Incident Report
Subform I: General Information
1. Report Type.
New incident report
Incident Report Number: 2010-2239
2. Registrant Information.
Registrant Reference Number: PROSAR 1-22240899
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.
Domestic Animal
4. Date registrant was first informed of the incident.
13-APR-10
5. Location of incident.
Country: UNITED STATES
Prov / State: NEW JERSEY
6. Date incident was first observed.
12-APR-10
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.
PMRA Submission No.
EPA Registration No. 239-2690
Product Name: Basic Solutions Lawn Weed Killer 1 Ready to Spray 32 fl oz
- Active Ingredient(s)
- 2,4-D (PRESENT AS AMINE SALTS : DIMETHYLAMINE SALT, DIETHANOLAMINE SALT, OR OTHER AMINE SALTS)
- Guarantee/concentration 3.6 %
- DICHLORPROP (PRESENT AS DIMETHYLAMINE SALT)
- Guarantee/concentration 1.8 %
- MECOPROP-P (PRESENT AS AMINE SALT)
- Guarantee/concentration 1.8 %
7. b) Type of formulation.
Liquid
Application Information
8. Product was applied?
Yes
9. Application Rate.
Unknown
10. Site pesticide was applied to (select all that apply).
Site: Res. - Out Home / Rés - à l'ext.maison
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 the lawn on 04/11/2010.
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
Cat / Chat
3. Breed
Domestic Shorthair
4. Number of animals affected
1
5. Sex
Male
6. Age (provide a range if necessary )
10
7. Weight (provide a range if necessary )
Unknown
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
- Nervous and Muscular Systems
- General
- Symptom - Abnormal behaviour
- Specify - "Jumping"
- Symptom - Death
12. How long did the symptoms last?
Persisted until death
13. Was medical treatment provided? Provide details in question 17.
No
14. a) Was the animal hospitalized?
No
14. b) How long was the animal hospitalized?
15. Outcome of the incident
Died
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
1-22240899: A reporter (cat owner) called on 04/13/2010 to report the exposure of her cat to an herbicide containing the active ingredients 2,4-D, Mecoprop-p, and Dichlorprop. According to the reporter, the product was applied to the lawn on 04/11/2010. On 04/12/2010, she let her cat outside. He came back into the house a few hours later, started to shake and jumped and suddenly died. The reporter was advised that the signs described are not expected following exposure to the product. Ingestion of product may result in temporary gastrointestinal irritation such as nausea, vomiting or diarrhea. A recommendation was made to consider necropsy to determine the cause of death. No further information was obtained.
To be determined by Registrant
18. Severity classification (if there is more than 1 possible classification
Death
19. Provide supplemental information here