Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2008-2728

2. Registrant Information.

Registrant Reference Number: Prosar case 1-16314056

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.

23-JUN-08

5. Location of incident.

Country: CANADA

Prov / State: BRITISH COLUMBIA

6. Date incident was first observed.

22-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)

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PMRA Registration No. 28179      PMRA Submission No.       EPA Registration No.

Product Name: Ecosense Weed Control Spray with Pull N Spray Applicator

• Active Ingredient(s)
  • ACETIC ACID

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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. - 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).

The reporter used the product on 6/21/08.

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.

Data Subject

2. Demographic information of data subject

Sex: Female

Age: >64 yrs / > 64 ans

3. List all symptoms, using the selections below.

System

• Skin
  • Symptom - Rash

• General
  • Symptom - Swelling
  • Specify - Facial swelling

• Skin
  • Symptom - Irritated skin
  • Symptom - Erythema

4. How long did the symptoms last?

>3 days <=1 wk / >3 jours <=1 sem

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

Unknown

6. a) Was the person hospitalized?

Unknown

6. b) For how long?

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)

Unknown

10. Route(s) of exposure.

Unknown

11. What was the length of exposure?

Unknown / Inconnu

12. Time between exposure and onset of symptoms.

>8 hrs <=24 hrs / > 8 h < = 24 h

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.)

1-16314056: The reporter called on 6/23/08 to report her exposure to a product containing the active ingredient Acetic acid several days previously. According to the reporter, she had used the product the evening of 6/21/08. By the next morning she had developed symptoms of facial edema, facial rash, and dermal irritation and erythema of the face. The reporter believed she may have gotten some product mist on her face. She had used calamine lotion, an antihistamine, and some aloe vera and had experienced partial relief. However, each time she washed her face her symptoms would flare-up again - swelling with a rash. The safety profile of the product was discussed. A recommendation was made to seek medical care since the symptoms had persisted. A follow-up call on 6/30 revealed the reporter¿s symptoms had resolved.

To be determined by Registrant

14. Severity classification.

Minor

15. Provide supplemental information here.