Incident Report
Subform I: General Information
1. Report Type.
New incident report
Incident Report Number: 2019-5693
2. Registrant Information.
Registrant Reference Number: x
Registrant Name (Full Legal Name no abbreviations): x
Address: x
City: x
Prov / State: x
Country: x
Postal Code: X
3. Select the appropriate subform(s) for the incident.
Environment
4. Date registrant was first informed of the incident.
5. Location of incident.
Country: CANADA
Prov / State: BRITISH COLUMBIA
6. Date incident was first observed.
08-JUL-19
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: Unknown
- Active Ingredient(s)
- 2-PHENYLPHENOL
- BOSCALID
- CYANTRANILIPROLE
- FENBUCONAZOLE
- QUINOXYFEN
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).
Site: Agricultural-Outdoor/Agricole-extérieur
11. Provide any additional information regarding application (how it was applied, amount applied, the size of the area treated etc).
The following was reported: At 7pm on July 8, 2019, a (city), BC beekeeper noticed dead bees, and bees behaving strangely, gathered at the entrance to one of his hives. He believes it was a result of exposure to pesticides being sprayed in the neighbourhood. The neighbourhood is largely agricultural, with several residents within 2 kms growing cherries, apples, peaches, field vegetables, and potatoes. Samples of the affected bees were collected by the BC Apiary Specialist at 9am on July 9, 2019 and sent to the PMRA lab for pesticide screening. Sample results are attached. NOTE: though the ROAs state the sample was bumblebees this has been confirmed as a recording error and the samples were in fact honeybees.
To 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)
Honey bee
3. Scientific name(s)
Apis
4. Number of organisms affected
150
5. Description of site where incident was observed
Fresh water
Terrestrial
Agricultural
Salt Water
6. Check all symptoms that apply
Death
Impairment of health
7. Describe symptoms and outcome (died, recovered, etc.).
The following was reported: Honey bees: some dead and some shaking and twitching. I did not see the bees personally, but the BC Apiary Specialist saw them and said they were displaying symptoms consistent with pesticide exposure.
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?
Aquatic
10. c) What was the size of the buffer zone?
11. a) Were environmental samples collected and analysed?
Yes
To be determined by Registrant
12. Severity classification (if there is more than one possible classification, select the most severe)
Minor
13. Please provide supplemental information here