Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2007-5945

2. Registrant Information.

Registrant Reference Number: PROSAR Case 1-15083930

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.

07-JUL-07

5. Location of incident.

Country: CANADA

Prov / State: ALBERTA

6. Date incident was first observed.

07-JUL-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. 27809      PMRA Submission No.       EPA Registration No.

Product Name: Killex Ready-to-Spray 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?

No

9. Application Rate.

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

• Gastrointestinal System
  • Symptom - Nausea
  • Symptom - Vomiting

• Respiratory System
  • Symptom - Shortness of breath

4. How long did the symptoms last?

>30 min <=2 hrs / >30 min <=2 h

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

Yes

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)

None

10. Route(s) of exposure.

Skin

11. What was the length of exposure?

<=15 min / <=15 min

12. Time between exposure and onset of symptoms.

<=30 min / <=30 min

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.)

History: Carrying bottle of product 30 min ago. Product not used-as rain was due. No other products involved. Container felt sticky per caller/thinks AI was leaking. She developed symptoms of Nausea, vomiting, and Shortness of breath. EMT on site, asking about what in product is causing patients allergic reaction. Assessment: AI with low order of toxicity. Not known to cause GI SX or SOB with dermal contact. (city) MD for evaluation. 07/09/2007 Follow-up She states she was given an Epe-Pen after exposure and was taken to ER where she was observed. She has been doing just fine. Note: PMRA: 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.