Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2009-2053

2. Registrant Information.

Registrant Reference Number: Prosar 1-18311824

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.

02-MAY-09

5. Location of incident.

Country: CANADA

Prov / State: BRITISH COLUMBIA

6. Date incident was first observed.

02-MAY-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. 28376      PMRA Submission No.       EPA Registration No.

Product Name: Ecosense Insecticidal Soap Ready To Use (Scotts)

• Active Ingredient(s)
  • POTASSIUM SALTS OF FATTY ACIDS

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7. b) Type of formulation.

Application Information

8. Product was applied?

No

9. Application Rate.

10. Site pesticide was applied to (select all that apply).

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

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: Female

Age: Unknown / Inconnu

3. List all symptoms, using the selections below.

System

• Gastrointestinal System
  • Symptom - Tingling in mouth

• Respiratory System
  • Symptom - Irritated nose
  • Specify - "Tingling in nose"

• General
  • Symptom - Taste altered
  • Specify - "Funny taste in mouth"

• Nervous and Muscular Systems
  • Symptom - Headache

• Eye
  • Symptom - Watery eye

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

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

Respiratory

11. What was the length of exposure?

Unknown / Inconnu

12. Time between exposure and onset of symptoms.

<=30 min / <=30 min

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.)

1-18311824: A reporter (co-worker) called on 05/02/2009 to report the exposure of her co-worker to an insecticide containing the active ingredient potassium salt of fatty acids. According to the reporter, the product had spilled and her co-worker was cleaning it up. The co-worker developed a tingling in her nose and mouth from inhalation of the product odors. She also experienced a funny taste in her mouth, a headache, and watery eyes. At the time of the report, the co-worker had washed her hands. The reporter was advised that individuals who find odors strong or unpleasant may develop general symptoms such as nausea, headache, and respiratory irritation. These symptoms are generally self-limiting and resolve with removal of the odor. A recommendation was made to remove the co-worker from the source of the odor and place her in fresh air with good ventilation. It was also recommended that the workspace be ventilated to dissipate the odor. The reporter was advised that her co-worker should consider getting medical evaluation if her symptoms persist after 60 minutes or worsen. A recommendation was also made for the co-worker to rinse exposed skin for at least 10 minutes, and apply vitamin E/aloe vera if skin irritation develops. Skin irritation persisting past 24 hours or worsening symptoms should be evaluated by a health care professional. An attempt at follow up was unsuccessful. No further information was obtained.

To be determined by Registrant

14. Severity classification.

Minor

15. Provide supplemental information here.