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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2013-3671

2. Registrant Information.

Registrant Reference Number: x

Registrant Name (Full Legal Name no abbreviations): x

Address: x

City: x

Prov / State: x

Country: x

Postal Code: X

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

Environment

4. Date registrant was first informed of the incident.

5. Location of incident.

Country: CANADA

Prov / State: ONTARIO

6. Date incident was first observed.

16-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.

Product Name: unknown

  • Active Ingredient(s)
    • CLOTHIANIDIN

7. b) Type of formulation.

Application Information

8. Product was applied?

Unknown

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 IV: Environment (includes plants insects and wildlife)

1. Type of organism affected

Terr. Invrtbrt-Honey Bee/Inv.Ter-Abeille

2. Common name(s)

honey bee

3. Scientific name(s)

Unknown

4. Number of organisms affected

Unknown

5. Description of site where incident was observed

Fresh water

Terrestrial

Agricultural

Salt Water

6. Check all symptoms that apply

Abnormal behavioural effects

Death

Reproductive impairment

7. Describe symptoms and outcome (died, recovered, etc.).

There were a total of 33 colonies in the bee yard. There were 33 affected colonies. There were 501 - 1000 dead bees per colony observed outside the hive. Bees were actively foraging at the time of the incident. Dead bees had pollen on their legs. After the adverse effects there was a noticeable decline in foraging. There was not enough adult bees to fully cover brood which is considered abnormal. Adult bee symptoms included shaking/trembling/twitching, crawling, and disoriented. Additionally, it is not normal condition as noted from the bees affected. Brood symptoms included spotty brood pattern, bees uncapping cells for removal of pupae, overall decline in brood production. Additionally, there was significant decline in brood production. There were no queen symptoms. Samples of live bees taken from strong hive had no detected active ingredients. Sample of dead bees taken from affected hive had positive detects for clothianidin. Samples of live bees taken from strong hive had no detected active ingredients. The weather at the time of the incident was sunny, dry, 22-24C. Prior to the incident, there were an average of 6-7 frames of bees, 5-6 frames of brood, and 10 frames of pollen and honey. The following pests were present in the affected bee yard in the past year:varroa mite. After the incident, there were an average of 4-5 frames of bees, 5-6 frames of brood, and 10 frames of pollen and honey. The previously noted disease(s) or pest(s) got worse after the incident. Additional food sources provided to the bees included sugar syrup (fall 2012). In 2013, the following treatments were applied to the hives: Fluvalinate-tau. It is unknown when the following treatments were applied to the hives. Information on crops located near the beeyards: 86 ac of corn was located <50 m from the beeyard, and was planted on 2013-05-15 and 2013-05-16. Treated seed was used. Other crops in the area include previously planted winter wheat, wheat was planted. Another 186 ac of corn was located <50 m from the beeyard, and was planted on 2013-05-15 and 2013-05-16. Treated seed was used. Other crops in the area include previously planted winter wheat, wheat was planted. Additionally, another 186 ac of corn was located <50 m from the beeyard, and was planted on 2013-05-15 and 2013-05-16. Treated seed was used. Other crops in the area include previously planted winter wheat, wheat was planted. Initial call (May 17): 1 beeyard with dead bees noticed today. Dead bees in front of hives, some shaking. 30-50 bees in front of each (22 hives). Yesterday okay. 23 yards total. Planting recently.

8. a) Was the incident a result of (select all that apply)

Unknown

8. b) i) How many times has the product been applied this year?

Unknown

8. b) ii) What was the date of the last application?

9. Did it rain

9. a) During application?

Unknown

9. b) Up to 3 days after application?

Unknown

10. a) Was there a buffer zone?

Unknown

10. b) What type?

Aquatic

10. c) What was the size of the buffer zone?

11. a) Were environmental samples collected and analysed?

Unknown

To be determined by Registrant

12. Severity classification (if there is more than one possible classification, select the most severe)

13. Please provide supplemental information here