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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2007-8343

2. Registrant Information.

Registrant Reference Number: PROSAR Case 1-15148344

Registrant Name (Full Legal Name no abbreviations): Scotts Canada Ltd.

Address: 2000 Argentia Road, Plaza 5, Suite 101

City: Mississauga

Prov / State: Ontario

Country: Canada

Postal Code: L5N2R7

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

Domestic Animal

4. Date registrant was first informed of the incident.

26-JUL-07

5. Location of incident.

Country: CANADA

Prov / State: ALBERTA

6. Date incident was first observed.

25-JUL-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)

PMRA Registration No. 28258      PMRA Submission No.       EPA Registration No.

Product Name: Home Defense Max Perimeter + Indoor Insect Control with Pull'N Spray

  • Active Ingredient(s)
    • PERMETHRIN

7. b) Type of formulation.

Application Information

8. Product was applied?

No

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 III: Domestic Animal Incident Report

1. Source of Report

Animal's Owner

2. Type of animal affected

Cat / Chat

3. Breed

Mixed Breed

4. Number of animals affected

1

5. Sex

Male

6. Age (provide a range if necessary )

0.42

7. Weight (provide a range if necessary )

6

lbs

8. Route(s) of exposure

Oral

9. What was the length of exposure?

>2 hrs <=8 hrs / >2 h <=8 h

10. Time between exposure and onset of symptoms

>2 hrs <=8 hrs / > 2 h < = 8 h

11. List all symptoms

System

  • Gastrointestinal System
    • Symptom - Vomiting
    • Symptom - Diarrhea
  • Nervous and Muscular Systems
    • Symptom - Difficulty getting up
    • Specify - Unable to rise

12. How long did the symptoms last?

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

13. Was medical treatment provided? Provide details in question 17.

Unknown

14. a) Was the animal hospitalized?

Unknown

14. b) How long was the animal hospitalized?

15. Outcome of the incident

Unknown/Inconnu

16. How was the animal exposed?

Accidental ingestion/Ingestion accident.

specify Small spill from the bottle

17. Provide any additional details about the incident

(eg. description of the frequency and severity of the symptoms

History: Animal owner stated that 7 hours ago her 5 m.o. Mixed Breed cat possibly ingested "Home Defense Max Perimeter + Indoor Insect Control with Pull N Spray Applicator" spilled on the floor. One hour ago they noticed that he started vomiting, and already had 6 episodes of major diarrhea. Now he's not moving, asking what to do? Assessment: It's recommended to take him to veterinarian now for exam, and hydration and other treatment. Take container to show to veterinarian. Call back H+SI if need additional information. Call back H+SI if need additional information Spoke to owner of cat. She states that the cat has a DVM appt for today as he still has diarrhea. She said that he last vomited yesterday (7/26) Note: Based on the toxicologic profile of the product and the alleged contact/effect in the incident description, the symptoms alleged would be consistent with what would be expected from the described product contact.


To be determined by Registrant

18. Severity classification (if there is more than 1 possible classification

Minor

19. Provide supplemental information here