Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2009-1637

2. Registrant Information.

Registrant Reference Number: Prosar 1-18123735

Registrant Name (Full Legal Name no abbreviations): The Scotts Company LLC

Address: 14111 Scottslawn Road

City: Marysville

Prov / State: Ohio

Country: USA

Postal Code: 43041

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

Human

4. Date registrant was first informed of the incident.

15-APR-09

5. Location of incident.

Country: UNITED STATES

Prov / State: VIRGINIA

6. Date incident was first observed.

15-APR-09

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.       PMRA Submission No.       EPA Registration No. 538-282

Product Name: Turf Builder with Plus 2 Weed Control 28-3-3

• Active Ingredient(s)
  • 2,4-D (PRESENT AS ACID)
    • Guarantee/concentration 10
  • AMMONIUM SULPHATE
  • MECOPROP P-ISOMER PRESENT AS DIMETHYLAMINE SALT
    • Unknown
  • UREA
    • Unknown

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7. b) Type of formulation.

Granular

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 to the lawn on 04/15/2009 and 04/17/2009.

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.

Other

2. Demographic information of data subject

Sex: Male

Age: >64 yrs / > 64 ans

3. List all symptoms, using the selections below.

System

• Nervous and Muscular Systems
  • Symptom - Slurred speech

• Cardiovascular System
  • Symptom - Stroke
  • Specify - "TIA-mini stroke"

• Gastrointestinal System
  • Symptom - Nausea

4. How long did the symptoms last?

Unknown / Inconnu

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

Yes

6. a) Was the person hospitalized?

No

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.

Skin

11. What was the length of exposure?

Unknown / Inconnu

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.)

1-18123735: A reporter called on 04/15/2009 to report the exposure of his brother to a lawn fertilizer with weed control containing the active ingredients 2,4-D, Mecoprop-p, Urea, Ammonium Phosphate, Potassium Sulfate, Ammonium Sulfate, and Nuisance Dust. According to the reporter, his brother had been breaking up clumps of the product with his bare hands as he applied the product to the lawn in the hour prior to the report. At some point, he developed slurred speech. The Emergency Medical Service was called out, and his brother's vital signs were found to be within normal limits. He showered and changed his clothing. At the time of the report, his speech was returning to normal. He was not brought to the hospital. The reporter was advised that the described signs are not expected following dermal contact with the product. The reporter was also advised that dermal contact with the product may result in irritation and redness that should gradually subside following irrigation for 20 minutes. If skin irritation does develop, use cold compresses or vitamin E/aloe vera products. A health care provider should be contacted if symptoms persist for longer than 24 hours. A recommendation was made to have the reporter's brother evaluated by a health care provider given his symptoms. On follow up on 04/17/209, the reporter's brother answered the phone. He reported that he was seen at the hospital and diagnosed with a TIA. A carotid doppler evaluation and blood pressure measurement were within normal limits. He was scheduled to have an echocardiogram and an MRI at a later date. He then reported that he had used the product earlier on 04/17/2009 while wearing a mask and gloves. He became nauseated at which point he rinsed off and changed his clothes. At the time of the follow up, his nausea had resolved. He felt as if he had overdone it based on his doctor's recommendations to to rest pending his other tests. He still had some slurred speech at the time of the follow up report due to his "mini stroke." No further information was obtained.

To be determined by Registrant

14. Severity classification.

Major

15. Provide supplemental information here.