IPC1752 Class D User Instructions Template = 1752_ClassD TemplateAPn.xlsm This is equivalent to Full Material Declaration Refer to IPC Guidance DOC0466153.

Locate the Template The revision controlled Master is available in MyWorkShop, IPC1752A Templates and Instructions, DOC1487130. Download the 1752_ClassD TemplateAPn.xls. Alternately, you may find it also at; Supplier Support Folder; https://data.gehealthcare.com/fs/v.aspx?v=8a6d658e6163b47db467 ESMART Support Central; http://supportcentral.ge.com/products/sup_products.asp?prod_id=289974 Don’t use the IPC1752 v1.1.PDF. This is old and should be used only for very limited declarations. Use of this Class D Template is preferred to any other Classes or declaration sources except, a Class D.XML file directly from your tools or resources.

Logistics of completing the Template The Class D Template name can be changed without loss of the XML generate function. It is suggested that you make a backup copy of the file immediately after receiving it. Then, if you potentially damage the working copy you have a good replacement just by changing the file name. Then as you work on a declaration, after completion of the XML generation, rename the file the name with a unique name to save the results for your records. Some people keep a copy of the template with the Header completed and use it as the starting point for the next declaration. This saves reentering the Header information again.

1752_ClassD TemplateAPn.xls Header Portion This is where the Supplier information is entered, along with the statement. Declaration Portion This is where the Part is listed and the declarations for the sub parts, material and substances are made

Template - Supplier Information Fields Requestor Information If this is a Distribute type of declaration then leave these fields blank. Company Name: GE Healthcare Company ID: GE Healthcare Request Date: date the you received the request (MMM-DD-YYYY format, e.g., Jun-30-2012) Contact Name: of the person making the request Contact Phone: of the person making the request

Template - Supplier Information Fields Company Name: the name as spelled on the request. Company ID: DUNS Number or GSL number or Company Name Contact Name: Your Name Contact Phone: Your Phone Number (xxx-xxx-xxxx format, e.g., 123-456-7890) Contact Email: Your email address (e.g., Sam.Smartie@Acme.com) Response Date: date the you make this declaration (MMM-DD-YYYY format, e.g., Jun-30-2012)

Template - Supplier Information Fields Declaration Information Legal Declaration: See Slide 8 for example (Standard default provided, supplier may enter own statement) Supplier Acceptance (TRUE , FALSE)

Template – Part(s) Information Fields There many different Sections in this portion of the form. The first 3 Sections are: Product – This is where the GEHC information would be entered. This is optional if this is a distribute type form submission. Supplier Part – This is where your part numbers and information is entered. Supplier Subpart – Many parts are a assembly of sub parts and if needed the information is entered here.

Template – Part(s) Information Fields There many different Sections in this portion of the form. The last 2 Sections are: Materials – This is where the Material attributes of each part or sub part are entered Substance – This is where the Substance attribute of each Material are entered

Parts - SubPart – Materials - Substances Product Section is Optional. When used it will contain GEHC part data Supplier Part data is required Observe this is Row 19 Product and Supplier Part information on Row 19 Allowed Product Units: Each Meter, M^2, M^3 Cm, Cm^2, Cm^3 Liter Allowed Mass Units: mg, g, kg

Parts - Subpart– Materials - Substances Subpart data is most often used Observe this data is entered on Row 20 Notice the Mass Units is g (grams) which matches the units in the Supplier Part Section Enter Mass Amount Total (when multiple quantities) Note - form does not perform calculation

Parts - Subpart– Materials - Substances Material data is required Observe this data is entered on Row 21 Notice the Mass Units is g (grams) which matches the units in the Supplier Part Section

Parts - Subpart– Materials - Substances Observe this data is entered on Row 22 If there are any exemptions used, they are indicated in the same Row as the Substance and in Columns Ex 1, Ex 2, Ex 3. This completes the Rows (19-27) for the Inner Handle. The other parts are added in the same manner working down the sheet Notice that Substances are % of the Mass of the Material in Row 21. Total = 100% of the indicated Material Substance data is required GEHC has accommodation for special CAS Numbers GEHC-1111 = No information is available GEHC-3333 = Supplier does not know GEHC-9999 = Material is proprietary See Appendix – Reporting not fully known Material / Substance information Substance Data can be copied and pasted from GEHC Material Content Files (MCFs) in Excel Item 21.X on Supplier Web Folder See example on following sheet

Parts – Subpart – Materials - Substances As cells are populated with data. If the next set of data needs to be placed on the next Row down, you will see the GRAY bars added to help you locate the next Row for the appropriate data.

Function Buttons “Load XML” Button “Run Error Check” Button This loads an XML into this Excel so that it can be copied or reviewed or edited “Run Error Check” Button ALL ERRORS must be cleaned before the output file is generated. This will reduce the email exchanges asking for data cleanup after sending to GEHC. See the example below. When all of the content passes the error checks the XML File is generated. This is computer readable output (an image) of what you entered into the Excel sheet. “Generate Declaration” Button An XML file will be generated. It will have the name of Supplier and the part number. (e.g., Acme_sadfasdfasdf.xml). Depending on your computer setup, the generated file will be in your ‘My Documents’ or the folder that contains the Template file. Send the XML file to GEHC, they will add the declarations into their Tool.

Supplier Declaration Statement for Class D Supplier certifies that it has met the GEHC Environmental Requirements defined in GEHC document 5240305GSP. Supplier certifies that it gathered the information it provides in this form concerning RoHS restrictive substances using appropriate methods to ensure its accuracy and that such information is true and correct to the best of its knowledge and belief, as of the date that Supplier completes this form. Supplier acknowledges that Company will rely on this certification in determining the compliance of its products with European Union member state laws that implement the RoHS Directive. Company acknowledges that Supplier may have relied on information provided by others in completing this form, and that Supplier may not have independently verified such information. However, in situations where Supplier has not independently verified information provided by others, Supplier agrees that, at a minimum, its suppliers have provided certifications regarding their contributions to the part, and those certifications are at least as comprehensive as the certification in this paragraph. If the Company and the Supplier enter into a written agreement with respect to the identified part, the terms and conditions of that agreement, including any warranty rights and/or remedies provided as a part of the agreement, will be the sole and exclusive source of the Supplier’s liability and the Company’s remedies for issues that arise regarding information the Supplier provides in this form.

Helpful Resources There are more examples, templates and guides in the Supplier Web Folder https://data.gehealthcare.com/fs/v.aspx?v=8a6d658e6163b47db467 - Guidance presentations Reporting templates GE Healthcare documents FAQs Training Roster & Schedule - Weekly Q&A Tcon / webcon