Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2007-8649

2. Registrant Information.

Registrant Reference Number: 229720

Registrant Name (Full Legal Name no abbreviations): Bayer CropScience Inc.

Address: Suite 100, 3131 114 Avenue SE

City: Calgary

Prov / State: AB

Country: Canada

Postal Code: T2Z 3X2

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

Domestic Animal

4. Date registrant was first informed of the incident.

26-AUG-07

5. Location of incident.

Country: UNITED STATES

Prov / State: NEW YORK

6. Date incident was first observed.

Unknown

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.       PMRA Submission No.       EPA Registration No. 72155-33

Product Name: 24-Hour Grub Killer Granules 15 lb72155-33

• Active Ingredient(s)
  • TRICHLORFON
    • Guarantee/concentration 6.2 %

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7. b) Type of formulation.

Granular

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).

Please refer to field 13 on Subform II or field 17 of subform III for a detailed description regarding application.

To be determined by Registrant

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

Yes

Subform III: Domestic Animal Incident Report

1. Source of Report

Animal's Owner

2. Type of animal affected

Dog / Chien

3. Breed

Labrador Retriever

4. Number of animals affected

1

5. Sex

Female

6. Age (provide a range if necessary )

8

7. Weight (provide a range if necessary )

46.00

lbs

8. Route(s) of exposure

Unknown

9. What was the length of exposure?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

Unknown / Inconnu

11. List all symptoms

System

• Gastrointestinal System
  • Symptom - Diarrhea
  • Symptom - Vomiting

• General
  • Symptom - Death
  • Symptom - Lethargy

• Gastrointestinal System
  • Symptom - Melena

• Cardiovascular System
  • Symptom - Shock

• Respiratory System
  • Symptom - Heavy breathing

• Cardiovascular System
  • Symptom - Cardiac arrest
  • Specify - undetectable pulse

• Nervous and Muscular Systems
  • Symptom - Muscle weakness

• Gastrointestinal System
  • Symptom - Oral hemorrhage
  • Specify - bleeding gums

12. How long did the symptoms last?

Persisted until death

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

Yes

14. a) Was the animal hospitalized?

Yes

14. b) How long was the animal hospitalized?

2

Hour(s) / Heure(s)

15. Outcome of the incident

Died

16. How was the animal exposed?

Other / Autre

specify Defined point of exposure not evident or witnessed. Exposure based on speculation.

17. Provide any additional details about the incident

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

8/26/2007Product was applied at residence by pest control officer three days ago. One of home owner's dogs became lethargic, began vomiting, and developed melena two days later. Dog did not have a known exposure to product. Caller has two other dogs that have remained asymptomatic. Dog was taken to emergency DVM. DVM could not locate any peripheral pulses on presentation. Dog began to go into shock and an IV catheter was placed. Dog developed labored respirations, and went into cardiac arrest soon after and died. Dog's gums were bleeding excessively after she died.

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To be determined by Registrant

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

Death

19. Provide supplemental information here