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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2014-0230

2. Registrant Information.

Registrant Reference Number: PROSAR case #: 1-35693598

Registrant Name (Full Legal Name no abbreviations): Syngenta Canada Inc.

Address: 140 Research Lane, Research Park

City: Guelph

Prov / State: Ontario

Country: Canada

Postal Code: N1G4Z3

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

Domestic Animal

4. Date registrant was first informed of the incident.


5. Location of incident.


Prov / State: ARKANSAS

6. Date incident was first observed.


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.


PMRA Registration No.       PMRA Submission No.       EPA Registration No. Unknown

Product Name: Gramoxone (unspecified)

  • Active Ingredient(s)
      • Unknown

7. b) Type of formulation.

Application Information

8. Product was applied?


9. Application Rate.


10. Site pesticide was applied to (select all that apply).

Site: Agricultural-Outdoor/Agricole-extérieur

Préciser le type: Soybeans

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?


Subform III: Domestic Animal Incident Report

1. Source of Report

Animal's Owner

2. Type of animal affected

Cow / Vache

3. Breed


4. Number of animals affected


5. Sex


6. Age (provide a range if necessary )


7. Weight (provide a range if necessary )


8. Route(s) of exposure


9. What was the length of exposure?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

Unknown / Inconnu

11. List all symptoms


  • General
    • Symptom - Death

12. How long did the symptoms last?

Persisted until death

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


14. a) Was the animal hospitalized?


14. b) How long was the animal hospitalized?

15. Outcome of the incident


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

1-35693598 - The reporter, a farmer, indicated that his cattle were exposed to an herbicide containing the active ingredient Paraquat. The reporter stated that the product was applied by aerial application to a neighbors soybean field as a harvest aid approximately one month prior to initial contact with the registrant. The reporter indicated that on October 10th his cattle were fine but the following morning he found one dead bull and one dead calf and then later that same day he found another dead adult cow and another dead calf. None of the dead cattle showed any unusual symptoms and all other cattle in the herd were asymptomatic. On October 10th, the reporter noted that his pasture looked as though it had been directly treated with an herbicide. He spoke with his neighbor who indicated that he had been treating his soybeans with the product. Based on the damage to the plants the reporter suspected direct application of the product to his field rather than drift exposure. The reporter brought in a veterinarian to look at the dead animals and per the reporter the veterinarian indicated that he thought the death may have been from the herbicide. The reporter did not indicate if the veterinarian did any testing or a necropsy on the animals. The reporter was advised that the described symptoms are not consistent with exposure to the product. Based on the application rate for soybean harvest aid, and toxicity studies conducted on the formulation, a 1000 pound animal would have to consume approximately a whole acre of spray all at one time, for it to be lethal. No further information is available.

To be determined by Registrant

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


19. Provide supplemental information here