原物料有害物质调查表

原物料有害物质调查表

原物料有害物質調查表職稱 Title 廠區 Factory Location 姓名 Name 電話 Telephone 組成項次

Composition

Sequence 檢測實驗室Laboratory 檢測報告日期Release Date 檢測報告編號Report Number 項次

No.零部件名稱Parts Description 化學物質Chemical

Substances 化學物質含量(ppm)Chemical Substance Content (ppm)預計完成日期Expected Finished Date 是否為RoHS 排外條款Is this required exemption to RoHS 化學物質使用位置Section that Uses the Chemical Substance 化學物質使用目的Purpose of Using the Chemical Substance

 供應商聯繫窗口 Contact Window for Suppliers

 供應商資料 Supplier's Basic Information

供應商名稱 Supplier Company Name :

地址 Supplier Company Address :

E-Mail

零部件名稱Parts Description *有害物質物質:鎘以及鎘化合物、鉛以及鉛化合物、汞以及汞化合物、六價鉻及其化合物、聚溴聯苯類、聚溴聯苯醚類。

Hazardous Substance :Cadmium and its compounds, lead and its compounds, mercury and its compounds, and hexavalent chromium and its compounds,Polybrominated biphenyls, Polybrominated diphenyl ethers.

檢測報告資訊欄 Information of Test Report

不符合有害物質管制標準部分 Test Result Not Conform toIFOX Spec.

適用產品料號 IFOX's Part Number

*ppm=Parts per million(mg/kg)

*N.D.=Non-detected (小於檢測機器偵測極限)。 (smaller than what the machine can detect)

ISO 17025證書(有:V , 無:X)ISO17025 Certificate(With:V , Without:X)

供應商類別 Supplier's Category : 產品名稱 Product Description :

部門 Department 電話 Telephone : 填表日期 Date :

*提供報告之檢測實驗室,必須為第三方通過ISO 17025實驗室驗證之合格實驗室。 The labtory that provide inspection should be granted cerfitication ISO 17025.

*請以電子文件方式作業,以利匯總管理。 Please operate this work in electrionic documentation for the benefit of easy management.

*製程中使用之添加物質或化學品,需填寫製程添加化學品及提供其檢測報告,與MSDS 。 If chemical and other substance are added during the process, please note it on the paper and provide its inspection report as well as MSDS.

*檢測報告的有效期為一年,需於過期前更新檢測報告。 The effectiveness of the inspection report is 1 year. The updating should be done before the expiry.

ND-RD-0303

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