Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2013-3388

2. Registrant Information.

Registrant Reference Number: PROSAR Case#:1-33545680

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.

Human

4. Date registrant was first informed of the incident.

03-MAY-13

5. Location of incident.

Country: CANADA

Prov / State: ONTARIO

6. Date incident was first observed.

03-MAY-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. 27933      PMRA Submission No.       EPA Registration No.

Product Name: Ecosense Path Clear Grass Weed Control Spray

• Active Ingredient(s)
  • ACETIC ACID

---

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: Unknown / Inconnu

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 II: Human Incident Report (A separate form for each person affected)

1. Source of Report.

Data Subject

2. Demographic information of data subject

Sex: Female

Age: >19 <=64 yrs / >19 <=64 ans

3. List all symptoms, using the selections below.

System

• Eye
  • Symptom - Irritated eye

4. How long did the symptoms last?

Unknown / Inconnu

5. Was medical treatment provided? Provide details in question 13.

Unknown

6. a) Was the person hospitalized?

Unknown

6. b) For how long?

7. Exposure scenario

Unknown

8. How did exposure occur? (Select all that apply)

Application

9. If the exposure occured during application or re-entry, what protective clothing was worn? (select all that apply)

Unknown

10. Route(s) of exposure.

Eye

11. What was the length of exposure?

Unknown / Inconnu

12. Time between exposure and onset of symptoms.

<=30 min / <=30 min

13. Provide any additional details about the incident (eg. description of the frequency and severity of the symptoms, type of medical treatment, results from medical tests, outcome of the incident, amount of pesticide exposed to, etc.)

1-33545680 - The reporter indicated that she was exposed to an herbicide containing the active ingredient acetic acid. The reporter indicated that 30 minutes prior to initial contact with the registrant she had been using the product and the wind blew some in her eye. At the time of initial contact the reporter had been rinsing her eye continuously for a period of 30 minutes but her eye was still irritated. The reporter was advised to seek medical attention as the product may act as a corrosive to the eye. On follow-up call, one day later, the reported indicated that she went to the ER where they irrigated her eye and an eye exam was performed. Per the caller the eye exam showed minor damage. The reporter was prescribed an unknown medication and at the time of the follow-up call she indicated that her eye now feels fine. No further information is available.

To be determined by Registrant

14. Severity classification.

Minor

15. Provide supplemental information here.