Incident Report
Subform I: General Information
1. Report Type.
New incident report
Incident Report Number: 2015-2239
2. Registrant Information.
Registrant Reference Number: x
Registrant Name (Full Legal Name no abbreviations): x
Address: x
City: x
Country: x
3. Select the appropriate subform(s) for the incident.
Environment
4. Date registrant was first informed of the incident.
5. Location of incident.
Country: CANADA
Prov / State: ONTARIO
6. Date incident was first observed.
06-MAY-14
Product Description
7. a) Provide the active ingredient and, if available, the registration number and product name (include all tank mixes). If the product is not registered provide a submission number.
Active(s)
PMRA Registration No.
PMRA Submission No.
EPA Registration No.
Product Name: x
7. b) Type of formulation.
Application Information
8. Product was applied?
Unknown
9. Application Rate.
Unknown
10. Site pesticide was applied to (select all that apply).
11. Provide any additional information regarding application (how it was applied, amount applied, the size of the area treated etc).
Information on crops located near the beeyards: Corn was planted north of the bee yard. The bees were actually at a different yard at the time of the bee kill incident. BK observed airblast planter operating in the area at the time. Corn being planted with tin seeder.
To be determined by Registrant
12. In your opinion, was the product used according to the label instructions?
Unknown
Subform IV: Environment (includes plants insects and wildlife)
1. Type of organism affected
Terr. Invrtbrt-Honey Bee/Inv.Ter-Abeille
2. Common name(s)
Honey Bee
3. Scientific name(s)
Unknown
4. Number of organisms affected
Unknown
5. Description of site where incident was observed
Fresh water
Terrestrial
Agricultural
Salt Water
6. Check all symptoms that apply
Abnormal behavioural effects
Death
7. Describe symptoms and outcome (died, recovered, etc.).
There were a total of 10 colonies (all nucs) in the bee yard. There were 5 affected colonies. Additional food sources provided to the bees included sugar syrup and pollen supplement given in early spring. In Spring, Apivar was applied to the hives. The bees were actively foraging when the incident occurred; after the adverse effects there was a noticeable decline in foraging and lack of foragers returning to hive. There were 1001-1500 dead bees observed inside and outside of each hive. Adult bee symptoms included shaking/trembling/twitching. no queen or brood symptoms were observed. The weather at the time of the incident was sunny and dry and a little windy from the north/east. Samples of dead bees taken had positive detects for clothianidin
8. a) Was the incident a result of (select all that apply)
Unknown
8. b) i) How many times has the product been applied this year?
Unknown
8. b) ii) What was the date of the last application?
Unknown
9. Did it rain
9. a) During application?
Unknown
9. b) Up to 3 days after application?
Unknown
10. a) Was there a buffer zone?
Unknown
10. b) What type?
10. c) What was the size of the buffer zone?
11. a) Were environmental samples collected and analysed?
Yes
To be determined by Registrant
12. Severity classification (if there is more than one possible classification, select the most severe)
13. Please provide supplemental information here