Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2014-0654

2. Registrant Information.

Registrant Reference Number: 1-35116213

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

Domestic Animal

4. Date registrant was first informed of the incident.

01-OCT-13

5. Location of incident.

Country: CANADA

Prov / State: ONTARIO

6. Date incident was first observed.

Unknown

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)

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PMRA Registration No. 29695      PMRA Submission No.       EPA Registration No.

Product Name: Ecosense Weed B Gon RTU Weed Control

• Active Ingredient(s)
  • IRON (PRESENT AS FEHEDTA)

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

1. Source of Report.

Other

2. Demographic information of data subject

Sex: Male

Age: >1 <=6 yrs / > 1 < = 6 ans

3. List all symptoms, using the selections below.

System

• Skin
  • Symptom - Hives

4. How long did the symptoms last?

Unknown / Inconnu

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

Yes

6. a) Was the person hospitalized?

No

6. b) For how long?

7. Exposure scenario

Non-occupational

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

Contact with treated area

What was the activity? Playing on the lawn

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.

Skin

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.)

1-35116213 - The reporter indicated that both his cat and his grandson were exposed to an herbicide containing the active ingredient iron HEDTA. The reporter applied the product to his lawn one week prior to initial contact with the registrant. One day after the product was applied the reporters (age) year old, 7 pound cat had access to the application site and the reporter indicated that his cat often eats grass and likely ate grass from the application site. About six days after product application the cat was brought to the veterinarian for inappetance, dehydration and lethargy. The veterinarian ran blood work and per the reporter the cat had liver and kidney issues. One week after product application the reporters (age) year old grandson was playing on the lawn and developed hives. The child was taken to the hospital where the hives were treated and at the time of the call the grandsons symptoms had resolved. Prior to this event the child had no known allergies. The reporter was advised that there are numerous possible causes for allergic reactions and symptoms one week after product application would not be expected. Working with a doctor was recommended to help determine an underlying cause for his grandsons allergic reaction. The reporter was further advised that regarding his cats small ingestion of the product it would only be expected to cause transient stomach irritation. With large ingestions it is possible to see more severe symptoms but exposure through ingestion of grass in the application area would only be expected to cause minor stomach irritation. Continued veterinary care was recommended for any ongoing symptoms. On follow-up call, one day later, the reporter indicated that his cat was still very ill and will be taken back to the veterinarian tomorrow. No further information is available.

To be determined by Registrant

14. Severity classification.

Minor

15. Provide supplemental information here.

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

Male

6. Age (provide a range if necessary )

12

7. Weight (provide a range if necessary )

7

lbs

8. Route(s) of exposure

Oral

9. What was the length of exposure?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

Unknown / Inconnu

11. List all symptoms

System

• Gastrointestinal System
  • Symptom - Anorexia

• General
  • Symptom - Dehydration
  • Symptom - Lethargy

• Blood
  • Symptom - Other
  • Specify - Liver and kidney "issues"

12. How long did the symptoms last?

Unknown / Inconnu

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

Unknown/Inconnu

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

1-35116213 - The reporter indicated that both his cat and his grandson were exposed to an herbicide containing the active ingredient iron HEDTA. The reporter applied the product to his lawn one week prior to initial contact with the registrant. One day after the product was applied the reporters (age) year old, 7 pound cat had access to the application site and the reporter indicated that his cat often eats grass and likely ate grass from the application site. About six days after product application the cat was brought to the veterinarian for inappetance, dehydration and lethargy. The veterinarian ran blood work and per the reporter the cat had liver and kidney issues. One week after product application the reporters (age) year old grandson was playing on the lawn and developed hives. The child was taken to the hospital where the hives were treated and at the time of the call the grandsons symptoms had resolved. Prior to this event the child had no known allergies. The reporter was advised that there are numerous possible causes for allergic reactions and symptoms one week after product application would not be expected. Working with a doctor was recommended to help determine an underlying cause for his grandsons allergic reaction. The reporter was further advised that regarding his cats small ingestion of the product it would only be expected to cause transient stomach irritation. With large ingestions it is possible to see more severe symptoms but exposure through ingestion of grass in the application area would only be expected to cause minor stomach irritation. Continued veterinary care was recommended for any ongoing symptoms. On follow-up call, one day later, the reporter indicated that his cat was still very ill and will be taken back to the veterinarian tomorrow. No further information is available.

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To be determined by Registrant

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

Moderate

19. Provide supplemental information here