Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2008-2468

2. Registrant Information.

Registrant Reference Number: 317804

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.

10-MAY-08

5. Location of incident.

Country: UNITED STATES

Prov / State: VIRGINIA

6. Date incident was first observed.

10-MAY-08

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. 72155-80

Product Name: Home Pest plus Germ Killer Indoor + Outdoor Killer RTU

• Active Ingredient(s)
  • CYFLUTHRIN
    • Guarantee/concentration .05 %
  • SODIUM O-PHENYLPHENATE
    • Guarantee/concentration .3 %

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7. b) Type of formulation.

Liquid

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 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

• Blood
  • Symptom - Hyperglycemia

• Cardiovascular System
  • Symptom - Chest pain

• Respiratory System
  • Symptom - Shortness of breath

• General
  • Symptom - Other
  • Specify - Acute diabetic crisis

4. How long did the symptoms last?

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

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

Yes

6. a) Was the person hospitalized?

Yes

6. b) For how long?

2

Day(s) / Jour(s)

7. Exposure scenario

Non-occupational

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

Application

Pesticide Spill

9. If the exposure occured during application or re-entry, what protective clothing was worn? (select all that apply)

Unknown

10. Route(s) of exposure.

Skin

Eye

Oral

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.)

5/10/2008 Caller is calling for a family member that had product contact both eyes, face, and mouth fifteen minutes ago. The patient was priming the trigger sprayer when the hose disconnected and product splashed onto patient. The patient began to feel chest tightness and difficulty breathing following exposure. 5/11/2008 Callback made to caller for follow up. The patient was hospitalized for two days for an acute diabetic crisis, and is now asymptomatic. The patient had a long standing prior history of diabetes.

To be determined by Registrant

14. Severity classification.

Major

15. Provide supplemental information here.