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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2007-7319

2. Registrant Information.

Registrant Reference Number: SJB

Registrant Name (Full Legal Name no abbreviations): Spectrum Brands IP Inc.

Address: P.O. Box 21001

City: Brantford

Prov / State: ON

Country: Canada

Postal Code: N3R 7W9

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


4. Date registrant was first informed of the incident.


5. Location of incident.

Country: CANADA

Prov / State: ONTARIO

6. Date incident was first observed.


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.


PMRA Registration No. 9802      PMRA Submission No.       EPA Registration No.

Product Name: Wilson 50% Malathion Liquid Insecticide

  • Active Ingredient(s)

7. b) Type of formulation.

Application Information

8. Product was applied?


9. Application Rate.

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).

To be determined by Registrant

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


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: Male

Age: >64 yrs / > 64 ans

3. List all symptoms, using the selections below.


  • Skin
    • Symptom - Burning skin
    • Symptom - Skin sensitivity

4. How long did the symptoms last?

Unknown / Inconnu

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


6. a) Was the person hospitalized?


6. b) For how long?

7. Exposure scenario


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


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


10. Route(s) of exposure.


11. What was the length of exposure?

>15 min <=2 hrs / >15 min <=2 h

12. Time between exposure and onset of symptoms.

>24 hrs <=3 days / >24 h <=3 jours

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 stated that he accidently spilled the product, getting some of the liquid on the palm of his hands. It is unknown whether the product was concentrated or diluted. Shortly after about an half hour the caller washed his hands with soap and water several times, about 6 hours later the called then decided to wash his hands in vinegar and water. Following that the next day the called decided to wash his hand yet again, this time with baking soda and water. Caller stated to the operator that he has a warm sensation on the palm and back of his hand, with some sensitivity to the hand when touched. The operator that fielded the call advised the caller to go see his family doctor. A couple days later a follow up call was sent out and confirmed that symptoms have resolved based on Doctor's diagnosis.

To be determined by Registrant

14. Severity classification.


15. Provide supplemental information here.

It is unknown whether the Malathion itself caused the burning and sensitivity to touch that this caller was experiencing after the exposure, or maybe it was the fact that he washed his hands first with soap and water, then vinegar and water and thirdly baking soda and water. No other symptoms that are typically witnessed after a malathion exposure were reported, so it leads us to believe that the symptoms reported were possibly a result of all the different cleansing measures that were taken.