Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2010-3359

2. Registrant Information.

Registrant Reference Number: PROSAR Case # 1-23026852

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.

14-JUN-10

5. Location of incident.

Country: CANADA

Prov / State: NOVA SCOTIA

6. Date incident was first observed.

12-JUN-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. 29301      PMRA Submission No.       EPA Registration No.

Product Name: EcoSense PathClear Herbicidal Soap Concentrate Grass Weed Killer

• Active Ingredient(s)
  • AMMONIUM SALTS OF HIGHER FATTY ACIDS

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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).

The product was applied to a residential outdoor pathway

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

Great Dane

4. Number of animals affected

1

5. Sex

Female

6. Age (provide a range if necessary )

2

7. Weight (provide a range if necessary )

110

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

• Skin
  • Symptom - Hives

• General
  • Symptom - Swelling
  • Specify - facial swelling

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

1-23026852- The caller, an animal owner, calls to report her animal was exposed to an insecticide containing the active ingredient Ammoniated soap of fatty acids. The caller reports she had sprayed the product on a residential outdoor walkway two days prior to the initial contact with the registrant. The reporter indicates one day later the animal developed signs of facial swelling and diffuse dermal hives. The caller did not indicate a discreet or observed exposure. The animal may have walked through the area of application according to the caller. The caller was advised that this would be unexpected following known exposure. The animal likely has some unrecognized hypersensitivity. It was recommended she administer an antihistamine and consult a veterinarian to determine if further treatment was needed. The caller did not respond to attempts to follow up with her. Nothing further is known.

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To be determined by Registrant

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

Moderate

19. Provide supplemental information here