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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2008-3315

2. Registrant Information.

Registrant Reference Number: 2008-18

Registrant Name (Full Legal Name no abbreviations): BASF Canada

Address: 100 Milverton,5th Floor

City: Mississauga

Prov / State: ON

Country: Canada

Postal Code: L5R4H1

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

Domestic Animal

4. Date registrant was first informed of the incident.

28-JUL-08

5. Location of incident.

Country: UNITED STATES

Prov / State: PENNSYLVANIA

6. Date incident was first observed.

23-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)

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

Product Name:

  • Active Ingredient(s)
    • PYRACLOSTROBIN
      • Guarantee/concentration 23.6 %

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: Agricultural-Outdoor/Agricole-extérieur

Préciser le type: field

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

Horse owner neighbour was spraying field with Headline fungicide,Pounce insecticide, Cornerstone herbicide.Owners saw product drift into their yard and land on horses.

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

Medical Professional

2. Type of animal affected

Horse / Cheval

3. Breed

thoroughbred

4. Number of animals affected

1

5. Sex

Male

6. Age (provide a range if necessary )

8

7. Weight (provide a range if necessary )

1200

lbs

8. Route(s) of exposure

Unknown

9. What was the length of exposure?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

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

11. List all symptoms

System

  • Skin
    • Symptom - Red skin
  • Gastrointestinal System
    • Symptom - Other
    • Specify - colic
  • Nervous and Muscular Systems
    • Symptom - Bizarre behaviour
  • Blood
    • Symptom - Thrombocytopenia
    • Symptom - Leukopenia
  • Liver
    • Symptom - Elevated liver enzymes
  • Gastrointestinal System
    • Symptom - Rectal hemorrhage
    • Specify - rupture hematoma found on small intestine on necropsy

12. How long did the symptoms last?

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

13. Was medical treatment provided? Provide details in question 17.

Yes

14. a) Was the animal hospitalized?

Yes

14. b) How long was the animal hospitalized?

1

Day(s) / Jour(s)

15. Outcome of the incident

Euthanised / Euthanasie

16. How was the animal exposed?

Spray drift / Dérive de pulvérisation

17. Provide any additional details about the incident

(eg. description of the frequency and severity of the symptoms

On July 23 or 24th owners neighbour was spraying their field with Headline and other products. The horse owners saw product drift onto their yard and land on their horses. The next day one of the horses developed symptoms, was euthanized July 25.


To be determined by Registrant

18. Severity classification (if there is more than 1 possible classification

Major

19. Provide supplemental information here

Timeline somewhat consistent, amount unknown consistent and findings poorly consistent:low likelihood of Headline causing clinical situation