Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2007-4648

2. Registrant Information.

Registrant Reference Number: PROSAR Case 1-15017928

Registrant Name (Full Legal Name no abbreviations): Scotts Canada Ltd.

Address: 2000 Argentia Road, Plaza 5, Suite 101

City: Mississauga

Prov / State: Ontario

Country: Canada

Postal Code: L5N2R7

3. Select the appropriate subform(s) for the incident.

Human

4. Date registrant was first informed of the incident.

18-JUN-07

5. Location of incident.

Country: CANADA

Prov / State: ONTARIO

6. Date incident was first observed.

15-JUN-07

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)

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PMRA Registration No. 27800      PMRA Submission No.       EPA Registration No.

Product Name: Killex Ready-to-Use Lawn Weed Control

• Active Ingredient(s)
  • 2,4-D (PRESENT AS AMINE SALTS : DIMETHYLAMINE SALT, DIETHANOLAMINE SALT, OR OTHER AMINE SALTS)
  • DICAMBA (PRESENT AS ACID, AMINE SALT, ESTER, OR SODIUM SALT)
  • MECOPROP P-ISOMER PRESENT AS DIMETHYLAMINE SALT

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7. b) Type of formulation.

Application Information

8. Product was applied?

Yes

9. Application Rate.

Unknown

10. Site pesticide was applied to (select all that apply).

Site: Res. - Out Home / Rés - à l'ext.maison

11. Provide any additional information regarding application (how it was applied, amount applied, the size of the area treated etc).

To be determined by Registrant

12. In your opinion, was the product used according to the label instructions?

Unknown

Subform II: Human Incident Report (A separate form for each person affected)

1. Source of Report.

Data Subject

2. Demographic information of data subject

Sex: Female

Age: >19 <=64 yrs / >19 <=64 ans

3. List all symptoms, using the selections below.

System

• Skin
  • Symptom - Erythema
  • Symptom - Irritated skin
  • Symptom - Other
  • Specify - Bumps

4. How long did the symptoms last?

Unknown / Inconnu

5. Was medical treatment provided? Provide details in question 13.

No

6. a) Was the person hospitalized?

Unknown

6. b) For how long?

7. Exposure scenario

Non-occupational

8. How did exposure occur? (Select all that apply)

Application

9. If the exposure occured during application or re-entry, what protective clothing was worn? (select all that apply)

Unknown

10. Route(s) of exposure.

Skin

11. What was the length of exposure?

Unknown / Inconnu

12. Time between exposure and onset of symptoms.

>8 hrs <=24 hrs / > 8 h < = 24 h

13. Provide any additional details about the incident (eg. description of the frequency and severity of the symptoms, type of medical treatment, results from medical tests, outcome of the incident, amount of pesticide exposed to, etc.)

Caller has sprayed the product, some got on her legs. She wiped down her legs afterwards with a wet washcloth. The next day she developed a rash that looks like chicken pox. It does not itch at all. Rash spreads from the bottom of her thighs down to her ankles. It is getting brighter day by day. She has no faith in the medical system and does not think that they will be able to help Assessment: - This is not an expected effect of routine product use. - You may or may not have an unrecognized sensitivity to one of the active or associated ingredients in a given product. - There are several possible causes of a rash including sensitivity to a household or commercial product, food product, naturally occurring environmental agent, or medication. Rashes may also form as a result of illness or exposure to heat. Recommend consulting a physician to help determine the cause of the rash. - You may consider relieving the symptoms with topical vitamin E or aloe vera products. Please read and follow all label directions. - Recommend seeking MD attention at this time as the symptoms have persisted for this period of time - Please call back with any additional questions or concerns. 06/20/07 Follow-up Caller said that her legs are still bumpy and has not spread anywhere else. She has only been applying Keri lotion to keep skin moisturized but denies other treatments because there is no itchiness or pain. Note: The relationship between the alleged contact and the effect in the incident description is indeterminable.

To be determined by Registrant

14. Severity classification.

Moderate

15. Provide supplemental information here.