New incident report
Incident Report Number: 2015-6364
Registrant Reference Number: 5486099
Registrant Name (Full Legal Name no abbreviations): Sure-Gro IP Inc.
Address: 1900 Minnesota Crt
City: Mississauga
Prov / State: Ontario
Country: Canada
Postal Code: L5N 3C9
Human
Country: CANADA
Prov / State: ONTARIO
PMRA Registration No. 27901 PMRA Submission No. EPA Registration No.
Product Name: Wilson Ant Killer RTU
Unknown
Unknown
Data Subject
Sex: Male
Age: >19 <=64 yrs / >19 <=64 ans
System
Unknown / Inconnu
Yes
No
Non-occupational
Application
Unknown
Eye
Unknown / Inconnu
<=30 min / <=30 min
S Caller states that he got some of the product in his eyes, caller states that he rinsed his eyes but he still has some burning inthem.TOE20minutes agoO SXburning sensation A acute,adult,ocular,Wilson Ant Killer RTU,SXR: Irrigate eye(s) for 15 20minutes under water. Do not hold eyelid s open, but slowly blink.Rest eye s after irrigating.Cool compress to closed eyes as needed.If symptoms continue or worsen over the next 1 to 2 hours, then an eye exam will be indicatedCall us back if sxs persist after irrigation.CB scheduled (CALLER WILL NEED A FRENCH INTERPRETER) Agent 07-21-15 15 04S Caller states that his eye is getting better.O ASXA acute,adult,ocular,Wilson Ant Killer RTU,ASXR If symptoms come back seek medical assistanceCB to PC with any further questions or concerns
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.