Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2008-1077

2. Registrant Information.

Registrant Reference Number: 201306

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.

Human

4. Date registrant was first informed of the incident.

20-JUN-07

5. Location of incident.

Country: CANADA

Prov / State: MANITOBA

6. Date incident was first observed.

18-JUN-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. 16080      PMRA Submission No.       EPA Registration No.

Product Name: Ficam D

• Active Ingredient(s)
  • BENDIOCARB

---

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

Product Name: Dragnet FT

• Active Ingredient(s)
  • PERMETHRIN

---

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: Pub. Area - Indoor/Zone publique - int

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 II: Human Incident Report (A separate form for each person affected)

1. Source of Report.

Other

2. Demographic information of data subject

Sex: Unknown

Age: Unknown / Inconnu

3. List all symptoms, using the selections below.

System

• General
  • Symptom - Taste altered
  • Symptom - Edema

• Gastrointestinal System
  • Symptom - Tingling in mouth

4. How long did the symptoms last?

Unknown / Inconnu

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

Unknown

6. a) Was the person hospitalized?

No

6. b) For how long?

7. Exposure scenario

Occupational

8. How did exposure occur? (Select all that apply)

Other

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.

Unknown

11. What was the length of exposure?

<=15 min / <=15 min

12. Time between exposure and onset of symptoms.

<=30 min / <=30 min

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 is with the (company name) and is receiving a complaint from an office building that had a PCO come to apply Dragnet and Ficam D to the office. They did this in the floor and in the ceiling. The ceiling is actually the ventilation pleunum which the air circulates through. This was done on 6/14. The next day only a few people came back to the office and a lot of them complained of tingling lips and a funny taste in the mouth. Two of the workers went home with swelling of the face. On Monday (6/18) many workers were having the same issues. One had a rash break out on the hands and lower arms. He is unsure if any sought help from a doctor, but it is his impression that symptoms cleared quickly when the people having problems left the building (at least with those c/o tingling and metallic taste). He is aware of 11 people total that have had problems. The PCO was advised to vacuum the product from above the ceiling and since this was done yesterday he has had no further complaints or f/u from the building. Follow-up attempted on 6/21/2007. Message was left, but no return call made by original reporter.

To be determined by Registrant

14. Severity classification.

Minor

15. Provide supplemental information here.

Subform II: Human Incident Report (A separate form for each person affected)

1. Source of Report.

Other

2. Demographic information of data subject

Sex: Unknown

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

3. List all symptoms, using the selections below.

System

• General
  • Symptom - Taste altered

• Skin
  • Symptom - Rash

• Gastrointestinal System
  • Symptom - Tingling in mouth

4. How long did the symptoms last?

Unknown / Inconnu

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

Unknown

6. a) Was the person hospitalized?

No

6. b) For how long?

7. Exposure scenario

Occupational

8. How did exposure occur? (Select all that apply)

Other

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.

Unknown

11. What was the length of exposure?

<=15 min / <=15 min

12. Time between exposure and onset of symptoms.

<=30 min / <=30 min

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 is with the (company name) and is receiving a complaint from an office building that had a PCO come to apply Dragnet and Ficam D to the office. They did this in the floor and in the ceiling. The ceiling is actually the ventilation pleunum which the air circulates through. This was done on 6/14. The next day only a few people came back to the office and a lot of them complained of tingling lips and a funny taste in the mouth. Two of the workers went home with swelling of the face. On Monday (6/18) many workers were having the same issues. One had a rash break out on the hands and lower arms. He is unsure if any sought help from a doctor, but it is his impression that symptoms cleared quickly when the people having problems left the building (at least with those c/o tingling and metallic taste). He is aware of 11 people total that have had problems. The PCO was advised to vacuum the product from above the ceiling and since this was done yesterday he has had no further complaints or f/u from the building. Follow-up attempted on 6/21/2007. Message was left, but no return call made by original reporter.

To be determined by Registrant

14. Severity classification.

Minor

15. Provide supplemental information here.

Subform II: Human Incident Report (A separate form for each person affected)

1. Source of Report.

Other

2. Demographic information of data subject

Sex: Unknown

Age: Unknown / Inconnu

3. List all symptoms, using the selections below.

System

• General
  • Symptom - Taste altered

• Gastrointestinal System
  • Symptom - Tingling in mouth

4. How long did the symptoms last?

Unknown / Inconnu

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

Unknown

6. a) Was the person hospitalized?

No

6. b) For how long?

7. Exposure scenario

Occupational

8. How did exposure occur? (Select all that apply)

Other

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.

Unknown

11. What was the length of exposure?

<=15 min / <=15 min

12. Time between exposure and onset of symptoms.

<=30 min / <=30 min

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 is with the (company name) and is receiving a complaint from an office building that had a PCO come to apply Dragnet and Ficam D to the office. They did this in the floor and in the ceiling. The ceiling is actually the ventilation pleunum which the air circulates through. This was done on 6/14. The next day only a few people came back to the office and a lot of them complained of tingling lips and a funny taste in the mouth. Two of the workers went home with swelling of the face. On Monday (6/18) many workers were having the same issues. One had a rash break out on the hands and lower arms. He is unsure if any sought help from a doctor, but it is his impression that sx cleared quickly when the people having problems left the building (at least with those c/o tingling and metallic taste). He is aware of 11 people total that have had problems. The PCO was advised to vacuum the product from above the ceiling and since this was done yesterday he has had no further complaints or f/u from the building. Follow-up attempted on 6/21/2007. Message was left, but no return call made by original reporter.

To be determined by Registrant

14. Severity classification.

Minor

15. Provide supplemental information here.