Nanomaterials in cosmetics – Inspection Sheet

SECTION 1: General Information
1.1 Date of Inspection
1.2 Inspectors Names
1.3 MemberState
SECTION 2: Information about the Monitored Company
2.1 Name of Company
2.2 Address of Company
2.3 Telephone Number
2.4 Role of the Company with regard to the cosmetic product containing nano ingredients/claims
  • Manufacturer
  • Importer EU
  • Distributor (within EU)

2.5 Name and Address of responsible person:
2.6 Name and Address of manufacturer (for imported products from non-EU countries):
SECTION 3: Information about the Product
3.1 Name of the Product
3.2 Product Category (See annex 1 – CPNP categories)
3.3 Application form of the product (e.g. Roll-on, spray, cream etc)
3.4 Final cosmetic intended for:
  • Consumer
  • Professional use
  • Other, Specify:

3.5 Number of units of the cosmetic product placed on the global marketper year:
3.6 Number of units of the cosmetic product placed on the EU market till date of inspection (if known). From which year has the product been marketed in EU:
3.7 Is there any claim about the product that may be related to the use of the nanomaterials?
  • No
  • Yes, Specify claim:

3.8 Have any undesirable effects been linked to the product?
  • N.a., Specify:
  • No
  • Yes, Specify:

3.9 Sample of product taken by inspectors:
  • N.a., Specify:
  • No
  • Yes

SECTION 4: Company Monitored is a Manufacturing Company
4.1 Details of supplier of the raw nanomaterial used as ingredient in the final product:
4.2 Volume per year of raw nanomaterial supplied (in Kg):
4.3 Physical form in which nanomaterial was supplied:
  • Powder
  • Matrix (dispersion, pasta etc)
  • Other, Specify:

4.4 Does the cosmetic manufacturer receive (safety) information from the raw nanomaterial supplier to enable production of a safe cosmetic product?
  • No
  • Yes
Remarks:
4.5 Is the Company a member of an association?
  • No
  • Yes, Specify which association:

SECTION 5: Company Monitored is an Importer or Distributor
5.1 Is the importer/distributor aware that a cosmetic product contains nanomaterials?
  • N.a.
  • No
  • Yes. Specify the type of nanomaterial
Remarks:
5.2 Is the Importer/Distributor a member of an association?
  • No
  • Yes, Specify which association:

SECTION 6: Information about the Nano ingredients used in the product
6.1 Name of nanomaterial/s used as ingredient/s (invoice, INCI, other doc) (For reference, See annex 2 – List of Nano ingredients)
6.2 Specifications/characteristics/analysis/size-distribution of the nanomaterial
  • Material Safety Data Sheet
  • Results Analysis
  • Other, Specify:

6.3 Is a product safety report of the cosmetic product (to be made) readily accessible?
  • N.a
  • No
  • Yes
Remarks:
6.4 Is the nanomaterial specifically addressed in the safety evaluation?
  • No
  • Yes, specify how safety has been proved:

6.5 Has the claim about the product been substantiated in the product safety report?
  • N.a
  • No
  • Yes
Remarks:
6.6 Are there any shortcomings in the product safety report?
  • N.a
  • No
  • Yes, Specify: