Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2009-3121

2. Registrant Information.

Registrant Reference Number: Prosar 1-19372906

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.

31-JUL-09

5. Location of incident.

Country: CANADA

Prov / State: SASKATCHEWAN

6. Date incident was first observed.

31-JUL-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. 67702-6-239

Product Name: Ecosense Brand Outdoor Insect Killer 24fl oz

• Active Ingredient(s)
  • CANOLA OIL
  • PYRETHRINS

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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 product was applied to an unknown area on 07/31/2009.

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.

Data Subject

2. Demographic information of data subject

Sex: Female

Age: >19 <=64 yrs / >19 <=64 ans

3. List all symptoms, using the selections below.

System

• Respiratory System
  • Symptom - Burning nose

4. How long did the symptoms last?

>30 min <=2 hrs / >30 min <=2 h

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

No

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.

Respiratory

11. What was the length of exposure?

Unknown / Inconnu

12. Time between exposure and onset of symptoms.

Unknown / Inconnu

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.)

1-19372906: A reporter called on 07/31/2009 to report her exposure to an insecticide containing the active ingredients Pyrethrins and Canola Oil. According to the reporter, she was spraying the product and thought she may have gotten too close to the mist. At the time of the report, her nostrils were burning. The reporter was advised that the product may result in redness and irritation following dermal exposure. A recommendation was made to irrigate the nostrils if possible and rinse any exposed skin with tepid water for 20 minutes. A recommendation was also made to use vitamin E oil on irritated skin and consult a health care professional should symptoms worsen, persist past 24 hours, or if difficulty breathing develops. On follow up, the reporter's family member stated that the reporter's signs resolved after 1 hour. No further information was obtained.

To be determined by Registrant

14. Severity classification.

Minor

15. Provide supplemental information here.