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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2010-1248

2. Registrant Information.

Registrant Reference Number: PROSAR 1-21890711

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.


4. Date registrant was first informed of the incident.


5. Location of incident.


Prov / State: TEXAS

6. Date incident was first observed.


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.


PMRA Registration No.       PMRA Submission No.       EPA Registration No. 239-2476

Product Name: Ortho Rose Pride Insect Disease/Mite Control Aerosol 14oz

  • Active Ingredient(s)
      • Guarantee/concentration .25 %
      • Guarantee/concentration .1 %
      • Guarantee/concentration .1 %

7. b) Type of formulation.


Application Information

8. Product was applied?


9. Application Rate.


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

Site: Res. - Out Home / Rés - à l'

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

The product was applied outside the home on 02/26/2010.

To be determined by Registrant

12. In your opinion, was the product used according to the label instructions?


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: Male

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

3. List all symptoms, using the selections below.


  • Eye
    • Symptom - Burning eye
    • Symptom - Red eye
    • Symptom - Blindness (temporary)
    • Symptom - Other
    • Specify - "Saw little spots, then vision became dark"
    • Symptom - Blurred vision
  • Skin
    • Symptom - Peeling skin
    • Specify - Peeling skin near eyes
    • Symptom - Burns (superficial)
    • Specify - "Eyebrows burned"
  • General
    • Symptom - Swelling
    • Specify - little finger and entire right hand
  • Nervous and Muscular Systems
    • Symptom - Depression
    • Specify - "Worsened depression"

4. How long did the symptoms last?

Unknown / Inconnu

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


6. a) Was the person hospitalized?


6. b) For how long?

7. Exposure scenario


8. How did exposure occur? (Select all that apply)


9. If the exposure occured during application or re-entry, what protective clothing was worn? (select all that apply)


10. Route(s) of exposure.



11. What was the length of exposure?

<=15 min / <=15 min

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.)

1-21890711: A reporter called on 02/11/2010 to report his exposure to an insect disease and mite control product containing the active ingredients Acephate, Resmethrin, and Triforine. According to the reporter, he was using the product on 02/26/2010 when the can exploded during use and sprayed product in his face. When asked, the reporter said that the can itself did not hit him in the face. He rinsed his eyes with water from a hose for 1 hour because they were burning. His eyes were also very red, and the reporter reported seeing little spots and having his vision become dark. He maintains he "went blind" for 3-4 hours after the exposure. The reporter saw a physician 1 week later and was treated with unspecified drops and was told that he will need glasses. The reporter also said that his physician would like to do some unspecified tests. At the time of the report, the reporter had persistent blurred vision and red eyes. The reporter was advised that ocular exposure to the product may result in eye irritation, redness, and blurred vision; however, the signs would be expected to be transient. Long term or permanent damage and temporary blindness are not consistent with ocular exposure. At this point, the reporter said that he had not gone blind, but that he had blurred vision. The reporter was advised that had he reported the exposure after it had occurred, we would have recommended immediate medical evaluation based on the reported signs rather than waiting 1 week to see a physician. The reporter was advised that his physician may call with any questions about the product. The reporter declined the phone number for customer service to discuss product malfunction. On follow up on 03/18/2010, the reporter stated that his eyes were still red and burning and his vision was still blurry. He went to the emergency room at an unspecified time and was given medication for his eyes and his skin, as the skin near his eyes peeled while he was washing the product off. He also stated that his eyebrows were burned by the product. During this conversation, he reported that the can impacted on his little finger and also hit his face. His little finger and his entire right hand became swollen. The swelling was resolving with ice at the time of the follow up conversation. The reporter stated that he will be seeing his physician again and may need to see an eye doctor and a dermatologist. The reporter also stated that he takes depression medications, and that his depression has been worsened by his injuries.

To be determined by Registrant

14. Severity classification.


15. Provide supplemental information here.