Name Product ID Website Manufacturer Address Address Line 2 various www.shawcontract.com Shaw Industries Group, Inc. City, State, Code Dalton, GA 30720 Description Shaw Contract: EcoWorx Tile (LEED V4) 1010 V D Parrot Jr. Parkway Mail Drop 19-01 Classification Contact Name Title Phone Email CSI MasterFormat 09 68 13 Kellie Ballew Product Sustainability Manager 706-532-2200 kellie.ballew@shawinc.com This HPD is for all carpet tile products with EcoWorx backing ranging from 16-40 oz/sq yd face weight. Face fiber includes the following yarn types; EcoSolutionQ, SolutionQ, SolutionQ Extreme, Polyester (PET), Nylon 6 & Nylon 6,6 face fibers. Release Date 23-Sep-2015 X Self-declared Expiry Date HPD URL SUMMARY The content of this product was assessed for health hazard warnings as required using Residuals Disclosure X Measured 1000 ppm Predicted by process chemistry As per MSDS (1,000 & 10,000 ppm) Not disclosed 22-Sep-2018 Measured 100 ppm (ideal) Second Party Third Party Certifier Certificate # Full Disclosure of Intentional Ingredients Full Disclosure of Known Hazards Yes X Yes Contents in Descending Order of Quantity (if the area below is full, refer to the following pages for additional listings) Calcium Carbonate, Nylon 6, Nylon 6, Nylon 6,6, Polyethylene Terephthalate (PET), Ethene-1-Octene Copolymer, Vinyl Acetate / Ethylene Copolymer, Hydrocarbon Resin, Glass Oxide & Continuous Filament Glass Fiber, Polyethylene Terphthalate (PET), Aluminum Trihydrate (ATH), Quartz, Ethylene / Hexane-1 Copolymer, Silica (amorphous), 1,4-Bis(2-Ethylhexyl) Sodium Sulfosuccinate, Modified Acrylic Binder, Tridecyl Alcohol Ethoxylate, Poly Vinyl Alcohol, Magnesium Carbonate, Backing Additive, Carbon Black, LLDPE, Fiber Colorant. X No Disclosure Notes A full disclosure of intentional ingredients is not possible with current IP standards and patent restrictions. However, all intentional ingredients not protected by IP have been disclosed to 1000 ppm for LEED V4 compliance. Residuals have not been assessed. N/A No Hazards Highest concern GreenScreen score - Possible Benchmark 1 X PBT (Persistent and Bioaccumulative Toxic) Gene mutation Total VOC Content Material (g/l) Regulatory (g/l) Development Reproductive Endocrine X Respiratory Neurotoxicity Mammal Skin or Eye Aquatic toxicity Does the product contain exempt VOCs? Are VOC-free tints available? Land toxicity Physical hazard Global warming Ozone depletion X Multiple Unknown X N/A Yes No X N/A Yes No Content Notes and respiratory hazards noted above are via inhalation routes only and not available for inhalation exposure in the finished carpet form. Please see the itemized ingredient list for specific chemical comments. Certifications and Compliance (if the area below is full, refer to the following pages for additional listings) VOC Emissions Green Label Plus (commercial) VOC Content Cradle to Cradle NSF 140 Health Product Declaration v1.0 (15 Dec 2012) - Summary - hpdcollaborative.org - Page 1 of 6
The HPD Standard is solely a declaration of product content and direct health hazards associated with exposure to its individual contents. It is not a full assessment of environmental impacts from the life cycle of this product. It is not an assessment of risks associated with actual use of the product. It does not address the potential health impacts of substances used or created during manufacture that do not appear in the final product as residuals, nor substances created during combustion or other degradation processes. This Health Product Declaration was generated following the requirements of the noted Standard version and is valid for a total of three years after date of issue or three months after a substantive change of product contents occurs. Users should verify that this Health Product Declaration is compliant with the most current version of the HPD Standard. Accuracy of claims made in this Health Product Declaration is the sole responsibility of the listed manufacturer and certifier (if applicable). The HPD Collaborative does not warrant any claim made herein, explicit or implicit. The HPD Standard is an open standard developed and managed by the HPD Collaborative, a nonprofit organization. For more information, visit hpdcollaborative.org. CONTENT IN DESCENDING ORDER OF QUANTITY ingredients must be assessed for health warnings against Priority Hazard Lists, regardless of disclosure level. Priority Hazard Lists and information on the GreenScreen Benchmarks can be found at www.hpdcollaborative.org/hazardlists. GS: GreenScreen Benchmark; RC: Recycled Content, PC: Post Consumer, PI: Post Industrial (Pre-consumer), BO: Both post industrial and post consumer; Nano: comprised of nanoscale particles or nanotechnology. Ingredient Name number % Weight GS RC Nano Role Hazard A Hazard B Hazard C Hazard D Hazard E Warning A Warning B Warning C Warning D Warning E Notes Calcium Carbonate 1317-65-3 25-45% U PI No Backing Nylon 6 25038-54-4 0-35% U PI No Face Fiber Nylon 6 25038-54-4 0-35% U No No Face Fiber Nylon 6,6 32131-17-2 0-35% U No No Face Fiber Polyethylene Terephthalate (PET) 25038-59-9 0-35% U No No Face Fiber Ethene-1-Octene Copolymer 26221-73-8 5-15% U No No Backing Vinyl Acetate / Ethylene Copolymer 24937-78-8 3-10% U No No Backing Hydrocarbon Resin 67891-77-4 3-10% U No No Backing Health Product Declaration v1.0 (15 Dec 2012) - Product Content - hpdcollaborative.org - Page 2 of 6
Glass Oxide & Continuous Filament Glass Fiber 65997-17-3 3-10% U BO No Backing None Found No warnings found on HPD Priority Lists Polyethylene Terphthalate (PET) 25038-59-9 3-10% U BO No Backing None Found No warnings found on HPD Priority Lists Aluminum Trihydrate (ATH) 21645-51-2 1-5% U No No Backing Respiratory AOEC: Asthmagen (ARs) - sensitizer-induced - inhalable forms only Not available for respirable exposure in finished carpet form. Quartz 14808-60-7 1-5% P1 No No Backing IARC Group 1 - Inhaled from occupational sources US CDC Occupational Carcinogen CA EPA Prop 65 - Carcinogen - Specific to chemical form or exposure route US NIH - Report on Carcinogens - (respirable size - occupational setting) MAK - Carcinogen Group 1 Quartz is naturally occuring residual in calcium carbonate filler. hazard only applies to inhalation of quartz which is not a route of exposure in finished carpet form. Ethylene / Hexane-1 Copolymer 25213-02-9 1-5% U No No Backing None Found No warnings found on HPD Priority Lists Silica (amorphous) 7631-86-9 1-3% U No No Backing 1,4-Bis(2-Ethylhexyl) Sodium Sulfosuccinate 577-11-7 0.1-1% P1 No No Backing Multiple German FEA - Substances Hazardous to Waters - Class 2 Modified Acrylic Binder 61467-52-5 0.1-1% U No No Backing Tridecyl Alcohol Ethoxylate 78330-21-9 0.1-1% U No No Backing Poly Vinyl Alcohol 9002-89-5 0.1-1% U No No Backing Magnesium Carbonate 546-93-0 0.1-1% U No No Backing Backing Additive Proprietary 0.1-1% U No No Backing Carbon Black 1333-86-4 0.1-1% U No No Backing NIOSH-C: Occupational carcinogen (also in Prop 65, IARC, MAK) Health Product Declaration v1.0 (15 Dec 2012) - Product Content - hpdcollaborative.org - Page 3 of 6
hazard applies to inhalation of carbon black only which is not a route of exposure in finished carpet form. LLDPE 9002-88-4 0.1-1% U PC No Backing Fiber Colorant Various 0.1-1% Health Product Declaration v1.0 (15 Dec 2012) - Product Content - hpdcollaborative.org - Page 4 of 6
CERTIFICATIONS AND COMPLIANCE Certifying Party = Self declaration : Manufacturer s self-declaration; Independent lab : Manufacturer's self-declaration using results from an independent lab and declaration of conformance. Second Party: Verification by trade association or other interested party; Third Party: Verification by independent certifier (ideal). Applicable facilities = Manufacturing sites to which testing applies. Type VOC Emissions (interior products only) VOC Content (wet applied only) Standard or Certification Certifier or Laboratory Certifying Party Applicable Facilities Issue Date Expiry Date Certificate URL Certification & Compliance Notes Green Label Plus (commercial) Carpet and Rug Institute Third Party 30-Jun-2012 30-Sep-2017 GLP 9968 http://www.carpet-rug.org/glp-carpet-products.html EcoSolutionQ - 25% Post Industrial RC Scientific Certification Systems Recycled Content Third Party 26-Aug-2015 25-Aug-2017 SCS-SEC-03673 https://www.scscertified.com/products/cert_pdfs/sha w_ecosolutionq_2016_scs-sec-03673_s.pdf Cradle to Cradle Cradle to Cradle Products Innovation Institute Third Party 21-May-2008 21-Mar-2017 http://www.c2ccertified.org/products/scorecard/ecowo rx-carpet-tiles1 Achieved V3.1 silver level certification NSF 140 Scientific Certification Systems (SCS) Third Party 1-Sep-2009 31-Aug-2018 http://www.scsglobalservices.com/certified-greenproducts-guide Achieved Gold level of Certification with Platinum level available upon request. Health Product Declaration v1.0 (15 Dec 2012)- Certifiations and Compliance - hpdcollaborative.org - Page 5 of 6
ACCESSORY MATERIALS This section is for additional products required by warranty or recommended by the manufacturer for installation (such as adhesives, fasteners, or factory coatings) or for maintenance, cleaning, or operations. Refer to Health Product Declarations, published separately, for a complete view of these products. Note: This declaration is not intended to address hazards of the installation process. Required or recommended product URL for companion Health Product Declaration Condition when required or recommended and/or other notes 01 LokDots carpet tile adhesive http://www.shawcontractgroup.com/content/literaturepdfs/scg _pdf/scg_lokdots_tearsheet.pdf Approved for EcoWorx Tile installations. 02 Shaw 5000 PSA carpet tile adhesive http://www.shawcontractgroup.com/content/literaturepdfs/adhe sive_pdf/adhesive5000.pdf Approved for EcoWorx Tile installations. 03 Shaw 5900 PSA adhesive for high moisture slabs http://www.shawcontractgroup.com/content/literaturepdfs/adhe sive_pdf/5900adhesive.pdf Approved for EcoWorx Tile installations. 04 05 06 07 08 09 10 Health Product Declaration v1.0 (15 Dec 2012) - Accessory Materials - hpdcollaborative.org - Page 6 of 6