Declaration of chemical substances and materials

This template can be used by suppliers to BAE Systems Bofors AB to declare chemical substances and materials in delivered parts/articles in accordance with the document Environmental requirements for suppliers (Doc. No. 04223569), www.baesystems.com/boforssupplier for current version.

Substance /material that are included in delivered parts/articles and that is covered by any of these are to be declared:

REACH Candidate list of SVHCs
In accordance with Article 33 of the REACH-regulation, suppliers are obliged to inform if any delivered parts contain substances on the REACH Candidate List of SVHCs (www.echa.europa.eu/en/candidate-list-table). This applies if the substance is present in a concentration above 0.1 % (weight by weigh) and applies to each sub-component at the lowest level.

Aerospace and Defense Declarable Substances List
Chemical substances present in the supplied parts which are included in the latest version of Aerospace and Defense Declarable Substances List ("AD-DSL") (www.iaeg.com/chemicalrpt/addsl).

Examples of applications where these substances and materials may be present; surface treatment, flame retardant, soldering/welding, chemical products (e.g. oils, paints, adhesives, sealants), refrigerants, batteries, fire extinguishing, biocides, explosives.

Present chemical substances/materials shall be presented so that they can be clearly identified by the CAS no and possibly IUPAC name. Quantities of each substance/material must also be stated as well as which component/sub-part of the delivered part/product they are included in.

Note that the legislation changes from time to time, which might mean that new substances / substance groups are added to the lists of substances which must be declared. The supplier are expected to - as soon as possible - notify if delivered parts are affected by any such change.

Information about the delivered part/article

Name of part/article:
Part number and revision:
Supplier/company name:

Substances/materials in the part/article to be declared

Identification of included chemical substances/substance group	Part of the delivered part/article
Substance name (IUPAC name)	CAS no	Percentage of substance (weight %)	Localization where the current substance can be found (e.g. subcomponent)

Supplier's signature

I certify, as an authorized representative of the company, that the information provided in this declaration is true and corresponds to reality and that we will promptly notify BAE Systems Bofors in the event that there is a change in the information provided in this declaration.
Name	Company Role
Signature	Date