Page 1 of 33 Telephone : +662 564 8041 Telefax : +6625648042 http://www.tuv-sud.co.th TUV SUD (Thailand) Limited Thailand Science Park 111 Moo 9 Paholyothin Rd Klong 1 Klong Luang Pathumthani 12120 Thailand PRE-SHIPMENT INSPECTION REPORT (Hardline) Report No.721237603(1000) 721239232(1000) ITC_F_09.62 E Rev. 3 15 Jul 2019 CUSTOMER PRODUCT PHOTO Customer name HILDR GROUP C/O HEALTH SELECT USA Contact Person Not specified Supplier name Health Select F&B Co., Ltd PRODUCT Description of Product Health Select Nitrile Examination Gloves Model No. NBR - FT - 35 ( Size S, M, L , XL ) Safety Mark N/A Licence Holder N/A Country of Destination USA Order No. PO-20210621 Order Quantity 4,060,000 Pcs, (40,600 boxes), (4,060 Cartons) INSPECTION PLACE Manufacturer Name W.A. Rubbermate Co., Ltd. Inspection Place By Pass Chon Buri Frontage Rd, Nong Mai Daeng, Chon Buri District, ChonBuri 20000 Contact Person K. Thongchai INSPECTION PLAN Purpose of Inspection: Sampling Plan: AQL: Lot / Batch Size: Assessment of a shipping lot in accordance with ISO 2859-1 Single; Normal Critical: Not allowed 4,060,000 40,600 4,060 Pcs Boxes. Cartons Date of Inspection: Inspection Level: I Major: 1.5 Sample Size: 2021-Jul-27 or Fixed samples Minor: 4.0 500 unit Inspection Method: Final Random Inspection Previous Report No.: N/A INSPECTION RESULT : PASS FAIL SUBJECT TO CUSTOMER’S DECISION It is a cosmetic inspection on behalf of our client which focuses on aspects like verifying product amount, shipping mark, packaging, bar code, other commercial data, as well as inspecting appearance defects. This inspection report shall not be misused as a test report of respirators, face masks, clinical thermometers, protective clothing, surgical gown, protective goggles, face-shield, disposable medical gloves. Compliance with relevant Directives, Regulations, standards shall be demonstrated by test reports issued by an accredited test laboratory. CONCLUSION AND INSPECTORS OPINION PASS FAIL Subject to customer’s decision N/A Remark B.1 Workmanship, Assembly and Basic Function Tests -- -- B.1 AQL Level Critical Major Minor Accepted 0 14 21 Found 0 1 8 B.2 On-site Test Refer to remark 2 B.3 Marking and Labelling Refer to remark 3 Observation -- Refer to following page/part Inspected by : Mr. Kriangsak S. Mr.Chokchai K. Approved by : Mr. Bancherd Kajchamaporn ( Approval Signature) Date of issue : Jul 28, 2021 Page 2 of 33 Telephone : +662 564 8041 Telefax : +6625648042 http://www.tuv-sud.co.th TUV SUD (Thailand) Limited Thailand Science Park 111 Moo 9 Paholyothin Rd Klong 1 Klong Luang Pathumthani 12120 Thailand PRE-SHIPMENT INSPECTION REPORT (Hardline) Report No.721237603(1000) 721239232(1000) ITC_F_09.62 E Rev. 3 15 Jul 2019 Remark: Findings under Subject to Customer’s Decision are those actual findings, not related to safety or legal requirement, where a clear customer specification is missing, shall be reported to customer to decide on the acceptance. DISCLAIMER: This reflects our findings at the time and place of inspection based on comparison of inspection applicant’s information/sample with random samples in accordance with a previously agreed random statistical sampling standard. This report does not discharge or release sellers/suppliers from their commercial legal or contractual obligations with regard to quality/quantity of delivery nor does it prejudice the buyer’s right of claim towards sellers/suppliers for compensation for an apparent/or hidden defects not detected during our random inspection or occurring thereafter. This report does not evidence shipment. OBSERVATION (Fail) F1. N/A OBSERVATION (Subject to customer’s decision) S1 N/A REMARK 1. Sample Sealing: Sample category Destination Quantity Model/Style Remark (Sticker No., if applicable) a. Shipment Samples N/A N/A N/A N/A b. Defect Samples N/A N/A N/A N/A c. Laboratory Testing N/A N/A N/A N/A d. Others N/A N/A N/A N/A 2. Product dimension: (LxPlam, Thickness ) & Unit weight : (g.) Sample# 1-S 2-S 3-S 4-M 5-M 6-M 7-L 8-L Actual size Body (mm.) 242x84 242x82 242x85 242x92 242x93 242x93 242x105 242x105 Thickness(Cuff/Plam/Finger) (mm.) 0.07/ 0.08/ 0.11 0.07/ 0.08/ 0.11 0.07/ 0.08/ 0.12 0.06/ 0.08/ 0.12 0.06/ 0.08/ 0.12 0.07/ 0.08/ 0.12 0.06/ 0.08/ 0.11 0.06/ 0.08/ 0.10 Actual weight (g.) 3.77 3.71 3.83 4.47 4.36 4.47 4.27 4.19 Sample# 9-L 10-L 11-XL 12-XL 13-XL Actual size Body (mm.) 242x103 242x104 242x111 242x111 242x111 Thickness(Cuff/Plam/Finger) (mm.) 0.06/ 0.08/ 0.11 0.06/ 0.08/ 0.11 0.07/ 0.08/ 0.11 0.07/ 0.09/ 0.12 0.06/ 0.08/ 0.12 Actual weight (g.) 4.31 4.38 4.59 4.60 4.60 3. No approval sample for comparison 4. No GW and NW on carton Page 3 of 33 Telephone : +662 564 8041 Telefax : +6625648042 http://www.tuv-sud.co.th TUV SUD (Thailand) Limited Thailand Science Park 111 Moo 9 Paholyothin Rd Klong 1 Klong Luang Pathumthani 12120 Thailand PRE-SHIPMENT INSPECTION REPORT (Hardline) Report No.721237603(1000) 721239232(1000) ITC_F_09.62 E Rev. 3 15 Jul 2019 A. GENERAL INFORMATION A 1. Quantity P.O # Model / Item # Order Qty. Actual lot size Box/Ctn. Sample size (G-I) Unit Carton Packed Not Packed 1. PO-20210621 S 330,000 330,000 330 10 45 0 2. M 1,700,000 1,700,000 1700 10 205 0 3. L 1,700,000 1,700,000 1700 10 205 0 4. XL 330,000 330,000 330 10 45 Total 4,060,000 4,060,000 4060 N/A 500 0 Production Status 1. 100 % Finished; 100 % Packed Selected Carton No. 1. S: 34, 102, 131, 214, 310 = 5 Cartons M: 8, 27, 121, 149, 178, 191, 246, 258, 266, 301, 351, 443, 547, 654, 669, 779, 810, 852, 923, 1092, 1007, 1133, 1216, 1336, 1423, 1542, 1688 = 27 Cartons L: 15, 53, 85, 108, 119, 182, 214, 290, 342, 348, 409, 541, 672, 757, 791, 880, 1061, 1027, 1172, 1136, 1219, 1306, 1382, 1402, 1458, 1573, 1612 = 27 Carons XL: 37, 72, 178, 232, 314 = 5 Cartons A 2. Document and sample provided by Customer Document provided before inspection GS Certificate TPS Certificate Test report Construction Data Form Others: Samples provided by client for comparison Operation / Instruction Manual Installation Manual Approved Sample Others: Technical specification from client for comparison. A 3. Packing Carton Number Size S From 1 to 330 No carton was numbered during inspection. Size M From 1 to 1700 No carton was numbered during inspection. Size L From 1 to 1700 No carton was numbered during inspection. Size XL From 1 to 330 No carton was numbered during inspection. Shipping Mark Refer to attached photos. No shipping mark. Packing Method Refer to attached photos. Carton Dimensions and Weight Item No./Type Dimensions ( cm inch) Gross weight (One Sample per Item/Type) Length Width Height ( kg lb) NA (No information given) S 32 23 23.5 4.482 M 32 23 23.5 5.222 L 32 23 23.5 5.037 XL 32 23 23.5 5.715 Page 4 of 33 Telephone : +662 564 8041 Telefax : +6625648042 http://www.tuv-sud.co.th TUV SUD (Thailand) Limited Thailand Science Park 111 Moo 9 Paholyothin Rd Klong 1 Klong Luang Pathumthani 12120 Thailand PRE-SHIPMENT INSPECTION REPORT (Hardline) Report No.721237603(1000) 721239232(1000) ITC_F_09.62 E Rev. 3 15 Jul 2019 B. MASTER CHECKLIST B.1. Workmanship, Assembly and Basic Function Tests (Sample Size: 500 ) Result: Pass Categories Inspection Items Defective Description Cri Maj Min 1. Retail package a. Wrong Packing P b. Gift box / PVC BAG (damage) , Printing on surface (wrong/poor) P c. Bar code (wrong/poor) P d. Others - Damage on box. Size XL=1 1 2. Appearance a. Scratch mark / poor finishing /silk screening / mould mark / on unit P b. Mixed Color, Mildews, Rust N/A c. Body deformed, crack, damage, P d. Switches / control / knobs / screw etc. N/A e. Foreign material inside P f. Others N/A 3. Accessory & Assembly a. Missing or damage of parts / components / instruction manual / warrantee card / instruction leaflet / others N/A b. Too tight / loose for assembly N/A c. Front, Back, Side Housing (gap/ not align) N/A d. Wobble Unit N/A e. Others N/A 4. Function a. No function N/A b. Malfunction N/A c. Abnormal noise, or vibration N/A d. Others N/A 5. Cleanness a. Dirty mark / color stain / glue stain -Slightly dirty mark on glove Size S=3, M=3, L=2 8 b. Flash, Gate remnant P c. Others N/A 6. Label and Hangtag a. Wrong / missing label / hangtag N/A b. Misplacement of label / hangtag N/A c. Upside down N/A d. Others N/A 7. Printing Painting Plating a. Marking is reliable, damage, loosen and peel off P b. Out of register P c. Missing printing / painting / plating P d. Illegible printing P e. Over / under spray / plating P f. Others N/A 8. Functional safety a. Ragged / sharp edge during in normal use P b. Others N/A Total Found 0 1 8 Accepted 0 14 21 Page 5 of 33 Telephone : +662 564 8041 Telefax : +6625648042 http://www.tuv-sud.co.th TUV SUD (Thailand) Limited Thailand Science Park 111 Moo 9 Paholyothin Rd Klong 1 Klong Luang Pathumthani 12120 Thailand PRE-SHIPMENT INSPECTION REPORT (Hardline) Report No.721237603(1000) 721239232(1000) ITC_F_09.62 E Rev. 3 15 Jul 2019 Defect Photos M ajor : Damage on box Minor: Slightly dirty mark on glove Minor: Slightly dirty mark on glove Minor: Slightly dirty mark on glove Minor: Slightly dirty mark on glove Minor: Slightly dirty mark on glove Page 6 of 33 Telephone : +662 564 8041 Telefax : +6625648042 http://www.tuv-sud.co.th TUV SUD (Thailand) Limited Thailand Science Park 111 Moo 9 Paholyothin Rd Klong 1 Klong Luang Pathumthani 12120 Thailand PRE-SHIPMENT INSPECTION REPORT (Hardline) Report No.721237603(1000) 721239232(1000) ITC_F_09.62 E Rev. 3 15 Jul 2019 Minor: Slightly dirty mark on glove Minor: Slightly dirty mark on glove -/- Minor: Slightly dirty mark on glove -/- B 2 . On - site Test Result: Pass General test s based on TPS p rotocol Inspection L evel Sample Size Finding 1. Barcode scan and QR code on box 3 sample/ Item 12 units Pass Refer to observation Refer to remark 2. Carton size 1 sample/ Item 4 units Pass Refer to observation Refer to remark 3. Carton weight 1 sample/ Item 4 units Pass Refer to observation Refer to remark 4. Hand feeling check on material 5 sample/ Item 20 units Pass Refer to observation Refer to remark 5. Practical check 5 sample/ Item 20 units Pass Refer to observation Refer to remark 6. Bad smell check on retail package, unit 1 sample/ Item 4 units Pass Refer to observation Refer to remark 7. Length measurement Fix sample 13 units Pass Refer to observation Refer to remark 8. Width measurement Fix sample 13 units Pass Refer to observation Refer to remark 9. Tear resistance check Fix sample 13 units Pass Refer to observation Refer to remark 10. Packaging check Fix sample G-I Pass Refer to observation Refer to remark 11. Water tightness test Minimum 20 units Pass Refer to observation Page 7 of 33 Telephone : +662 564 8041 Telefax : +6625648042 http://www.tuv-sud.co.th TUV SUD (Thailand) Limited Thailand Science Park 111 Moo 9 Paholyothin Rd Klong 1 Klong Luang Pathumthani 12120 Thailand PRE-SHIPMENT INSPECTION REPORT (Hardline) Report No.721237603(1000) 721239232(1000) ITC_F_09.62 E Rev. 3 15 Jul 2019 Refer to remark Customer Specific Test Items Inspection Level Sample Size Finding 1. N/A N/A N/A Pass Refer to observation Refer to remark B 3 . Marking and Labelling Result: N/A Pass Fail N/A Remark 1)* The “CE” marking symbol If failed, refer to observation 2)* Trademark / manufacturer identification refer to certificate / specification If failed, refer to observation 3)* EU importer’s name & address If failed, refer to observation 4)* Technical parameter refer to certificate/specification If failed, refer to observation * For markings not evaluated above, refer to the photos attached for actual findings. End of report DISCLAIMER: This reflects our findings at the time and place of inspection based on comparison of inspection applicant’s information/sample with random samples in accordance with a previously agreed random statistical sampling standard. This report does not discharge or release sellers/suppliers from their commercial legal or contractual obligations with regard to quality/quantity of delivery nor does it prejudice the buyer’s right of claim towards sellers/suppliers for compensation for an apparent/or hidden defects not detected during our random inspection or occurring thereafter. This report does not evidence shipment. Appendix: Yes 26 pages, No Page 8 of 33 Telephone : +662 564 8041 Telefax : +6625648042 http://www.tuv-sud.co.th TUV SUD (Thailand) Limited Thailand Science Park 111 Moo 9 Paholyothin Rd Klong 1 Klong Luang Pathumthani 12120 Thailand PRE-SHIPMENT INSPECTION REPORT (Hardline) Report No.721237603(1000) 721239232(1000) ITC_F_09.62 E Rev. 3 15 Jul 2019 Factory gate Warehouse Warehouse Warehouse Sampling Cartons Sampling Cartons Page 9 of 33 Telephone : +662 564 8041 Telefax : +6625648042 http://www.tuv-sud.co.th TUV SUD (Thailand) Limited Thailand Science Park 111 Moo 9 Paholyothin Rd Klong 1 Klong Luang Pathumthani 12120 Thailand PRE-SHIPMENT INSPECTION REPORT (Hardline) Report No.721237603(1000) 721239232(1000) ITC_F_09.62 E Rev. 3 15 Jul 2019 Sampling Cartons Sampling Cartons Size S Overview of outer carton Shipping mark on outer carton-2 sides Shipping mark on outer carton Shipping mark on outer carton Page 10 of 33 Telephone : +662 564 8041 Telefax : +6625648042 http://www.tuv-sud.co.th TUV SUD (Thailand) Limited Thailand Science Park 111 Moo 9 Paholyothin Rd Klong 1 Klong Luang Pathumthani 12120 Thailand PRE-SHIPMENT INSPECTION REPORT (Hardline) Report No.721237603(1000) 721239232(1000) ITC_F_09.62 E Rev. 3 15 Jul 2019 Shipping mark on outer carton QR code on carton Barcode on carton Barcode verify Carton open Carton thickness Page 11 of 33 Telephone : +662 564 8041 Telefax : +6625648042 http://www.tuv-sud.co.th TUV SUD (Thailand) Limited Thailand Science Park 111 Moo 9 Paholyothin Rd Klong 1 Klong Luang Pathumthani 12120 Thailand PRE-SHIPMENT INSPECTION REPORT (Hardline) Report No.721237603(1000) 721239232(1000) ITC_F_09.62 E Rev. 3 15 Jul 2019 10 box per carton Overview of box Box view Box view Box view Box view Page 12 of 33 Telephone : +662 564 8041 Telefax : +6625648042 http://www.tuv-sud.co.th TUV SUD (Thailand) Limited Thailand Science Park 111 Moo 9 Paholyothin Rd Klong 1 Klong Luang Pathumthani 12120 Thailand PRE-SHIPMENT INSPECTION REPORT (Hardline) Report No.721237603(1000) 721239232(1000) ITC_F_09.62 E Rev. 3 15 Jul 2019 Box view Box view Box view Box view Box view Box view Page 13 of 33 Telephone : +662 564 8041 Telefax : +6625648042 http://www.tuv-sud.co.th TUV SUD (Thailand) Limited Thailand Science Park 111 Moo 9 Paholyothin Rd Klong 1 Klong Luang Pathumthani 12120 Thailand PRE-SHIPMENT INSPECTION REPORT (Hardline) Report No.721237603(1000) 721239232(1000) ITC_F_09.62 E Rev. 3 15 Jul 2019 Lot no and MFG date on box Barcode on box Barcode verification Open Box Open Box Product pack Page 14 of 33 Telephone : +662 564 8041 Telefax : +6625648042 http://www.tuv-sud.co.th TUV SUD (Thailand) Limited Thailand Science Park 111 Moo 9 Paholyothin Rd Klong 1 Klong Luang Pathumthani 12120 Thailand PRE-SHIPMENT INSPECTION REPORT (Hardline) Report No.721237603(1000) 721239232(1000) ITC_F_09.62 E Rev. 3 15 Jul 2019 Product Count quantity check Product Size M Overview of outer carton Shipping mark on outer carton-2 sides Shipping mark on outer carton Shipping mark on outer carton Page 15 of 33 Telephone : +662 564 8041 Telefax : +6625648042 http://www.tuv-sud.co.th TUV SUD (Thailand) Limited Thailand Science Park 111 Moo 9 Paholyothin Rd Klong 1 Klong Luang Pathumthani 12120 Thailand PRE-SHIPMENT INSPECTION REPORT (Hardline) Report No.721237603(1000) 721239232(1000) ITC_F_09.62 E Rev. 3 15 Jul 2019 Shipping mark on outer carton QR code on carton Barcode on carton Barcode verify Carton open Carton thickness Page 16 of 33 Telephone : +662 564 8041 Telefax : +6625648042 http://www.tuv-sud.co.th TUV SUD (Thailand) Limited Thailand Science Park 111 Moo 9 Paholyothin Rd Klong 1 Klong Luang Pathumthani 12120 Thailand PRE-SHIPMENT INSPECTION REPORT (Hardline) Report No.721237603(1000) 721239232(1000) ITC_F_09.62 E Rev. 3 15 Jul 2019 10 box per carton Overview of box Box view Box view Box view Box view Page 17 of 33 Telephone : +662 564 8041 Telefax : +6625648042 http://www.tuv-sud.co.th TUV SUD (Thailand) Limited Thailand Science Park 111 Moo 9 Paholyothin Rd Klong 1 Klong Luang Pathumthani 12120 Thailand PRE-SHIPMENT INSPECTION REPORT (Hardline) Report No.721237603(1000) 721239232(1000) ITC_F_09.62 E Rev. 3 15 Jul 2019 Box view Box view Box view Box view Box view Box view Page 18 of 33 Telephone : +662 564 8041 Telefax : +6625648042 http://www.tuv-sud.co.th TUV SUD (Thailand) Limited Thailand Science Park 111 Moo 9 Paholyothin Rd Klong 1 Klong Luang Pathumthani 12120 Thailand PRE-SHIPMENT INSPECTION REPORT (Hardline) Report No.721237603(1000) 721239232(1000) ITC_F_09.62 E Rev. 3 15 Jul 2019 Lot no and MFG date on box Barcode on box Barcode verification Open Box Open Box Product pack Page 19 of 33 Telephone : +662 564 8041 Telefax : +6625648042 http://www.tuv-sud.co.th TUV SUD (Thailand) Limited Thailand Science Park 111 Moo 9 Paholyothin Rd Klong 1 Klong Luang Pathumthani 12120 Thailand PRE-SHIPMENT INSPECTION REPORT (Hardline) Report No.721237603(1000) 721239232(1000) ITC_F_09.62 E Rev. 3 15 Jul 2019 Product Count quantity check Product Size L Overview of outer carton Shipping mark on outer carton-2 sides Shipping mark on outer carton Shipping mark on outer carton Page 20 of 33 Telephone : +662 564 8041 Telefax : +6625648042 http://www.tuv-sud.co.th TUV SUD (Thailand) Limited Thailand Science Park 111 Moo 9 Paholyothin Rd Klong 1 Klong Luang Pathumthani 12120 Thailand PRE-SHIPMENT INSPECTION REPORT (Hardline) Report No.721237603(1000) 721239232(1000) ITC_F_09.62 E Rev. 3 15 Jul 2019 Shipping mark on outer carton QR code on carton Barcode on carton Barcode verify Carton open Carton thickness