Incident Report
Subform I: General Information
1. Report Type.
New incident report
Incident Report Number: 2014-3125
2. Registrant Information.
Registrant Reference Number: 2014-IR-03
Registrant Name (Full Legal Name no abbreviations): E.I. du Pont Canada Company
Address: 1919 Minnesota Court
City: Mississauga
Prov / State: ON
Country: Canada
Postal Code: L5M 2J4
3. Select the appropriate subform(s) for the incident.
Domestic Animal
4. Date registrant was first informed of the incident.
05-AUG-14
5. Location of incident.
Country: UNITED STATES
Prov / State: IDAHO
6. Date incident was first observed.
10-JUL-14
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. 352-615
Product Name: Cimarron Max Herbicide
- Active Ingredient(s)
- 2,4-D (PRESENT AS AMINE SALTS : DIMETHYLAMINE SALT, DIETHANOLAMINE SALT, OR OTHER AMINE SALTS)
- METSULFURON-METHYL
7. b) Type of formulation.
Dry Flowable (water dispersible granules)
Application Information
8. Product was applied?
Yes
9. Application Rate.
Unknown
10. Site pesticide was applied to (select all that apply).
Site: Agricultural-Outdoor/Agricole-extérieur
Préciser le type: pasture
11. Provide any additional information regarding application (how it was applied, amount applied, the size of the area treated etc).
Farmer applied Cimarron Max to pastures on June 3rd and let calves graze 2 days later. There were many toxic plants in the field, including water hemlock, poison hemlock.
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
Medical Professional
2. Type of animal affected
Cow / Vache
3. Breed
unknown
4. Number of animals affected
5
5. Sex
Female
6. Age (provide a range if necessary )
1
7. Weight (provide a range if necessary )
Unknown
8. Route(s) of exposure
Oral
9. What was the length of exposure?
>1 wk <=1 mo / > 1 sem < = 1 mois
10. Time between exposure and onset of symptoms
>1 wk <=1 mo / > 1 sem < = 1 mois
11. List all symptoms
System
- General
- Symptom - Drowsiness
- Specify - drowsy
- Respiratory System
- Symptom - Other
- Specify - bradypnea
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?
No
14. b) How long was the animal hospitalized?
15. Outcome of the incident
Euthanised / Euthanasie
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
Farmer sprayed the field with Cimarron Max on june 3rd and 2 days later let calves on the field. there were many toxic plants in the field, including water hemlock and poison hemlock. the vet saw them on june 4th and 4 calves were sick. another calf came down with symptoms a week later. the farmer also changed the feed recently. he talked with a vet at the university and they said the symptoms weren't caused by this product, could be caused by plants or a thiamine deficiency from the change in feed. The vet contacted the poison control centre to inquire if DuPont had seen this before with this product. there were a lot of different sorts of toxic plants in the two pastures.
To be determined by Registrant
18. Severity classification (if there is more than 1 possible classification
Death
19. Provide supplemental information here