The Swedish Society for Nature Conservation Application licence Bra Miljöval Chemical products 2006 NOTE: This document is a translation. The original Swedish version always prevails. A INFORMATION ON MANUFACTURER AND SUPPLIER A1 Information about the company Name of company Corporate ID number Address Postcode City Country Telephone (switch board) Telephone, customer services Fax E-mail, customer services Website Person to contact Name Position E-mail Telephone Person to contact, marketing (if different from above) Name Name of company (if different from above) E-mail Telephone A2 Producing company (if different to the Licence Holder) Name of company Corporate ID number Address Postcode City Country Person to contact E-mail Telephone Fax
Person responsible for environmental work at the producing company Name Position E-mail Telephone Fax The licence shall apply from the date of issue at the earlist from FEES A3 Grounds for amount of licence fee The Licence Holders preliminary invoiced turnover for the Product, VAT excluded, form the basis of the licence fee. The turnover is estimated to the fourthcoming year to be: SEK A4 Application fee The application fee can be paid either in one single payment, or divided into three part payments. The application fee is SEK12 000 when paid in one single payment. The application fee is SEK14 000 when divided into three part payments. The application fee is paid in one single payment. The application fee is divided into three part payments.
B INFORMATION ABOUT PRODUCT B1 Application applies to: The application may be for an individual product, or a product that has several variants if the only differences are additions of colouring agents, fragrances and/or biological substances. These products must be marketed and sold under the same product name. If you have several variants of a product, please list them in the table found at B2. New product Product name EAN code Sub-licence The Licence Holder can apply for a sub-licence if the Products recipe is identical to a recipe that has already been approved in another product labeled Bra Miljöval. Product name Licence number EAN code Previously approved licence, product name Licence number Licence Holder Holder of previously approved licence has approved use of recipe. Change to previously approved product labelled Bra Miljöval Product name Licence number EAN code Nature of change: Change in recipe. Fill in sections A, B, C and F. Change in packaging. Fill in sections A, B, D and F. Change in License Holder. Fill in sections A, B, E and F. Copy of the transfer document or other document proving the transfer is attached to the application. New fragrance, colouring agent and/or biological substances added. Fill in sections A, B, C and F. Other change. Fill in section A and F and the sections that apply to the change. B2 If the product has more than one variant, list them below Product variant EAN code
C INGREDIENT C1 Type of product All-purpose cleaner Laundry detergent for coloured fabrics Hair conditioner Laundry detergent for white fabrics Car care products Dishwasher detergent for automatic dosing Bleaching agent Dishwasher detergent for private use Stain remover Shampoo (incl shampo & conditioner combined) Heavy-duty cleaning agent Soft soap Washing-up liquid Toilet cleaning agent Hand cleaner Soap Fabric softener Other type of product, please specify which C2 Product form Cloth/wipe Liquid Powder Steel wood Solid Paste Tablet Other form, please specify which C3 Users The Product is intended for consumer use (household). The Product is intended for bulk use (companies, institutions, hotels, etc). The Product will not be marketed to children under the age of three years. C4 Prohibited substances The product does not contain Cadmium compounds Lead compounds Mercury compounds Organic halogen compounds Chromium compounds Phthalates Phosphorous compounds
C5 Risk phrases The Product is not classified according to the risk phrases. R48, Danger of serious damage to health by prolonged exposure R33, Danger of cumulative effects R42, May cause sensitisation by inhalation R43, May cause sensitisation by skin contact R26, Very toxic by inhalation R27, Very toxic in contact with skin R28, Very toxic if swallowed R23, Toxic by inhalation R24, Toxic in contact with skin R25, Toxic if swallowed R39, Danger of very serious irreversible effects R35, Causes severe burns. C6 Recipe information A recipe must be provided that lists all the added ingredients in the Product. Applicants also have a duty to report bases/acids that are added to adjust the ph. If the Product is available in several variants, the different colouring agents, fragrances or biological substances may be reported in the same recipe. In such cases, specify which product variants contain which colouring agents, fragrances or biological substances. For each ingredient and supplier a safety data sheet must be submitted (see REACH regulations for structure). A safety data sheet must also be submitted for all chemical substances, not previously approved by the Swedish Society for Nature Conservation, that can be found in the ingredient. Trade name Give the trade name of the ingredients. Supplier Give the name of the supplier. If you use several suppliers for the same ingredient, give each supplier on a separate line. Manufacturer State if the manufacturer of the ingredient is different than the supplier. Function State the function of the ingredient, making your choice from one of the functions below. Biological substances, Bleaching agents, Enzymes, Fillers, Colouring agents, Thickening agents, Complexing agents, Preservatives, Solvents, Fragrance, Abrasives, Acids, Surfactants, Other additives. State all chemical substances that are included in the trade name. Give each chemical substance on a separate line. For example, a preservative that is part of a surfactant mixture must be stated. s in fragrances must be listed separately, however. CAS number Give the CAS numbers of all chemical substances. Listed in SSNC database State if, at the time of application, the chemical substance is listed in the Swedish Society for Nature Conservation s database of approved ingredients, see www2.snf.se/bmv/chemicals.cfm Appendix If the chemical substance is not listed in the Swedish Society for Nature Conservation s database of approved ingredients, you must fill in the appendix: Appendix chemical substances. Each chemical substance requires its own appendix. If a fragrance is included in the recipe you must fill in the appendix Appendix fragrance. Each fragrance requires its own appendix. Content, including water, weight % Give the content in weight%. Content, excluding water, weight % Give the active content, i.e. the content in weight % excluding water.
C6 RECIPE Each trade name must have a separate table. Copy this page if you need more than one page. Trade namn Supplier Manufacturer Function Only part in the following variant Content incl. H2O in weight% Content excl. H2O in weight% Trade namn Supplier Manufacturer Function Only part in the following variant Content incl. H2O in weight% Content excl. H2O in weight%
Appendix chemical substances Information for assessing a chemical substance that is an ingredient or forms part of an ingredient All chemical substances included in the ingredient, that have not already been approved by the Swedish Society for Nature Conservation for use in products labelled Bra Miljöval, must be reported according to this appendix. Copy this page if you need more than one. The absence of any of the required information in the form means that the ingredient cannot be approved. The Swedish Society for Nature Conservation considers all chemical substances that occur in contents over 0.01% as part of the ingredient, regardless of whether or not the chemical substance was added intentionally. If the chemical substance is a surfactant, complexing agent, solvent or preservative, complete test reports must be submitted regarding degradability, bioaccumulability and ecotoxicology. Name Included in trade name 1 Classification of health risk The chemical substance or its breakdown products are not classified according to the risk phrases: R45, May cause cancer R49, May cause cancer by inhalation R40, Suspected of causing cancer R46, May cause heritable genetic damage R68, Possible risk of irreversible effects R60, May impair fertility R61, May cause harm to the unborn child R62, Risk of impaired fertility R63, Possible risk of harm to the unborn child R64, May cause harm to breastfed babies 2 Classification of health risks associated with surfactants, complexing agents, solvents, preservatives, thickening agents and dissolving agents, bleaching agents, acids and other additives The chemical substance or its breakdown products are not classified according to the risk phrases: R48, Danger of serious damage to health by prolonged exposure R33, Danger of cumulative effects R42, May cause sensitisation by inhalation R43, May cause sensitisation by skin contact R26, Very toxic by inhalation R27, Very toxic in contact with skin R28, Very toxic if swallowed R23, Toxic by inhalation R24, Toxic in contact with skin R25, Toxic if swallowed R39, Danger of very serious irreversible effects
3 Substances in biological substances in products that are marketed to children under the age of three years The chemical substance or its breakdown products are not classified according to the risk phrases: R48, Danger of serious damage to health by prolonged exposure R33, Danger of cumulative effects R42, May cause sensitisation by inhalation R43, May cause sensitisation by skin contact The extraction agents used must be supplied in a list appended to the application. The list must contain all extraction agents and their s. 4 Aerobic degradability Aerobic degradability must be reported for surfactants, complexing agents, solvents, preservatives, thickening agents/dissolving agents, bleaching agents, other additives, acids and colouring agents (only if the colouring agent is not approved as as food colouring in accordance with the Swedish National Food Administration code (SLVFS) 1999:22. Test method Test results Reference 5 Anaerobic degradability and potential for sediment accumulation Anaerobic degradability must be reported for surfactants and for organic other additives. For organic other additives for which there is no risk of accumulation in anaerobic environments and which have an adsorption coefficient below 25% and a desorption coefficient greater than 75%, anaerobic degradability does not need to be reported. Test method Test results Reference There is no risk of the other additive accumulating in anaerobic environments. Adsorption coefficient Reference Desorption coefficient Reference 6 Bioaccumulation Bioaccumulability must be reported for organic chemical substances that are preservatives, solvents, thickening agents and dissolving agents, bleaching agents and other additives. Bioconcentration factor Test method Reference If there is no bioconcentration factor, the octanol-water-coefficient should be reported. Log K ow Reference
7 Toxicity to aquatic organisms Data for acute toxicity is reported for surfactants, complexing agents, solvents, preservatives, thickening agents and dissolving agents, bleaching agents, acids and other additives. Acute toxicity to fish (mg/l) Test method Reference Acute toxicity to Daphnia (mg/l) Test method Reference Acute toxicity to algae (mg/l) Test method Reference 8 Synthetic raw materials and organic halogen compound residues Synthetic raw materials and any content of organic halogen compounds must be reported for surfactants. Palm oil is not a synthetic raw material. Palm oil is a synthetic raw material. Documentation that the manufacturer or its supplier is RSPO-certified: Enclosed with application. Sent from manufacturer. The surfactant contains <100 ppm TOX organic halogen compounds. 9 Information for colouring agents The colouring agent is approved under the Swedish National Food Administration Code (SLVFS) 1999:22. The colouring agent is not classified using risk phrase R43, May cause sensitisation by skin contact. The colouring agent is an azo colouring agent and could potentially be broken down into amines. If the colouring agent is an azo colouring agent and could potentially be broken down into amines, a list of these must be enclosed with the application. The list must contain all amines and their s.
Appendix fragrance Information for assessing a fragrance Trade name Manufacturer The fragrance has already been approved by the Swedish Society for Nature Conservation for use in products labelled Good Environmental Choice (Bra Miljöval). Safety data sheet: Enclosed with application. Sent from manufacturer. A list of substances and contents for the substances listed in EU directive 2003/15/EC on amendment to III, part 1 of the cosmetics directive 76/768/EEC, the so-called 26 list: Enclosed with application. Sent from manufacturer. The fragrance has not yet been assessed by the Swedish Society for Nature Conservation for use in products labelled Good Environmental Choice. Safety data sheet: Enclosed with application. Sent from manufacturer. A list of substances and contents for the substances listed in EU directive 2003/15/EC on amendment to III, part 1 of the cosmetics directive 76/768/EEC, the so-called 26 list: Enclosed with application. Sent from manufacturer. Complete list of contents, stating function of the substances (scent, solvent, preservative and antioxidant): Enclosed with application. Sent from manufacturer. IFRA certificate for the fragrance s area of application (stay on/rinse off): Enclosed with application. Sent from manufacturer. Certificate confirming that the fragrance does not contain nitromusk compounds or polycyclic nitromusk compounds: Enclosed with application. Sent from manufacturer. 10
C7 Dosage Laundry detergent, stain remover, bleaching agent and fabric softener State dosage added to machine for 4 5 kg load, in dl or ml. Soft water State product density in gr/dl Dishwasher detergent State dosage to a machine in dl or ml. Soft water Moderately hard water State product density in g/dl 11
D1 Material in the packaging State weight in grams of material or materials used for packaging. Details of transport packaging are not required. Each size of packaging must be in a separate table. Copy this page if you need more than one page. Size of packaging (in gr or ml) Part of packaging Paper (g) PE (g) PP (g) PET (g) Metal (g) Other (state what) Other (g) Size of packaging (in gr or ml) Part of packaging Paper (g) PE (g) PP (g) PET (g) Metal (g) Other (state what) Other (g) Size of packaging (in gr or ml) Part of packaging Paper (g) PE (g) PP (g) PET (g) Metal (g) Other (state what) Other (g) 12
Cardboard packaging Details of transport packaging are not required. Percentage recycled material Percentage FSC-certified material made from virgin fibre The Product cannot be packaged in recycled fibre and the cardboard is therefore made from 100% FSC-certified virgin fibre. All bleaching methods are totally chlorine-free. D2 Marking of plastic Plastic packaging is marked with one of the symbols complying with DIN 6120 or American SPI. D3 Design of packaging/label Consumer use The proposed design of the label or packaging is enclosed with the Application. This includes the list of contents, intended purpose, advice on dosage and recycling, and the colour, size and placement of the Bra Miljöval label. Bulk use The proposed design of the label or packaging is enclosed with the Application. This includes the list of contents, intended purpose, advice on dosage and the colour, size and placement of the Bra Miljöval label. The dosage advice may be given on a product information sheet. The product information sheet and other marketing material are enclosed with the Application. D4 Traceable manufacturing date Manufacturing date is given on the packaging. Code for identifying manufacturing date is given on the packaging. The key to the code is enclosed with the Application. 13
E COMPANY REQUIREMENTS E1 Environmental policy The Licence Holder has a environmental policy that is enclosed with the Application. Information has been enclosed with another Application and will not be sent again. The Licence Holder holds certification to ISO 14000. The Licence Holder is EMAS registered. E2 Environmental policy for the producing company The company has an environmental policy that is enclosed with the Application. Information has been enclosed with another Application and will not be sent again. The company holds certification to ISO 14000. The company is EMAS registered. E3 Travel policy The Licence Holder has a travel policy, which is enclosed with the Application. Information has been enclosed with another Application and will not be sent again. E4 Company s transport operations Information has been enclosed with another Application and will not be sent again. One of the requirements 20.4 20.14 in Good Environmental Choice Criteria Chemical Products 2006 must be met. State which requirement you have chosen: Requirement Supporting information enclosed. Plan to fulfil requirement enclosed. When the requirement is fulfilled information is submitted. 14
The Swedish Society for Nature Conservation Application licence Bra Miljöval Chemical products 2006 F1 Confirmation The Swedish Society for Nature Conservation must receive the signed confirmation in order to process the Application/declaration. Company (Licence holder): Product comfirmation refers to (name of product): The Licence Holder: - Hereby confirms the Application/declaration, - Hereby guarantees that all the information submitted to the Swedish Society for Nature Conservation is accurate, - Hereby guarantees that the Licence Holder has full and unrestricted rights to administer the Product as required to fulfil the undertaking under the Licence Terms and Conditions, and undertakes to abide by the Licence Terms and Conditions. By signing this document the Licence Holder certifies to having understood and accepted the above points and the documents specified below: - Licence Terms and Conditions 2006-12-01 (consisting of General and Special Terms and Conditions) - Good Environmental Choice Criteria Chemical Products 2006:4 - Template for Bra Miljöval label Location and date Signed on behalf of applying company (Licence Holder) Name in print The application and any appendices should be sent to: The Swedish Society for Nature Conservation Box 7005 402 31 Göteborg Sweden 15