145V1 Attached Certificate
Company seal
<How to Prepare Attached Certificates>
1. Indicate details of the product under application for certification in “Fill in this Column.”
Shaded areas in “Fill in this Column” do not require entry.
2. Prepare the certificates specified in “Documents to be Submitted.” Submit these certificates with this document when applying for Eco Mark Product certification or use.
3. Prepare certificates referring to the examples provided.
4. The issuer(s) in the “Issued by” column must prepare “Documents to be Submitted”.
Item / Documents to be Submitted / Issued byPlanned Display of Eco Mark / < > Yes
< > Product < > Packaging
< > Catalogue/leaflet < > User manual
< > Other ( )
No
(If an Eco Mark is displayed, design drawing must be submitted)
(Select where appropriate) / Applicant
Article 3 of Usage Regulations
Display of intended location of Eco Mark, display of environmental information below mark / Design drawing to be provided (Format free, text)
Article 7 of Usage Regulations
Display of Eco Mark user name and address, display of certification number
Item / Fill in this Column
(check all items that apply) / Documents to be
Submitted / Issued by
Developer of product / < > Other companies < > Own company
(Select where appropriate)。 / If developed by other companies, attach Approval of Eco Mark Application(Form 6) / Approver of apply
If a product with Eco Mark certification under the category is submitted for approval as another brand / Are there any changes in addition to brand name? < > Yes / < > No
(Select where appropriate)
(If only the brand name has been changed, the following items do not have to be proved.) / A copy of notice of Eco Mark certification examination results
Documents certifying changes, if any, meets applicable criteria
Item / Fill in this Column
Model (product number)
Classification on power consumption / Standard product / Wide projector / Short focus projector
/ Wide & Short focus projector
For Short focus projector, Infection angle θ ( )
/ projector using 2 lamps for a light source
Type of light source / Mercury lamp / LED lamp / Laser lamp
/ Other light source ( )
Brightness (lumen) / ( ) lumen
Eco Mode / Equipped / Not equipped
Analysis and testing bodies
General rule / Analysis and testing bodies shall be run in accordance with ISO/IEC 17025(corresponding JIS Q17025: 2000) (certification not required). Applicants shall bear the expenses for preparing documents and for the analyses.
Special requirements, if performed at the laboratories of manufacturers / If competent authorities are monitoring the sampling and analysis process, if the analyses and tests are authorized, if the manufacturer has developed a quality system for sampling and analysis and has received the ISO 9001 (corresponding JIS Q9001: 2000) certification, or if there are internal standards conforming to ISO9001 for quality systems including sampling and analysis, and measurements are taken in accordance with these standards, the laboratory of the manufacturer is authorized to perform analysis and tests.
Tests / Fill in following blanks for each testing institution.
Energy consumption / 1.Name of testing body
2.Address of testing body
3.Laboratory / Maintaining ISO/IEC17025 certification
Operating in accordance with ISO/IEC17025
3.If manufacturer is laboratory / A supervisory agency monitors sampling and analysis processes
Has received authorization to perform analysis and testing
Has established a quality system including sampling and analysis and is maintaining ISO9001.
Performs measurements in accordance with a quality control system conforming to ISO9001.
Item / Applicable criteria / Fill in this column / Documents to be submitted / Issued by
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(1) / Weight of a product main body conforms to the criteria.
Weight of a product ( )kg / < > Yes
< > No / a copy of a corresponding part indicating this item
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(2) / Packaging materials give consideration to resource conservation / < > Yes
> No / Packaging material Checklist (Form 1) / Applicant or manufacturer
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(3) / Supply of the spare parts is continued for five years after production of the product stops / < > Yes
< > No / a copy of a corresponding part indicating this item
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(4) / Repair subcontract systemis available, and repairs are carried out as requested by the users. / < > Yes
< > No
The following information on the repairsystem is provided to users
-information on repair subcontract system is available;
-information on the scope of repair (details of services), contact address, etc. / < > Yes
< > No / a copy of a corresponding part indicating this item
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(5) / Replacement time for lamp of the light source conforms to the criteria.
( ) hours / < > Yes
< > No / evidence data (test results, etc.) on calculation of the time for lamp replacement.
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(6) / The product has a design that enables disassembly for recycling / < > Yes
< > No / Checklist for 3R design (Form 2) / Applicant or manufacturer
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(7) / Power consumption in use conforms to the criteria. / < > Yes
< > No / Test results / Applicant or manufacturer
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(8) / Standby power consumption is 1W or less. / < > Yes
< > No / Test results / Applicant or manufacturer
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(9) / Contents of lead, mercury, cadmium and these compounds, and hexavalent chromium compound in the products shall be below the reference value of Table A.1 in Annex A (specific chemical substance, chemical symbol, substance to be calculated and reference value of percentage of content) of JIS C 0950: 2008 (the marking for presence of the specific chemical substances for electrical and electronic equipment). Items allowed to exceed the reference value pursue Annex B in JIS above. (Accessories and others pursue JIS C 0950: 2008).
In addition, flame retardants which consist of Polybrominated biphenyl (PBB), polybrominated diphenyl ether (PBDE) or chlorinated paraffin (having a chain of 10 to 13 carbon atoms and a chlorine concentration of 50% or more) are not added. / < > Yes
< > No
(Indicate the confirmation methods below)
Applicant (or manufacturer) confirms by tests
Applicant (or manufacturer) prepares “green procurement standard”, etc. including the applicable materials and confirms the inclusion (amount) with parts supplier
Name of Green procurement criteria:
URL (only if posted):
*if not posted, submit it at the first certification and when revising the criteria.
Applicant (or manufacturer) requires a parts supplier to submit test results of the applicable material.
< > Other ( )
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(10) / Polymer containing halogen is not used for plastic housing parts weighing over 25g. In addition, organohalogen compound as flame retardants is not added as prescription constituents. / < > Yes
< > No / plastic material list used for plastic housing parts (Form 3) / Applicant or manufacturer
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(11) / Plastic housing parts weighing over 25g does not contain, as prescription constituents, substances classified as category 1-3 of carcinogenic, mutagenic and toxic to reproduction in accordance with Annex 1 of the EC Directive 67/548/EEC on the approximating laws, regulations, and administrative rules on classifications, packaging and labeling of hazardous substances in EU. / < > Yes
< > No / plastic material list used for plastic housing parts (Form 3) / Applicant or manufacturer
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(12) / Additives (colorant, etc) used for glass parts weighing over 100g do not contain cadmium, lead, mercury, hexavalent chromium, and their compounds as prescription constituents. / < > Yes
< > No
additives below the standard value / material list used for glass parts (Form 4) / Applicant or manufacturer
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(13) / Information on the mercury lamp and appropriate disposal method are provided. / < > Yes
< > No
no use of mercury lamps / a copy of a corresponding part indicating this item and explanatory materials / Applicant or manufacturer
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(14) / In manufacturing the applied product, related environmental laws, etc. are followed in the area where the plant performing the final manufacturing process is located. / < > Yes
< > No / Environmental Laws and Agreements Compliance Certificate (Form 5) / Plant manager of finished product
The state of compliance with the Environmental Laws, etc. for the last five years from the date of application (whether there is any violation) is reported. Or if there is any violation, proper remedies and preventive measures have been already taken, and the related Environmental Laws, etc. are followed appropriately. / < > Yes
< > No
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(15) / The following information is provided.
a. Information on whether an Eco mode is available
b. Information on a rough standard of the time for lamp replacement (hours), lamp replacement and proper use that leads to longer life
c. Information on maximum power consumption, standby power consumption
d. Information on LCA result (type III environmental label, etc.)
< >implemented / < >not implemented
e. Information on disposal or recycling of product after use / < > Yes
< > No / a copy of a corresponding part indicating this item
Considerations
In manufacturing products, it is desirable to consider the following, although they are not requirements for certification
Item / Applicable criteria / Fill in this column5.(1) / The noise emission at normal mode is measured in accordance with the method specified in ISO 7779 (corresponding JIS X 7779: 2001), and the value of “Declared A-Weighted Sound Power Level, Lpam” in accordance with ISO 9296 (corresponding JIS X 7778: 2001) satisfiesthe criteria. / < > Yes
< > No
Value ( ) db
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145V1 Attached Certificate
Form １
Date:
Company:
Name: seal
Packaging material checklist
Product model (type) :
No. / Category / Requirement / Compliance1 / Resource saving / Is consideration given to weight reduction/volume reduction? / Yes /No
2 / Is use of reused material considered?
(Waste paper, recycled plastics, etc.) / Yes /No
3 / Recycling / Is sharing of materials promoted? / Yes /No
4 / Is selection of materials that can be recycled or reused more easily considered? / Yes /No
5 / If different kinds of materials are used in combination, can the materials be easily separated? / Yes /No
6 / Is material labeling according to the ordinances or JIS standards in place? / Yes /No
7 / For materials to be used in packages, is use of chemical substances that have an effect on the environment avoided or reduced? / Yes /No
* It is considered as compliant when marked “Yes” in all requirements above
List of packaging material
No / Name packaging material (material used)e.g. / Polyethylene bag
Form 2
Date:
Company:
Name: seal
3R design checklist
Product model (type) :
M- requirement (items which must be met)
Group / No / Requirement / Applicable scope / ComplianceStructure and Connection Technology / 1 / Components made of materials incompatible with each other are connected separably or via separation aids. / Housing parts, chassis, Electrical/ electronic sub-assemblies / Yes /No
2 / Electrical/ Electronic sub-assemblies and electrical/ electronic parts are easily traceable and removal. Can parts replacement of which is substantially needed in maintenance/repair be easily removed? / Entire unit, including lamps / Yes / No
3 / Disassembly for recycling can be done with universal tools exclusively / Housing, chassis, Electrical/ electronic sub-assemblies / Yes / No
4 / Necessary points of application and working space for disassembly tools have been taken into consideration. / Housing parts, chassis, Electrical/ electronic sub-assemblies / Yes / No
5 / Screwed connections between sub assemblies can be separated with no more than 4 tools. / Housing parts, chassis, Electrical/ electronic sub-assemblies / Yes / No
6 / Disassembly can be done by a single person. / Entire unit / Yes / No
７ / For parts containing mercury, information for sorting out is provided, and the part has structure that allows safe removal for disassembly. / lamps / Yes / No
8 / The manufacturer did a trial disassemblyaccording to 1-7 above. / Entire unit / Yes / No
Material Selection and Marking / 9 / Materials used for plastic housing parts weighing over 25gwith similar functions are limited to one material. This requirement shall not apply to parts that have been proved as reused parts or parts which require special functions (heat resistance, abrasion resistance, impact resistance). / Housing parts / Yes / No
10 / Plastic parts are marked in accordance with ISO11469:2000 (corresponding standard JIS K6999:2004). This requirement does not apply to parts 25g or 200mm2（flat area) / Entire unit / Yes / No
S-requirement (items which should be met)
Group / No / Requirement / Applicable scope / ComplianceStructure and Connection Technology / 1 / Separable connections are easily traceable. / Housing parts,
chassis / Yes / No
2 / For products weighing over 10kg, the supporting surface can be maintained during the entire disassembly work. / Unit to be handled / Yes / No
Material Selection and Marking / 3 / Parts made of the same sort of plastics are dyed uniformly or compatibly. Integrated control elements shall be exempt from this requirement. / Housing parts / Yes / No
4 / The paint which shall not prevent recycling has been used. / Housing parts / Yes / No
5 / Reused plastic parts or recycled plastic parts are used. / Housing parts,
chassis / Yes / No
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145V1 Attached Certificate
Form 3
Date:
Company:
Name: seal
Plastic material list used for plastic housing parts weighing over 25g
Product model (type) :
No. / Part / weight(ｇ) / material / Halogen Polymer used / Flame retardant added / Organohalogen compounds added as a flame retardant / substances classified as category 1-3 of carcinogenic, mutagenic and toxic to reproduction in accordance with Annex 1 of the EC Directive 67/548/EEC addede.g. / Sample: REAR COVER / 30 / ABS / Yes / Yes / No / No
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145V1 Attached Certificate
Form 4
Date:
Company:
Name: seal
Material list used for glass parts weighing over 100g
Product model (type) :
No. / part / weight(ｇ) / Lead and its compounds added
Weight if added / Mercury and its compounds added
Weight if added / Cadmium and its compounds added
Weight if added / Hexavalent chromium and its compound added
Weight if added
e.g. / Sample:
Projector lens / No / No / No / No
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Form 5
To : Japan Environment Association, Eco Mark Office
Environmental Laws and Agreements Compliance Certificate
Date of issue: / ,(Company name)
(Plant name)
(Name of the responsible person) title
Name / seal
(company seal or representative signature for overseas companies)
Plant address:
TEL :
* Enter the manager (or the corresponding responsible person) of the plant manufacturing the finished goods in the Name of the responsible person column.
* Effective issuing date of this Certificate shall be within three months from the date of application to Eco Mark.
We hereby certify that the following requirements are met:
1. We hereby certify that in manufacturing the applied product, we comply with related environmental laws and regulations and pollution control agreement (hereinafter referred to as the “Environmental Laws, etc.”) with respect to air pollution, water contamination, noise, offensive odor, and emission of hazardous substances.
(Please check the relevant boxes as follows to submit the Certificate. It is also acceptable to submit an attached list.)
Name of the Environmental Laws, etc. related to the plant / Remarks□ Air Pollution Control Law
□ Water Pollution Control Law
□ Noise Regulation Law
□ Vibration Regulation Law
□ Offensive Odor Control Law
□ Other:
* In the “Other” column, enter the name of law applied to the plant, and if there are regulations or agreements of the area where the plant is located, also enter the names of such regulations and agreements (e.g., xx Prefecture xx Environmental Conservation Regulation, xx City Pollution Prevention Agreement).
2. We hereby certify that the state of compliance with the Environmental Laws, etc. prior to the date of issue of this Certificate is as follows:
(Please check the relevant boxes to submit the Certificate. Violation refers to administrative punishment or administrative guidance.)
□ We have not violated any related Environmental Laws, etc. for the past five years.
□ We have not violated any related Environmental Laws, etc. since foundation of the Company (year).
□ We violated related Environmental Laws, etc. in the past five years, have already taken proper remedies and recurrence prevention measures, and thereafter comply with the related Environmental Laws, etc. properly.
*If you committed any violation subject to administrative punishment or administrative guidance, you need to submit the following documents in a and b:
a. For the fact of violation, the guidance document from the administrative agency (including a correction order and warning) and copies of written answers to those documents (including reports on the cause and result of correction)b. For the management system for compliance with the Environmental Laws, etc., the following materials (copies of recording documents, etc) in 1)-5):
1) List of the Environmental Laws, etc. related to the area where the plant is located;
2) Implementation system (organizational chart with entry of roles, etc.);
3) Document stipulating retention of recording documents;
4) Recurrence prevention measures (future preventive measures);
5) State of implementation based on recurrence prevention measures (result of checking of the state of compliance, including the result of onsite inspection).
□ We violated Environmental Laws, etc. in the past, and have not yet taken corrective measures.
Form 6
To: Japan Environment Association, Eco Mark Office
Approval of Eco Mark Application
Date of issue:XXXXX XXXXX
Company name / (company seal）
*Issuer: Manufacturer of the product (Approver of application)
We hereby approve that (the applicant company) files an application for Eco Mark product certification and use under the brand name “______” with respect to the product which has been Eco Mark certified under our brand name “______” with certification number (only if already certified).
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