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1.

Information about the person/company ordering the safety assessment:

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2.

Product name (as it appears on the labels)

3.

Product category





4.

Is the product already sold on the market?



5.

Is product intended to be used on children under 3 years of age?



6.

What is the physical form of the product?








7.

Is the product leave-on or rinse-off? Rinse-off product means that the product is applied and washed off from the skin with water in less than 5 minutes since application.




8.

Is this a professional use only product?



9.

Is this a single use/single application product?



10.

Is the product filled at more than 65 degrees Celsius?



11.

What kind of packaging is the product packaged in?







12.

Which material(s) is the packaging made from (the parts in contact with the product)?











13.

Is the pH of the product below 3 or above 10?




14.

Have there been any undesirable or serious undesirable effects related to the use of this product so far?





15.

Please fill in the product formula. Ingredient names should be written according to their INCI names. You can search for the appropriate INCI names here:



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16.

Please upload the physical, chemical and microbiological specifications of the finished product You can put in the physical, chemical and microbiological specifications of the finished product manually, or you can upload the document that contain this data, such as the finished product COA.














Category 1 (products intended for children under 3 years of age, eye area or mucus membranes): max 100 CFU/g or ml. Category 2 products: max 1000 CFU/g or ml
All of the below mentioned pathogens need to be absent in the finished product when it is produced.






17.

Please upload the stability and compatibility test





18.

Please upload the challenge test (preservative efficacy test)




19.

Please upload the product label/artwork (label of the outer packaging/if any, label of the primary container)



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