Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2014-3509

2. Registrant Information.

Registrant Reference Number: PROSAR case #: 1-37967772

Registrant Name (Full Legal Name no abbreviations): Scotts Canada Ltd.

Address: 2000 Argentia Road, Plaza 2, Suite 300

City: Mississauga

Prov / State: Ontario

Country: Canada

Postal Code: L5N1V8

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

Domestic Animal

4. Date registrant was first informed of the incident.

31-JUL-14

5. Location of incident.

Country: CANADA

Prov / State: NOVA SCOTIA

6. Date incident was first observed.

30-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)

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PMRA Registration No. 30472      PMRA Submission No.       EPA Registration No.

Product Name: Home Defense Max Perimeter/Indoor Insect Control RTU

• Active Ingredient(s)
  • PERMETHRIN

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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. - In Home / Rés. - à l'int. 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

Female

6. Age (provide a range if necessary )

10

7. Weight (provide a range if necessary )

7

lbs

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

• General
  • Symptom - Lethargy

• Gastrointestinal System
  • Symptom - Diarrhea
  • Symptom - Vomiting

• Liver
  • Symptom - Other
  • Specify - Increased ALT and GGT

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

1-37967772 - The reporter, a pet owner, indicated that his cat may have been exposed to an insecticide containing the active ingredient permethrin. The reporter applied the product around the baseboard of her house one day prior to initial contact with the registrant. During product application the reporters cat was kept away from the application site but on the morning of initial contact the reporters 10 year old, 7 pound cat was vomiting, had diarrhea and was lethargic. The reporter was advised that the product has a wide margin of safety but with ingestion transient gastrointestinal irritation is possible. Veterinary care was recommended for any severe or persistent symptoms. The reporters veterinarian called later the same day and indicted that blood work showed the cat had an ALT of greater than 1000 (high normal is 130 on their machine) and a GGT of 6 (high normal is 1 on their machine). The veterinarian was advised that exposure to this product would not adversely affect liver values and additional diagnostics were recommended to determine an underlying cause and appropriate treatment for the cats illness. 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