Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2008-3762

2. Registrant Information.

Registrant Reference Number: PROSAR Case - 1-16532516

Registrant Name (Full Legal Name no abbreviations): Scotts Canada Lld.

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.

15-AUG-08

5. Location of incident.

Country: CANADA

Prov / State: ONTARIO

6. Date incident was first observed.

14-AUG-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

• 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 sprayed on 8/14/2008 and the spray drifted onto blueberry bushes.

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 pain

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)

Other

9. If the exposure occured during application or re-entry, what protective clothing was worn? (select all that apply)

10. Route(s) of exposure.

Oral

11. What was the length of exposure?

Unknown / Inconnu

12. Time between exposure and onset of symptoms.

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

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.)

1-16532516: The reporter called on 8/15/2008, to report exposure of his wife to an herbicide with active ingredients 2,4-D, Dicamba and Mecoprop. According to the reporter the product was sprayed on 8/14/2008 and the spray drifted onto some blueberry bushes. The reporters wife ate some of the unwashed exposed blueberries on 8/14/2008. At the time of the report, the reporters wife was experiencing stomach pain. The reporters wife ate fries and ice cream and continued to experience stomach pain. The safety profile of the product was discussed in that small diluted amounts of the product, if ingested, would not expect to cause serious abdominal pain. A recommendation was made for the patient to drink plenty of fluids and seek medical advice. Follow-up attempts were unsuccessful, no further information was reported.

To be determined by Registrant

14. Severity classification.

Minor

15. Provide supplemental information here.