|
Adverse Reaction? Inform NICNAS! A person injured or made ill by a fragrance/cosmetic can file a formal complaint with the Department of Health and Ageing, National Industrial Chemicals Notification and Assessment Scheme (NICNAS). By documenting injury and illness, NICNAS will be able to recognize patterns of cause and effect. This is the first step toward requesting that NICNAS take action with regard to fragrances/cosmetics that cause injury/ illness. Save the following form text as a document in your word processing program and mail a registered letter to the NICNAS every time you have an adverse reaction to a fragrance/cosmetic product. Be sure to include all relevant information [see brackets]. Keep any opened or unopened containers/packages of the product (preferably sealed in another container and kept in the refrigerator to preserve the evidence). Save copies of all your documentation. Be prepared if NICNAS contacts you to follow-up on the complaint. Let’s educate NICNAS about the severity of the problems caused by fragrances/cosmetics!
VIA REGISTERED MAIL #
TO: The Director Phone (02) 8577 8800 Dear Sir/Madam, RE: Adverse reaction to fragrance/cosmetic [specify if known] on [date] I am writing to report an [injury/illness] caused by a fragrance/cosmetic. On [date] I was exposed to and injured by [Name of fragrance/cosmetic product and manufacturer, if known. Describe the product as completely as possible, particularly any codes or identifying marks that appear on the label or container. Include name and address of the store where product was purchased if applicable]. I was exposed to the fragrance/cosmetic [explain the circumstances]. The symptoms I experienced were: [list applicable symptoms - headache, dizziness, increased heartbeat, violent coughing, vomiting, difficulty breathing, asthmatic reaction, rash, allergic skin irritation, skin discoloration, other]. [Include the following information if applicable]: I was treated for said [injury/illness] by [name and address of the doctor and/or hospital providing medical treatment] on [date]. Please enter this information in the Adverse Reaction Monitoring Program database. I can be reached for follow-up at the phone number/address above. Thank you for this opportunity to document my [injury/illness]. Sincerely,
|