Marmoleum Ohmex
by Forbo Flooring Systems

Health ProductDeclaration v2.3
created via: HPDC Online Builder

HPD UNIQUE IDENTIFIER: 97843928064
CLASSIFICATION: 09 65 00 Resilient Flooring
PRODUCT DESCRIPTION: Forbo Marmoleum Ohmex is a homogeneous floor covering made from natural ingredients including flax seed oil, rosinbinders, wood flour, limestone and dry pigments which are mixed and then calendared onto a natural jute backing. Topshield is a high-performance finish.
Its double UV cured double layer technology delivers extraordinary performance and clear and vibrant colors that remain over time. Topshield creates a‘ready to use’ Marmoleum that requires no initial maintenance or polymer application. The surface can be repaired or refreshed in cases of accidents orafter years of intensive use. Range of Resistance: 1 x 10^6 < R1 < 1 – 10^8 ohms surface to ground; Gauge - 1/10” (2.5 mm); Backing - Jute; Width - 79”(2 meters); Length - 105’ (32 meters); Roll Size - 77 square yards (64 square meters).

Basic Method / Product Threshold

Section 1: Summary
CONTENT INVENTORY
Inventory Reporting Format

Threshold Level

Nested Materials Method
Basic Method

100 ppm
1,000 ppm
Per GHS SDS
OtherThreshold Disclosed Per
Material
Product

Residuals/Impurities Evaluation
Completed
Partially Completed
Not Completed

For all contents above the threshold, the manufacturer has:
Characterized
Yes NoProvided weight and role.
Screened

Explanation(s) provided :Yes NoYes

No

Provided screening results using HPDC-approved
methods.
Identified
Yes

No

Provided name and CAS RN or other identifier.

CONTENT IN DESCENDING ORDER OF QUANTITY

Number of Greenscreen BM-4/BM3 contents ... 4

Summary of product contents and results from screening individual
chemical substances against HPD Priority Hazard Lists and theGreenScreen for Safer Chemicals®. The HPD does not assess whether
using or handling this product will expose individuals to its chemical
substances or any health risk. Refer to Section 2 for further details.

Contents highest-concern GreenScreen score(s) (BM-1, LT-1, LT-P1) ...
LT-P1, BM-1

PRODUCT | MATERIAL OR SUBSTANCE | RESIDUAL OR IMPURITY
GREENSCREEN SCORE | HAZARD TYPEMARMOLEUM OHMEX [ LINSEED OIL NoGS WOOD FLOUR(HEMICELLULOSE) NoGS WOOD FLOUR (LIGNIN) NoGS LIMESTONE(CALCIUM CARBONATE) BM-3dg GUM ROSIN LT-P1 | SKI | MAM |AQU | REP | RES JUTE (PECTIN) LT-UNK JUTE (LIGNIN) NoGS JUTE(HEMICELLULOSE) NoGS RECYCLED FORBO LINOLEUM SCRAPNoGS CARBON BLACK PEARLS 120 BM-1 | CAN | EYE | MAM | PHY
TITANIUM DIOXIDE BM-1 | CAN | END | MAM SODIUM CHLORIDE LTUNK | EYE PEG-5 COCOMONIUM METHOSULFATE LT-P1 | MUL
POLYESTER ACRYLATE LT-UNK URETHANE ACRYLATE NoGS ]VOLATILE ORGANIC COMPOUND (VOC) CONTENTVOC Content data is not applicable for this product category.

Nanomaterial ... No
INVENTORY AND SCREENING NOTES:Percentage (%) ranges for ingredients are used as a means of keeping theexact formulations proprietary.
*Form-Specific Hazard: This substance's GreenScreen Benchmark or
List Translator score and the applicable hazards are related toparticulate inhalation, which is expected to occur only during
manufacture, installation, maintenance, or demolition, due to activities
such as sawing, sanding, grinding, or intensive cleaning. For thisreason, this score is intentionally omitted from the "Contents highest
concern" line above. See HPDC's Special Conditions policy for more
information.

CERTIFICATIONS AND COMPLIANCE See Section 3 for additional
listings.
VOC emissions: CDPH Standard Method V1.2 (Section 01350/CHPS) Classroom & Office scenario
CONSISTENCY WITH OTHER PROGRAMS
Pre-checked for LEED v4.1 Option 1.

Third Party Verified?
Yes
No

Marmoleum Ohmex

PREPARER: Self-Prepared
VERIFIER:
VERIFICATION #:SCREENING DATE: 2024-06-06
PUBLISHED DATE: 2024-06-07
EXPIRY DATE: 2027-06-06

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Section 2: Content in Descending Order of Quantity
This section lists contents in a product based on specific threshold(s) and reports detailed health information including hazards. This HPD uses theinventory method indicated above, which is one of three possible methods:
Basic Inventory method with Product-level threshold.
Nested Material Inventory method with Product-level threshold
Nested Material Inventory method with individual Material-level thresholds
Definitions and requirements for the three inventory methods and requirements for each data field can be found in the HPD Open Standard version 2.3,
available on the HPDC website at: www.hpd-collaborative.org/hpd-2-3-standard

MARMOLEUM OHMEXPRODUCT THRESHOLD: 1000 ppm

RESIDUALS AND IMPURITIES EVALUATION COMPLETED: No

RESIDUALS AND IMPURITIES NOTES: No residuals or impurities are expected to be present in the product at or above the reporting threshold.
OTHER PRODUCT NOTES:LINSEED OIL

ID: 8001-26-1

HAZARD DATA SOURCE: Pharos Chemical and Materials Library%: 26.0000 - 30.0000

GreenScreen: NoGSHAZARD TYPE

LIST NAME AND SOURCE

HAZARD SCREENING DATE: 2024-06-06 9:27:59
RC: None

NANO: NoSUBSTANCE ROLE: Binder

WARNINGS

None foundNo warnings found on HPD Priority Hazard Lists

ADDITIONAL LISTINGS

LIST NAME AND SOURCENOTIFICATION

None foundNo listings found on Additional Hazard Lists

SUBSTANCE NOTES:WOOD FLOUR (HEMICELLULOSE)

ID: 9034-32-6

HAZARD DATA SOURCE: Pharos Chemical and Materials Library%: 0.0000 - 28.0000
HAZARD TYPE

GreenScreen: NoGS
LIST NAME AND SOURCE

HAZARD SCREENING DATE: 2024-06-06 9:32:57
RC: PreC

NANO: NoWARNINGS

None found

ADDITIONAL LISTINGSSUBSTANCE ROLE: Filler

No warnings found on HPD Priority Hazard Lists

LIST NAME AND SOURCENOTIFICATION

None foundNo listings found on Additional Hazard Lists

SUBSTANCE NOTES: Wood flour is a pre-consumer recycled bio-based waste product.

WOOD FLOUR (LIGNIN)
HAZARD DATA SOURCE: Pharos Chemical and Materials Library

Marmoleum Ohmex

ID: 9005-53-2
HAZARD SCREENING DATE: 2024-06-06 9:33:36

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%: 0.0000 - 28.0000

HAZARD TYPE

GreenScreen: NoGS

RC: PreC

LIST NAME AND SOURCE

NANO: NoWARNINGS

None found

ADDITIONAL LISTINGSSUBSTANCE ROLE: Filler

No warnings found on HPD Priority Hazard Lists

LIST NAME AND SOURCENOTIFICATION

None foundNo listings found on Additional Hazard Lists

SUBSTANCE NOTES: Wood flour is a pre-consumer recycled bio-based waste product.

LIMESTONE (CALCIUM CARBONATE)

ID: 1317-65-3

HAZARD DATA SOURCE: Pharos Chemical and Materials Library%: 17.0000 - 21.0000
HAZARD TYPE

GreenScreen: BM-3dg

HAZARD SCREENING DATE: 2024-06-06 9:35:43
RC: None

LIST NAME AND SOURCESUBSTANCE ROLE: Filler

WARNINGS

None found

ADDITIONAL LISTINGS

NANO: NoNo warnings found on HPD Priority Hazard Lists

LIST NAME AND SOURCENOTIFICATION

None foundNo listings found on Additional Hazard Lists

SUBSTANCE NOTES:GUM ROSIN

ID: 8050-09-7

HAZARD DATA SOURCE: Pharos Chemical and Materials Library%: 4.0000 - 8.0000

Marmoleum Ohmex

GreenScreen: LT-P1

HAZARD SCREENING DATE: 2024-06-06 9:29:17
RC: None

NANO: NoSUBSTANCE ROLE: Binder

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HAZARD TYPE

LIST NAME AND SOURCEWARNINGSSKI

MAK

Sensitizing Substance Sh - Danger of skin sensitization

MAM

GHS - Japan

H335 - May cause respiratory irritation [Specific target
organ toxicity - Single exposure - Category 3]

SKI

GHS - New Zealand

Skin sensitisation category 1

AQU

GHS - New ZealandHazardous to the aquatic environment - chronic category 2

REP

GHS - Japan

H361 - Suspected of damaging fertility or the unborn child[Toxic to reproduction - Category 2]

AQU

GHS - Japan

H401 - Toxic to aquatic life [Hazardous to the aquatic
environment (acute) - Category 2]

AQU

GHS - Japan

H411 - Toxic to aquatic life with long lasting effects[Hazardous to the aquatic environment (chronic) Category 2]

RES

GHS - Japan

H334 - May cause allergy or asthma symptoms or
breathing difficulties if inhaled [Respiratory sensitization Category 1A]

ADDITIONAL LISTINGS

LIST NAME AND SOURCENOTIFICATION

None foundNo listings found on Additional Hazard Lists

SUBSTANCE NOTES:JUTE (PECTIN)

ID: 9000-69-5

HAZARD DATA SOURCE: Pharos Chemical and Materials Library%: 0.0000 - 8.0000
HAZARD TYPE

GreenScreen: LT-UNK

HAZARD SCREENING DATE: 2024-06-06 9:43:06
RC: None

LIST NAME AND SOURCESUBSTANCE ROLE: Carrier

WARNINGS

None found

ADDITIONAL LISTINGS

NANO: NoNo warnings found on HPD Priority Hazard Lists

LIST NAME AND SOURCENOTIFICATION

None foundNo listings found on Additional Hazard Lists

SUBSTANCE NOTES:JUTE (LIGNIN)

ID: 9005-53-2

HAZARD DATA SOURCE: Pharos Chemical and Materials Library%: 0.0000 - 8.0000
HAZARD TYPE
None foundMarmoleum Ohmex

GreenScreen: NoGS
LIST NAME AND SOURCE

HAZARD SCREENING DATE: 2024-06-06 9:42:48
RC: None

NANO: NoSUBSTANCE ROLE: Carrier

WARNINGS
No warnings found on HPD Priority Hazard Lists

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ADDITIONAL LISTINGS

LIST NAME AND SOURCENOTIFICATION

None foundNo listings found on Additional Hazard Lists

SUBSTANCE NOTES:JUTE (HEMICELLULOSE)

ID: 9034-32-6

HAZARD DATA SOURCE: Pharos Chemical and Materials Library%: 0.0000 - 8.0000
HAZARD TYPE

GreenScreen: NoGSHAZARD SCREENING DATE: 2024-06-06 9:42:29
RC: None

LIST NAME AND SOURCESUBSTANCE ROLE: Carrier

WARNINGS

None found

ADDITIONAL LISTINGS

NANO: NoNo warnings found on HPD Priority Hazard Lists

LIST NAME AND SOURCENOTIFICATION

None foundNo listings found on Additional Hazard Lists

SUBSTANCE NOTES:RECYCLED FORBO LINOLEUM SCRAP

ID: 8001-26-1

HAZARD DATA SOURCE: Pharos Chemical and Materials Library%: 0.0000 - 5.0000
HAZARD TYPE

GreenScreen: NoGSHAZARD SCREENING DATE: 2024-06-06 9:34:36
RC: Both

LIST NAME AND SOURCESUBSTANCE ROLE: Filler

WARNINGS

None found

ADDITIONAL LISTINGS

NANO: NoNo warnings found on HPD Priority Hazard Lists

LIST NAME AND SOURCENOTIFICATION

None foundNo listings found on Additional Hazard Lists

SUBSTANCE NOTES: Scrap closed-loop recycled Marmoleum is used as an additional filler in the production of new Marmoleum. Sourced
internally (pre-consumer) or globally (post-consumer from logistics, installation, and End Of Life*).

MAGNESIUM OXIDE

ID: 1309-48-4

HAZARD DATA SOURCE: Pharos Chemical and Materials Library

HAZARD SCREENING DATE: 2024-06-06 9:57:21%: 0.0000 - 3.0000 ALT

GreenScreen: BM-3dg

HAZARD TYPE

LIST NAME AND SOURCEWARNINGSCAN

MAK

Carcinogen Group 4 - Non-genotoxic carcinogen with low
risk under MAK/BAT levels

MAM

GHS - Japan

H335 - May cause respiratory irritation [Specific target
organ toxicity - Single exposure - Category 3]

Marmoleum Ohmex

RC: None

NANO: NoSUBSTANCE ROLE: Pigment

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ADDITIONAL LISTINGS

LIST NAME AND SOURCENOTIFICATION

None foundNo listings found on Additional Hazard Lists

SUBSTANCE NOTES: ALTERNATE: This substance is an alternate substance to Titanium dioxide.

ZINC OXIDE

ID: 1314-13-2

HAZARD DATA SOURCE: Pharos Chemical and Materials Library

HAZARD SCREENING DATE: 2024-06-06 9:57:41%: 0.0000 - 3.0000 ALT

GreenScreen: BM-1

HAZARD TYPE

LIST NAME AND SOURCEWARNINGSENDTEDX - Potential Endocrine Disruptors

Potential Endocrine Disruptor

MUL

German FEA - Substances Hazardous to
WatersClass 3 - Severe Hazard to Waters

AQU

EU - GHS (H-Statements) Annex 6 Table 3-1

H400 - Very toxic to aquatic life [Hazardous to the aquatic
environment (acute) - Category 1]

AQU

EU - GHS (H-Statements) Annex 6 Table 3-1

H410 - Very toxic to aquatic life with long lasting effects[Hazardous to the aquatic environment (chronic) Category 1]

MAM

GHS - Japan

H370 - Causes damage to organs [Specific target
organs/systemic toxicity following single exposure Category 1]

AQU

GHS - New ZealandHazardous to the aquatic environment - acute category 1

AQU

GHS - Japan

H400 - Very toxic to aquatic life [Hazardous to the aquatic
environment (acute) - Category 1]

AQU

GHS - Japan

H410 - Very toxic to aquatic life with long lasting effects[Hazardous to the aquatic environment (chronic) Category 1]

AQU

GHS - Australia

H410 - Very toxic to aquatic life with long lasting effects[Hazardous to the aquatic environment (chronic) Category 1]

AQU

GHS - New ZealandHazardous to the aquatic environment - chronic category 1

REP

GHS - Japan

H361 - Suspected of damaging fertility or the unborn child[Toxic to reproduction - Category 2]

Marmoleum Ohmex

RC: None

NANO: NoSUBSTANCE ROLE: Pigment

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ADDITIONAL LISTINGS

LIST NAME AND SOURCENOTIFICATIONRESTRICTED LIST

Green Science Policy Institute (GSPI)

GSPI - Six Classes Precautionary List
Antimicrobials

RESTRICTED LIST

Cradle to Cradle Products Innovation Institute(C2CPII)C2C Certified v4 Product Standard Restricted Substances
List (RSL) - Effective July 1, 2022
Biological and Environmentally Released Materials

RESTRICTED LIST

Cradle to Cradle Products Innovation Institute(C2CPII)C2C Certified v4 Product Standard Restricted Substances
List (RSL) - Effective July 1, 2022
Children's Products

SUBSTANCE NOTES: ALTERNATE: This substance is an alternate substance to Titanium dioxide.

BLACK PJ3013

ID: 1317-61-9

HAZARD DATA SOURCE: Pharos Chemical and Materials Library

HAZARD SCREENING DATE: 2024-06-06 9:56:59%: 0.0000 - 3.0000 ALT

GreenScreen: BM-1

RC: None

NANO: NoHAZARD TYPE

LIST NAME AND SOURCEWARNINGSCAN

MAK

Carcinogen Group 3B - Evidence of carcinogenic effects
but not sufficient for classification**

ADDITIONAL LISTINGS

LIST NAME AND SOURCENOTIFICATION

None found

SUBSTANCE ROLE: Pigment

No listings found on Additional Hazard Lists

SUBSTANCE NOTES: ALTERNATE: This substance is an alternate substance to Carbon Black pearls 120.
**Form-Specific Hazard: This substance's GreenScreen Benchmark or List Translator score and the applicable hazards are related to particulate
inhalation, which is expected to occur only during manufacture, installation, maintenance, or demolition, due to activities such as sawing,sanding, grinding, or intensive cleaning. See HPDC's Special Conditions policy for more information. Manufacturer's Safety Data Sheet (SDS), if
applicable, may offer occupational health and safety information.

SICOPLAST V BLUE 68-8110

ID: 147-14-8

HAZARD DATA SOURCE: Pharos Chemical and Materials Library%: 0.0000 - 3.0000 ALT

GreenScreen: BM-3

HAZARD TYPE

LIST NAME AND SOURCE

HAZARD SCREENING DATE: 2024-06-06 9:56:33
RC: None

None found

NANO: NoSUBSTANCE ROLE: Pigment

WARNINGS
No warnings found on HPD Priority Hazard Lists

ADDITIONAL LISTINGS

LIST NAME AND SOURCENOTIFICATIONPOSITIVE LIST

US Environmental Protection Agency (USEPA)

US EPA - DfE Safer Chemicals Ingredients list (SCIL)
Colorants - Green Circle (Verified Low Concern)

Marmoleum Ohmex

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SUBSTANCE NOTES: ALTERNATE: This substance is an alternate substance to Carbon Black pearls 120.

BLUE PS 5.1-87

ID: 147-14-8

HAZARD DATA SOURCE: Pharos Chemical and Materials Library%: 0.0000 - 3.0000 ALT

GreenScreen: BM-3

HAZARD TYPE

LIST NAME AND SOURCE

HAZARD SCREENING DATE: 2024-06-06 9:56:15
RC: None

NANO: NoSUBSTANCE ROLE: Pigment

WARNINGS

None foundNo warnings found on HPD Priority Hazard Lists

ADDITIONAL LISTINGS

LIST NAME AND SOURCENOTIFICATIONPOSITIVE LIST

US Environmental Protection Agency (USEPA)

US EPA - DfE Safer Chemicals Ingredients list (SCIL)
Colorants - Green Circle (Verified Low Concern)

SUBSTANCE NOTES: ALTERNATE: This substance is an alternate substance to Carbon Black pearls 120.

BAYFERROX RED 130

ID: 1309-37-1

HAZARD DATA SOURCE: Pharos Chemical and Materials Library

HAZARD SCREENING DATE: 2024-06-06 9:55:57%: 0.0000 - 3.0000 ALT

GreenScreen: BM-1

RC: None

NANO: NoHAZARD TYPE

LIST NAME AND SOURCEWARNINGSCAN

MAK

Carcinogen Group 3B - Evidence of carcinogenic effects
but not sufficient for classification**

MAM

GHS - Japan

H372 - Causes damage to organs through prolonged orrepeated exposure [Specific target organs/systemic toxicity
following repeated exposure - Category 1]**MAM

GHS - Japan

H370 - Causes damage to organs [Specific target
organs/systemic toxicity following single exposure Category 1]**

ADDITIONAL LISTINGS

LIST NAME AND SOURCENOTIFICATION

None found

SUBSTANCE ROLE: Pigment

No listings found on Additional Hazard Lists

SUBSTANCE NOTES: ALTERNATE: This substance is an alternate substance to Carbon Black pearls 120.
**Form-Specific Hazard: This substance's GreenScreen Benchmark or List Translator score and the applicable hazards are related to particulate
inhalation, which is expected to occur only during manufacture, installation, maintenance, or demolition, due to activities such as sawing,sanding, grinding, or intensive cleaning. See HPDC's Special Conditions policy for more information. Manufacturer's Safety Data Sheet (SDS), if
applicable, may offer occupational health and safety information.

IRGALITE RED K 4170 FP C20

ID: 7023-61-2

HAZARD DATA SOURCE: Pharos Chemical and Materials Library%: 0.0000 - 3.0000 ALT

Marmoleum Ohmex

GreenScreen: LT-UNK

HAZARD SCREENING DATE: 2024-06-06 9:55:39
RC: None

NANO: NoSUBSTANCE ROLE: Pigment

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HAZARD TYPE

LIST NAME AND SOURCEWARNINGS

None found

ADDITIONAL LISTINGS

No warnings found on HPD Priority Hazard Lists

LIST NAME AND SOURCENOTIFICATION

None foundNo listings found on Additional Hazard Lists

SUBSTANCE NOTES: ALTERNATE: This substance is an alternate substance to Carbon Black pearls 120.

CROMOPHTAL RED K 3830 C20

ID: 57971-99-0

HAZARD DATA SOURCE: Pharos Chemical and Materials Library%: 0.0000 - 3.0000 ALT

GreenScreen: LT-UNK

HAZARD TYPE

LIST NAME AND SOURCE

HAZARD SCREENING DATE: 2024-06-06 9:55:21
RC: None

NANO: NoSUBSTANCE ROLE: Pigment

WARNINGS

None foundNo warnings found on HPD Priority Hazard Lists

ADDITIONAL LISTINGS

LIST NAME AND SOURCENOTIFICATIONRESTRICTED LIST

Cradle to Cradle Products Innovation Institute(C2CPII)C2C Certified v4 Product Standard Restricted Substances
List (RSL) - Effective July 1, 2022
Core Restrictions

SUBSTANCE NOTES: ALTERNATE: This substance is an alternate substance to Carbon Black pearls 120.

RED 147008-C20

ID: 2786-76-7

HAZARD DATA SOURCE: Pharos Chemical and Materials Library%: 0.0000 - 3.0000 ALT

GreenScreen: LT-UNK

HAZARD TYPE

LIST NAME AND SOURCE

HAZARD SCREENING DATE: 2024-06-06 9:55:02
RC: None

SUBSTANCE ROLE: Pigment

WARNINGS

None found

ADDITIONAL LISTINGS

NANO: NoNo warnings found on HPD Priority Hazard Lists

LIST NAME AND SOURCENOTIFICATION

None foundNo listings found on Additional Hazard Lists

SUBSTANCE NOTES: ALTERNATE: This substance is an alternate substance to Carbon Black pearls 120.

OMNICOLOR-ORANGE DW23132006-PN

ID: 15793-73-4

HAZARD DATA SOURCE: Pharos Chemical and Materials Library%: 0.0000 - 3.0000 ALT

Marmoleum Ohmex

GreenScreen: LT-P1

HAZARD SCREENING DATE: 2024-06-06 9:54:40
RC: None

NANO: NoSUBSTANCE ROLE: Pigment

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HAZARD TYPE

LIST NAME AND SOURCEWARNINGS

MULGerman FEA - Substances Hazardous to
WatersClass 2 - Hazard to Waters

ADDITIONAL LISTINGS

LIST NAME AND SOURCENOTIFICATIONRESTRICTED LIST

Cradle to Cradle Products Innovation Institute(C2CPII)C2C Certified v4 Product Standard Restricted Substances
List (RSL) - Effective July 1, 2022
Core Restrictions

SUBSTANCE NOTES: ALTERNATE: This substance is an alternate substance to Carbon Black pearls 120.

IOX YELLOW 02

ID: 51274-00-1

HAZARD DATA SOURCE: Pharos Chemical and Materials Library%: 0.0000 - 3.0000 ALT

GreenScreen: LT-UNK

HAZARD TYPE

LIST NAME AND SOURCE

HAZARD SCREENING DATE: 2024-06-06 9:54:19
RC: None

SUBSTANCE ROLE: Pigment

WARNINGS

None found

ADDITIONAL LISTINGS

NANO: NoNo warnings found on HPD Priority Hazard Lists

LIST NAME AND SOURCENOTIFICATION

None foundNo listings found on Additional Hazard Lists

SUBSTANCE NOTES: ALTERNATE: This substance is an alternate substance to Carbon Black pearls 120.
**Form-Specific Hazard: This substance's GreenScreen Benchmark or List Translator score and the applicable hazards are related to particulate
inhalation, which is expected to occur only during manufacture, installation, maintenance, or demolition, due to activities such as sawing,sanding, grinding, or intensive cleaning. See HPDC's Special Conditions policy for more information. Manufacturer's Safety Data Sheet (SDS), if
applicable, may offer occupational health and safety information.

YELLOW PS 2.1-26

ID: 5567-15-7

HAZARD DATA SOURCE: Pharos Chemical and Materials Library

HAZARD SCREENING DATE: 2024-06-06 9:53:56%: 0.0000 - 3.0000 ALT

GreenScreen: LT-P1

RC: None

NANO: NoSUBSTANCE ROLE: Pigment

HAZARD TYPE

LIST NAME AND SOURCEWARNINGS

EYE

GHS - New Zealand

Eye irritation category 2

AQU

GHS - New ZealandHazardous to the aquatic environment - chronic category 3

ADDITIONAL LISTINGS

LIST NAME AND SOURCENOTIFICATIONRESTRICTED LIST

Cradle to Cradle Products Innovation Institute(C2CPII)C2C Certified v4 Product Standard Restricted Substances
List (RSL) - Effective July 1, 2022
Core Restrictions

SUBSTANCE NOTES: ALTERNATE: This substance is an alternate substance to Carbon Black pearls 120.

Marmoleum Ohmex

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YELLOW 132026

ID: 77804-81-0

HAZARD DATA SOURCE: Pharos Chemical and Materials Library%: 0.0000 - 3.0000 ALT

GreenScreen: LT-UNK

HAZARD TYPE

LIST NAME AND SOURCE

HAZARD SCREENING DATE: 2024-06-06 9:53:33
RC: None

SUBSTANCE ROLE: Pigment

WARNINGS

None found

ADDITIONAL LISTINGS

NANO: NoNo warnings found on HPD Priority Hazard Lists

LIST NAME AND SOURCENOTIFICATION

None foundNo listings found on Additional Hazard Lists

SUBSTANCE NOTES: ALTERNATE: This substance is an alternate substance to Carbon Black pearls 120.

CARBON BLACK PEARLS 120

ID: 1333-86-4

HAZARD DATA SOURCE: Pharos Chemical and Materials Library%: 0.0000 - 3.0000

GreenScreen: BM-1

HAZARD SCREENING DATE: 2024-06-06 9:53:14
RC: None

NANO: NoSUBSTANCE ROLE: Pigment

HAZARD TYPE

LIST NAME AND SOURCEWARNINGSCANUS CDC - Occupational Carcinogens

Occupational Carcinogen**

CAN

MAK

Carcinogen Group 3B - Evidence of carcinogenic effects
but not sufficient for classification**CAN

CA EPA - Prop 65

Carcinogen - specific to chemical form or exposure route**

CAN

IARC

Group 2b - Possibly carcinogenic to humans**

EYE

GHS - New Zealand

Eye irritation category 2**

CAN

GHS - New Zealand

Carcinogenicity category 2**

CAN

GHS - Japan

H351 - Suspected of causing cancer [Carcinogenicity Category 2]**MAM

GHS - Japan

H372 - Causes damage to organs through prolonged orrepeated exposure [Specific target organs/systemic toxicity
following repeated exposure - Category 1]**PHY

GHS - Japan

H251 - Self-heating;; may catch fire [Self-heating
substances and mixtures - Category 1]**

ADDITIONAL LISTINGS

LIST NAME AND SOURCENOTIFICATION

None foundNo listings found on Additional Hazard Lists

SUBSTANCE NOTES: **Form-Specific Hazard: This substance's GreenScreen Benchmark or List Translator score and the applicable hazards
are related to particulate inhalation, which is expected to occur only during manufacture, installation, maintenance, or demolition, due to activities
such as sawing, sanding, grinding, or intensive cleaning. See HPDC's Special Conditions policy for more information. Manufacturer's Safety
Data Sheet (SDS), if applicable, may offer occupational health and safety information.

TITANIUM DIOXIDEHAZARD DATA SOURCE: Pharos Chemical and Materials Library

Marmoleum Ohmex

ID: 13463-67-7
HAZARD SCREENING DATE: 2024-06-06 9:46:12

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%: 0.0000 - 3.0000

GreenScreen: BM-1

RC: None

NANO: NoSUBSTANCE ROLE: Pigment

HAZARD TYPE

LIST NAME AND SOURCEWARNINGSCANUS CDC - Occupational Carcinogens

Occupational Carcinogen**CAN

CA EPA - Prop 65

Carcinogen - specific to chemical form or exposure route**

CAN

IARC

Group 2B - Possibly carcinogenic to humans - inhaledfrom occupational sources**

CAN

MAK

Carcinogen Group 3A - Evidence of carcinogenic effects
but not sufficient to establish MAK/BAT value**

END

TEDX - Potential Endocrine Disruptors

Potential Endocrine Disruptor**

CAN

MAK

Carcinogen Group 4 - Non-genotoxic carcinogen with low
risk under MAK/BAT levels**

CAN

IARC

Group 2b - Possibly carcinogenic to humans**

CAN

EU - GHS (H-Statements) Annex 6 Table 3-1

H351 - Suspected of causing cancer [Carcinogenicity Category 2]**CAN

GHS - Japan

H351 - Suspected of causing cancer [Carcinogenicity Category 2]**MAM

GHS - Japan

H372 - Causes damage to organs through prolonged orrepeated exposure [Specific target organs/systemic toxicity
following repeated exposure - Category 1]**

ADDITIONAL LISTINGS

LIST NAME AND SOURCENOTIFICATIONRESTRICTED LIST

Cradle to Cradle Products Innovation Institute(C2CPII)C2C Certified v4 Product Standard Restricted Substances
List (RSL) - Effective July 1, 2022
Children's Products

RESTRICTED LIST

Cradle to Cradle Products Innovation Institute(C2CPII)C2C Certified v4 Product Standard Restricted Substances
List (RSL) - Effective July 1, 2022
Formulated Consumer Products

RESTRICTED LIST

Cradle to Cradle Products Innovation Institute(C2CPII)C2C Certified v4 Product Standard Restricted Substances
List (RSL) - Effective July 1, 2022
Cosmetics & Personal Care Products

POSITIVE LIST

US Environmental Protection Agency (USEPA)

US EPA - DfE Safer Chemicals Ingredients list (SCIL)
Colorants - Green Circle (Verified Low Concern)

SUBSTANCE NOTES: **Form-Specific Hazard: This substance's GreenScreen Benchmark or List Translator score and the applicable hazards
are related to particulate inhalation, which is expected to occur only during manufacture, installation, maintenance, or demolition, due to activities
such as sawing, sanding, grinding, or intensive cleaning. See HPDC's Special Conditions policy for more information. Manufacturer's Safety
Data Sheet (SDS), if applicable, may offer occupational health and safety information.

SODIUM CHLORIDE

ID: 7647-14-5

HAZARD DATA SOURCE: Pharos Chemical and Materials Library%: 0.0000 - 3.0000

Marmoleum Ohmex

GreenScreen: LT-UNK

HAZARD SCREENING DATE: 2024-06-06 9:41:53
RC: None

NANO: NoSUBSTANCE ROLE: Anti-static

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HAZARD TYPE

LIST NAME AND SOURCEWARNINGS

EYE

GHS - New Zealand

Eye irritation category 2

ADDITIONAL LISTINGS

LIST NAME AND SOURCENOTIFICATION

None foundNo listings found on Additional Hazard Lists

SUBSTANCE NOTES:

PEG-5 COCOMONIUM METHOSULFATE

ID: 68989-03-7

HAZARD DATA SOURCE: Pharos Chemical and Materials Library%: 0.0000 - 3.0000

GreenScreen: LT-P1

HAZARD SCREENING DATE: 2024-06-06 9:41:29
RC: None

NANO: NoSUBSTANCE ROLE: Anti-static

HAZARD TYPE

LIST NAME AND SOURCEWARNINGS

MULGerman FEA - Substances Hazardous to
WatersClass 3 - Severe Hazard to Waters

ADDITIONAL LISTINGS

LIST NAME AND SOURCENOTIFICATIONRESTRICTED LIST

Green Science Policy Institute (GSPI)

GSPI - Six Classes Precautionary List
Antimicrobials

SUBSTANCE NOTES:POLYESTER ACRYLATE

ID: 73378-73-1

HAZARD DATA SOURCE: Pharos Chemical and Materials Library%: 0.0000 - 0.5000
HAZARD TYPE

GreenScreen: LT-UNK

HAZARD SCREENING DATE: 2024-06-06 9:44:59
RC: None

LIST NAME AND SOURCESUBSTANCE ROLE: Carrier

WARNINGS

None found

ADDITIONAL LISTINGS

NANO: NoNo warnings found on HPD Priority Hazard Lists

LIST NAME AND SOURCENOTIFICATION

None foundNo listings found on Additional Hazard Lists

SUBSTANCE NOTES:URETHANE ACRYLATE

ID: 68987-79-1

HAZARD DATA SOURCE: Pharos Chemical and Materials Library%: 0.0000 - 0.5000

Marmoleum Ohmex

GreenScreen: NoGSHAZARD SCREENING DATE: 2024-06-06 9:44:35
RC: None

NANO: NoSUBSTANCE ROLE: Coating

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HAZARD TYPE

LIST NAME AND SOURCE

None found

ADDITIONAL LISTINGSNone found

WARNINGS
No warnings found on HPD Priority Hazard Lists

LIST NAME AND SOURCENOTIFICATION
No listings found on Additional Hazard Lists

SUBSTANCE NOTES:

Marmoleum Ohmex

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Section 3: Certifications and ComplianceThis section lists applicable certification and standards compliance information for VOC emissions and VOC content. Other types of health or environmental
performance testing or certifications completed for the product may be provided.

VOC EMISSIONSCDPH Standard Method V1.2 (Section 01350/CHPS) - Classroom & Office scenario

CERTIFYING PARTY: Third Party
APPLICABLE FACILITIES: All
CERTIFICATE URL:

ISSUE DATE: 2024-05-17 00:00:00
EXPIRY DATE: 2027-05-17 00:00:00

CERTIFIER OR LAB: Berkeley
Analyical

CERTIFICATION AND COMPLIANCE NOTES:

Section 4: Accessories
This section lists related products or materials that the manufacturer requires or recommends for installation (such as adhesives or fasteners),
maintenance, cleaning, or operations. For information relating to the contents of these related products, refer to their applicable Health ProductDeclarations, if available.

FORBO 615 EUROSTAR LINO EC ADHESIVEMANUFACTURER (OR GENERIC): Forbo Flooring Systems
HPD URL: No HPD Available
ACCESSORY TYPE: Adhesive
CONDITION WHEN RECOMMENDED OR REQUIRED AND/OR OTHER NOTES: Forbo 615 Eurostar Lino EC is the standard recommended adhesivefor Marmoleum Ohmex ESD installations. Refer to Forbo’s Sustain 1195 Technical Data Sheet for full installation recommendations and requirements.

FORBO SUSTAIN 1195 ADHESIVEMANUFACTURER (OR GENERIC): Forbo Flooring Systems
HPD URL: No HPD Available
ACCESSORY TYPE: Adhesive
CONDITION WHEN RECOMMENDED OR REQUIRED AND/OR OTHER NOTES: Forbo Sustain 1195 can be used as an alternate adhesive for nonESD Marmoleum Ohmex installations. Refer to Forbo’s Sustain 1195 Technical Data Sheet for full installation recommendations and requirements.

FORBO SUSTAIN 100 ADHESIVEMANUFACTURER (OR GENERIC): Forbo Flooring Systems
HPD URL: No HPD Available
ACCESSORY TYPE: Adhesive
CONDITION WHEN RECOMMENDED OR REQUIRED AND/OR OTHER NOTES: Forbo Sustain 100 can be used as an alternate adhesive for nonESD Marmoleum Ohmex installations. Refer to Forbo’s Sustain 100 Technical Data Sheet for full installation recommendations and requirements.

FORBO L 885 ADHESIVEMANUFACTURER (OR GENERIC): Forbo Flooring Systems
HPD URL: No HPD Available
ACCESSORY TYPE: Adhesive
CONDITION WHEN RECOMMENDED OR REQUIRED AND/OR OTHER NOTES: Forbo L 885 can be used as an alternate adhesive for non-ESD
Marmoleum Ohmex installations. Refer to Forbo’s L 885 Technical Data Sheet for full installation recommendations and requirements.

FORBO 660 ADHESIVEMANUFACTURER (OR GENERIC): Forbo Flooring Systems
HPD URL: No HPD Available
ACCESSORY TYPE: Adhesive
CONDITION WHEN RECOMMENDED OR REQUIRED AND/OR OTHER NOTES: Forbo 660 adhesive can be used as an alternate adhesive for nonESD Marmoleum Ohmex installations. Refer to Forbo’s 660 adhesive Technical Data Sheet for full installation recommendations and requirements.

Marmoleum Ohmex

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FORBO ARMORCOVE
MANUFACTURER (OR GENERIC): Forbo Flooring Systems
HPD URL: No HPD Available
ACCESSORY TYPE: Installation Accessory
CONDITION WHEN RECOMMENDED OR REQUIRED AND/OR OTHER NOTES: Forbo ArmorCove is the recommended coving system for use with
Forbo Marmoleum products. It is a fully integrated coving system that is comprised of a 1-piece aluminum cove-former, full vertical backing and cap, with
Marmoleum as the finished surface. It is puncture-proof and water resistant. Refer to Forbo’s ArmorCove Technical Data Sheet for full installation
recommendations and requirements.

FORBO MARMOWELD ETU
MANUFACTURER (OR GENERIC): Forbo Flooring Systems
HPD URL: No HPD Available
ACCESSORY TYPE: Installation Accessory
CONDITION WHEN RECOMMENDED OR REQUIRED AND/OR OTHER NOTES: Marmoweld ETU is the preferred method of welding seams whereseamless or monolithic flooring is required. Marmoweld ETU is a color matching paste weld which can also be used to make minor repairs in Forbo
Marmoleum products. Refer to Forbo’s Marmoweld ETU Technical Data Sheet for full installation recommendations and requirements.

FORBO ADHESIVE REMOVER
MANUFACTURER (OR GENERIC): Forbo Flooring Systems
HPD URL: No HPD Available
ACCESSORY TYPE: Cleaning Product
CONDITION WHEN RECOMMENDED OR REQUIRED AND/OR OTHER NOTES: Forbo Adhesive Remover is a recommended cleaning product for
use with Forbo Marmoleum Ohmex.

FORBO NEUTRAL PH CLEANERMANUFACTURER (OR GENERIC): Forbo Flooring Systems
HPD URL: No HPD Available
ACCESSORY TYPE: Cleaning Product
CONDITION WHEN RECOMMENDED OR REQUIRED AND/OR OTHER NOTES: Forbo Neutral pH Cleaner is a recommended cleaning product for
use with Forbo Marmoleum Ohmex.

Section 5: General Notes
Marmoleum Ohmex is only available in select colors. Marmoleum Ohmex meets the following surface to ground ranges when tested in accordance to
ASTM F 150, NFPA 99,and/or EOS/ESD S7.1: 1 x 10^6 < R1 < 1 – 10^8 ohms surface to ground. Marmoleum Ohmex contains no Isocyanates.

Marmoleum Ohmex

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Section 6: References
MANUFACTURER INFORMATIONMANUFACTURER: Forbo Flooring Systems
ADDRESS: 8 Maplewood Drive
Hazleton, PA 18202
COUNTRY: United States

WEBSITE: www.forboflooringNA.com
CONTACT NAME: Jeff Miller
TITLE: Sustainability & Documentation Administrator
PHONE: 570-450-0319
EMAIL: jeff.miller@forbo.com

The listed contact is responsible for the validity of this HPD and attests that it is accurate and complete to the best of his or her knowledge.
KEY
Hazard Types
AQU Aquatic toxicity
CAN Cancer
DEV Developmental toxicity
END Endocrine activity
EYE Eye irritation/corrosivity
GEN Gene mutation
GLO Global warming

LAN Land toxicity
MAM Mammalian/systemic/organ toxicity
MUL Multiple
NEU Neurotoxicity
NF Not found on Priority Hazard Lists
OZO Ozone depletionPBT Persistent, bioaccumulative, and toxic

PHY Physical hazard (flammable or reactive)
REP Reproductive
RES Respiratory sensitization
SKI Skin sensitization/irritation/corrosivity
UNK Unknown

GreenScreen (GS)BM-4 Benchmark 4 (prefer-safer chemical)
BM-3 Benchmark 3 (use but still opportunity for improvement)
BM-2 Benchmark 2 (use but search for safer substitutes)
BM-1 Benchmark 1 (avoid - chemical of high concern)
BM-U Benchmark Unspecified (due to insufficient data)

LT-P1 List Translator Possible 1 (Possible Benchmark-1)
LT-1 List Translator 1 (Likely Benchmark-1)
LT-UNK List Translator Benchmark Unknown
NoGS No GreenScreen.

GreenScreen Benchmark scores sometimes also carry subscripts, which provide more context for how the score was determined. These are DG(data gap), TP (transformation product), and CoHC (chemical of high concern). For more information, see 2.2.2.4 GreenScreen® for Safer Chemicals,
www.greenscreenchemicals.org, and Best Practices for Hazard Screening on the HPDC website (hpd-collaborative.org).
Recycled Types
PreC Pre-consumer recycled content
PostC Post-consumer recycled content
UNK Inclusion of recycled content is unknown
None Does not include recycled content
Other Terms:
GHS SDS Globally Harmonized System of Classification and Labeling of Chemicals Safety Data Sheet
Inventory Methods:
Nested Method / Material Threshold Substances listed within each material per threshold indicated per material
Nested Method / Product Threshold Substances listed within each material per threshold indicated per productBasic Method / Product Threshold Substances listed individually per threshold indicated per productNano Composed of nano scale particles or nanotechnology
Third Party Verified Verification by independent certifier approved by HPDC
Preparer Third party preparer, if not self-prepared by manufacturer
Applicable facilities Manufacturing sites to which testing applies

The Health Product Declaration (HPD) Open Standard provides for the disclosure of product contents and potential associated human and environmental
health hazards. Hazard associations are based on the HPD Priority Hazard Lists, the GreenScreen List Translator™, and when available, fullGreenScreen® assessments. The HPD Open Standard v2.1 is not:a method for the assessment of exposure or risk associated with product handling or use,a method for assessing potential health impacts of: (i) substances used or created during the manufacturing process or (ii) substances created after
the product is delivered for end use.
Information about life cycle, exposure and/or risk assessments performed on the product may be reported by the manufacturer in appropriate Notes
sections, and/or, where applicable, in the Certifications section.
The HPD Open Standard was created and is supported by the Health Product Declaration Collaborative (the HPD Collaborative), a customer-led
organization composed of stakeholders throughout the building industry that is committed to the continuous improvement of building products throughtransparency, openness, and innovation throughout the product supply chain.
The product manufacturer and any applicable independent verifier are solely responsible for the accuracy of statements and claims made in this HPD andMarmoleum Ohmex

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for compliance with the HPD standard noted.

Marmoleum Ohmex

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