Incident Report
Subform I: General Information
1. Report Type.
New incident report
Incident Report Number: 2013-2971
2. Registrant Information.
Registrant Reference Number: -
Registrant Name (Full Legal Name no abbreviations): Petro Canada Lubricants Inc
Address: 2310 Lakeshore Road West
City: Mississauga
Prov / State: Ontario
Country: Canada
Postal Code: L5J 1K2
3. Select the appropriate subform(s) for the incident.
Packaging Failure
4. Date registrant was first informed of the incident.
29-APR-13
5. Location of incident.
Country: CANADA
Prov / State: MANITOBA
6. Date incident was first observed.
29-APR-13
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)
PMRA Registration No. 30536
PMRA Submission No.
EPA Registration No.
Product Name: Clear Choice Ready-to-Use Selective Herbicide
- Active Ingredient(s)
- 2,4-D (PRESENT AS AMINE SALTS : DIMETHYLAMINE SALT, DIETHANOLAMINE SALT, OR OTHER AMINE SALTS)
- DICAMBA (PRESENT AS ACID, AMINE SALT, ESTER, POTASSIUM SALT, OR SODIUM SALT)
- MECOPROP-P (PRESENT AS DIMETHYLAMINE SALT)
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?
Bottle-plastic / Bouteille-plastique
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.
During shipment from Warehouse Distribution Centre to our retail sites it appears the nozzle sprayers loosened during shipment resulting in some of the ratchets/nozzle heads coming loose in the case which could result in the end user potentially getting solution on them.
For Registrant use only
5. Provide supplemental information here.
As remedial action , we have started to investigate and we are testing for alternate solutions.