Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2007-7396

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.

18-JUN-07

5. Location of incident.

Country: CANADA

Prov / State: ONTARIO

6. Date incident was first observed.

17-MAY-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. 24876      PMRA Submission No.       EPA Registration No.

Product Name: Wilson Floritect - Insecticide/Fungicide for Roses and Flowers

• Active Ingredient(s)
  • CARBARYL
  • FOLPET
  • PIRIMICARB

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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?

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 - Tingling skin

4. How long did the symptoms last?

>3 days <=1 wk / >3 jours <=1 sem

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)

Unknown

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.)

Caller stated that she had mixed the product up into an RTU bottle. During the application she was up on a ladder when the bottle fell off the sprayer falling to the ground and spilled around her honey suckle vine. She initially had phoned into the consumer line for information on how to clean the product up, however as she was talking to the third party operator, her lips began to tingle. Caller states that there is no possible way that she could have gotten the product on her lips. The operator that fielded the call advised her to flush skin with soap and water and if irritation persists to seek medical attention. On May 20 the operator followed up with the exposed consumer and the symptoms had resolved.

To be determined by Registrant

14. Severity classification.

Minor

15. Provide supplemental information here.

Due to the information provided by the caller and the third party operator, it is questionable as to whether the tingling lips symptoms was a result of the product or just coincindental. The caller even states that there is no way that she had gotten product on her lips the ways things unfolded in the situation.