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Incident Report
Subform I: General Information
1. Report Type.
New incident report
Incident Report Number: 2015-2252
2. Registrant Information.
Registrant Reference Number: x
Registrant Name (Full Legal Name no abbreviations): x
Address: x
City: x
Country: x
3. Select the appropriate subform(s) for the incident.
Environment
4. Date registrant was first informed of the incident.
07-MAY-145. Location of incident.
Country: CANADA
Prov / State: ONTARIO
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.
Active(s)PMRA Registration No. PMRA Submission No. EPA Registration No.
Product Name: x
- 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).
11. Provide any additional information regarding application (how it was applied, amount applied, the size of the area treated etc).
no planting yet - field discedTo 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)
Honeybee
3. Scientific name(s)
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
7. Describe symptoms and outcome (died, recovered, etc.).
There were a total of 14 colonies in the bee yard. There were 4-5 affected colonies. There were an average of 8 frames of bees, 5 frames of brood, and 3 frames of pollen and honey. The following pests were present in the affected bee yard in the past year; sacbrood. no mite were found during inspection. Additional food sources provided to the bees included sugar syrup. Oxalic acid (end of October 2013), Apivar (first week of Sept 2013) and oxytetracycline were applied to the hives. Bees were actively foraging, Observed bees carrying pollen andObserved bee drinking from adjacent ditch. There were about 50 dead bees observed (BK commented that this is an abnormal amount of dead bees) out of each hive (all young bees). Adult bee symptoms included dead bees kicked out by nurse bees and trembling/twitching/shaking. Additionally, OMAF inspector noted: some bees on back outside hive; some bees on ground in front of hive. brood looks good, no dead larvae and queens look good too. The weather at the time of the incident was sunny and windy. Bee keeper believes "definite neonic poisoning" reconizes symptoms was the cause of the incident. Samples of water from adjacent creek where bees were found drinking, dead bees and comb pollen (taken from affected hive) had positive detects for clothianidin.
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?
Unknown
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?
10. c) What was the size of the buffer zone?
11. a) Were environmental samples collected and analysed?
Yes
