Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2007-7327

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.

Human

4. Date registrant was first informed of the incident.

12-JUL-07

5. Location of incident.

Country: CANADA

Prov / State: ONTARIO

6. Date incident was first observed.

23-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. 23446      PMRA Submission No.       EPA Registration No.

Product Name: C-I-L ANT TRAP

• Active Ingredient(s)
  • BORAX

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7. b) Type of formulation.

Application Information

8. Product was applied?

Unknown

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?

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

• Nervous and Muscular Systems
  • Symptom - Numbness

• Skin
  • Symptom - Tingling skin

• General
  • Symptom - Swelling

4. How long did the symptoms last?

Unknown / Inconnu

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

Unknown

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?

Unknown / Inconnu

12. Time between exposure and onset of symptoms.

Unknown / Inconnu

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.)

The caller's girlfriend has a new CIL Ant Trap and she was trying to remove the ant trap tabs, suppose to push in the tabs. The caller stated that his girlfriend was using a knife to push in these tabs, when the knife had slipped. The knife tip sliced into her hand with a 4 mm wound to the right palm of her hand. The caller said that the cut has stopped bleeding, however the hand is throbbing and swelling a little bit. The caller also indicated to the operator that they used hydrogen peroxide and that the cut will not need stitches per the caller. As per the time of the call the exposed caller was experiencing tightness and tingling in her fingers. The operator who fielded the call recommended that the caller take his girlfriend in to seek medical attention. As per the follow up call, the caller's girlfriend was feeling much better and is washing the cut daily with soap and water. Redness and swelling have subsided.

To be determined by Registrant

14. Severity classification.

Minor

15. Provide supplemental information here.