Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2010-3714

2. Registrant Information.

Registrant Reference Number: 100080712

Registrant Name (Full Legal Name no abbreviations): Monsanto Canada Inc.

Address: 180 Kent Street, Suite 810

City: Ottawa

Prov / State: ON

Country: Canada

Postal Code: K1P 0B6

3. Select the appropriate subform(s) for the incident.

Domestic Animal

4. Date registrant was first informed of the incident.

16-JUL-10

5. Location of incident.

Country: UNITED STATES

Prov / State: ARKANSAS

6. Date incident was first observed.

16-MAY-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.       PMRA Submission No.       EPA Registration No. 71995-33

Product Name: Roundup Weed And Grass Killer Ready To Use Plus Pump N Go Sprayer

• Active Ingredient(s)
  • GLYPHOSATE (PRESENT AS ISOPROPYLAMINE SALT OR ETHANOLAMINE SALT)
    • Guarantee/concentration 2 %

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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).

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

Other

2. Type of animal affected

Other / Autre

specify Goat

3. Breed

Boer

4. Number of animals affected

5

5. Sex

Female

6. Age (provide a range if necessary )

Unknown

7. Weight (provide a range if necessary )

150

lbs

8. Route(s) of exposure

Oral

9. What was the length of exposure?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

>1 mo <=2 mos / > 1 mois < = 2 mois

11. List all symptoms

System

• General
  • 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

Signalment 4.0¿3.0 yr 40 female weighing 150.0 lb. Was in good health previously. Normal environment: outdoors mostly. Patient Note [Note : About 1 week ago, 5 goats died from unexplainable causes. All animals were apparently normal up to the point of dying suddenly. No necropsies or bloodwork was performed on the deceased goats. Goats are adult, have weaned their kids, in good health. No feed or water changes have occurred recently. Climate has been hot and dry. (by JD on Jun 23, 2010 at 08:54 PM; amended by MK on Jun 23, 2010 at 09:14 PM)] Agent Exposure Roundup Weed And Grass Killer Ready To Use Plus Pump N Go Sprayer (observed agent id) Suspected exposure occurred on May 16, 2010 at 09:00 PM CDT¿1 wk (observed ). Exposure involved unknown amount orally. The exposure was accidental, and occurred at animal owner field/pasture. The agent was obtained from Other Retailer. The lot number was did not ask. The expiration date was null. [Note : About a month and a half ago, the owner sprayed Round-Up on the grass along the edges of his goat enclosure. He knows that his goats ate some of the grass which had the Round-up sprayed on it, but he can't be sure which goats or how much they ingested. Goats began dying about middle of last week, one a day, through this past Sunday 6/20, no more deaths have occurred since 6/20. (by JD on Jun 23, 2010 at 08:54 PM; amended by MK on Jun 23, 2010 at 09:14 PM)] Because the amount was unknown consistent, the patient was considered to be at unknown risk of developing clinical signs. If signs develop, there is low risk that those signs will be life-threatening. [Note : Roundup is a relatively very safe weed killer around grazing animals; on occasion a dying toxic weed may be consumed by a grazing animal and result in toxic effect from the noxious weed, but would expect signs to develop within hours of this sort of exposure. Because it has been 6 weeks from the application to when the first goat died, Roundup would not be expected to be the cause for the deaths noted. (by MK on Jun 23, 2010 at 09:14 PM)] Potential Cause Roundup Weed And Grass Killer Ready To Use Plus Pump N Go Sprayer Because the time course was not consistent, the amount was unknown consistent, and the findings were poorly consistent, this substance was considered to have doubtful likelihood of causing the clinical situation.

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To be determined by Registrant

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

Death

19. Provide supplemental information here

Owner had a group of 40 goats. 5 goats died.