Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2007-7384

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-SEP-07

5. Location of incident.

Country: CANADA

Prov / State: ONTARIO

6. Date incident was first observed.

12-AUG-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. 26702      PMRA Submission No.       EPA Registration No.

Product Name: C-I-L GRUBOUT ANT & GRUB KILLER ATTACH AND SPRAY

• Active Ingredient(s)
  • CARBARYL

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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).

unknown

To be determined by Registrant

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

No

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: Unknown / Inconnu

3. List all symptoms, using the selections below.

System

• Respiratory System
  • Symptom - Sore throat

• Gastrointestinal System
  • Symptom - Nausea
  • Symptom - Bad breath

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

Pesticide Spill

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

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.)

Caller indicated that during application of the product, he accidently spilled some on his hands. The caller is in good health, no medication, no allergies. Product was washed off of his skin approximately 30 minutes after the exposure. He claims that after the exposure he is suffering from a sore throat and 'really bad breath like coming from the stomach` Nausea. No dermal symptoms. The operator who took the call recommended that caller might want to call his family physician for an evaluation because it is unknown as to whether symptoms are a result of exposure.

To be determined by Registrant

14. Severity classification.

Minor

15. Provide supplemental information here.

This case was a misuse of the label, not only did the caller not use appropriate PPE, but instead of using the Attach and Spray format that, that particular product comes in. The consumer decides to remove the contents in the bottle and put it into another sprayer applicator.