Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2011-4393

2. Registrant Information.

Registrant Reference Number: PROSAR CB# 1-27236979

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.

25-JUL-11

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.

Active(s)

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PMRA Registration No. 28377      PMRA Submission No.       EPA Registration No.

Product Name: Ecosense Bug B Gone Insecticidal Soap Concentrate

• Active Ingredient(s)
  • POTASSIUM SALTS OF FATTY ACIDS

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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 III: Domestic Animal Incident Report

1. Source of Report

Animal's Owner

2. Type of animal affected

Dog / Chien

3. Breed

unknown

4. Number of animals affected

1

5. Sex

Female

6. Age (provide a range if necessary )

Unknown

7. Weight (provide a range if necessary )

45

lbs

8. Route(s) of exposure

Oral

9. What was the length of exposure?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

Unknown / Inconnu

11. List all symptoms

System

• Gastrointestinal System
  • Symptom - Anorexia
  • Symptom - Vomiting

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?

Accidental ingestion/Ingestion accident.

17. Provide any additional details about the incident

(eg. description of the frequency and severity of the symptoms

1-27236979- The reporter, a pet owner, indicated her animal was exposed to an insecticide containing the active ingredient Potassium Salt of Fatty Acids. The pet owner indicated her forty five pound female dog had ingested some of the product. It was not clarified whether the animal had access to the application site or the stock of the product. The caller did not convey what volume of the product had been ingested. The pet owner did not state when the ingestion had taken place. The animal was reported to have refused food and started vomiting preceding the initial report. This product/active ingredient is well tolerated when encountered by pets. Direct ingestion may yield transitory gastrointestinal irritation that is often self-limiting but may require supportive care. No follow up was obtained from this caller. No further information is available.

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To be determined by Registrant

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

Minor

19. Provide supplemental information here