24 01 22 Data Collection Workbook - Factory v1.3

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Introduction to Hunter's data collection workbook

Thank you for being a part of our data collection process at Hunter.

We use this data to measure our impact on the environment and it helps us to reduce our
footprint.

Each tab has step-by-step instructions on how to report your data; please follow these
and read them carefully.

You will have received a briefing document alongside this data collection workbook. This
outlines key definitions used and the data reporting process in detail, so please keep this
to hand as it will be a useful support.

If you have any questions or feedback on our data collection process, please contact
Lizzie.Walsh@hunterboots.com.
Thank you for completing Hunter's data collection workbook. Before you start, please answer the following q

ENERGY/ REFRIGERANTS
Q1.
Do you use any renewable energy (e.g. wind or solar)?

Q2. Have you done anything to reduce your energy consumption in the last three
years? (e.g. using LED lightbulbs, adding building insulation)

Q3. How often do you get your heating and air conditioning systems serviced per
year?

WATER
Q4.
Do you have a wastewater treatment facility on site?

Q5.
Do you have any natural water sources on site (e.g. a well)?

Q6. Have you done anything to reduce your water consumption in the last three
years? (e.g. adding water-saving faucet aerators)

WASTE
Q7. Do you have any waste management treatment facilities on site (e.g. an
incinerator)?

Q8. Have you done anything to reduce how much waste is generated in the last
three years?

HEALTH & SAFETY


Q9. Do you have a designated health and safety officer?

Q10. Do you have a first aid station on site?

Q11. Do you have a first aid log where people can write down any accidents that
happen?

PRODUCTION
Q12. Approximately what % of your overall production is Hunter products? This can
be an average over one year. (Please provide a % for every year you have been
active with Hunter 2019-21).
Q13. How much product do you produce per year in total? (please provide a weight
for every year you have been active with Hunter 2019-21).

FORMULATION/ CHEMICALS
Q14. Have you assessed the hazards associated with working with chemicals?
Q15. Have you completed a COSHH assessment (or equivalent) in the last year?

Q16. Has the use of appropriate protective equipment been considered (and used if
applicable)?
Q17. If you work with hazardous chemcials, have safer alternatives been considered?

Q18. Should an incident occur with chemicals, do you have emergency procedures in
place to manage the situation?
e you start, please answer the following questions:

Solar photovoltaic

using LED lightbulbs

Please type your answer here

No

Well

No

No

Reuse to other function

Yes

Yes

Yes

2019

2020
2021

2019

2020
2021

Yes

No

Yes

Yes

Yes
Please type your answer here (%)

Please type your answer here (%)


Please type your answer here (%)

Please type your answer here (weight)

Please type your answer here (weight)


Please type your answer here (weight)
Welcome to the page where you report your energy usage. Please follow the steps

Follow these instructions to fill in the table below:


1) Select the country that you operate in from the drop-down options.
2) Select the year that the energy was used.
3) Select the energy type that you wish to record from the drop-down options.
Note - please include all energy usage from all different sources (e.g. coal, electricity and natural ga
4) Select the units that the energy reading is in.
5) Type in the quantity of energy used for each month of the year.
Note - if you only have quarterly data or you have selected 'Other' or 'Don't know', please leave a n

6) Finally, take a moment to double check your entries. If you have any missing data, estimated dat
in the Comments column.

Country Year Energy type Unit January

EXAMPLE Indonesia 2019 Electricity kWh 10,000

Indonesia 2019 Electricity kilowatt hours (kWh) 124,377


Indonesia 2020 Electricity kilowatt hours (kWh) 267,240
Indonesia 2021 Electricity kilowatt hours (kWh) 154,560
Indonesia 2019 Wood kilograms (kg) 8,055
Indonesia 2020 Wood kilograms (kg) 17,930
Indonesia 2021 Wood kilograms (kg) 15,800
Indonesia 2019 Diesel litres (l) 77

Indonesia 2020 Diesel litres (l) 221


Indonesia 2021 Diesel litres (l) 267
Indonesia 2019 Petrol litres (l) 810
Indonesia 2020 Petrol litres (l) 1,110
Indonesia 2021 Petrol litres (l) 783
ease follow the steps below:

ons.
electricity and natural gas).

n't know', please leave a note in the Comments column (S).

ssing data, estimated data or any large changes in the numbers please provide a reason

February March April May June July August

15,000 11,000 12,000 10,000 15,000 11,000 12,000

97,710 200,397 215,646 249,597 183,480 251,910 195,630


269,130 272,880 233,130 253,860 323,640 310,260 237,750
200,520 548,610 280,860 351,240 370,710 428,550 473,220
5,345 12,825 15,300 17,175 15,550 19,460 18,150
22,475 24,775 25,050 22,575 25,600 27,650 24,945
14,840 18,050 20,300 21,800 25,130 29,820 30,540
- 291 - - - - -

324 291 282 217 495 805 515


127 453 662 353 697 1,084 858
192 401 976 1,090 680 851 899
789 962 651 664 724 1,227 585
477 666 885 1,161 993 1,020 1,025
Check list:
Is the data from invoices/ manifests?
Have you input data for 2019, 2020 and 2021?
Has anyone double-checked the data?

September October November December Total Comments

10,000 15,000 11,000 12,000 144,000 None

171,450 201,450 199,140 172,230 2,263,017 None


254,790 167,310 123,090 154,560 2,867,640 None
415,020 353,550 312,210 266,190 4,155,240 None
11,650 15,250 14,475 13,345 166,580 None
19,065 18,530 7,890 8,740 245,225 None
24,620 23,050 17,185 11,975 253,110 None
- - - - 368 Had metal diesel
in January and
March

383 343 140 246 4,264 None


956 720 786 791 7,755 None
1,086 486 1,093 231 8,795 None
630 913 793 727 9,775 None
844 1,063 1,330 829 11,076 None
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Response
YES
YES
YES

Source data available?

YES

YES
YES
YES
YES
YES
YES
YES

YES
YES
YES
YES
YES
Welcome to the page where you report your water usage. Please follow the steps bel

Follow these instructions to fill in the table below:


1) Select the country that you operate in from the drop-down options.
2) Select the year that the energy was used.
3) Select the water type that you wish to record from the drop-down options.
Note - please include all sources of water that you use - you might have more than one water meter.
4) Select the units that the water is measured in.
5) Type in the quantity of water used for each month of the year.
Note - if you only have quarterly data or you have selected 'Other' or 'Don't know', please leave a not
6) Finally, take a moment to double check your entries. If you have any missing data, estimated data or
column.

Country Year Water source Unit January

EXAMPLE China 2019 Third-party water British Thermal Units ( 41,000

Indonesia 2019 Groundwater cubic meters (m³) 231


Indonesia 2020 Groundwater cubic meters (m³) 593
Indonesia 2021 Groundwater cubic meters (m³) 977
ollow the steps below:

han one water meter.

ow', please leave a note in the Comments column (S).


data, estimated data or any large changes in the numbers please provide a reason in the Comments

February March April May June July August

40,000 42,000 39,000 38,000 40,500 39,500 41,000

125 224 138 299 570 410 780


156 192 133 161 212 188 385
1,136 969 1,419 1,637 2,000 2,284 2,796
Check list: Response
Is the data from invoices/ manifests? YES
Have you input data for 2019, 2020 and 2021? YES
Has anyone double-checked the data? YES

September October November December Total Comments Source data


available?

40,000 42,000 40,000 42,000 485,000 None Y

313 841 555 185 4,671 None Y


417 800 941 1,165 5,343 None Y
2,010 1,797 1,632 1,409 20,066 None Y
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Welcome to the page where you report your water discharge. Please follow the steps

Follow these instructions to fill in the table below:


1) Select the country that you operate in from the drop-down options.
2) Select the year that the water was discharged.
3) Select the water discharge that you wish to record from the drop-down options.
Note - please include all waste water streams (on-site and off-site).
4) Select the units that the water has been measured in.
5) Type in your quantity of water discharged for each month of the year.
Note - if you only have quarterly data or you have selected 'Other' or 'Don't know', please leave a not
6) Finally, take a moment to double check your entries. If you have any missing data, estimated data or a

Country Year Water treatment Unit

EXAMPLE China 2020 Third-party treatment litres (l)


Indonesia 2019 Do not know

2020 Do not know

2021 Do not know


Please follow the steps below:

options.

t know', please leave a note in the Comments column (S).


sing data, estimated data or any large changes in the numbers please provide a reason in the Comments column.

January February March April May June July

41,000 40,000 42,000 39,000 38,000 40,500 39,500


Check list:
Is the data from invoices/ manifests?
Have you input data for 2019, 2020 and 2021?
Has anyone double-checked the data?

August September October November December Total Comments

41,000 40,000 42,000 40,000 42,000 485,000


- No water
treatment
conducted

- No water
treatment
conducted

- No water
treatment
conducted

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Response

Source data available?


Welcome to the page where you report your waste disposal. Please follow the steps be

Follow these instructions to fill in the table below:


1) Select the country that you operate in from the drop-down options.
2) Select the year that the waste was generated.
3) Select the waste type, category and method of disposal that you wish to record from the drop-down o
Note - please include all waste streams (i.e. make separate rows for recycled/ landfill etc).
4) Select the units that the waste has been measured in.
5) Type in your quantity of waste generated for each month of the year.
Note - if you only have quarterly data or you have selected 'Other' or 'Don't know', please leave a note i
6) Finally, take a moment to double check your entries. If you have any missing data, estimated data or an

Country Year Waste type Waste category

EXAMPLE China 2019 Metal Non-hazardous

Indonesia 2019 Plastic Non-hazardous

Indonesia 2020 Plastic Non-hazardous

Indonesia 2021 Plastic Non-hazardous

Indonesia 2019 Paper and board Non-hazardous

Indonesia 2020 Paper and board Non-hazardous

Indonesia 2021 Paper and board Non-hazardous


Indonesia 2019 Other Non-hazardous

Indonesia 2020 Other Non-hazardous

Indonesia 2021 Other Non-hazardous

Indonesia 2019 Metal Non-hazardous

Indonesia 2020 Metal Non-hazardous

Indonesia 2021 Metal Non-hazardous


Indonesia 2019 Textiles Non-hazardous
Indonesia 2020 Textiles Non-hazardous

Indonesia 2021 Textiles Non-hazardous

Indonesia 2019 Other Non-hazardous

Indonesia 2020 Other Non-hazardous

Indonesia 2021 Other Non-hazardous


sposal. Please follow the steps below:

ptions.

you wish to record from the drop-down options.


s for recycled/ landfill etc).

he year.
er' or 'Don't know', please leave a note in the Comments column (U).
ave any missing data, estimated data or any large changes in the numbers please provide a reason in the Comments column.

Waste treatment Unit January February

Recycled kilograms (kg) 55 95

Other kilograms (kg) 714 713

Other kilograms (kg) - 315

Other kilograms (kg) 228 260

Other kilograms (kg) 667 713

Other kilograms (kg) - 915

Other kilograms (kg) 1,085 910


Other kilograms (kg) 1,035 1,533

Other kilograms (kg) - 714

Other kilograms (kg) 520 535

Other kilograms (kg) 355 650

Other kilograms (kg) - -

Other kilograms (kg) - -


Other kilograms (kg) 4,600 6,457
Other kilograms (kg) - 6,779

Other kilograms (kg) 9,065 -

Other kilograms (kg) 731 675

Other kilograms (kg) 1,794 1,860

Other kilograms (kg) 1,009 997


Check list:
Is the data from invoices/ ma
Have you input data for 2019
Has anyone double-checked t

e Comments column.

March April May June July August September October

60 - - 65 72 65 47 95

850 222 248 206 286 - 110 -

307 92 59 103 117 - 105 95

214 213 219 - 136 375 253 214

670 680 1,733 1,493 600 - 495 -

1,130 508 350 414 524 - 505 500

516 804 929 - 589 1,172 761 628


1,469 1,213 1,522 1,336 992 - 270 -

511 211 300 303 603 - 531 500

525 512 716 - 594 950 645 581

- 500 - - - - 694 -

338 477 - - - - - -

- - - - - - -
7,344 6,178 1,068 5,252 5,450 2,465 3,497 3,055
7,043 - 1,815 5,352 4,044 - 6,893 5,652

11,350 8,568 - 14,665 - 8,834 9,626 9,791

536 639 1,447 1,526 1,450 1,281 1,929 1,086

2,951 1,533 2,250 3,290 5,636 3,997 2,813 3,539

2,499 2,009 2,506 2,016 2,465 3,490 5,048 2,400


Response
he data from invoices/ manifests? YES
ve you input data for 2019, 2020 and 2021? YES
s anyone double-checked the data? YES

November December Total Comments Source data available?

40 74 668 Had no metal to recycle in April Y


and May
- - 3,349 Had no plastic for sale to Third- Y
party in August, October,
November and December

94 - 1,288 Had no plastic for sale to Third- Y


party in January,August and
December

280 576 2,969 Had no plastic for sale to Third- Y


party in June
- 154 7,205 Had no paper and board for Y
sale to Third- party in
August,October and November

412 - 5,258 Had no paper and board for Y


sale to Third- party in
January,August and December

569 1,135 9,098 Had no paper and board for Y


sale to Third- party in June
- 246 9,616 Had no cones for sale to Third- Y
party in August,October and
November

506 - 4,178 Had no cones for sale to Third- Y


party in January,August and
December

812 1,266 7,658 Had no cones for sale to Third- Y


party in June
- - 2,199 Had metal for sale to Third- Y
party in January, February,
April and December

- - 815 Had metal for sale to Third- Y


party in March and April
- - - None Y
1,362 2,382 49,111 None Y
5,356 - 42,934 Had no textiles for sale to Third- Y
party in January, April, August
and December

10,066 12,891 94,858 Had no textiles for sale to Third- Y


party in February, May and
July

1,048 1,365 13,714 waste type from domestic Y


waste
3,810 - 33,472 Had no domestic waste Y
collecting to Third- party in
December

3,471 1,334 29,245 waste type from domestic Y


waste
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Welcome to the page where you report your refrigerant usage. Please follow the steps

Follow these instructions to fill in the table below:


1) Select the country that you operate in from the drop-down options.
2) Select the year that the refrigerants were used.
3) Select the refrigerant that you wish to record from the drop-down options.
Note - please include all refrigerants used e.g. air conditioning.
4) Select the units that the refrigerant has been measured in.
5) Type in your quantity of refrigerant used for each month of the year.
Note - if you only have quarterly data or you have selected 'Other' or 'Don't know', please leave a note i
6) Finally, take a moment to double check your entries. If you have any missing data, estimated data or a
Comments column.
Country Year Refrigerant Type Unit

EXAMPLE China 2021 R410A (puron) British Thermal Units (Btu)


Indonesia 2019 R410A (puron) kilowatt hours (kWh)
Indonesia 2020 R410A (puron) kilowatt hours (kWh)
Indonesia 2021 R410A (puron) kilowatt hours (kWh)
e. Please follow the steps below:

ons.

n't know', please leave a note in the Comments column (S).


ssing data, estimated data or any large changes in the numbers please provide a reason in the

January February March April May June July August

390 400 350


28,195 28,119
28,201 28,222
28,224 28,203
Check list: Response
Is the data from invoices/ manifests? NO
Have you input data for 2019, 2020 and 2021? YES
Has anyone double-checked the data? YES

September October November December Total Comments Source data


available?
410 1,550 Quarterly data Y
56,314 Semester Data Y
56,423 Semester Data Y
56,427 Semester Data Y
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Welcome to the page where you report your chemicals and formulation usage. Please follow the steps below:

Follow these instructions to fill in the tables below. THERE ARE TWO TABLES ON THIS PAGE. PLEASE COMPLETE BOTH TABLES.
1) Select the year that the chemicals or formulations were used.
2) Fill in the required information for each column
3) Select the units that the chemical has been measured in.
4) Type in the total quantity used per year, and the maximum amount used in one process.
Note - if you have selected 'Other' or 'Don't know', please leave a note in the Comments column.
5) Finally, take a moment to double check your entries. If you have any missing data, estimated data or any large changes in the numbers please provide a reason in the Comments column.

Year Formulation name Manufacturer Description of formulation / Unit Total Annual Maximum amount Are there hazardous Hazardous Component #1 CAS number % in formulation H-statement for Hazardous Hazardous Component #2 CAS number % in H-statement for Hazardous Hazardous Component #3 present CAS number % in H-statement for Hazardous Hazardous CAS number % in formulation H-stataement for Hazardous CAS number % in H-statement for Comments Source data available?
use Consumption used per process components in the present Component #1 present formulation Component #2 formulation Component #3 Component #4 Hazardous Component #4 Component #5 formulation Hazardous
formulation? present present Component #5

EXAMPLES 2019 Solclean A J.Smith Solvent-based cleaning litres (l) 1000 25 Yes Benzene 71-43-2 20 H225 Toluene 108-88-3 30 H225 YES
formulation H315 H315
H319 H304
EXAMPLES 2019 Remazol black B Dystar Reactive dye formulation kilograms (kg) 2000 40 No H304 H336 YES
H340 H373 **
Acute Tox. 4 *
H350 H312 H361d ***
EXAMPLES 2019 Truecoat 22 X-Chem PU-Based Coating litres (l) 1500 30 Yes DMFa 68-12-2 Eye
H372Irrit.
** 2 H319 YES
Formulation Acute Tox. 4 * H332
Repr. 1B H360D ***

2019 NPC-249 Best Chem Co., LTD Solvent and solvent-free kilograms (kg) 155 21 No Alkylsulfonic phenyl ester 09108-17-6 80 Pigment red 16043-40-6 20 YES
Oil-base resin color paste – types of coloring paste
Pink HR

2019 NPC-301 Best Chem Co., LTD Solvent and solvent-free kilograms (kg) 85 21 No Alkylsulfonic phenyl ester 09108-17-6 70 Pigment Yellow 22094-93-5 30 YES
Oil-base resin color paste – types of coloring paste
Lemon yellow

2019 NPC-318 Best Chem Co., LTD Solvent and solvent-free kilograms (kg) 288 21 No Alkylsulfonic phenyl ester 09108-17-6 70 Pigment Yellow 22094-93-6 30 YES
Oil-base resin color paste – types of coloring paste
Mustard yellow

2019 NPC-345 Best Chem Co., LTD Solvent and solvent-free kilograms (kg) 196 21 No Alkylsulfonic phenyl ester 09108-17-6 70 Pigment Yellow 22094-93-7 30 YES
Oil-base resin color paste - types of coloring paste
Yellow HR

2019 NPC-266 Best Chem Co., LTD Solvent and solvent-free kilograms (kg) 170 21 No Alkylsulfonic phenyl ester 09108-17-6 70 Pigment Red 5281-04-9 30 YES
Oil-base resin color paste – types of coloring paste
Red

2019 NPC-369 Best Chem Co., LTD Solvent and solvent-free kilograms (kg) 180 21 No Alkylsulfonic phenyl ester 09108-17-6 70 Pigment Orange 15793-73-4 30 YES
Oil-base resin color paste - types of coloring paste
Orange Red

2019 NPC-473 Best Chem Co., LTD Solvent and solvent-free kilograms (kg) 178 21 No Alkylsulfonic phenyl ester 09108-17-6 45 Pigment Blue 57455-37-5 55 YES
Oil-base resin color paste – types of coloring paste
Dark Green

2019 NPC-170 Best Chem Co., LTD Solvent and solvent-free kilograms (kg) 178 21 No Alkylsulfonic phenyl ester 09108-17-6 29 TI02 13463-67-7 71 YES
Oil-base resin color paste - types of coloring paste
White

2019 NPC-213 Best Chem Co., LTD Solvent and solvent-free kilograms (kg) 182 21 No Alkylsulfonic phenyl ester 09108-17-6 70 Pigment Red 15782-05-5 30 YES
Oil-base resin color paste – types of coloring paste
Deep Red

2019 NPC-235 Best Chem Co., LTD Solvent and solvent-free kilograms (kg) 140 21 No Alkylsulfonic phenyl ester 09108-17-6 70 Pigment Red 5281-04-9 30 YES
Oil-base resin color paste – types of coloring paste
Rose Red

2019 NPC-560 Best Chem Co., LTD Solvent and solvent-free kilograms (kg) 142 21 No Alkylsulfonic phenyl ester 09108-17-6 45 Pigment Blue 57455-37-5 55 YES
Oil-base resin color paste – types of coloring paste
Royal Blue

2019 NPL7000 Best Chem Co., LTD Solvent and solvent-free kilograms (kg) 860 21 No Dioctyl terephthalate 6422-86-2 100 YES
Reducer types of coloring paste
2019 NPL-7050 Best Chem Co., LTD Solvent and solvent-free kilograms (kg) 306 21 No PVC powder 9002-86-2 40 Dioctyl terephthalate 6422-86-2 29 Alkylsulfonic phenyl ester 91082-17-6 28 Thickener 3 YES
Plastisol Ink – Clear types of coloring paste
Plastisol

2019 PL-9001-2SH Best Chem Co., LTD Solvent and solvent-free kilograms (kg) 620 21 No PVC powder 9002-86-2 32 Alkylsulfonic phenyl ester 91082-17-6 65 Thickener 53320-86-8 3 YES
Plastisol Ink - 3D-dot types of coloring paste
plastisol

2019 Napolamsoft Softener litres (l) 976 30 Silicone 56275-01-5 100 YES
PT. Kimindo Jaya Sejahtera
2019 White Oil PD. Universal Lubricating Oil litres (l) 1320 30 Yes DISTILLATER (PETROLEUM), 64742-54-7 100 H350 YES
HYDROTREATED HEAVY H304
PARAFFINIC H372
H361
H413

2020 NPC-249 Best Chem Co., LTD Solvent and solvent-free kilograms (kg) 165 21 No Alkylsulfonic phenyl ester 09108-17-6 80 Pigment red 16043-40-6 20 YES
Oil-base resin color paste – types of coloring paste
Pink HR

2020 NPC-301 Best Chem Co., LTD Solvent and solvent-free kilograms (kg) 95 21 No Alkylsulfonic phenyl ester 09108-17-6 70 Pigment Yellow 22094-93-5 30 YES
Oil-base resin color paste – types of coloring paste
Lemon yellow

2020 NPC-318 Best Chem Co., LTD Solvent and solvent-free kilograms (kg) 290 21 No Alkylsulfonic phenyl ester 09108-17-6 70 Pigment Yellow 22094-93-6 30 YES
Oil-base resin color paste – types of coloring paste
Mustard yellow

2020 NPC-345 Best Chem Co., LTD Solvent and solvent-free kilograms (kg) 202 21 No Alkylsulfonic phenyl ester 09108-17-6 70 Pigment Yellow 22094-93-7 30 YES
Oil-base resin color paste - types of coloring paste
Yellow HR

2020 NPC-266 Best Chem Co., LTD Solvent and solvent-free kilograms (kg) 196 21 No Alkylsulfonic phenyl ester 09108-17-6 70 Pigment Red 5281-04-9 30 YES
Oil-base resin color paste – types of coloring paste
Red

2020 NPC-369 Best Chem Co., LTD Solvent and solvent-free kilograms (kg) 202 21 No Alkylsulfonic phenyl ester 09108-17-6 70 Pigment Orange 15793-73-4 30 YES
Oil-base resin color paste - types of coloring paste
Orange Red

2020 NPC-473 Best Chem Co., LTD Solvent and solvent-free kilograms (kg) 204 21 No Alkylsulfonic phenyl ester 09108-17-6 45 Pigment Blue 57455-37-5 55 YES
Oil-base resin color paste – types of coloring paste
Dark Green

2020 NPC-170 Best Chem Co., LTD Solvent and solvent-free kilograms (kg) 198 21 No Alkylsulfonic phenyl ester 09108-17-6 29 TI02 13463-67-7 71 YES
Oil-base resin color paste - types of coloring paste
White
FORMULATIONS

2020 NPC-213 Best Chem Co., LTD Solvent and solvent-free kilograms (kg) 203 21 No Alkylsulfonic phenyl ester 09108-17-6 70 Pigment Red 15782-05-5 30 YES
Oil-base resin color paste – types of coloring paste
Deep Red

2020 NPC-235 Best Chem Co., LTD Solvent and solvent-free kilograms (kg) 160 21 No Alkylsulfonic phenyl ester 09108-17-6 70 Pigment Red 5281-04-9 30 YES
Oil-base resin color paste – types of coloring paste
Rose Red

2020 NPC-560 Best Chem Co., LTD Solvent and solvent-free kilograms (kg) 165 21 No Alkylsulfonic phenyl ester 09108-17-6 45 Pigment Blue 57455-37-5 55 YES
Oil-base resin color paste – types of coloring paste
Royal Blue

2020 NPL7000 Best Chem Co., LTD Solvent and solvent-free kilograms (kg) 900 21 No Dioctyl terephthalate 6422-86-2 100 YES
Reducer types of coloring paste
2020 NPL-7050 Best Chem Co., LTD Solvent and solvent-free kilograms (kg) 336 21 No PVC powder 9002-86-2 40 Dioctyl terephthalate 6422-86-2 29 Alkylsulfonic phenyl ester 91082-17-6 28 Thickener 3 YES
Plastisol Ink – Clear types of coloring paste
Plastisol

2020 PL-9001-2SH Best Chem Co., LTD Solvent and solvent-free kilograms (kg) 650 21 No PVC powder 9002-86-2 32 Alkylsulfonic phenyl ester 91082-17-6 65 Thickener 53320-86-8 3 YES
Plastisol Ink - 3D-dot types of coloring paste
plastisol

2020 Napolamsoft Softener litres (l) 980 30 Silicone 56275-01-5 100 YES
PT. Kimindo Jaya Sejahtera
2020 White Oil PD. Universal Lubricating Oil litres (l) 1350 30 Yes DISTILLATER (PETROLEUM), 64742-54-7 100 H350 YES
HYDROTREATED HEAVY H304
PARAFFINIC H372
H361
H413

2021 NPC-249 Best Chem Co., LTD Solvent and solvent-free kilograms (kg) 172 21 No Alkylsulfonic phenyl ester 09108-17-6 80 Pigment red 16043-40-6 20 YES
Oil-base resin color paste – types of coloring paste
Pink HR

2021 NPC-301 Best Chem Co., LTD Solvent and solvent-free kilograms (kg) 107 21 No Alkylsulfonic phenyl ester 09108-17-6 70 Pigment Yellow 22094-93-5 30 YES
Oil-base resin color paste – types of coloring paste
Lemon yellow

2021 NPC-318 Best Chem Co., LTD Solvent and solvent-free kilograms (kg) 296 21 No Alkylsulfonic phenyl ester 09108-17-6 70 Pigment Yellow 22094-93-6 30 YES
Oil-base resin color paste – types of coloring paste
Mustard yellow

2021 NPC-345 Best Chem Co., LTD Solvent and solvent-free kilograms (kg) 212 21 No Alkylsulfonic phenyl ester 09108-17-6 70 Pigment Yellow 22094-93-7 30 YES
Oil-base resin color paste - types of coloring paste
Yellow HR

2021 NPC-266 Best Chem Co., LTD Solvent and solvent-free kilograms (kg) 106 21 No Alkylsulfonic phenyl ester 09108-17-6 70 Pigment Red 5281-04-9 30 YES
Oil-base resin color paste – types of coloring paste
Red

2021 NPC-369 Best Chem Co., LTD Solvent and solvent-free kilograms (kg) 210 21 No Alkylsulfonic phenyl ester 09108-17-6 70 Pigment Orange 15793-73-4 30 YES
Oil-base resin color paste - types of coloring paste
Orange Red

2021 NPC-473 Best Chem Co., LTD Solvent and solvent-free kilograms (kg) 206 21 No Alkylsulfonic phenyl ester 09108-17-6 45 Pigment Blue 57455-37-5 55 YES
Oil-base resin color paste – types of coloring paste
Dark Green

2021 NPC-170 Best Chem Co., LTD Solvent and solvent-free kilograms (kg) 212 21 No Alkylsulfonic phenyl ester 09108-17-6 29 TI02 13463-67-7 71 YES
Oil-base resin color paste - types of coloring paste
White

2021 NPC-213 Best Chem Co., LTD Solvent and solvent-free kilograms (kg) 212 21 No Alkylsulfonic phenyl ester 09108-17-6 70 Pigment Red 15782-05-5 30 YES
Oil-base resin color paste – types of coloring paste
Deep Red

2021 NPC-235 Best Chem Co., LTD Solvent and solvent-free kilograms (kg) 169 21 No Alkylsulfonic phenyl ester 09108-17-6 70 Pigment Red 5281-04-9 30 YES
Oil-base resin color paste – types of coloring paste
Rose Red

2021 NPC-560 Best Chem Co., LTD Solvent and solvent-free kilograms (kg) 170 21 No Alkylsulfonic phenyl ester 09108-17-6 45 Pigment Blue 57455-37-5 55 YES
Oil-base resin color paste – types of coloring paste
Royal Blue

2021 NPL7000 Best Chem Co., LTD Solvent and solvent-free kilograms (kg) 932 21 No Dioctyl terephthalate 6422-86-2 100 YES
Reducer types of coloring paste
2021 NPL-7050 Best Chem Co., LTD Solvent and solvent-free kilograms (kg) 345 21 No PVC powder 9002-86-2 40 Dioctyl terephthalate 6422-86-2 29 Alkylsulfonic phenyl ester 91082-17-6 28 Thickener 3 YES
Plastisol Ink – Clear types of coloring paste
Plastisol

2021 PL-9001-2SH Best Chem Co., LTD Solvent and solvent-free kilograms (kg) 700 21 No PVC powder 9002-86-2 32 Alkylsulfonic phenyl ester 91082-17-6 65 Thickener 53320-86-8 3 YES
Plastisol Ink - 3D-dot types of coloring paste
plastisol

2021 Napolamsoft Softener litres (l) 1080 30 Silicone 56275-01-5 100 YES
PT. Kimindo Jaya Sejahtera
2021 White Oil PD. Universal Lubricating Oil litres (l) 1400 30 Yes DISTILLATER (PETROLEUM), 64742-54-7 100 H350 YES
HYDROTREATED HEAVY H304
PARAFFINIC H372
H361
H413

Year Chemical name Use for chemcial CAS number Unit Total annual Maximum amount Is this chemcial hazardous? (if H-Statements Comments Source data available?
consumption (Jan-Dec) used per process yes, input the h-statements)

EXAMPLES 2019 Xylene Solvent for adhesive 1330-20-7 litres (l) 389 25 Yes H226 YES
H312
H315
H332

EXAMPLES 2019 Sodium Sulphate Dyebath additive 67-64-1 kilograms (kg) 10000 200 No YES
2019 Sodium sulfite Boiler Water Treatment 7757-83-7 litres (l) 12225 50 Yes H314 YES
H319
H315
H302
H335

2020 Sodium sulfite Boiler Water Treatment 7757-83-7 litres (l) 12250 50 Yes H314 YES
H319
H315
H302
H335

2021 Sodium sulfite Boiler Water Treatment 7757-83-7 litres (l) 12500 50 Yes H314 YES
H319
H315
CHEMCIALS

H302
H335
Welcome to the page where you report health and safety incidents. Please follow th

Follow these instructions to fill in the table below:


1) Select the country that you operate in from the drop-down options.
2) Select the year that the incident took place.
3) Select the employee type, nature of the incident, along with a description and the outcome. Pleas
Note - please write one row for each H&S incident. Use as many rows as you need.
4) Please refer to the glossary in your briefing document if you are unsure what any of the terms me
5) Finally, take a moment to double check your entries. If you have any missing information please pro

Country Year Month

EXAMPLE China 2020 June

Indonesia 2020 February

Indonesia 2020 March


Indonesia 2020 June

Indonesia 2021 July

Indonesia 2021 July

Indonesia 2021 July

Indonesia 2021 September

Indonesia 2021 October

Indonesia 2021 November

Indonesia 2021 November

Indonesia 2021 December

Indonesia 2021 December


alth and safety incidents. Please follow the steps below:

below:
drop-down options.

along with a description and the outcome. Please do not include any details about the individual e.g. their name.
Use as many rows as you need.
ment if you are unsure what any of the terms mean.
ries. If you have any missing information please provide a reason in the Comments column.

Employee classification Nature of indicent Severity of incident

Full-time employee Tool use Medical treatment


beyond first aid

Full-time employee Tool use First aid

Full-time employee Tool use First aid


Full-time employee Tool use First aid

Full-time employee Tool use First aid

Full-time employee Tool use First aid

Full-time employee Tool use First aid

Full-time employee Tool use First aid

Full-time employee Tool use First aid

Full-time employee Tool use First aid

Full-time employee Tool use First aid

Full-time employee Tool use First aid

Full-time employee Tool use First aid


about the individual e.g. their name.

column.

Brief description of the indicent (no Outcome of injury (if applicable)


more than 3 sentences)

Tripped up on uneven flooring Broke wrist due to a fall

needle pricked finger left index finger bleeding

scratched engine part laceration on right leg


needle pricked finger bloody index finger

needle pricked finger bloody index finger

needle pricked finger bloody index finger

needle pricked finger bloody index finger

needle pricked finger bloody index finger

needle pricked finger bloody index finger

needle pricked finger bloody index finger

needle pricked finger bloody index finger

needle scratched finger bloody index finger

needle scratched finger bloody index finger


Days taken off work to recover from Investigation conducted? (Y/N)
injury (if applicable)

One week Y

rest a few hours Y

rest a few hours Y


rest a few hours Y

rest a few hours Y

rest a few hours Y

rest a few hours Y

rest a few hours Y

rest a few hours Y

rest a few hours Y

rest a few hours Y

rest a few hours Y

rest a few hours Y


Outcome from investigation (If Source data attached in submission?
applicable) (Y/N)

Flooring has been replaced and Y


inspection of entire factory conducted
to check for other similar flooring
problems

tighter supervision from the Y


leadership
wear safety shoes Y
tighter supervision from the Y
leadership
tighter supervision from the Y
leadership
tighter supervision from the Y
leadership
tighter supervision from the Y
leadership
tighter supervision from the Y
leadership
tighter supervision from the Y
leadership
tighter supervision from the Y
leadership
tighter supervision from the Y
leadership
tighter supervision from the Y
leadership
tighter supervision from the Y
leadership
H-statement reference sheet

This reference list is for you to find the H-statements that correspond to components in the formulations you ar

H-statement Definition

H200 Unstable explosives.


H201 Explosive; mass explosion hazard.
H202 Explosive, severe projection hazard.
H203 Explosive; fire, blast or projection hazard.
H204 Fire or projection hazard.
H205 May mass explode in fire.
H206 Fire, blast or projection hazard; increased risk of explosion if
desensitising agent is reduced.
H207 Fire or projection hazard; increased risk of explosion if desensitising
agent is reduced.
H208 Fire hazard; increased risk of explosion if desensitising agent is
reduced.
H220 Extremely flammable gas.
H221 Flammable gas.
H222 Extremely flammable aerosol.
H223 Flammable aerosol.
H224 Extremely flammable liquid and vapour.
H225 Highly flammable liquid and vapour.
H226 Flammable liquid and vapour.
H228 Flammable solid.
H229 Pressurised container: May burst if heated.
H230 May react explosively even in the absence of air.
H231 May react explosively even in the absence of air at elevated pressure
and/or temperature.
H232 May ignite spontaneously if exposed to air.
H240 Heating may cause an explosion.
H241 Heating may cause a fire or explosion.
H242 Heating may cause a fire.
H250 Catches fire spontaneously if exposed to air.
H251 Self-heating: may catch fire.
H252 Self-heating in large quantities; may catch fire.
H260 In contact with water releases flammable gases which may ignite
spontaneously.
H261 In contact with water releases flammable gases.
H270 May cause or intensify fire; oxidiser.
H271 May cause fire or explosion; strong oxidiser.
H272 May intensify fire; oxidiser.
H280 Contains gas under pressure; may explode if heated.
H281 Contains refrigerated gas; may cause cryogenic burns or injury.
H290 May be corrosive to metals.
H300 Fatal if swallowed.
H301 Toxic if swallowed.
H302 Harmful if swallowed.
H304 May be fatal if swallowed and enters airways.
H310 Fatal in contact with skin.
H311 Toxic in contact with skin.
H312 Harmful in contact with skin.
H314 Causes severe skin burns and eye damage.
H315 Causes skin irritation.
H317 May cause an allergic skin reaction.
H318 Causes serious eye damage.
H319 Causes serious eye irritation.
H330 Fatal if inhaled.
H331 Toxic if inhaled.
H332 Harmful if inhaled.
H334 May cause allergy or asthma symptoms or breathing difficulties if
inhaled.
H335 May cause respiratory irritation.
H336 May cause drowsiness or dizziness.
H340 May cause genetic defects <state route of exposure if it is conclusively
proven that no other routes of exposure cause the hazard >.

H341 Suspected of causing genetic defects <state route of exposure if it is


conclusively proven that no other routes of exposure cause the
hazard>.

H350 May cause cancer <state route of exposure if it is conclusively proven


that no other routes of exposure cause the hazard>.
H350i May cause cancer by inhalation.
H351 Suspected of causing cancer <state route of exposure if it is
conclusively proven that no other routes of exposure cause the
hazard>.

H360 May damage fertility or the unborn child <state specific effect if known
> <state route of exposure if it is conclusively proven that no other
routes of exposure cause the hazard>.

H360F May damage fertility.


H360D May damage the unborn child.
H360FD May damage fertility. May damage the unborn child.
H360Fd May damage fertility. Suspected of damaging the unborn child.
H360Df May damage the unborn child. Suspected of damaging fertility.
H361 Suspected of damaging fertility or the unborn child <state specific
effect if known> <state route of exposure if it is conclusively proven
that no other routes of exposure cause the hazard>.

H361f Suspected of damaging fertility.


H361d Suspected of damaging the unborn child.
H361fd Suspected of damaging fertility. Suspected of damaging the unborn
child.
H362 May cause harm to breast-fed children.
H370 Causes damage to organs <or state all organs affected, if known>
<state route of exposure if it is conclusively proven that no other
routes of exposure cause the hazard>.

H371 May cause damage to organs <or state all organs affected, if known>
<state route of exposure if it is conclusively proven that no other
routes of exposure cause the hazard>.

H372 Causes damage to organs <or state all organs affected, if known>
through prolonged or repeated exposure <state route of exposure if it
is conclusively proven that no other routes of exposure cause the
hazard>.

H373 May cause damage to organs <or state all organs affected, if known>
through prolonged or repeated exposure <state route of exposure if it
is conclusively proven that no other routes of exposure cause the
hazard>.

H300 + H310 Fatal if swallowed or in contact with skin.


H300 + H330 Fatal if swallowed or if inhaled.
H310 + H330 Fatal in contact with skin or if inhaled.
H300 + H310 + H330 Fatal if swallowed, in contact with skin or if inhaled.
H301 + H311 Toxic if swallowed or in contact with skin.
H301 + H331 Toxic if swallowed or if inhaled.
H311 + H331 Toxic in contact with skin or if inhaled.
H301 + H311 + H331 Toxic if swallowed, in contact with skin or if inhaled.
H302 + H312 Harmful if swallowed or in contact with skin.
H302 + H332 Harmful if swallowed or if inhaled.
H312 + H332 Harmful in contact with skin or if inhaled.
H302 + H312 + H332 Harmful if swallowed, in contact with skin or if inhaled.
H400 Very toxic to aquatic life.
H410 Very toxic to aquatic life with long lasting effects.
H411 Toxic to aquatic life with long lasting effects.
H412 Harmful to aquatic life with long lasting effects.
H413 May cause long lasting harmful effects to aquatic life.
H420 Harms public health and the environment by destroying ozone in the
upper atmosphere.
n the formulations you are reporting in 'Chemicals_Formulations' sheet.

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