New incident report
Incident Report Number: 2015-3377
Registrant Reference Number: 1618212
Registrant Name (Full Legal Name no abbreviations): S.C. Johnson and Son, Limited
Address: 1 Webster Street
City: Brantford
Prov / State: ON
Country: Canada
Postal Code: N3T 5R1
Human
Packaging Failure
Country: CANADA
Prov / State: NOVA SCOTIA
Unknown
PMRA Registration No. PMRA Submission No. EPA Registration No. Unknown
Product Name: OFF! Deep Woods (non-specific)
Yes
Unknown
Site: Personal use / Usage personnel
Data Subject
Sex: Male
Age: Unknown / Inconnu
System
<=30 min / <=30 min
No
No
Unknown
Non-occupational
Application
What was the activity? Please refer to field 13 on Subform II or field 17 of subform III for a detailed description regarding the activity
None
Skin
Eye
Unknown / Inconnu
<=30 min / <=30 min
6/1/2015 Consumer sent an email stating that he applied the product to his arms. When he took his finger off of the sprayer, it was stuck and continued spraying. He was sprayed in the face and eyes. An email reply was sent to the consumer requesting that he follow-up via telephone to report the incident in more detail, and obtain product information. The consumer did not follow-up as of July 14, 2015.
Minor
The information contained in this report is based on self-reported statements provided to the registrant during telephone Interview(s). These self-reported descriptions of an incident have not been independently verified to be factually correct or complete descriptions of the incident. For that reason, information contained in this report does not and can not form the basis for a determination of whether the reported clinical effects are causally related to exposure to the product identified in the telephone interviews.
Unknown / Inconnu
Use of Product
potential injury
potential exposure
6/1/2015 Consumer sent an email stating that he applied the product to his arms. When he took his finger off of the sprayer, it was stuck and continued spraying. He was sprayed in the face and eyes. An email reply was sent to the consumer requesting that he follow-up via telephone to report the incident in more detail, and obtain product information. The consumer did not follow-up as of July 14, 2015.
The information contained in this report is based on self-reported statements provided to the registrant during telephone Interview(s). These self-reported descriptions of an incident have not been independently verified to be factually correct or complete descriptions of the incident. For that reason, information contained in this report does not and can not form the basis for a determination of whether the reported clinical effects are causally related to exposure to the product identified in the telephone interviews.