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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2013-3393

2. Registrant Information.

Registrant Reference Number: PROSAR Case#: 1-33626475

Registrant Name (Full Legal Name no abbreviations): The Scotts Company LLC

Address: 14111 Scottslawn Road

City: Marysville

Prov / State: Ohio

Country: USA

Postal Code: 43041

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

Domestic Animal

4. Date registrant was first informed of the incident.

10-MAY-13

5. Location of incident.

Country: UNITED STATES

Prov / State: CALIFORNIA

6. Date incident was first observed.

08-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.       PMRA Submission No.       EPA Registration No. 239-2689

Product Name: Weed-B-Gon Max Ready-to-use

  • Active Ingredient(s)
    • 2,4-D (PRESENT AS AMINE SALTS : DIMETHYLAMINE SALT, DIETHANOLAMINE SALT, OR OTHER AMINE SALTS)
      • Guarantee/concentration .12 %
    • DICAMBA (PRESENT AS ACID, AMINE SALT, ESTER, OR SODIUM SALT)
      • Guarantee/concentration .05 %
    • MECOPROP-P (PRESENT AS AMINE SALT)
      • Guarantee/concentration .22 %
    • QUINCLORAC
      • Guarantee/concentration .1 %

PMRA Registration No.       PMRA Submission No.       EPA Registration No. 239-2620

Product Name: Grass-B-Gon Grass Killer for Landscaped RTU

  • Active Ingredient(s)
    • FLUAZIFOP-P-BUTYL
      • Guarantee/concentration .48 %

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

Animal's Owner

2. Type of animal affected

Cat / Chat

3. Breed

Unknown

4. Number of animals affected

1

5. Sex

Unknown

6. Age (provide a range if necessary )

3

7. Weight (provide a range if necessary )

Unknown

8. Route(s) of exposure

Unknown

9. What was the length of exposure?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

Unknown / Inconnu

11. List all symptoms

System

  • Cardiovascular System
    • Symptom - Tachycardia
  • General
    • Symptom - Lethargy
  • Respiratory System
    • Symptom - Shortness of breath
    • Symptom - Other
    • Specify - diaphragmatic hernia
  • Nervous and Muscular Systems
    • Symptom - Difficulty walking
  • Cardiovascular System
    • Symptom - Cardiac arrest
  • General
    • Symptom - Death
  • Cardiovascular System
    • Symptom - Other
    • Specify - heart attack

12. How long did the symptoms last?

Persisted until death

13. Was medical treatment provided? Provide details in question 17.

Yes

14. a) Was the animal hospitalized?

Unknown

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

1-33468558 - The reporter, a pet owner, indicated that his cat may have been exposed to two different herbicides. The first herbicide contained the active ingredients 2,4-D, Mecoprop-p, Dicamba and Quinclorac and the second herbicide contained the active ingredient Fluazifop-P-Butyl. The reporter states that the first herbicide was applied to his lawn one week prior to initial contact with the registrant and the second herbicide was applied to his lawn two days prior to initial contact. The reporter indicated that his 3 year old, otherwise healthy, cat had access to the lawn after product application but no witnessed exposure was described. Two days prior to initial contact the cat suffered from a fast heart rate, shortness of breath, lethargy and difficulty walking. The animal was brought to the DVM where per the reporter blood work showed no conclusive results but the veterinarian did identify a diaphragmatic hernia. Per the reporter the cat had a heart attack while in the clinic and died. The reporter was advised that the products have a wide margin of safety and the described symptoms are not consistent with the minimal exposure that would be expected after entering treated lawn. No further information is available.


To be determined by Registrant

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

Death

19. Provide supplemental information here