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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2009-3876

2. Registrant Information.

Registrant Reference Number: Prosar 1-19387383

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.

Domestic Animal

4. Date registrant was first informed of the incident.

02-AUG-09

5. Location of incident.

Country: CANADA

Prov / State: ALBERTA

6. Date incident was first observed.

02-AUG-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)

PMRA Registration No. 28205      PMRA Submission No.       EPA Registration No.

Product Name: Bug-B-Gon Max Hornet/Wasp Eliminator Foam (Ortho)

  • Active Ingredient(s)
    • D-TRANS ALLETHRIN
    • N-OCTYL BICYCLOHEPTENE DICARBOXIMIDE
    • PERMETHRIN

7. b) Type of formulation.

Application Information

8. Product was applied?

Unknown

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 III: Domestic Animal Incident Report

1. Source of Report

Animal's Owner

2. Type of animal affected

Dog / Chien

3. Breed

Rhodesian Ridgeback

4. Number of animals affected

1

5. Sex

Male

6. Age (provide a range if necessary )

0.33

7. Weight (provide a range if necessary )

40

lbs

8. Route(s) of exposure

Unknown

9. What was the length of exposure?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

Unknown / Inconnu

11. List all symptoms

System

  • Gastrointestinal System
    • Symptom - Vomiting
    • Symptom - Diarrhea
  • Eye
    • Symptom - Watery eye
    • Specify - "Runny eye"

12. How long did the symptoms last?

Unknown / Inconnu

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

Unknown

14. a) Was the animal hospitalized?

Unknown

14. b) How long was the animal hospitalized?

15. Outcome of the incident

Unknown/Inconnu

16. How was the animal exposed?

Contact treat.area/Contact surf. traitée

17. Provide any additional details about the incident

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

1-19387383: A reporter (dog owner) called on 08/02/2009 to report the possible exposure of his dog to a hornet and wasp spray containing the active ingredients d-trans Allethrin, Permethrin, NOBD, Ethanol, Isobutane, and Propane. According to the reporter, the product was applied earlier in the day. The dog was not allowed in the treated area until 4 hours following product application when the product was dry. The dog developed vomiting, diarrhea, and a runny eye an unknown time later. The reporter was advised that the product has a low level of toxicity and a wide margin of safety. Ingestions of wet product may result in minor GI upset. A recommendation was made to maintain the dog's hydration with water and Pedialyte or Gator-Ade. A recommendation was also made to have the dog evaluated by a veterinarian if the symptoms persisted or worsened. On follow up on 08/04/2009, the initial reporter's wife stated that the dog was doing better and that the vomiting had resolved. It is unknown whether the diarrhea and runny eye were persistent or whether the dog was seen by a veterinarian. No further information was obtained.


To be determined by Registrant

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

Minor

19. Provide supplemental information here