Incident Report
Subform I: General Information
1. Report Type.
New incident report
Incident Report Number: 2008-2724
2. Registrant Information.
Registrant Reference Number: Prosar case 1-16283830
Registrant Name (Full Legal Name no abbreviations): The Scotts Company LLC
Address: 14111 Scottslawn Road
City: Marysville
Prov / State: Ohio
Country: USA
Postal Code: 43041
3. Select the appropriate subform(s) for the incident.
Domestic Animal
4. Date registrant was first informed of the incident.
16-JUN-08
5. Location of incident.
Country: UNITED STATES
Prov / State: OHIO
6. Date incident was first observed.
15-JUN-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)
PMRA Registration No.
PMRA Submission No.
EPA Registration No. 228-424-239
Product Name: Weed-B-Gon MAX Ready Spray
- Active Ingredient(s)
- DICAMBA (PRESENT AS ACID, AMINE SALT, ESTER, OR SODIUM SALT)
- Guarantee/concentration 1.35 %
- MCPA (PRESENT AS AMINE SALTS: DIETHANOLAMINE, DIMETHYLAMINE, OR MIXED AMINES)
- Guarantee/concentration 13.72 %
- TRICLOPYR
- Guarantee/concentration 1.56 %
7. b) Type of formulation.
Liquid
Application Information
8. Product was applied?
Yes
9. Application Rate.
Unknown
10. Site pesticide was applied to (select all that apply).
Site: Unknown / Inconnu
11. Provide any additional information regarding application (how it was applied, amount applied, the size of the area treated etc).
The reporter applied the product on 6/15/08.
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
Unknown
4. Number of animals affected
1
5. Sex
Unknown
6. Age (provide a range if necessary )
Unknown
7. Weight (provide a range if necessary )
Unknown
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
12. How long did the symptoms last?
Persisted until death
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
Died
16. How was the animal exposed?
Other / Autre
specify No explanation per reporter on how or if the cat had been exposed to the product
17. Provide any additional details about the incident
(eg. description of the frequency and severity of the symptoms
1-16283830: The reporter called on 6/16/08 to report the passing of her cat the previous day. According to the reporter, she had used a product containing the active ingredients MCPA, Triclopyr, and Dicamba on 6/15/08. Her cat had passed away sometime after the product had been used, and all of the other pets in the household had not been affected. The reporter did not state any details regarding how or if the cat had been directly exposed to the product. The reporter inquired about the product as the cause of her cat's passing. A recommendation was made to consider other causes as sudden death would not be a typical or expected reaction to routine product use.
To be determined by Registrant
18. Severity classification (if there is more than 1 possible classification
Death
19. Provide supplemental information here