Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2009-4730

2. Registrant Information.

Registrant Reference Number: Prosar 1-20577500

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.

30-OCT-09

5. Location of incident.

Country: CANADA

Prov / State: NOVA SCOTIA

6. Date incident was first observed.

30-OCT-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. 28716      PMRA Submission No.       EPA Registration No.

Product Name: Ecosense Indoor Pest Spray (Scotts)

• Active Ingredient(s)
  • 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 location on 10/30/2009.

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 - Runny nose

• Eye
  • Symptom - Tearing

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)

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.

<=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.)

1-20577500: A reporter called on 10/30/2009 to report her exposure to an insecticide containing the active ingredient Pyrethrins. According to the reporter, she had been spraying the product 1 hour prior to the report. Within 15 minutes following product application, she developed tearing and a runny nose. The reporter was advised that inhalation of the product may result in irritation of the eyes and upper respiratory tract including cough, difficulty breathing, and shortness of breath. These signs are typically limited to the upper respiratory tract and do not lead to other problems. A recommendation was made to leave the area containing the fumes and move to an area with fresh air and adequate ventilation. A recommendation was made to seek medical attention should the signs persist. On follow up, the reporter stated she was fine but declined to provide any further information. No further information was obtained.

To be determined by Registrant

14. Severity classification.

Minor

15. Provide supplemental information here.