DATE: OCT 31, 2014PAGE 1 OF 7 SECTION 1 FEP/QN TEST MATRIX
Material Types 8 HE Nickel (Ni)#Aluminum
(Al)
Copper (Cu) Cobalt (Co)
Organic Tin
as Tin (Sn)
Coatings √√√√√√Wood / Metal / Glass /
Ceramics
√√/ / / / General materials √√/ / / √Liquid & Sticky materials √√/ / / √Dry, Brittle and Powder
like materials
√√/ / / √
NOTE: 1 √= Applicable; / = Not applicable
2 # Total Nickel (Ni) content requirement also applies to non-small parts
SECTION 2 FEP/QN TEST REPORT TEMPLATE
CONCLUSION:
TEST SAMPLES TEST STANDARD RESULT
{To be filled in by lab}
SRS-018 PASS / FAIL EN 71-3:2013 (Selected Heavy Elements) PASS / INCONCLUSIVE / FAIL Directive 2009/48/EC, Appendix A, total Nickel (Ni)
content in accessible materials
PASS / FAIL SRS-046 Phthalates PASS / FAIL Diisobutyl phthalate (DiBP) content PASS / SEE RESULT
LABORATORIES SHALL REVISE THE LIMITS BELOW FOR OTHER MATERIAL CATEGORIES
DATE: OCT 31, 2014PAGE 2 OF 7
Test Result:
Category III Scraped-off material {Revise as appropriate}
SRS-018
Test Method / Instrument:
{To be filled in by lab}
EN 71-3:2013 (Selected Heavy Elements) & Directive 2009/48/EC Appendix A – total Nickel (Ni) content Test Method / Instrument:
{To be filled in by lab}
Total elemental contents {For labs that perform elemental screening using total contents, otherwise report soluble content directly (except that total Tin and Nickel contents are both required data)}
DATE: OCT 31, 2014PAGE 3 OF 7 Soluble elemental contents (for elements over the total action limits)
Soluble Organic Tin contents (for soluble Tin content over the action limit)
Test Method / Instrument:
{To be filled in by lab}
DATE: OCT 31, 2014PAGE 4 OF 7
SRS-046 Phthalate contents in plasticized materials
Test Method / Instrument:
{To be filled in by lab}
Diisobutyl phthalate (DiBP) content in plasticized materials
Test Method / Instrument:
{To be filled in by lab}
Sample Descriptions:
1 {To be filled in by lab}
2 {To be filled in by lab}
3 {To be filled in by lab}
…