Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2007-7414

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. 24705      PMRA Submission No.       EPA Registration No.

Product Name: CIL Wasp and Hornet Killer

• Active Ingredient(s)
  • N-OCTYL BICYCLOHEPTENE DICARBOXIMIDE
  • PIPERONYL BUTOXIDE
  • PROPOXUR
  • PYRETHRINS

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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: Unknown / Inconnu

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.

Other

2. Demographic information of data subject

Sex: Male

Age: >19 <=64 yrs / >19 <=64 ans

3. List all symptoms, using the selections below.

System

• Nervous and Muscular Systems
  • Symptom - Dizziness
  • Specify - vertigo
  • Symptom - Headache

• Gastrointestinal System
  • Symptom - Nausea

• General
  • Symptom - Chills
  • Symptom - Joint pain

4. How long did the symptoms last?

Unknown / Inconnu

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

No

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.

Respiratory

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 indicated he was using the aerosol at the time of exposure , may have inhaled some of the mist. No personal protective equipment was used. He claims that the amount of product that he was exposed to was not a lot, however he is experiencing chills, headache and sore joints. He has used this product many times in the past and has never reacted to this product before. The operator who fielded the called explained to the caller that this is a product we would expect to cause symptoms many hours later. A minor inhalation exposure like what the caller had experienced could cause respiratory irritation that usually develops immediately. It would not be expected that those symptoms are related to this exposure. Recommendation was for the caller to call family physician to be evaluated if symptoms persist.

To be determined by Registrant

14. Severity classification.

Minor

15. Provide supplemental information here.