(Form 1 Ver.5)
Date: _____ (mmm) ____ (dd), 20___
To:______
Corporate seal
Company name:
Location:
Manager:
Written Assurance of Non-use relating to Substances prohibited to be contained in products（Prohibited substance A）
We assure that none of the chemical substances listed below is intentionally contained in parts, etc. (parts, raw materials, or ancillary members such as auxiliary materials, packing materials, etc.) that we deliver to TOTO Group (as defined below) directly or through a third party (for chemical substances whose content is legally limited, their content is less than the legal limit concerned irrespective of intentional or unintentional containing).
■TOTO group’s chemical substances prohibited from being contained in products
No, / Name of Substance or Name of Group of Substances / No, / Name of Substance or Name of Group of Substances1 / Ozone-depleting substances(CFC) / 24 / Phenol, 2-(2H-benzotriazol-2-yl)-4,6-bis(1,1-dimethylethyl)-
2 / Halon / 25 / Methane, oxybis[chloro- *
3 / Methane, tetrachloro- / 26 / Biphenyl-4-ylamine *
4 / Ethane, 1,1,1-trichloro- / 27 / 2-Naphthalenamine *
5 / Ozone-depleting substances(HBFC) / 28 / 4-nitrobiphenyl *
6 / Methane, bromochloro- / 29 / [1,1'-Biphenyl]-4,4'-diamine *
7 / Methane, bromo- / 30 / Phosphorothioic acid, O,O-diethyl O-(3,5,6-trichloro-2-pyridinyl) ester
8 / Asbestos * / 31 / PerFluoroOctane Sulfonate
(PFOS) and its Salts
9 / Polychlorinated biphenyls (PCB) / 32 / Perfluoro-1-octanesulfonyl fluoride
10 / Polychlorinated naphthalenes (PCN) / 33 / Pentachlorobenzene
11 / Benzene, hexachloro- / 34 / α-Hexachlorocyclohexane
12 / Aldrin / 35 / β-Hexachlorocyclohexane
13 / Dieldrin / 36 / γ-Hexachlorocyclohexane
14 / Endrin / 37 / Chlordecone
15 / Dichloro Diphengl Trichloroephane(DDT) / 38 / Hexabromobiphenyl
16 / Chlordane , pur / 39 / Tetrabromodiphenyl ether
17 / Distannoxane, hexabutyl- / 40 / Pentabromodiphenyl ether
18 / 1,4-Benzenediamine,N,N'-bis(methylphenyl)- / 41 / Hexabromodiphenyl ether
19 / Phenol, 2,4,6-tris(1,1-dimethylethyl)- / 42 / Heptabromodiphenyl ether
20 / Toxaphene / 43 / Endosulfan
21 / Dodecachloropentacyclo[5.2.1.02,6.03,9.05,8]
de cane / 44 / Hexabromocyclododecane(HBCD)
22 / Dicofol / 45 / Pentachlorophenol
23 / 1,3-Butadiene, 1,1,2,3,4,4-hexachloro-
All the above-mentioned target substances are based on the regulations of domestic laws of Japan, and substances with (*) after substance names have legal inclusion restriction values.
This certificate remains valid unless we or TOTO Ltd. suggest a change in the information in the certificate.
(Form 2-1 Ver.3)
Date: _____ (mmm) ____ (dd), 20___
To:______
Company seal
Company name:
Location:
Manager:
Certificate of Compliance with Substance Restriction B
(Products Subject to RoHS Directive)
We certify that parts and other materials (including accompanying materials such as components, raw materials, and supplementary materials) supplied to TOTO Group companies directly or via third parties comply with applicable regulations on hazardous chemical substances mandated by EU laws and regulations.
We also submit the List of Product Constituents*1 *2 and Table of Component Analysis (analysis data)*2 as certificates of the content of substances nos. 1-6.
*1 The List of Product Constituents is a list of constituents of a product broken down to homogeneous materials.
*2 The formats of the List of Product Constituents and Table of Component Analysis (analysis data) are not restricted.
■Restricted substances and EU regulations polycyclic aromatic
hydrocarbon
1 / Mercury and its compounds / RoHS Directive / 1,000 ppm
2 / Lead and its compounds / 1,000 ppm
3 / Cadmium and its compounds / 100 ppm
4 / Hexavalent chromium compounds / 1,000 ppm
5 / Polybrominated biphenyls (PBBs) / 1,000 ppm
6 / Polybrominated diphenyl ethers (PBDEs)
7 / Short-chain chlorinated paraffin (C10-C13) / REACH
(ANNEX17) / Prohibition of intentional addition
8 / Polychlorinated terphenyls (PCTs)
9 / Azo dyes that generate some aromatic amines
10 / Monomethyl-tetrachlorodiphenyl methane
11 / Monomethyl-dichlorodiphenyl methane
12 / Monomethyl-dibromo-diphenyl methane
(DBBT)
13 / Dibutyltin compounds (DBT)
14 / Dioctyltin compounds (DOT)
15 / Tri-substituted organostannic compounds
16 / Dimethylfumarate (DMF)
17 / Polycyclic aromatic hydrocarbon（PAH）
18 / Phenylmercury※３
*3 Intentional addition has been prohibited since October 10, 2017.
■List of parts supplied subject to proof of compliance
Product Number / Title / Product Number / TitleThis certificate remains valid unless we or TOTO Ltd. suggest a change in the information in the certificate.
(Form 2-2 Ver.3)
Date: _____ (mmm) ____ (dd), 20___
To:______
Company seal
Company name:
Location:
Manager:
Certificate of Compliance with Substance Restriction B
(Products Not Subject to RoHS Directive)
We certify that parts and other materials (including accompanying materials such as components, raw materials, and supplementary materials) supplied to TOTO Group companies directly or via third parties comply with applicable regulations on hazardous chemical substances mandated by EU laws and regulations.
■Restricted substances and EU regulations
No. / Substance / Regulation / Limit1 / Short-chain chlorinated paraffin (C10-C13) / REACH
(ANNEX17) / Prohibition of intentional addition
2 / Polychlorinated terphenyls (PCTs)
3 / Azo dyes that generates some aromatic amines
4 / Monomethyl-tetrachlorodiphenyl methane
5 / Monomethyl-dichlorodiphenyl methane
6 / Monomethyl-dibromo-diphenyl methane (DBBT)
7 / Dibutyltin compounds (DBT)
8 / Dioctyltin compounds (DOT)
9 / Tri-substituted organostannic compounds
10 / Dimethylfumarate (DMF)
11 / Polycyclic aromatic hydrocarbon（PAH）
12 / Phenylmercury※1
*1 Intentional addition has been prohibited since October 10, 2017..
■List of parts supplied subject to proof of compliance
Product Number / Title / Product Number / TitleThis certificate remains valid unless we or TOTO Ltd. suggest a change in the information in the certificate.
(Form 2-3 Ver. 3)
Date: _____ (mmm) ____ (dd), 20___
To:______
Company seal
Company name:
Location:
Manager:
Certificate of Compliance with Substance Restriction B
(Products Subject to Packaging Directive)
We certify that packaging materials supplied to TOTO Group companies directly or via third parties comply with applicable regulations on hazardous chemical substances mandated by EU laws and regulations.
We also submit the List of Packaging Material Constituents*1*2 and Table of Component Analysis (analysis data)*2 as certificates of the content of substances nos. 1-4.
*1 The List of Packaging Material Constituents is a list of constituents of packaging materials broken down to homogeneous materials.
*2 The formats of the List of Packaging Material Constituents and Table of Component Analysis (analysis data) are not restricted.
■Restricted substances and EU regulations
No. / Substance / Regulation / Limit1 / Mercury and its compounds / Packaging Directive / 100 ppm as a total of up to four substances
2 / Lead and its compounds
3 / Cadmium and its compounds
4 / Hexavalent chromium compounds
5 / Short-chain chlorinated paraffin (C10-C13) / REACH
(ANNEX 17) / Prohibition of intentional addition
6 / Polychlorinated terphenyls (PCTs)
7 / Azo dyes that generates some aromatic amines
8 / Monomethyl-tetrachlorodiphenyl methane
9 / Monomethyl-dichlorodiphenyl methane
10 / Monomethyl-dibromo-diphenyl methane (DBBT)
11 / Dibutyltin compounds (DBT)
12 / Dioctyltin compounds (DOT)
13 / Tri-substituted organostannic compounds
14 / Dimethylfumarate (DMF)
15 / Polycyclic aromatic hydrocarbon（PAH）
16 / Phenylmercury※3
*3Intentional addition has been prohibited since October 10, 2017.
■List of packaging materials supplied subject to proof of compliance
Product Number / Title / Product Number / TitleThis certificate remains valid unless we or TOTO Ltd. suggest a change in the information in the certificate.
(Form 3-1 Ver. 1)
Date: _____ (mmm) ____ (dd), 20___
To:______
Company seal
Company name:
Location:
Manager:
Declaration of Non-use of Reduction Substances A
We declare that we will NOT intentionally use the Reduction Substances A* specified in the TOTO Group Chemical Substance Management Standards (Product Edition) for parts and other materials (including accompanying materials such as components, raw materials, and supplementary materials) supplied to TOTO Group companies directly or via third parties.
This, however, excludes the use for non-applicable purposes specified in “Attached Table 3 List of Uses Not Subject to the Operational Standards for Reduction Substances A.”
*Reduction Substances A: Six types of substances, including mercury and its compounds, lead and its compounds, cadmium and its compounds, hexavalent chromium compounds, PBB, and PBDE
□ Yes, we declare non-use of all applicable substances.
□ We cannot declare non-use of some applicable substances.
□ No, we do not declare non-use of applicable substances.
If you cannot declare non-use of some applicable substances or do not declare non-use of applicable substances, provide an explanation in the box below. In addition, submit the separate Form 3-2 “Report on the Content of Reduction Substances A.”
(Form 3-2 Ver. 1)
Date: _____ (mmm) ____ (dd), 20___
To:______
Company seal
Company name:
Location:
Manager:
Report on the Content of Reduction Substances A
We report in the following the intentional addition of content of the Reduction Substances A* specified in the TOTO Group Chemical Substance Management Standards (Product Edition) for parts and other materials (including accompanying materials such as components, raw materials, and supplementary materials) supplied to TOTO Group companies directly or via third parties.
This, however, excludes the use for non-applicable purposes specified in “Attached Table 3 List of Uses Not Subject to the Operational Standards for Reduction Substances A.”
*Reduction Substances A: Six types of substances, including mercury and its compounds, lead and its compounds, cadmium and its compounds, hexavalent chromium compounds, PBB, and PBDE
TOTOParts Number / Parts/Packing Material / Homogeneous Material / Restricted Substance
(Form 4 Ver.2)
Date: _____ (mmm) ____ (dd), 20___
To:______
Company seal
Company name:
Location:
Manager:
Report on the Content of Reduction Substances A
Formaldehyde F ☆☆☆☆
We report in the following the status of regulatory compliance of formaldehyde F ☆☆☆☆in connection with parts, raw materials, and supplementary materials supplied to TOTO Group companies directly or via third parties.
Product number supplied to TOTOTitle
Parts / Type of Building Materials / Formaldehyde Emission Category
Type of Certification / Certification Number*1
(Example 1) Reinforcement board / Decorative plywood / JAS / JPIC-PW16
*1 A copy of the certificate that can certify the certification number must be attached separately.
Also note the certification number of the target part, not the test number of the certification body.
(Form 5 Ver. 2)
Date: _____ (mmm) ____ (dd), 20___
To:______
Company seal
Company name:
Location:
Manager:
Report on the Regulatory Compliance of Reduction Substances B
Compliance with Four VOC Standards (wood building materials)
We report in the following the status of compliance with the four VOC Standards in connection with parts, raw materials, and supplementary materials supplied to TOTO Group companies directly or via third parties.
Product number supplied to TOTOTitle
Parts / Main Material / Volatility of four VOCs
Type of Compliance Basis / Registration Number, etc.*1
(Example 1) Reinforcement board / Decorative plywood / Registration number with Japan Construction Material & Housing Equipment Industries Federation / KV-000016
*1 A copy of the certificate that can certify the registration number must be attached separately.
1