ECHA DECLARATION OF INTEREST

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1 ECHA DECLARATION OF INTEREST There is a conflict of interest where the impartiality and objectivity of a decision, opinion recommendation of the Agency and/ its bodies, is might in the public perception be compromised by an interest held by, entrusted to, an individual wking f the Agency. Please note that having an interest does not necessarily mean having a conflict of interest. In particular, high quality of (scientific) expertise is by nature based on pri experience. Declaring an interest does therefe not automatically disqualify you limit your participation in the activities of the European Chemicals Agency. On the other hand it should be emphasised that this declaration of interest fm does not contain an exhaustive list of potential interests and that all other elements that might jeopardise your independence when wking with the Agency should thus also be indicated. Your answers will then be reviewed and dealt with in accdance with the ECHA Procedure f Prevention and Management of potential Conflicts of Interest. Declaration of Commitment I hereby declare that I shall make all reasonable effts to fulfil my duties related to the wk of the European Chemicals Agency. Declaration of Interests First Name: Elżbieta Last name: Jankowska Position in ECHA: Co-opted member of RAC hereby declares to have the following interests: Uncontrolled copy once printed. Ensure that the right version is in use. Page 1 of 6

2 I. Employment, consultancy, legal representation advice Within the past 5 years, were you employed have you had any other professional relationship with a 1 other ganisation 2 with an interest in the regulaty field of activity of ECHA? X Yes, and me in particular: Assistant Profess - Head of the Labaty of Aerosol, Filtration and Ventilation in the Department of Chemical, Aerosol and Biological Hazards 01/01/ /12/2016 Technical Audit 26/06/2001- Present ganisation Central Institute f Labour Protection - National Research Institute, Warsaw, Poland Polish Centre f Accreditation, Warsaw, Poland Aerosols, engineering controls (LEV, general ventilation and air filters) - research, education, testing, calibration, certification, reviews. Occupational health and safety management systems accding PN-N and OHSAS auditing and education. Several audits per year in Testing Labaties (accding PN-EN ISO/IEC 17025). II. Membership of Governing Body, Scientific Advisy Body equivalent structure Within the past 5 years, have you participated in the internal decision-making of a other ganisation with an interest in the regulaty field of activity of ECHA (e.g. board membership, directship) have you participated in the wks of a Scientific Advisy Body with voting rights on the outputs of that? X Yes, and me in particular: Member ganisation t f profit Polish Standardization Committees: Chemical and Dust Hazards in the Wking Environment 1 This includes any business, consultancy, research institution other enterprise whose funding is significantly derived from sources. It also includes independent own businesses, law offices, consultancies similar. 2 An ganisation includes governmental, international non-profit ganisations, as well as interest groups. Uncontrolled copy once printed. Ensure that the right version is in use. Page 2 of 6

3 Member t f profit with the exception of EU projects related to Nanotechnology Ventilation and Air Conditions Indo air Quality Nanotechnology European Committee f Standardization: CEN/TC 137/WG 3 - Assessment of Wkplace Exposure Particulate Matter CEN/TC 195 Air Filters f General Air Cleaning Member t f profit Polish Committee f Establish of Threshold Limit Value f Dangerous Substances Member PEROSH Partnership f European Research on Occupational Health and Safety III. Other membership affiliation Within the past 5 years, have you had any membership affiliation other than the above that can be perceived as creating a potential conflict of interest? Yes, and me in particular: ganisation IV. Research funding Within the past 5 years, have you the research to which you belong received any suppt from a other ganisation with an interest in the regulaty field of activity of ECHA, including grants, rents, sponsships, fellowships, non-monetary suppt? X Yes, and me in particular: Assistant Profess - Head of the Labaty of Aerosol, Filtration and Ventilation in the Department of Chemical, 01/01/ /12/2016 ganisation Central Institute f Labour Protection - Polish and EU projects from the field of identification and risk assessment f Uncontrolled copy once printed. Ensure that the right version is in use. Page 3 of 6

4 Aerosol and Biological Hazards V. Investments National Research Institute, Warsaw (Poland) aerosols (including nanoaerosols), evaluation the efficiency of engineering controls (LEV, general ventilation and air filters). Do you have current investments in a with an interest in the regulaty field of activity of ECHA, including holding of stocks and shares, stock options, equity, bonds, partnership interest in the capital of such undertaking, one of its subsidiaries a company in the capital of which it has a holding and which amounts to me than 10,000 EUR per entitling you to a voting right of 5% me in such? 3 Yes, and me in particular: Investment ganisation VI. Intellectual Property Do you have any intellectual property rights (e.g. patent, trademark, copyright proprietary know-how) in the regulaty field of activity of ECHA that might create a potential conflict of interest? Yes, and me in particular: Intellectual Property ganisation 3 You may exclude financial interests held through an investment fund, pension fund and/ interests in nonnominal unit trusts similar arrangements, provided that these investments are broadly diversified and you have no influence on their financial management. Uncontrolled copy once printed. Ensure that the right version is in use. Page 4 of 6

5 VII. Public statements and positions Within the past 5 years, have you provided any expert opinion testimony in the regulaty field of activity of ECHA f a other ganisation as part of a regulaty, legislative judicial process? Have you held an office other position, paid unpaid, where you represented interests defended an opinion in the regulaty field of activity of ECHA? X Yes, and me in particular: Assistant Profess - Head of the Labaty of Aerosol, Filtration and Ventilation in the Department of Chemical, Aerosol and Biological Hazards 01/01/ /12/2016 ganisation Central Institute f Labour Protection - National Research Institute, Warsaw (Poland) Depending on the circumstances VIII. Other relevant infmation Are there any other elements that could be seen as jeopardising your independence when wking f the Agency? Yes, and me in particular: Uncontrolled copy once printed. Ensure that the right version is in use. Page 5 of 6

6 IX. Interests held by close family members 4 Do any of your close family members hold any current interests in the regulaty field of activity of the Agency (as specified above in the sections I.-VIII.)? Yes, and me in particular: ganisation I wish to have any reference to interests held by close family members removed if this declaration is to be made public on the ECHA website. 5 I hereby declare that I have read both the ECHA Procedure on Prevention and Management of potential Conflicts of Interest and the related ECHA Guidance document and that the above Declaration of Interest is at my best knowledge complete. I understand that f all members of the ECHA bodies, the Executive Direct and the other ECHA management staff (Directs and Heads of Unit), as well as f the chairpersons of the ECHA Committees this declaration will be published on the ECHA website. Please note that the European Chemicals Agency will ensure on its part that your personal data hereby submitted is processed as required by Regulation (EC) 45/2001 on the protection of individuals with regard to the processing of personal data by the Community institutions and bodies and on the free movement of such data. The data is necessary f the purpose of implementing the Agency s Procedure f Prevention and Management of potential Conflicts of Interest and will be retained f a time period of 7 years. You have the right to access and rectify that data. Under certain conditions, a right to erasure, restriction, objection and/ data ptability also applies. To exercise these rights, please contact the relevant secretariat. You can contact the Agency s Data Protection Officer f any questions complaints with regard to the processing of your personal data. In case you do not receive a satisfacty outcome, you can have recourse to the European Data Protection Supervis. Date: 22/01/ F this purpose, close family members are considered to be the persons fming a household with the person making this declaration (spouse, partner, and/ dependent children). F privacy reasons neither the relationship n the name is to be included. Only current interests held by close family members are of relevance and not past interests. 5 As full transparency is one of the general principles of this Procedure, this option should only be used in case the consent of the individual concerned has not been obtained, when he/she has objected to the disclosure on compelling legitimate grounds if there is reason to believe that the legitimate interests of the individual involved might be prejudiced by the disclosure (see also Regulation (EC) 45/2001 on the protection of personal data). Uncontrolled copy once printed. Ensure that the right version is in use. Page 6 of 6

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