Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2008-3118

2. Registrant Information.

Registrant Reference Number: Prosar case 1-16413142

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.

17-JUL-08

5. Location of incident.

Country: CANADA

Prov / State: ALBERTA

6. Date incident was first observed.

13-JUL-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. 27801      PMRA Submission No.       EPA Registration No.

Product Name: Killex Lawn Weed Control Concentrate (Green Cross)

• Active Ingredient(s)
  • 2,4-D (PRESENT AS AMINE SALTS : DIMETHYLAMINE SALT, DIETHANOLAMINE SALT, OR OTHER AMINE SALTS)
  • DICAMBA (PRESENT AS ACID, AMINE SALT, ESTER, OR SODIUM SALT)
  • MECOPROP-P (PRESENT AS DIMETHYLAMINE SALT)

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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 product was applied on 7/13/08. The reporter and her husband were out all day spraying the yard with the product.

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: Unknown / Inconnu

3. List all symptoms, using the selections below.

System

• Gastrointestinal System
  • Symptom - Stomach cramps

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?

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?

>2 hrs <=8 hrs / >2 h <=8 h

12. Time between exposure and onset of symptoms.

>2 hrs <=8 hrs / > 2 h < = 8 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.)

1-16413142: The reporter called on 7/17/08 to report the exposure of herself and her husband to a product containing the active ingredients Mecoprop, Dicamba, and 2,4,D. According to the reporter, she and her husband had been spraying their yard with the product all day on 7/13/08. Since that time, they both have had stomach cramps when they eat. In addition, the reporters husband had developed painful, frequent episodes of urination (to the point of incontinence) in which the urine had been a bright yellow color. Both the reporters and her husbands symptoms had continued for 4 days without improvement. The safety profile of the product was discussed. While very large prolonged exposure to the product could result in stomach upset, the symptoms would not be expected to continue for more than 24 hours. Additionally, urinary issues would not be expected to develop after routine product use. A recommendation was made to seek medical care since the symptoms had continued for more than 24 hours. A follow-up call was placed but was never returned.

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.

Medical Professional

2. Demographic information of data subject

Sex: Male

Age: Unknown / Inconnu

3. List all symptoms, using the selections below.

System

• Gastrointestinal System
  • Symptom - Stomach cramps

• Renal System
  • Symptom - Urine discoloration
  • Specify - Discolored urine (bright yellow)
  • Symptom - Painful urination
  • Symptom - Frequent urination
  • Symptom - Urinary incontinence

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?

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?

>2 hrs <=8 hrs / >2 h <=8 h

12. Time between exposure and onset of symptoms.

>2 hrs <=8 hrs / > 2 h < = 8 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.)

1-16413142: The reporter called on 7/17/08 to report the exposure of herself and her husband to a product containing the active ingredients Mecoprop, Dicamba, and 2,4,D. According to the reporter, she and her husband had been spraying their yard with the product all day on 7/13/08. Since that time, they both have had stomach cramps when they eat. In addition, the reporters husband had developed painful, frequent episodes of urination (to the point of incontinence) in which the urine had been a bright yellow color. Both the reporters and her husbands symptoms had continued for 4 days without improvement. The safety profile of the product was discussed. While very large prolonged exposure to the product could result in stomach upset, the symptoms would not be expected to continue for more than 24 hours. Additionally, urinary issues would not be expected to develop after routine product use. A recommendation was made to seek medical care since the symptoms had continued for more than 24 hours. A follow-up call was placed but was never returned.

To be determined by Registrant

14. Severity classification.

Moderate

15. Provide supplemental information here.