material standard mixture amount of the product.
Mixture amount in product / “Standard mixture amount” category (e.g.: Fired /molten product)e.g.:
Ceramic waste A%
Used pottery B% / Above 50%
Above 20% / Ax50 + Bx20 / = / Recycled material Standard mixture amount (%)
A+B
128 (Certificate)1
4-1-3. <Individual product criteria>
A. “Kitchen utensils and tableware”Item / Fill in this Column / Documents to be Submitted / Issued by
4-1-3.(31)
Information / Instruction manual, product label, and pamphlet, etc. / Applicant
4-1-3.(32)
Cadmium, lead / The tableware, cooking ware, or other apparatus for food or food additives that comes in contact with them as defined in the Food Sanitation Law / Results of elution test of cadmium and lead / Applicant or third party testing body
< > Other than above (this criterion is not applicable)
4-1-3.(33)
Mesh / Kitchen sink filter water draining paper bag
Size of mesh ( ) mm / Five samples
Kitchen sink corner strainer
Kitchen sink draining strainer
Size of mesh ( ) mm
“Product shall not be the structure to hinder function of draining as in corner strainer or draining strainer (e.g. fewer mesh holes)”
Applicable / < > Not applicable
(Select where appropriate) / 1 sample
Other than above (this criterion is not applicable)
4-1-3.(34)
Facilitation of recycling / < > Whisks
Spatulas, etc.
Dippers, etc.
< > Vacuum bottles
< > Other than above (this criterion is not applicable)
Category of used materials are
< > Unified/ < > Not unified
(Select where appropriate)
If used materials are not unified
“Separating/sorting are made to facilitate recycling”
< > Applicable/< > Not applicable
(Select where appropriate) / Description for separating/sorting / Applicant
4-1-3. < Criteria on individual products>
A. “Kitchenware and tableware” (continued)
Item / Fill in this Column / Documents to be Submitted / Issued by
4-1-3.(35)
Repair and exchange of parts / < > Peelers, graters, and sharpeners
< > Boilers < > Pans
< > Pots (including steamer)
Heat-resistance glass pots
Frying pans Fried egg pans
< > Vacuum bottles
< > Other than above (this criterion is not applicable)
Following information should be given
Repair and part replacement services are available
Scope of repairs and replacement (details of services)
Required time for repairs and replacement
< > Cost of repairs and replacement
How the service is provided for users of products / Instruction manual, product label, and pamphlet, etc. / Applicant
“Repair and replacement services shall be provided as requested by the users”
< > Applicable/< > Not applicable
(Select where appropriate) / Documents to explain overall system including collection, repair, and return / Applicant
4-1-3.(36)
Recycled material content of cooking oil absorbent / < > Cooking oil absorbent
< > Other than above (this criterion is not applicable)
Percentage of recycled material ( ) % / Certificate (Example G-1) / Raw material supplier
Percentage of reused/unused wood ( ) % / Certificate (Example B-1) / Raw material supplier
4-1-3.(37)
Criteria for cooking oil filter / < > Cooking oil filter
< > Other than above (this criterion is not applicable)
Deodorizing effect: Odor index ( ) / Results of test
(based on the triangular odor bag method manual by Japan Association on Odor Environment / Third party testing body or Applicant
Decolorizing effect: Red ( ) / Results of test
(according to the Lovibond method, the standard method for the analysis of fats, oils and related materials proposed by the Japan Oil Chemist’s Society.) / Third party testing body or Applicant
4-1-3. < Criteria on individual products>