Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2008-0896

2. Registrant Information.

Registrant Reference Number: Prosar case 1-15724725

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.

Human

4. Date registrant was first informed of the incident.

25-JAN-08

5. Location of incident.

Country: CANADA

Prov / State: UNKNOWN

6. Date incident was first observed.

25-JAN-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.       PMRA Submission No.       EPA Registration No.

Product Name: Vapona No Pest Strip

• Active Ingredient(s)
  • DICHLORVOS PLUS RELATED ACTIVE COMPOUNDS

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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. - In Home / Rés. - à l'int. maison

11. Provide any additional information regarding application (how it was applied, amount applied, the size of the area treated etc).

The reporter tore up the strips with her bare hands and then placed the pieces into her file cabinet, her closet, and other sites.

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: Female

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

3. List all symptoms, using the selections below.

System

• Skin
  • Symptom - Rash

• Respiratory System
  • Symptom - Respiratory irritation
  • Symptom - Respiratory distress

• Skin
  • Symptom - Irritated skin

4. How long did the symptoms last?

Unknown / Inconnu

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

Yes

6. a) Was the person hospitalized?

Yes

6. b) For how long?

Unknown

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.

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.)

(number): The reporter called on 1/25/08 to report that she had been exposed about 1 year ago to a product containing the active ingredient Dichlorvos. She was initially exposed when she tore up the product strips with her bare hands and then placed the pieces into her filing cabinet, her closet and other sites. The reporter stated that at the time of initial use she had some breathing problems and the product irritated her skin. The reporter also stated she had her dwelling steam cleaned about 3 days ago (1/22/08), after which she could smell the product very strongly again. She is now in the hospital being treated for respiratory irritation and a rash. The reporter believed the steam reactivated the product and it has now permeated into the drywall of her dwelling (based on a consultation with a chemist). She was wondering how to clean the product out of the walls. Suggestions were made regarding clean-up, as well as a recommendation to work with her physician to rule out other causes of her symptoms as the symptoms do not fit the toxic profile of the product.

To be determined by Registrant

14. Severity classification.

Moderate

15. Provide supplemental information here.