Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2010-2257

2. Registrant Information.

Registrant Reference Number: PROSAR Case 1-22392558

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.

26-APR-10

5. Location of incident.

Country: CANADA

Prov / State: BRITISH COLUMBIA

6. Date incident was first observed.

26-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)

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PMRA Registration No. 29302      PMRA Submission No.       EPA Registration No.

Product Name: Ecosense Path Clear Herbicidal Soap 4 in 1 Ready to Use

• Active Ingredient(s)
  • FATTY ACIDS
  • ISOPROPYL ALCOHOL

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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: 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).

Applied to residential garden 04/23/10 technique not stated.

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

• Skin
  • Symptom - Hives

4. How long did the symptoms last?

>24 hrs <=3 days / >24 h <=3 jours

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

Yes

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)

Contact with treated area

Amount of time between application and contact 2

Day(s) / Jour(s)

What was the activity? Weeding residential garden

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.

Skin

11. What was the length of exposure?

Unknown / Inconnu

12. Time between exposure and onset of symptoms.

>8 hrs <=24 hrs / > 8 h < = 24 h

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.)

1-22392558: The reporter called 04/26/2010 to report exposure 04/25/2010 to an area treated with an herbicide containing the active ingredients Ammonium salts of fatty acids and Isopropyl alcohol. She reports she had been weeding her residential garden the day prior to her report. She indicates her husband had applied the product to the garden 2 days before the exposure (04/23/2010). When she awoke the morning of 04/26/2010 she noted hives or welts on her face. The caller was advised she may have a previously unrecognized sensitivity. She was further advised to consult a physician to help determine the cause of her symptoms and for symptomatic care. On call back 05/01/10 the reported stated she had seen a doctor and was given a topical corticosteroid that resolved her symptoms within two days. She also indicated she has sensitivities to plants that may have triggered her symptoms.

To be determined by Registrant

14. Severity classification.

Moderate

15. Provide supplemental information here.