InstructionsRMI:www.
responsiblemineralsinitiative.
org/,Introduction,ThisCobaltReportingTemplate(CRT)isafree,standardizedreportingtemplatecreatedbytheResponsibleMineralsInitiative(RMI).
TheTemplatefacilitatesthetransferofinformationthroughthesupplychainregardingmineralcountryoforiginandsmeltersandrefinersbeingutilizedandsupportstheexerciseofduediligenceinaccordancewiththeOECDDueDiligenceGuidanceforResponsibleSupplyChainsofMineralsfromConflict-AffectedandHigh-RiskAreas.
ThetemplatealsofacilitatestheidentificationofnewsmeltersandrefinerstopotentiallyunergoanauditviatheResponsibleMineralsAssuranceProcess.
TheCRTwasdesignedfordownstreamcompaniestodiscloseinformationabouttheirsupplychainsuptobutnotincludingthesmelter.
Ifyouareasmelterorrefiner,werecommendyouenteryourownnameinthesmelterlisttab.
Whenfillingouttheform,noneofthecellentriesshouldstartwith"="or"#.
",,Note:Entrieswith(*)aremandatoryfields.
,1.
Insertyourcompany'sLegalName.
Pleasedonotuseabbreviations.
Inthisfieldyouhavetheoptiontoaddothercommercialnames,DBAs,etc.
Thisfieldismandatory.
,2.
Selectyourcompany'sDeclarationScope.
Theoptionsforscopeare:A.
Company-wideB.
Product(orListofProducts)C.
User-DefinedFor"Company-wide",thedeclarationencompassestheentiretyofacompany'sproductsorproductsubstancesproducedbytheparentcompany.
Thereforeiftheuserisreportingcobaltdataatthecompanylevel,theywillbereportingdataonallproductstheymanufacture.
ForScopeselectionofProduct(orListofProducts),alinktotheworksheettabforProductListwillbedisplayed.
Ifthisscopeischosen,itismandatorytolisttheManufacturer'sProductNumberoftheproductscoveredundertheScopeofthisDeclarationinColumnBoftheProductListworksheet.
ItisoptionaltolisttheManufacturer'sProductNameinColumnCoftheProductListworksheet.
ForScopeselectionof"UserDefined",itismandatorythattheuserdescribesthescopetowhichthecobaltdisclosureisapplicable.
Thescopeofthisclassshallbedefinedinatextfieldbythesupplierandshouldbeeasilyunderstoodbycustomersorthereceiversofthedocument.
Asanexample,companiesmayprovidealinktoclarifyinginformation.
Thisfieldismandatory.
,3.
Insertyourcompany'suniqueidentifiernumberorcode(DUNSnumber,VATnumber,customer-specificidentifier,etc.
),4.
Insertthesourcefortheuniqueidentifiernumberorcode("DUNS","VAT","Customer",etc).
,5.
Insertyourfullcompanyaddress(street,city,state,country,postalcode).
,6.
Insertthenameofthepersontocontactregardingthecontentsofthedeclarationinformation.
Thisfieldismandatory.
,7.
Inserttheemailaddressofthecontactperson.
Ablankfieldmaycauseanerrorinformimplementation.
Thisfieldismandatory.
,8.
Insertthetelephonenumberforthecontact.
Thisfieldismandatory.
,9.
Insertthenameofthepersonwhoisresponsibleforthecontentsofthedeclarationinformation.
Theauthorizermaybeadifferentindividualthanthecontactperson.
Itisnotcorrecttousethewords''same''orsimilaridentificationtoprovidethenameoftheauthorizer.
Thisfieldismandatory.
,10.
InsertthetitlefortheAuthorizingperson.
Thisfieldismandatory.
,11.
InserttheemailaddressoftheAuthorizingperson.
Ifanemailaddressisnotavailable,state''notavailable''or''n/a.
''Ablankfieldmaycauseanerrorinformimplementation.
Thisfieldismandatory.
,12.
InsertthetelephonenumberfortheAuthorizingperson.
Thisfieldismandatory.
,13.
PleaseentertheDateofCompletionforthisformusingtheformatDD-MMM-YYYY.
Thisfieldismandatory.
,14.
Asanexample,theusermaysavethefilenameas:companyname-date.
xlsx(dateasYYYY-MM-DD).
,,InstructionsforcompletingthesixDeclarationofScopeQuestions(rows24-56).
ProvideanswersinENGLISHonly,Thesesixquestionsdefinetheusage,originationandsourcingidentificationforcobalt.
Thequestionsaredesignedtocollectinformationabouttheuseofcobaltinthecompany'sproduct(s)andthecompletenessofreporting.
Responsestothesequestionsshallrepresentthe'DeclarationScope'selectedinthecompanyinformationsection.
,ProvidecommentsintheCommentsectionsasrequiredtoclarifyyourresponses.
,Provideananswerusingthepulldownmenuselections.
Iftheresponseforcobalttoquestion1ispositive,thenallquestionsshallbecompletedforcobaltandthefollowingduediligencequestions(AtoI)shallbecompletedaboutthecompany'soverallduediligenceprogram.
,1.
Thisquestionisusedtodeterminewhethercobaltiswithinthescopeofthereportingrequirement.
Theresponsetothisquestionservestoexcludeanytrace-levelcontaminantsornaturally-occurringby-products.
Thisquestionasksifanycobaltisusedasrawmaterial,componentoradditiveinaproductthatyoumanufacture,includingcompounds.
Impuritiesfromrawmaterials,components,additives,abrasives,andcuttingtoolsareoutsidethescopeofthesurvey.
Theanswertothisquestionshallbeeither"yes""no"or"unknown.
",Somecompaniesmayrequiresubstantiationfora"No"answerthatshouldbeenteredintotheCommentField.
,2.
Thisisadeclarationthatanyportionofthecobaltcontainedinaproductormultipleproductsoriginatesfromaconflict-affectedandhigh-riskarea(CAHRA).
Theanswertothisquestionshouldbe"yes"ifanysmelterinthesupplychainsourcesfromaCAHRA,regardlessofwhethersuchasmelterhasbeenindependentlyauditedornot.
Theanswerstothisquestionshallbe"yes,""no,""unknown,"or"DRCoradjoiningcountriesonly.
"Substantiatea"Yes"answerinthecommentssection.
Ananswerof"unknown"isanacceptableresponse.
ThisquestionismandatoryforcobaltiftheresponsetoQuestion1is"Yes.
",3.
Thisisadeclarationthatidentifieswhethercobaltcontainedintheproduct(s)originateexlusivelyfromrecycledorscrapsources.
Theanswertothisquestionshallbe"yes","no",or"unknown".
A"Yes"answermeansthat100%ofthecobaltcomesfromrecycledorscrapsources.
A"No"answermeansthatsomeoftherawmaterialdoesnotcomefromrecycledorscrapsources.
An"Unknown"answermeansthattheuserdoesnotknowwhetherornot100%oftherawmaterialcomesfromrecycledorscrapsources.
Thisfieldismandatory.
,4.
Thisisaquestiontodeterminewhetheracompanyhasreceiveddisclosuresfromalldirectsuppliersreasonablybelievedtobeprovidingcobaltcontainedintheproductscoveredbythescopeofthisdeclaration.
Permissibleresponsestothisquestionare:100%Greaterthan90%Greaterthan75%-Greaterthan50%-50%orless-NoneThisfieldismandatory.
,5.
Thisquestionverifiesifthesupplierhasreasontobelievetheyhaveidentifiedallofthesmeltersprovidingcobaltintheproductscoveredbythisdeclaration.
Theanswertothisquestionshallbe"Yes""No"or"unknown",alongwithacommentincertaincases,e.
g.
listofsmelters.
Thisfieldismandatory.
,6.
Thisquestionverifiesthatallofthesmeltersidentifiedtobeprovidinganyofthecobaltcontainedintheproductscoveredbythescopeofthisdeclarationhavebeenreportedinthisdeclaration.
Theanswertothisquestionshallbe"yes""no"or"unknown"alongwithacommentincertaincases,e.
g.
listofsmelters.
ThisquestionismandatoryforcobaltiftheresponsetoQuestion1is"Yes"forcobalt.
,,InstructionsforcompletingQuestionsA.
–I.
(rows63-79).
QuestionsA.
throughI.
aremandatoryiftheresponsetoQuestion1is"Yes"forcobalt.
ProvideanswersinENGLISHonly.
,TheOECDDueDiligenceGuidanceforResponsibleSupplyChainsofMineralsfromConflict-affectedandHigh-riskAreas(OECDGuidance)defines"DueDiligence"as"anon-going,proactiveandreactiveprocessthroughwhichcompaniescanensurethattheyrespecthumanrightsanddonotcontributetoconflict".
Moreinformationisavailableathttp://www.
responsiblemineralsinitiative.
org/training-and-resources/conflict-affected-and-high-risk-areas/.
QuestionsA.
thruI.
aredesignedtoassessyourcompany'scobaltsourcingduediligenceactivities.
Responsestothesequestionsshallrepresentthefullscopeofyourcompany'sactivitiesandshallnotbelimitedtothe'DeclarationScope'selectedinthecompanyinformationsection.
,A.
Thisisadeclarationtodisclosewhetheracompanyhasapubliclyavailablecobaltsourcingpolicy.
Theanswertothisquestionshallbe"yes"or"no.
"If"Yes"theusershallspecifytheURLinaquestioncommentfield.
Thisfieldismandatory.
,B.
Thisisadeclarationwhetherthecompany'scobaltsourcingpolicyaddressesallrisksintheOECDDueDiligenceGuidanceAnnexIIModelPolicyaswellasalltheworstformsofchildlabor.
Theanswertothisquestionshallbe"yes"or"no".
Thisfieldismandatory.
"AnnexIIRisks"canbefoundathttp://www.
oecd.
org/daf/inv/mne/OECD-Due-Diligence-Guidance-Minerals-Edition3.
pdf.
,C.
Pleaseanswer"yes"or"no"todisclosewhetheryourcompanyhasimplementedcobaltsourcingduediligencemeasures.
Thisdeclarationisnotintendedtoprovidethedetailsofacompany'sduediligencemeasures-justthatacompanyhasimplementedduediligencemeasures.
Theaspectsofacceptableduediligencemeasuresshallbedeterminedbytherequestorandsupplier.
Examplesofduediligencemeasuresmayinclude:communicatingandincorporatingintocontracts(wherepossible)yourexpectationstosuppliersonresponsiblecobaltsupplychain;identifyingandassessingrisksinthesupplychain;designingandimplementingastrategytorespondtoidentifiedrisks,etc.
TheseduediligencemeasureexamplesareconsistentwiththeguidelinesincludedintheinternationallyrecognizedOECDGuidance.
Thisfieldismandatory.
,D.
ThisisadeclarationtodeterminewhetheracompanyrequirestheirdirectsupplierstoexerciseduediligenceoverthecobaltsupplychaininaccordancewiththeOECDDueDiligenceGuidance.
Theanswertothisquestionshallbe"yes"or"no.
"Commentsshouldbecapturedinaquestioncommentfield.
Thisfieldismandatory.
,E.
Thisisadeclarationtodeterminewhetheracompanyrequirestheirdirectsupplierstosourcecobaltfromindependentlyvalidatedsmelters.
Theanswertothisquestionshallbe"yes"or"no.
"Commentsshouldbecapturedinaquestioncommentfield.
Thisfieldismandatory.
,F.
ThisisadeclarationtodeterminewhetheracompanyrequiressmeltersintheirsupplychaintoexerciseduediligenceoverthecobaltsupplychaininaccordancewiththeOECDDueDiligenceGuidance.
Theanswertothisquestionshallbe"yes"or"no.
"Commentsshouldbecapturedinaquestioncommentfield.
Thisfieldismandatory.
"AnnexIIRisks"canbefoundathttp://www.
oecd.
org/daf/inv/mne/OECD-Due-Diligence-Guidance-Minerals-Edition3.
pdf.
,G.
Thisisaquestiontodisclosewhetheracompanyrequeststheirsuppliertofilloutacobaltreportingtemplate.
Acceptableanswersarelistedbelow,incertaincasesfurtherexplanationmayberequired,i.
e.
,toprovidetheformatusedforcollectinginformation.
Iftheansweris"Yes,usingotherformat"theusershallprovideacommentinaquestioncommentfield.
Permissibleresponsestothisquestionare:-Yes,CobaltReportingTemplate-Yes,usingotherformat(describe)-NoThisfieldismandatory.
,H.
Pleaseanswer"Yes"or"No".
Inthecommentssection,youcanprovideadditionalinformationonyourapproach.
Examplescouldbe:"3rdpartyaudit"-on-siteauditsofyoursuppliersconductedbyindependentthirdparties.
"Documentationreviewonly"-areviewofsuppliersubmittedrecordsanddocumentationconductedbyindependentthirdpartiesand,oryourcompanypersonnel.
"Internalaudit"-on-siteauditsofyoursuppliersconductedbyyourcompanypersonnel.
Thisfieldismandatory.
,I.
Thisisaquestiontodisclosewhetheracompany'sreviewprocessincludescorrectiveactionmanagement.
Theanswertothisquestionshallbe"yes"or"no.
"Commentsshallbecapturedinaquestioncommentfield.
Thisfieldismandatory.
,,InstructionsforcompletingtheSmelterListTab.
ProvideanswersinENGLISHonlyNote:Columnswith(*)aremandatoryfields,ThistemplateallowsforsmelteridentificationusingtheSmelterLook-up.
ColumnsB,andCmustbecompletedinorderfromlefttorighttoutilizetheSmelterLook-upfeature.
Useaseparatelineforeachmetal/smelter/countrycombination.
,1.
SmelterIdentificationInputColumn-IfyouknowtheSmelterIdentificationNumber,inputthenumberinColumnA(columnsB,C,D,E,F,G,I,andJwillauto-populate).
ColumnAdoesnotautopopulate,2.
Metal(*)-Usethepulldownmenutoselectthemetalforwhichyouareenteringsmelterinformation.
Thisfieldismandatory.
,3.
SmelterLook-up(*)-Selectfromdropdown.
Thisisthelistofknownsmeltersasoftemplatereleasedate.
Ifsmelterisnotlistedselect'SmelterNotListed'.
ThiswillallowyoutoenterthenameofthesmelterinColumnD.
Ifyoudonotknowthenameorlocationofthesmelter,select'SmelterNotYetIdentified.
'Forthisoption,columnsDandEwillautopopulatetosay,'unknown.
'Thisfieldismandatory.
,4.
SmelterName(1)-Fillinsmelternameifyouselected"SmelterNotListed"incolumnC.
Thisfieldwillauto-populatewhenasmelternameinselectedinColumnC.
Thisfieldismandatory.
,5.
SmelterCountry(*)–Thisfieldwillauto-populatewhenasmelternameisselectedincolumnC.
Ifyouselected"SmelterNotListed"incolumnC,usethepulldownmenutoselectthecountrylocationofthesmelter.
Thisfieldismandatory.
,6.
SmelterIdentification-Thisisauniqueidentifierassignedtoasmelterorrefineraccordingtoanestablishedsmelterandrefineryidentificationsystem.
Itisexpectedthatmultiplenamesoraliasescouldbeusedtodescribeasinglesmelterorrefinerandthereforemultiplenamesoraliasescouldbeassociatedtoasingle'SmelterID'.
,7.
SourceofSmelterIdentificationNumber-ThisisthesourceoftheSmelterIdentificationNumberenteredinColumnF.
IfasmelternamewasselectedinColumnCusingthedropdownbox,thisfieldwillauto-populate.
,8.
SmelterStreet-Providethestreetnameonwhichthesmelterislocated.
Thisfieldisoptional.
,9.
SmelterCity–Providethecitynameofwherethesmelterislocated.
Thisfieldisoptional.
,10.
.
SmelterLocation:State/Province,ifapplicable–Providethestateorprovincewherethesmelterislocated.
Thisfieldisoptional.
,11.
SmelterContactName–TheCobaltReportingTemplate(CRT)iscirculatedamongcompaniesintherequestingcompany'ssupplychaintoexerciseduediligenceinaccordancewiththeOECDDueDiligenceGuidanceforResponsibleSupplyChainsofMineralsfromConflict-AffectedandHigh-Risk.
Ifthetemplateiscirculatedinacountrywherelawsprotectingpersonalinformationexist,sharingpersonalcontactinformationintheCRTmayviolaterelatedregulations.
Therefore,itisrecommendedthattherequestingcompanytakeprecautionssuchasobtainingthecontactperson'spermissiontosharetheinformationwithothercompaniesinthesupplychainwhencompleting"SmelterContactName"andthe"SmelterContactEmail"columns.
Ifyouhavepermissiontosharethisinformation,pleasefillinthenameoftheSmelterFacilityContactpersonwhoyouworkedwith.
,12.
SmelterContactEmail–FillintheemailaddressoftheSmelterFacilitycontactpersonwhowasidentifiedastheSmelterContactName.
Example:John.
Smith@SmelterXXX.
com.
PleasereviewtheinstructionsforSmelterContactNamebeforecompletingthisfield.
,13.
NameofMine(s)-Thisfieldallowsacompanytodefinetheactualminesbeingusedbythesmelter.
Pleaseentertheactualminenamesifknown.
If100%ofthesmelter'sfeedstockoriginatesfromrecycledorscrapsources,enter"Recycled"or"Scrap"inplaceofthenameofthemineandanswer"Yes"inColumnP.
,14.
Location(Country)ofMine(s)-Thisisafreeformtextfieldthatallowsacompanytodefinethelocationoftheminesbeingusedbythesmelter.
Pleaseenterthecountryofthemine(s).
Ifthecountryoforiginisnotknown,enter"Unknown".
If100%ofthesmelter'sfeedstockoriginatesfromrecycledorscrapsources,enter"Recycled"or"Scrap"inplaceofthecountryoforigin.
Thisfieldisoptional.
,15.
Indicateswhetherthesmeltersolelyobtainsinputsforitssmeltingprocess(es)fromrecycledorscrapsources.
Thisquestionisoptional.
Permissibleresponsestothisquestionare:-Yes-No-Unknown,16.
Comments–freeformtextfieldtoenteranycommentsconcerningthesmelter.
Example:smelterisbeingacquiredbyCompanyYYY,,TheCheckerworksheetisusedtoverifyifalltherequiredinformationintheTemplatehasbeencompleted.
Itisupdatedreal-timeandcanbereviewedatanytimewhileusingtheTemplate.
Itisusedtoverifycompletion.
Tousethissheet,verifyifallrequiredfieldshavebeencompleted(completedfieldswillbehighlightedingreen).
Ifnot,lookfortheredfield(s)andreviewthe"Notes"inColumnCforrequiredactions.
YoumayusetheURLinColumnDtodirectlyaccessthefieldforcompletion.
,,TERMSANDCONDITIONS,TheResponsibleMineralsInitiativeSmelterList(the"List")andProgramtemplatesandtools,including,withoutlimitation,theCobaltReportingTemplate(collectively"Tools"),including,withoutlimitation,allinformationprovidedtherein,areprovidedforinformationalpurposesonlyandarecurrentasofthedatesetforththerein.
AnyinaccuracyoromissionintheListoranyToolisnottheresponsibilityoftheResponsibleBusinessAlliance,Incorporated,aDelawarenon-stockcorporation("RBA").
Determinationofwhetherand/orhowtousealloranyportionoftheListoranyToolistobemadeintheUser'ssoleandabsolutediscretion.
PriortousingtheListoranyTool,youshouldreviewitwithyourownlegalcounsel.
NopartoftheListoranyToolconstituteslegaladvice.
UseoftheListoranyToolisvoluntary.
,RBAdoesnotmakeanyrepresentationsorwarrantieswithrespecttotheListoranyTool.
TheListandToolsareprovidedonan"ASIS"andonan"ASAVAILABLE"basis.
RBAherebydisclaimallwarrantiesofanynature,express,impliedorotherwise,orarisingfromtradeorcustom,including,withoutlimitation,anyimpliedwarrantiesofmerchantability,non-infringement,quality,title,fitnessforaparticularpurpose,completenessoraccuracy.
,Tothefullestextentpermittedbyapplicablelaws,RBArenouncesanyliabilityforanylosses,expensesordamagesofanynature,including,withoutlimitation,special,incidental,punitive,direct,indirectorconsequentialdamagesorlostincomeorprofits,resultingfromorarisingoutoftheUser'suseoftheListoranyTool,whetherarisingintort,contract,statute,orotherwise,evenifshownthattheywereadvisedofthepossibilityofsuchdamages.
,InconsiderationforaccessanduseoftheListand/oranyTool,THEUSERherebyagreestoanddoes(a)releaseandforeverdischargeRBAaswellasitsofficers,directors,agents,employees,volunteers,representatives,contractors,successors,andassigns,fromanyandallclaims,actions,losses,suits,damages,judgments,levies,andexecutions,whichtheUserhaseverhad,has,orevercan,shall,ormayhaveorclaimtohaveagainstRBA,aswellasitsofficers,directors,agents,employees,volunteers,representatives,contractors,successors,andassigns,resultingfromorarisingoutoftheListoranyToolorusethereof,andagreesto(b)indemnify,defendandholdharmlessRBA,aswellasitsofficers,directors,agents,employees,volunteers,representatives,contractors,successors,andassigns,fromanyandallclaims,actions,losses,suits,damages,judgments,levies,andexecutionsresultingfromorarisingoutoftheUSER'SuseoftheListoranyTool.
,IfanypartofanyprovisionoftheseTermsandConditionsshallbeinvalidorunenforceableunderapplicablelaw,saidpartshallbedeemedineffectivetotheextentofsuchinvalidityorunenforceabilityonly,withoutinanywayaffectingtheremainingpartsofsaidprovisionortheremainingprovisionsoftheseTermsandConditions.
,ByaccessingandusingtheListoranyTool,andinconsiderationthereof,theUseragreestotheforegoing.
,2019ResponsibleMineralsInitiative.
Allrightsreserved.
,"Returntodeclarationtab","Revision2.
0October30,2019"Revision,,,,,,,"DOCUMENTTITLE",,,,,,"CobaltReportingTemplate",,,,,,"SHEET",,,,,,"1of8",,,,,,,,,,,,,,,,,,,,,,,,"REVISIONHISTORY",,,,,,"Achangeinthefirstdigitoftherevisionnumber(e.
g.
,1.
0to2.
0)signifiesthatasetofmajorimprovementshaveoccurredandwouldlikelyincludedifferentdatareportingrequirements.
Changestothefirstdecimalplaces(2.
10to2.
20)indicatethatminorchangeshavebeenmadetothetemplateandarenotexpectedtoresultinsubstantialchangestothedatabeingreported.
Changestotheseconddecimalplaces(2.
10to2.
11)indicatesanevenmoreminorchange,forexampleanupdatetothesmelterreferencelistChangestoalphacharacters(e.
g.
,"a",or"b",or"c")followingtherevisionnumberindicatesthattheversionisanalphaorabetaversion;theseonlyappearonpre-releasedversionsandwouldbedroppedoncetheversionisreleasedtothepublic.
Aversionwithaletter(postversion4.
xx)shouldnotbeusedincommerce.
RMIrecommendsthatcompaniesrejecttheseversionsastheyarepre-releaseandcouldcontainerrorsorotherinconsistencieswhichcouldimpacttheaccuracyofthedata.
",,,,,,,,,,,,"REVISION","ORIGINATOR","RELEASEDATE","DESCRIPTIONOFFUNCTIONALCHANGE","UPDATESTOSMELTERLIST",,1,"RMI",43160,"Version1.
0:PILOT",,,1.
1000000000000001,"RMI",43455,"1.
Correctionstoallbugsanderrors2.
UpdatestotheSmelterReferenceListandStandardSmelterList3.
AdditionofJapanesetranslation","ThisversionincorporatesafewchangestothesmelterlistasreflectedintheCobaltStandardSmelterListasofNovember25,2018.
ThelatestversionoftheStandardSmelterListisavailableat:http://www.
responsiblemineralsinitiative.
org/responsible-minerals-assurance-process/exports/cmrt-export/.
",,2,"RMI",43768,"1.
Correctionstoallbugsanderrors2.
UpdatestotheStandardSmelterList","ThisversionincorporatesafewchangestothesmelterlistasreflectedintheCobaltStandardSmelterListasofAugust14,2019.
ThelatestversionoftheStandardSmelterListisavailableat:http://www.
responsiblemineralsinitiative.
org/responsible-minerals-assurance-process/exports/cmrt-export/.
",,2019ResponsibleMineralsInitiative.
Allrightsreserved.
,,,,,,,,,,,Definitions,,,,ITEM,DEFINITION,,,Authorizer,Thisfieldidentifiesthepersonresponsibleforthecontentofthedeclaration.
Theauthorizermaybeadifferentindividualfromthecontactperson.
Itisnotcorrecttousethewords''same''orsimilaridentificationtoprovidethenameoftheauthorizer.
,,,CobaltRefiner,Anentitythatprocessescobaltconcentrates,intermediatesorrecycledfeedandproducesacobaltproductfordirectuseinadownstreammanufacturingprocess.
,,"",Conflict-AffectedandHigh-RiskAreas(CAHRA),Conflict-AffectedandHigh-RiskAreas(CAHRA)aredefinedbytheOECDDueDiligenceGuidanceas"areasidentifiedbythepresenceofarmedconflict,widespreadviolenceorotherrisksofharmtopeople.
Armedconflictmaytakeavarietyofforms,suchasaconflictofinternationalornon-internationalcharacter,whichmayinvolvetwoormorestates,ormayconsistofwarsofliberation,orinsurgencies,civilwars,etc.
High-riskareasmayincludeareasofpoliticalinstabilityorrepression,institutionalweakness,insecurity,collapseofcivilinfrastructureandwidespreadviolence.
Suchareasareoftencharacterisedbywidespreadhumanrightabusesandviolationsofnationalorinternationallaw.
",,,DeclarationofScopeorClass,Forthepurposesofthistemplate,"scope"describestheapplicabilityoftheinformationprovidedbythereportingcompany.
Thescopemayencompasstheentiretyofacompany'sservicesand/orproducts,oratacompany'sdiscretion,thetemplatemaybeusedtoreportonaspecificproduct(orproducts),or,be'Userdefined'.
The'Userdefined'scopeselectionorclassmaybeusedtodescribeanysubsetofacompany'soperationorproductportfolio,,"",DueDiligence,TheOECDDueDiligenceGuidanceforResponsibleSupplyChainsofMineralsfromConflict-affectedandHigh-riskAreas(OECDGuidance)defines"DueDiligence"as"anon-going,proactiveandreactiveprocessthroughwhichcompaniescanensurethattheyrespecthumanrightsanddonotcontributetoconflict".
Moreinformationisavailableathttp://www.
responsiblemineralsinitiative.
org/training-and-resources/conflict-affected-and-high-risk-areas/.
,,"",DRCoradjoiningcountries,DemocraticRepublicofCongoandtheninecountrieswithwhichitsharesaninternationallyrecognizedborder:Angola,Burundi,CentralAfricanRepublic,RepublicoftheCongo,Rwanda,SouthSudan,Tanzania,Uganda,Zambia.
,,"",IndependentThird-PartyAuditFirm,Withrespecttosmelteraudits,an"IndependentThird-PartyAuditFirm"isaprivatesectororganizationcompetentinevaluatingthesmelterorrefiner'sduediligencesystemagainstadefinedstandard.
Tomaintainneutralityandimpartiality,suchorganizationanditsauditteammembersmusthavenoconflictsofinterestwiththeauditee.
,,"",Intentionallyadded,Intentionallyaddediscommonlyknownasthedeliberateuseofasubstance,orinthiscasemetal,intheformulationofaproductwherecontinuedpresenceisdesiredtoprovideaspecificcharacteristic,appearanceorquality.
,,"",14,OECD,OrganisationforEconomicCo-operationandDevelopment.
TheOECDhasdevelopedtheOECDDueDiligenceGuidanceforResponsibleSupplyChains.
TheOECDDueDiligenceGuidanceprovidesdetailedrecommendationstohelpcompaniesrespecthumanrightsandavoidcontributingtoconflictthroughtheirmineralpurchasingdecisionsandpracticesandusesareasonablenessapproach.
ThisGuidanceisforusebyanycompanypotentiallysourcingmineralsormetalsfromconflict-affectedandhigh-riskareas.
TheOECDGuidanceisglobalinscope,andappliestoallmineralsupplychains.
(http://mneguidelines.
oecd.
org/mining.
htm),,"",Product,Acompany'sProductorFinishedgoodisamaterialoritemwhichhascompletedthefinalstageofmanufacturingand/orprocessingandisavailablefordistributionorsaletocustomers.
,,,Refiner,Arefinerisacompanythatprocuresandprocessesmineralore,slagand/ormaterialsfromrecycledorscrapsourcesintorefinedmetalormetalcontainingintermediateproducts.
Theoutputcanbepure(99.
5%orgreater)metals,powders,ingots,bars,grains,oxidesorsalts.
Theterms"smelter"and"refiner"areusedinterchangeablythroughoutvariouspublications.
,,,RecycledorScrapSources,Recycledorscrapsourcesarerecycledcobaltthatarereclaimedend-userorpost-consumerproducts,orscrapprocessedcobaltcreatedduringproductmanufacturing.
Recycledcobaltincludesexcess,obsolete,defective,andscrapcobaltmaterialsthatcontainrefinedorprocessedmetalsthatareappropriatetorecycleintheproductionofsuchmetals.
Mineralspartiallyprocessed,unprocessedorbyproductsfromotheroresarenotincludedinthedefinitionofrecycledcobalt,,,ResponsibleBusinessAlliance(RBA),Foundedin2004theResponsibleBusinessAllianceistheworld'slargestindustrycoalitiondedicatedtoelectronicssupplychainresponsibility.
(http://www.
responsiblebusiness.
org),,"",ResponsibleMineralsAssuranceProcess(RMAP),TheResponsibleMineralsAssuranceProcess(RMAP)isaprogramdevelopedbytheRBAandGeSItoenhancecompanycapabilitytoverifytheresponsiblesourcingofmetals.
FurtherdetailsoftheRMAPcanbefoundhere:http://www.
responsiblemineralsinitiative.
org/smelter-introduction/,,"",ResponsibleMineralsInitiative(RMI),Foundedin2008bymembersoftheResponsibleBusinessAllianceandtheGlobale-SustainabilityInitiative,theResponsibleMineralsInitiativehasgrownintooneofthemostutilizedandrespectedresourcesforcompaniesaddressingconflictmineralsissuesintheirsupplychains.
Over150companiesfromsevendifferentindustriesparticipateintheRMItoday,contributingtoarangeoftoolsandresourcesincludingtheResponsibleMineralsAssuranceProcess,theConflictMineralsReportingTemplate,ReasonableCountryofOriginInquirydataandarangeofguidancedocumentsonconflictmineralssourcing.
TheRMIalsorunsregularworkshopsonconflictmineralsissuesandcontributestopolicydevelopmentanddebateswithleadingcivilsocietyorganizationsandgovernments.
Additionalinformationisavailableathttp://www.
responsiblemineralsinitiative.
org/.
,,,RMAPConformantSmelterList,TheResponsibleMineralsAssuranceProcess(RMAP)ConformantSmelterListisapublishedlistofsmeltersandrefinersthathaveundergoneassessmentthroughtheRMAP,aprogramoftheResponsibleMineralsInitiative(RMI)orindustryequivalentprogram(suchasResponsibleJewelleryCouncilorLondonBullionMarketAssociation)andhavebeenvalidatedtobeinconformancewiththeprotocols.
Ifasmelterorrefinerisnotonthelist,ithaseithernotcompletedaRMAPassessmentorisnotinconformancewiththeRMAPprotocol.
AlistofsmeltersandrefinerswhichhavebeenvalidatedtobeconformanttotheRMAPcanbefoundatwww.
responsiblemineralsinitiative.
org,,"",Smelter,Asmelterisacompanythatprocuresandprocessesmineralore,slagand/ormaterialsfromrecycledorscrapsourcesintorefinedmetalormetalcontainingintermediateproducts.
Theoutputcanbepure(99.
5%orgreater)metals,powders,ingots,bars,grains,oxidesorsalts.
Theterms"smelter"and"refiner"areusedinterchangeablythroughoutvariouspublications.
,,"",SmelterIdentificationNumber,AuniqueidentificationnumbertheRMIassignstocompaniesthathavebeenreportedbymembersofthesupplychainassmeltersorrefiners,whetherornottheyhavebeenverifiedtomeetthecharacteristicsofsmeltersorrefinersasdefinedintheRMAPauditprotocolsorotherapplicableauditprograms.
,,,2019ResponsibleMineralsInitiative.
Allrightsreserved.
,,,,,,Declaration,,,CobaltReportingTemplate(CRT),,,"English",,,,,,"Revision2.
0October25,2019",,,,,,1,Thepurposeofthisdocumentistocollectsourcinginformationoncobalt.
,,,,,,,LinktoTerms&Conditions,B,,Mandatoryfieldsarenotedwithanasterisk(*).
Consulttheinstructionstabforguidanceonhowtoanswereachquestion.
,CompanyInformation,,CompanyName(*):,,"pSemiCorporation",DeclarationScopeorClass(*):,,"B.
Product(orListofProducts)A.
Company","B.
Product(orListofProducts)","C.
Userdefined[Specifyin'Descriptionofscope',GotoProductListtabtoenterproductsthisdeclarationappliesto,,,,Clickheretoentertheproductsthisdeclarationappliesto,,CompanyUniqueID:,CompanyUniqueIDAuthority:,Address:,,"9380CarrollParkDrive,SanDiegoCA92121",ContactName(*):,,"AllanAlvarado",Email–Contact(*):,,"aalvarado@psemi.
com",Phone–Contact(*):,,"8587319409",Authorizer(*):,,"AllanAlvarado",Title-Authorizer:,,"Sr.
QualityEngineer",Email-Authorizer(*):,,"aalvarado@psemi.
com",Phone-Authorizer(*):,,"8587319409",EffectiveDate(*):,,43836,,Answerthefollowingquestions1-6basedonthedeclarationscopeindicatedabove,,1)Isanyofthecobaltintentionallyaddedorusedintheproduct(s)orintheproductionprocess,,Answer,,,Comments,,,,,",Cobalt(*),,"Yes",,,"No",,,"No",,,"No",2)DoanyofthesmeltersinyoursupplychainsourcethecobaltfromaConflict-AffectedandHigh-Riskarea(OECDDueDiligenceGuidance,seedefinitionstab)(*),,Answer,,,Comments,,,,,"",,,,3,37,,Cobalt(*),,"Unknown"38,,,,,,,,,0,39,,,,,,,,,0,40,,,,,,,,,0,41,,,,,,,,42,,3)Does100percentofthecobaltoriginatefromrecycledorscrapsources(*),,Answer,,,Comments,,,,,"43,,Cobalt(*),,"No"44,,0,45,,0,46,,0,47,48,,4)Whatpercentageofrelevantsuppliershaveprovidedaresponsetoyoursupplychainsurvey(*),,Answer,,,Comments,,,,,"49,,Cobalt(*),,"Greaterthan90%50,,0,51,,0,52,,0,53,54,,5)Haveyouidentifiedallofthesmelterssupplyingthecobalttoyoursupplychain(*),,Answer,,,Comments,,,,,"55,,Cobalt(*),,"No"56,,0,57,,0,58,,0,59,60,,6)Hasallapplicablesmelterinformationreceivedbyyourcompanybeenreportedinthisdeclaration(*),,Answer,,,Comments,,,,,"61,,Cobalt(*),,"Yes"62,,0,63,,0,64,,0,65,66,,AnswertheFollowingQuestionsataCompanyLevel,67,,Question,,Answer,,,Comments,#NAME,#NAME68,,A.
Haveyouestablishedapubliclyavailablecobaltsourcingpolicy(*),,"No"69,70,,B.
Doesyourpolicycover,ataminimum,allrisksintheOECDDueDiligenceGuidanceAnnexIIModelPolicy,aswellastheworstformsofchildlabor(*),,"No"71,72,,C.
Haveyouimplementedduediligencemeasuresforcobaltinthedeclarationscopeindicatedabove(*),,"No"73,74,,D.
DoyourequiresupplierstoexerciseduediligenceoverthecobaltsupplychaininaccordancewiththeOECDDueDiligenceGuidance(*),,"No"75,76,,E.
Doyourequireyourdirectsupplierstosourcecobaltfromsmelterswhoseduediligencepracticeshavebeenvalidatedbyanindependentthirdpartyauditprogram(*),,"No"77,78,,F.
Doyourequiresuppliers'duediligencepracticestocover,ataminimum,allrisksintheOECDDueDiligenceGuidanceAnnexIIModelPolicy,aswellastheworstformsofchildlabor(*),,"No"CHANGEDROPDOWNMENU:YES/NO",79,80,,G.
Doesyourcompanyconductcobaltsupplychainsurvey(s)ofyourrelevantsupplier(s)Yes,CRT"CHANGEDROPDOWNMENU:YES,RMRT/YES,USINGOTHERFORMAT(DESCRIBE)/NO",81,82,,H.
Doyoureviewduediligenceinformationreceivedfromyoursuppliersagainstyourcompany'sexpectations(*),,"No"83,84,,I.
Doesyourreviewprocessincludecorrectiveactionmanagement(*),,"No"85,86,2019ResponsibleMineralsInitiative.
Allrightsreserved.
87,,"Yes""No""Unknown""DRCoradjoiningcountriesonly"1"Greaterthan90%""Greaterthan75%",,,,"Greaterthan50%",,,,"50%orless",,,,"None",,,,"Yes,inconformancewithIPC1755(e.
g.
,CMRT)",,,,"Yes",,,,"No",,,,"Yes,CRT",,,,"Yes,UsingOtherFormat(Describe)""No"SmelterListz",,,,,,TOBEGIN:Yes",OptionA:IfyouknowtheSmelterIdentificationNumber,inputthenumberinColumnA(columnsB,C,E,F,G,IandJwillauto-populate);Dwillgreyout.
OptionB:IfyouhaveaCobaltandSmelterLook-upnamecombination,completethefollowingsteps:Step1.
SelectMetalincolumnBStep2.
SelectfromdropdownincolumnCOptionC:IfyouhaveaCobaltandSmelterNamecombination,completethefollowingsteps:Step1.
SelectMetalincolumnBStep2:Select"SmelterNotListed"intheSmelterLook-updropdownandcompletecolumnsD&EStep3.
EnterallavailablesmelterinformationincolumnsHthroughQ(*)Mandatoryfieldsarenotedwithanasterisk.
(1)EntryrequiredwhenSmelterLook-up="SmelterNotListed"NOTE:AcombinationofOptionsA,BandCmaybeusedtocompletetheSmelterList.
Donotalterautopopulatedcells.
AllerrorsintheSmelterLook-upshouldbereportedtoRBAbycontactingRMI@ResponsibleBusiness.
org.
,,,,,2019ResponsibleMineralsInitiative.
Allrightsreserved.
Revision2.
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N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,N/A,,0,,,,,,,,,,,,,,,,,,CheckerToensureallrequiredfieldshavebeenpopulatedbeforesubmittingtoyourcustomersreviewformforanylineitemshighlightedinred,,,Requiredfieldsremainingtobecompleted,"""ClickheretoreturntoDeclarationtab",ClickheretoreturntoSmelterList,,0RequiredFields,Answerprovided,Notes,Hyperlinktosource,"necessary","complete","incomplete","comment1","commentforremaining"CompanyName(*):,pSemiCorporation,Complete,,"",1,0,0,Complete,ProvideyourcompanynameontheDeclarationtabcellD8DeclarationScopeorClass(*):,B.
Product(orListofProducts),Complete,,"",1,0,0,Complete,SelectthescopeofdeclarationontheDeclarationtabcellD9GotoProductListtabtoenterproductsthisdeclarationappliesto,0,Complete,,"",0,1,0,Complete,ProvidedescriptionofscopeonDeclarationtabcellD10ContactName(*):,AllanAlvarado,Complete,,"",1,0,0,Complete,ProvidecontactnameinDeclarationtabcellD15Email–Contact(*):,aalvarado@psemi.
com,Complete,,"",1,0,0,Complete,ProvideavalidemailforcontactinDeclarationtabcellD16Phone–Contact(*):,8587319409,Complete,,"",1,0,0,Complete,ProvideaphonenumberforcontactinDeclarationtabcellD17Authorizer(*):,AllanAlvarado,Complete,,"",1,0,0,Complete,ProvideauthorizedcompanyrepresentativecontactnameinDeclarationtabcellD18Email-Authorizer(*):,aalvarado@psemi.
com,Complete,,"",1,0,0,Complete,ProvideanemailforauthorizedcompanyrepresentativeonDeclarationtabcellD20Phone-Authorizer(*):,8587319409,Complete,,"",1,0,0,Complete,ProvideaphonenumberforauthorizedcompanyrepresentativeonDeclarationtabcellD21EffectiveDate(*):,43836,Complete,,"",1,0,0,Complete,ProvidedatetheformwascompletedonDeclarationtabcellD221)Isanyofthecobaltintentionallyaddedorusedintheproduct(s)orintheproductionprocess,,,,"",,,0Cobalt(*),Yes,Complete,,"",1,0,0,Complete,DeclareifcobaltisintentionallyaddedtoyourproductsonDeclarationtabcellD26,No,Complete,,"",1,0,0,Complete,0,No,Complete,,"",1,0,0,Complete,0,No,Complete,,"",1,0,0,Complete,02)DoanyofthesmeltersinyoursupplychainsourcethecobaltfromaConflict-AffectedandHigh-Riskarea(OECDDueDiligenceGuidance,seedefinitionstab)",,,,Cobalt(*),Unknown,Complete,,"",1,0,0,Complete,DeclareifcobaltusedwithinthescopeofproductsdeclaredwithinthissurveyresponseoriginatedfromaConflict-AffectedandHigh-RiskArea(CAHRA)ontheDeclarationtabcellD320,0,Complete,,"",0,1,0,Complete,00,0,Complete,,"",0,1,0,Complete,00,0,Complete,,"",0,1,0,Complete,03)Does100percentofthecobaltoriginatefromrecycledorscrapsources",,,,Cobalt(*),No,Complete,,"",1,0,0,Complete,DeclareifcobaltusedwithinthescopeofproductsdeclaredwithinthissurveyresponseoriginatedentirelyfromarecycledorscrapsourceontheDeclarationtabcellD440,0,Complete,,"",0,1,0,Complete,00,0,Complete,,"",0,1,0,Complete,00,0,Complete,,"",0,1,0,Complete,04)Whatpercentageofrelevantsuppliershaveprovidedaresponsetoyoursupplychainsurvey",,,Cobalt(*),Greaterthan90%,Complete,,"",1,0,0,Complete,Provide%ofcompletenessofsupplier'ssmelterinformationonDeclarationtabcellD440,0,Complete,,"",0,1,0,Complete,00,0,Complete,,"",0,1,0,Complete,00,0,Complete,,"",0,1,0,Complete,05)Haveyouidentifiedallofthesmelterssupplyingthecobalttoyoursupplychain",,,Cobalt(*),No,Complete,,"",1,0,0,Complete,DeclareifallsmelternameshavebeenprovidedinthissurveyresponseunderthescopeofproductsdeclaredontheDeclarationtabcellD500,0,Complete,,"",0,1,0,Complete,00,0,Complete,,"",0,1,0,Complete,00,0,Complete,,"",0,1,0,Complete,06)Hasallapplicablesmelterinformationreceivedbyyourcompanybeenreportedinthisdeclaration",,,Cobalt(*),Yes,Complete,,"",1,0,0,Complete,DeclareifallapplicablecobaltsmelterinformationhasbeenprovidedonDeclarationtabcellD560,0,Complete,,"",0,1,0,Complete,00,0,Complete,,"",0,1,0,Complete,00,0,Complete,,"",0,1,0,Complete,0Question,,,,"",,,A.
Haveyouestablishedapubliclyavailablecobaltsourcingpolicy(*),No,Complete,,"",1,0,0,Complete,AnswerifyourcompanyhasapubliclyavailablecobaltsourcingpolicyontheDeclarationtabcellD63"TheURLinthecommentfield",0,Complete,,,0,1,0,Complete,EntertheURLinDeclarationworksheetcellG65ifyouanswer"Yes"forquestionA.
TheformatoftheURLshouldbe"www.
companyname.
com"B.
Doesyourpolicycover,ataminimum,allrisksintheOECDDueDiligenceGuidanceAnnexIIModelPolicy,aswellastheworstformsofchildlabor(*),No,Complete,,"",1,0,0,Complete,Answerifyourcompany'spolicycovers,ataminimum,allrisksintheOECDDueDiligenceGuidanceAnnexIIModelPolicy,aswellastheworstformsofchildlabor,ontheDeclarationtabcellD65C.
Haveyouimplementedduediligencemeasuresforcobaltinthedeclarationscopeindicatedabove(*),No,Complete,,"",1,0,0,Complete,AnswerifyouimplementcobaltduediligencemeasuresontheDeclarationtabcellD67D.
DoyourequiresupplierstoexerciseduediligenceoverthecobaltsupplychaininaccordancewiththeOECDDueDiligenceGuidance(*),No,Complete,,"",1,0,0,Complete,AnswerifyourequireyourdirectsupplierstoexerciseduediligenceovercobaltsupplychainsonDeclarationtabcellD69E.
Doyourequireyourdirectsupplierstosourcecobaltfromsmelterswhoseduediligencepracticeshavebeenvalidatedbyanindependentthirdpartyauditprogram(*),No,Complete,,"",1,0,0,Complete,AnswerifyourequiredirectsuppliertosourcecobaltfromindependentlyvalidatedsmeltersonDeclarationtabcellD71F.
Doyourequiresuppliers'duediligencepracticestocover,ataminimum,allrisksintheOECDDueDiligenceGuidanceAnnexIIModelPolicy,aswellastheworstformsofchildlabor(*),No,Complete,,"",1,0,0,Complete,Answerifyourequiresmelter'sduediligencepracticestocover,ataminimum,allrisksintheOECDDueDiligenceGuidanceAnnexIIModelPolicy,aswellastheworstformsofchildlabor,onDeclarationtabcellD73,,,,,,,,G.
Doesyourcompanyconductcobaltsupplychainsurvey(s)ofyourrelevantsupplier(s)(*),Yes,CRT,Complete,,"",1,0,0,Complete,AnswerifyouconductcobaltsupplychainsurveysonthedeclarationtabcellD75H.
Doyoureviewduediligenceinformationreceivedfromyoursuppliersagainstyourcompany'sexpectations(*),No,Complete,,"",1,0,0,Complete,Answerifyouverifyresponsesfromyoursuppliersagainstyourcompany'sexpectationsonDeclarationtabcellD77I.
Doesyourreviewprocessincludecorrectiveactionmanagement(*),No,Complete,,"",1,0,0,Complete,AnswerifyourverificationprocessincludescorrectiveactionmanagementonDeclarationtabcellD79"ProductList",Oneormoreproduct/itemnumbershavebeenprovided,Complete,,"",0,1,0,Complete,Ifapplicable,provide1ormoreProductsorItemNumbersthisdeclarationappliesto.
FromDeclarationtabselecthyperlinkincell11HtoenterProductListtab"SmelterList-Cobalt",,ProvidelistofcobaltrefinerscontributingmaterialtosupplychainonSmelterListtab,,"",1,1,0,Complete,ProvidelistofcobaltrefinerscontributingmaterialtosupplychainonSmelterListtab,0,PleaseanswerQuestion1onDeclarationtab.
Ifyouanswered"Yes"andthisfieldisstillred,pleaseaddcobaltsmelterstothesmelterlisttab.
,,,,"",1,0,#REF!
,Complete,0,#REF!
,#N/A,,,,"",1,0,#REF!
,Complete,0,#REF!
,#N/A,,,,"",1,0,#REF!
,Complete,0,#REF!
,#N/A"Allrowswith"Smelternotlisted"selected,haveanameandcountrylisted",,N/A,,,0,0,0,Complete,"N/A",,"PleasecompletecolumnsD&EonSmelterListforallrows"SmelterNotListed"selectedincolumnC"0ProductListCompletionrequiredonlyifreportinglevel"Product(orListofProducts)"selectedonthe'Declaration'worksheet.
,,,,,,,,,,,,,"ClickheretoreturntoDeclarationtab",,,,Manufacturer'sProductNumber(*),Manufacturer'sProductName,Comments,,"AllpSemiProducts","AllpSemiProducts",2019ResponsibleMineralsInitiative.
Allrightsreserved.
,,,SmelterLook-upThefollowinglistrepresentstheRMI'slatestsmeltername/aliasinformationasofthistemplatesrelease.
Thislistisupdatedfrequently,andthemostup-to-dateversioncanbefoundontheRMIwebsitehttp://www.
responsiblemineralsinitiative.
org/responsible-minerals-assurance-process/exports/cmt-export/.
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