Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2008-3157

2. Registrant Information.

Registrant Reference Number: Prosar case 1-16439770

Registrant Name (Full Legal Name no abbreviations): Syngenta Crop Protection Canada, Inc.

Address: 140 Research Lane, Research Park

City: Guelph

Prov / State: Ontario

Country: Canada

Postal Code: N1G4Z3

3. Select the appropriate subform(s) for the incident.

Human

4. Date registrant was first informed of the incident.

24-JUL-08

5. Location of incident.

Country: CANADA

Prov / State: BRITISH COLUMBIA

6. Date incident was first observed.

24-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. 28072      PMRA Submission No.       EPA Registration No.

Product Name: Touchdown Total Herbicide

• Active Ingredient(s)
  • GLYPHOSATE (PRESENT AS POTASSIUM 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: Unknown / Inconnu

11. Provide any additional information regarding application (how it was applied, amount applied, the size of the area treated etc).

The reporter was spraying diluted product for about 90 minutes prior to the call. A connection on the sprayer had leaked and had dripped product onto his hand.

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: Male

Age: Unknown / Inconnu

3. List all symptoms, using the selections below.

System

• Skin
  • Symptom - Irritated skin
  • Symptom - Other
  • Specify - "Prune like hand"

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

Unknown

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.

Skin

11. What was the length of exposure?

>15 min <=2 hrs / >15 min <=2 h

12. Time between exposure and onset of symptoms.

>30 min <=2 hrs / >30 min <=2 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.)

1-16439770: The reporter called on 7/24/08 to report his exposure to a product containing the active ingredient Glyphosate. According to the reporter, he had been spraying diluted product for about 90 minutes prior to the call. A connection on the sprayer had leaked and had dripped product onto his hand. By the time of the call his hand had become irritated and looked ¿¿¿like a prune¿¿?. The safety profile of the product was discussed including its potential as a dermal irritant with prolonged contact. A recommendation was made to wash all affected skin for 15-20 minutes, to use cold compresses or vitamin E/Aloe Vera, and to seek medical care if the symptoms persisted or worsened over the next 24 hours. No additional information is available.

To be determined by Registrant

14. Severity classification.

Minor

15. Provide supplemental information here.