Health Canada
www.hc-sc.gc.ca
Home
> Consumer Product Safety
> Pesticides & Pest Management
> Protecting Your Health & the Environment
> Public Registry
> Product Information > Disclaimer > Incident Reports " >Incident Type
Incident Report
Subform I: General Information
1. Report Type.
New incident report
Incident Report Number: 2017-4612
2. Registrant Information.
Registrant Reference Number: DASC00022717
Registrant Name (Full Legal Name no abbreviations): Dow AgroSciences Canada Inc.
Address: 2400, 215-2nd Street S.W.
City: Alberta
Prov / State: Calgary
Country: Canada
Postal Code: T2P 1M4
3. Select the appropriate subform(s) for the incident.
Packaging Failure
4. Date registrant was first informed of the incident.
03-JUL-17
5. Location of incident.
Country: CANADA
Prov / State: SASKATCHEWAN
6. Date incident was first observed.
28-JUN-16
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. 30077
PMRA Submission No.
EPA Registration No.
Product Name: OcTTain XL
- Active Ingredient(s)
- 2,4-D (PRESENT AS LOW VOLATILE ESTERS)
- FLUROXYPYR (PRESENT AS 1-METHYLHEPTYL ESTER)
7. b) Type of formulation.
Application Information
8. Product was applied?
No
9. Application Rate.
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).
To be determined by Registrant
12. In your opinion, was the product used according to the label instructions?
Unknown
Subform VI: Packaging Failure
1. What is the type of packaging that failed?
Tank tote / Cuve
2. Did packaging failure occur during?
Storage
3. Did packaging failure result in?
potential exposure
4. Describe how the packaging failed and the surrounding circumstances, including a description of the potential injury or exposure.
One tote of the product was reported to have a faulty seal resulting in the loss of approximately 192 L of product. The spill was contained and professionally cleaned up.
For Registrant use only
5. Provide supplemental information here.