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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2015-6573

2. Registrant Information.

Registrant Reference Number: INRI-0234

Registrant Name (Full Legal Name no abbreviations): Bayer CropScienc Inc

Address: Suite 200, 160 Quarry Park Blvd SE

City: Calgary

Prov / State: AB

Country: Canada

Postal Code: T2C 3G3

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

Domestic Animal

4. Date registrant was first informed of the incident.

30-JUL-15

5. Location of incident.

Country: UNITED STATES

Prov / State: WEST VIRGINIA

6. Date incident was first observed.

Unknown

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. 432-1516

Product Name: Esplanade 200 SC

  • Active Ingredient(s)
    • INDAZIFLAM

PMRA Registration No.       PMRA Submission No.       EPA Registration No. 62719-597

Product Name: Opensight Specialty Herbicide

  • Active Ingredient(s)
    • METSULFURON-METHYL
      • Unknown

PMRA Registration No.       PMRA Submission No.       EPA Registration No. 62719-556

Product Name: Accord XRT II Herbicide

  • Active Ingredient(s)
    • GLYPHOSATE
      • Unknown

7. b) Type of formulation.

Liquid

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: Other / Autre

Préciser le type: Railroad

11. Provide any additional information regarding application (how it was applied, amount applied, the size of the area treated etc).

Alleged drift from railroad application.

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

Other / Autre

specify Rabbit

3. Breed

2 breeding rabbits, 11 baby rabbits

4. Number of animals affected

13

5. Sex

Unknown

6. Age (provide a range if necessary )

Unknown

7. Weight (provide a range if necessary )

Unknown

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 - Death

12. How long did the symptoms last?

Unknown / Inconnu

13. Was medical treatment provided? Provide details in question 17.

No

14. a) Was the animal hospitalized?

No

14. b) How long was the animal hospitalized?

15. Outcome of the incident

Died

16. How was the animal exposed?

Spray drift / Dérive de pulvérisation

17. Provide any additional details about the incident

(eg. description of the frequency and severity of the symptoms

13 rabbits died in a backyard pen approximately 15 feet away from, 4 feet below & adjacent to recently sprayed railroad tracks.The backyard was 40 X 30 with 4 pens & a run area for the rabbits. The back yard was completely engulfed in trash, rotting apples, & fecal matter from the rabbits & dog. 3 of the rabbit pens run right along the edge of property along the tracks & are ventilated on all sides of the cages. One pen was actually stacked on top of the other pen so it was right at ballast elevation. No rabbits died in the cages closest to the tracks. The 3' X 3' pen the 13 rabbits (2 breeders & 11 babies being weaned) died in was actually farther away from the tracks & was completely engulfed in green healthy weeds that show absolutely no signs of over-spray. It is the only pen that had no ventilation on three sides. It also had a metal roof & was located in direct sunlight. We walked the neighbors property lines & there was no evidence of over-spray on those properties either. This was the only cage that the rabbits died in & every rabbit in that cage died. The owner already disposed of the bodies, but there are pictures.


To be determined by Registrant

18. Severity classification (if there is more than 1 possible classification

Death

19. Provide supplemental information here