Test Report: (6721) 256-0226 R2 H&M Hennes & Mauritz GBC Ab: Submitter

Test Report: (6721)256-0226 R2
H&M HENNES & MAURITZ GBC AB

Received Date: September 13, 2021
Report Date: September 27, 2021
Revised Date: February 21, 2022
PASS
Dileep Industries Pvt Ltd
SUBMITTER
Dipl Unit-1, G-161-164,171-174, Riico Ind. Area, Bagru Disst, Jaipur, Rajasthan, 303007, India
STYLE
/
NUMBER
PRODUCT (I001) DARK BROWN KARL SQUARE TRAY SMALL

DESCRIPTION (I002) LIGHT BROWN KARL SQUARE TRAY SMALL
EXECUTIVE
The sample(s) MEET all the tested requirement(s).
SUMMARY
Note: Confirmation received on Dated 17th September, 2021.
Brands: H&M, Product Category- Others: Kitchen Product
Product End Use-Other: Kitchen Product

REMARKS
Material Composition: Wooden Natural
ULR -TC631221000134548F
REVISED PROPERTY : Test report has revised due to addition of order no. as per vendor request.
REVISED-2 PROPERTY : Test report has revised due to addition of order no. as per vendor request.
TECHNICAL RAMESH KUMAR / SUMANTA KUMAR SIGNATURES BVCPS INDIA PVT LTD
QUESTIONS SWAIN
E. MAIL: ramesh.kumar@bureauveritas.com,
sumanta.swain@bureauveritas.com
PHONE NO: 0120-4368264/206
GENERAL RAHUL SRIVASTAVA / CHHATISH KUMAR

INFORMATION NATH
E. MAIL: rahul.srivastava@bureauveritas.com,
chhatish.nath@bureauveritas.com
RAHUL SRIVASTAVA
PHONE NO: 0120-4368205/28 (Manager-Analytical)
FOR ANY MR. MARTIN SEBASTIAN

INVOICING E. MAIL: martin.sebastian@bureauveritas.com
MATTER PHONE NO: 0120-4368200
BUREAU VERITAS CONSUMER PRODUCTS SERVICES This report is governed by, and incorporates by reference, the Conditions of Testing as posted at the date of issuance of this report at
(INDIA) PVT. LTD. http://www.bureauveritas.com/cps and is intended for your exclusive use. Any copying or replication of this report to or for any other person or
C-19, Sector VII, Noida 201 301, Gautam Buddnagar entity, or use of our name or trademark, is permitted only with our prior written permission. This report sets forth our findings solely with respect to
Uttar Pradesh, the test samples identified herein. The results set forth in this report are not indicative or representative of the quality or characteristics of the lot
Noida from which a test sample was taken or any similar or identical product unless specifically and expressly noted. Our report includes all of the tests
Tel: 91-120-2544661/663/657/509, 2556819 Fax: 91-120- requested by you and the results thereof based upon the information that you provided to us. You have 60 days from date of issuance of this report
2544658,2544670,2548577 to notify us of any material error or omission caused by our negligence; provided, however, that such notice shall be in writing and shall specifically
address the issue you wish to raise. A failure to raise such issue within the prescribed time shall constitute you unqualified acceptance of the
completeness of this report, the tests conducted and the correctness of the report contents.
Page 1 of 18
Test Report: (6721)256-0226 R2
APPLICANT CONTACT
ASHOK KUMAR JAIN
PERSON
APPLICANT COMPANY NAME DILEEP INDUSTRIES PVT LTD
APPLICANT ADDRESS G-161-164 RIICO INDUSTRIAL AREA,BAGRU
SUPPLIER NAME DILEEP INDUSTRIES PVT LTD UNIT 4
SERVICE LEVEL REGULAR
SUPPLIER TIER T1 - Product Supplier
T2 SUPPLIER NAME /
PRODUCT DEVELOPMENT
0747165
NUMBER
PRODUCT NAME Karl Square Tray Small,
SEASON 5
PRODUCT TYPE Finished Product
H&M SAMPLE STAGE C/S (Counter Sample)
H&M SAMPLE TYPE Finished Product
COLOR NAME / ARTICLE

BEIGE DUSTY LIGHT / MOLE MEDIUM DUSTY
NUMBER
PRODUCT ID 0747165
ORDER NUMBER 108295-9233, 201075, 224009, 148177, 306050, 306922
NUMBER OF WORKING DAYS 9
PROTOCOL NUMBER /
Page 2 of 18
Test Report: (6721)256-0226 R2
TEST RESULTS SUMMARY TABLE FOR (I001) DARK BROWN KARL SQUARE TRAY SMALL
(I002) LIGHT BROWN KARL SQUARE TRAY SMALL
TEST PROTOCOLS /
TEST NAME OVERALL RATINGS

Formaldehyde PASS
Total lead in surface coating PASS
Overall migration test PASS
Pentachlorophenol (PCP) PASS
Polychlorinated biphenyls (PCB) PASS
Sensory test - odour and taste PASS
Bisphenol content PASS
Polynuclear aromatic hydrocarbon (PAHs) PASS
Specific migration of primary aromatic amine PASS
Page 3 of 18
Test Report: (6721)256-0226 R2
TEST RESULTS FOR (I001) DARK BROWN KARL SQUARE TRAY SMALL

TESTED PROPERTY REQUIREMENTS RESULTS RATING
Formaldehyde (JIS L1041:2011 / EN 717-3:1996 / EN 645:1994 / EN 1541:2001 / ISO 17226-2:2018 / ISO 14184-1:2011 (Mod) /
ISO 17226-1:2021)###
Per client, certain mat`ls of products shall have ≤150 mg/kg of Meet PASS
formaldehyde. In lieu of testing, provide CSS report dated
within 1yr when they are from Esquel/Natco/ITL.
Item / Component
Location(s) Style(s) Unit(s) Req. Result(s) Conclusion
Description(s)
DARK BROWN KARL

/ A mg/kg Max. 150 Not Detected Pass
SQUARE TRAY SMALL
LIGHT BROWN KARL
/ A mg/kg Max. 150 Not Detected Pass
SQUARE TRAY SMALL
Total lead in surface coating (CPSC-CH-E1003-09.1)

Per client, accessible scrapable surface coating and print Meet PASS
material(s) of product(s) for U. S. market shall not exceed 90
mg/kg of total lead (Pb).
Test Item(s) Test Item / Component Description(s) Location(s) Style(s)

I003 LIGHT BROWN COATING OF SQUARE / A
TRAY
I004 DARK BROWN COATING OF SQUARE / A
TRAY
Test Parameter(s) Unit(s) Result(s) Requirement(s)
Test Item(s) -- I003 I004 -- -- -- --
Lead (Pb) mg/kg Not Detected Not Detected -- -- -- Max. 90
Conclusion -- Pass Pass -- -- -- --
Key(s) :
Potential Lead (Pb) = Estimated total lead content per Test Item is based on calculation by Test Item individual weight
Detection Limit ( mg/kg ) - 10
Overall migration test (EC No. 10/2011)

Plastic food contact articles shall comply with the overall REFER TABLE#2 PASS
migration limit in Commission Regulation (EU) No 10/2011.
Pentachlorophenol (PCP) (ISO 17070:2015 (Mod))###

Per client, paper and board, bamboo, wood, wood-based and
Meet
straw materials of products shall contain < 0.5 mg/kg of PASS
pentachlorophenol (PCP) and its salts and esters.
Test Item(s) Test Item / Test Component Description(s) Location(s) Style(s)
I001 DARK BROWN KARL SQUARE TRAY SMALL / A

I002 LIGHT BROWN KARL SQUARE TRAY SMALL / A
Test Item(s) Unit(s) Requirement(s) Result(s) Conclusion
I001 mg/kg < 0.5 Not Detected Pass

I002 mg/kg < 0.5 Not Detected Pass
Polychlorinated biphenyls (PCB) (Solvent extraction, GC-MS analysis)###

Per client, textile, natural leather, plastic, rubber, paint, print, Meet
PASS
surface coating and foam materials of products shall not
Page 4 of 18
Test Report: (6721)256-0226 R2

exceed 0.1 mg/kg sum of PCBs.
Test Item(s) Test Item / Test Component Description(s) Location(s) Style(s)
I001 DARK BROWN KARL SQUARE TRAY SMALL / A

I002 LIGHT BROWN KARL SQUARE TRAY SMALL / A
Test Item(s) Unit(s) Requirement(s) Result(s) Conclusion
I001 mg/kg Max. 0.1 Not Detected Pass

I002 mg/kg Max. 0.1 Not Detected Pass
Sensory test - odour and taste (BS EN 1230-1 &-2)###

Per client, paper food contact articles shall not be greater Data PASS
than 2.5 scale.

I001 DARK BROWN KARL SQUARE TRAY / A
SMALL
I002 LIGHT BROWN KARL SQUARE TRAY / A
SMALL
Test Item(s) -- I001 I002 -- -- -- --
Odour Intensity Grading Grade 0 0 -- -- -- Max. 2.5
Bisphenol content (In-house method)

Per client, certain materials of products shall be tested for Meet PASS
BPS, 4,4'-BPF, 2,4'-BPF, 2,2'-BPF and BPAF content. Report
actual concentration and rate as data.
Test Item(s) Item / Component Description(s) Location(s) Style(s)
LIGHT BROWN COATING OF SQUARE

I003 / A
TRAY
DARK BROWN COATING OF SQUARE
I004 / A
TRAY
Test Item(s) Result(s) [ Unit in mg/kg ] Conclusion
Detected Analyte(s) Concentration
I003 Not Detected Not Detected Pass

I004 Not Detected Not Detected Pass
Polynuclear aromatic hydrocarbon (PAHs) (German AfPS GS2014:01 PAK)

Per client, f ood contact articles shall not exceed 10 mg/kg Meet PASS
each of 18 listed PAHs.

I003 LIGHT BROWN COATING OF SQUARE / A
TRAY
I004 DARK BROWN COATING OF SQUARE / A
TRAY
Page 5 of 18
Test Report: (6721)256-0226 R2

Test Item(s) -- I003 I004 -- -- -- --
Acenaphthene Not Detected Not Detected -- -- -- Max. 10
Acenaphthylene Not Detected Not Detected -- -- -- Max. 10
Anthracene Not Detected Not Detected -- -- -- Max. 10
Benzo (a) anthracene Not Detected Not Detected -- -- -- Max. 10
Benzo (a) pyrene Not Detected Not Detected -- -- -- Max. 10
Benzo (b) fluoranthene Not Detected Not Detected -- -- -- Max. 10
Benzo (e) pyrene Not Detected Not Detected -- -- -- Max. 10
Benzo (g,h,i) perylene Not Detected Not Detected -- -- -- Max. 10
Benzo (j) fluoranthene Not Detected Not Detected -- -- -- Max. 10
mg/kg
Benzo (k) fluoranthene Not Detected Not Detected -- -- -- Max. 10
Chrysene Not Detected Not Detected -- -- -- Max. 10
Dibenzo (a,h) anthracene Not Detected Not Detected -- -- -- Max. 10
Fluoranthene Not Detected Not Detected -- -- -- Max. 10
Fluorene Not Detected Not Detected -- -- -- Max. 10
Indeno (1,2,3-cd) pyrene Not Detected Not Detected -- -- -- Max. 10
Naphthalene Not Detected Not Detected -- -- -- Max. 10
Phenanthrene Not Detected Not Detected -- -- -- Max. 10
Pyrene Not Detected Not Detected -- -- -- Max. 10
Specific migration of primary aromatic amine (EC No. 10/2011)###

Polyurea & colored [Except white] plastic materials of articles REFER TABLE#3 PASS
shall comply the limits of specific migration of PAA to food
simulant(s) based on usage condition(s).
###
Non-accredited test under NABL scope
Page 6 of 18
Test Report: (6721)256-0226 R2
ADDITIONAL TEST RESULTS FOR (I001) DARK BROWN KARL SQUARE TRAY SMALL
TABLE#1
Sensory Test (Odour and Taste) for Materials in Contact with Foodstuffs
Tested Item(s) : I001 DARK BROWN KARL SQUARE TRAY SMALL

I002 LIGHT BROWN KARL SQUARE TRAY SMALL
Result Maximum Limit

Parameter
I001 I002
Odour 0 0
Taste transfer into foodstuff through simulant,
0 0
Chocolate
Taste transfer into foodstuff through simulant, 2.5
0 0
Unsalted butter
0 0
Butter biscuits
0 0
Mineral water
Conclusion PASS PASS -
Note: Scale:0 = no perceptible off-odour (or taste transfer);

1 = off-odour (or taste transfer) just perceptible (but still difficult to define);
2 = slight off-odour (or taste transfer);
3 = distinct off-odour (or taste transfer);
4 = strong off-odour (or taste transfer)
Method: DIN 10955: 2004-06
Remark: 1) Selected test was specified by client.
TABLE#2
Overall Migration Test for Plastic Materials in Contact with Foodstuffs
Test Condition: PPPO : 40oC, 10 days
Maximum Limit: 10 mg/dm2
Result
Simulant Used Unit
I003 I004
PPPO mg/dm2 <5 <5
Tested Item(s) : I003 LIGHT BROWN COATING OF SQUARE TRAY

I004 DARK BROWN COATING OF SQUARE TRAY
Note: “<” = less than

mg/dm2 = milligram per square decimetre
Method: EN 1186-1: 2002.
Remark: 1) For article intended for repeated use, the migration tests are carried out three times on the same test sample
and the third test result is shown in result table.
Page 7 of 18
Test Report: (6721)256-0226 R2
ADDITIONAL TEST RESULTS FOR (I001) DARK BROWN KARL SQUARE TRAY SMALL
TABLE#3
Specific Migration of Primary Aromatic Amine for Plastic Materials in Contact with Foodstuffs
Test Condition: PPPO: 40oC, 10 days
Maximum Limit: 0.01 mg /kg
I003 Result I004

Parameter Simulant Used Unit
Primary Aromatic Amines PPPO mg/kg <0.01 <0.01
Conclusion - - PASS PASS
Tested Item(s) : I003 LIGHT BROWN COATING OF SQUARE TRAY

I004 DARK BROWN COATING OF SQUARE TRAY
Note: “<” = less than

mg/kg = milligram per kilogram
Method: EN 13130-1: 2004, LC-MS/ LC-MS/MS analysis.

Remark: 1) The migration test is carried out according to EC Regulation No. 10/2011 and the
corresponding regulatory statutes.
2) Selected test was specified by client.
3) The test condition and simulant used were specified by client.
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Test Report: (6721)256-0226 R2
ADDITIONAL
DOCUMENT(S)
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PHOTO OF THE SUBMITTED SAMPLE
END OF REPORT
Page 18 of 18

Test Report: (6721) 256-0226 R2 H&M Hennes & Mauritz GBC Ab: Submitter

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Test Report: (6721)256-0226 R2

H&M HENNES & MAURITZ GBC AB

PRODUCT (I001) DARK BROWN KARL SQUARE TRAY SMALL

Brands: H&M, Product Category- Others: Kitchen Product

Product End Use-Other: Kitchen Product

GENERAL RAHUL SRIVASTAVA / CHHATISH KUMAR

FOR ANY MR. MARTIN SEBASTIAN

APPLICANT COMPANY NAME DILEEP INDUSTRIES PVT LTD

APPLICANT ADDRESS G-161-164 RIICO INDUSTRIAL AREA,BAGRU

SUPPLIER NAME DILEEP INDUSTRIES PVT LTD UNIT 4

SERVICE LEVEL REGULAR

SUPPLIER TIER T1 - Product Supplier

PRODUCT NAME Karl Square Tray Small,

PRODUCT TYPE Finished Product

H&M SAMPLE STAGE C/S (Counter Sample)

H&M SAMPLE TYPE Finished Product

COLOR NAME / ARTICLE

ORDER NUMBER 108295-9233, 201075, 224009, 148177, 306050, 306922

NUMBER OF WORKING DAYS 9

(I002) LIGHT BROWN KARL SQUARE TRAY SMALL

TEST NAME OVERALL RATINGS

(I002) LIGHT BROWN KARL SQUARE TRAY SMALL

DARK BROWN KARL

Total lead in surface coating (CPSC-CH-E1003-09.1)

Test Item(s) Test Item / Component Description(s) Location(s) Style(s)

Overall migration test (EC No. 10/2011)

Pentachlorophenol (PCP) (ISO 17070:2015 (Mod))###

Test Item(s) Test Item / Test Component Description(s) Location(s) Style(s)

I001 DARK BROWN KARL SQUARE TRAY SMALL / A

Test Item(s) Unit(s) Requirement(s) Result(s) Conclusion

I001 mg/kg < 0.5 Not Detected Pass

Polychlorinated biphenyls (PCB) (Solvent extraction, GC-MS analysis)###

(I002) LIGHT BROWN KARL SQUARE TRAY SMALL

Test Item(s) Test Item / Test Component Description(s) Location(s) Style(s)

I001 DARK BROWN KARL SQUARE TRAY SMALL / A

Test Item(s) Unit(s) Requirement(s) Result(s) Conclusion

I001 mg/kg Max. 0.1 Not Detected Pass

Sensory test - odour and taste (BS EN 1230-1 &-2)###

Test Item(s) Test Item / Component Description(s) Location(s) Style(s)

Bisphenol content (In-house method)

Test Item(s) Item / Component Description(s) Location(s) Style(s)

LIGHT BROWN COATING OF SQUARE

Test Item(s) Result(s) [ Unit in mg/kg ] Conclusion

Detected Analyte(s) Concentration

I003 Not Detected Not Detected Pass

Polynuclear aromatic hydrocarbon (PAHs) (German AfPS GS2014:01 PAK)

Test Item(s) Test Item / Component Description(s) Location(s) Style(s)

(I002) LIGHT BROWN KARL SQUARE TRAY SMALL

TESTED PROPERTY REQUIREMENTS RESULTS RATING

Specific migration of primary aromatic amine (EC No. 10/2011)###

Tested Item(s) : I001 DARK BROWN KARL SQUARE TRAY SMALL

Result Maximum Limit

Note: Scale:0 = no perceptible off-odour (or taste transfer);

Overall Migration Test for Plastic Materials in Contact with Foodstuffs

Test Condition: PPPO : 40oC, 10 days

Maximum Limit: 10 mg/dm2

Tested Item(s) : I003 LIGHT BROWN COATING OF SQUARE TRAY

Note: “<” = less than

Test Condition: PPPO: 40oC, 10 days

Maximum Limit: 0.01 mg /kg

I003 Result I004

Tested Item(s) : I003 LIGHT BROWN COATING OF SQUARE TRAY