Health Canada
Symbol of the Government of Canada
Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2021-1452

2. Registrant Information.

Registrant Reference Number: DASC210401

Registrant Name (Full Legal Name no abbreviations): Dow AgroSciences Canada Inc.

Address: Suite 2400, 215 - 2nd Street S.W.

City: Calgary

Prov / State: Alberta

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.

23-MAR-21

5. Location of incident.

Country: CANADA

Prov / State: ONTARIO

6. Date incident was first observed.

23-MAR-21

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. 30958      PMRA Submission No.       EPA Registration No. 62719-649

Product Name: Enlist Duo

  • Active Ingredient(s)
    • 2,4-D (PRESENT AS CHOLINE SALT)
    • GLYPHOSATE

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.

The caller stated a 556.8 Liter tote of Enlist Duo was found in the warehouse with approx 1oz release around the sealed cap on the lid.

For Registrant use only

5. Provide supplemental information here.