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Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2011-1482

2. Registrant Information.

Registrant Reference Number: PROSAR Case #1-25298291

Registrant Name (Full Legal Name no abbreviations): Syngenta Crop Protection Canada, Inc.

Address: 140 Research Lane, Research Park

City: Guelph

Prov / State: Ontario

Country: Canada

Postal Code: N1G4Z3

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

Packaging Failure

4. Date registrant was first informed of the incident.

5. Location of incident.

Country: CANADA

Prov / State: ALBERTA

6. Date incident was first observed.

Unknown

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. 29138      PMRA Submission No.       EPA Registration No.

Product Name: Broadband Herbicide

• Active Ingredient(s)
  • FLORASULAM
  • PINOXADEN

7. b) Type of formulation.

Application Information

8. Product was applied?

Unknown

9. Application Rate.

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

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 VI: Packaging Failure

1. What is the type of packaging that failed?

Drum-metal / Fût-métal

2. Did packaging failure occur during?

Transportation

3. Did packaging failure result in?

potential exposure

4. Describe how the packaging failed and the surrounding circumstances, including a description of the potential injury or exposure.

1-25298291- The reporter, a customer of the registrant, notified the registrant of a package failure involving herbicide containing the active ingredient pinoxaden and florasulam. The reporter had indicated five drums of the product (unspecified volume) had been observed to have spilled (spillage of unspecified volume). The reporter had indicated two drums had been observed to have leaked on a truck during transit, and three others were observed to have leaked while being handled in a warehouse. The reporter indicated the leaks appeared to be originating from the dip tube side of the drum or the Chem pump hole. The reporter was advised how to make the necessary adjustments to the package to avert further leak. He had indicated minimal product had leaked into the truck and it was allowed to leave his facility without being cleaned. The registrant contacted the transport company responsible for the truck trailer and discussed/arranged for proper clean up. No injury (environmental or otherwise) or exposure was indicated. No further information is available.

For Registrant use only

5. Provide supplemental information here.

This issue has been addressed by changing the vent cap. No further incidents have been reported since.