Incident Report
Subform I: General Information
1. Report Type.
New incident report
Incident Report Number: 2021-1691
2. Registrant Information.
Registrant Reference Number: ProPharma Group case #: 2021SCCA00004120
Registrant Name (Full Legal Name no abbreviations): Scotts Canada Ltd.
Address: 2000 Argentia Road, Plaza 2, Suite 300
City: Mississauga
Prov / State: Ontario
Country: Canada
Postal Code: L5N1V8
3. Select the appropriate subform(s) for the incident.
Human
4. Date registrant was first informed of the incident.
29-MAR-21
5. Location of incident.
Country: CANADA
Prov / State: ONTARIO
6. Date incident was first observed.
28-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.
PMRA Submission No.
EPA Registration No. Unknown
Product Name: SCOTTS TURF BUILDER WEED PREVENT
7. b) Type of formulation.
Application Information
8. Product was applied?
Unknown
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 II: Human Incident Report (A separate form for each person affected)
1. Source of Report.
Data Subject
2. Demographic information of data subject
Sex: Male
Age: >19 <=64 yrs / >19 <=64 ans
3. List all symptoms, using the selections below.
System
- Gastrointestinal System
- Symptom - Sore throat
- Symptom - Vomiting
4. How long did the symptoms last?
Unknown / Inconnu
5. Was medical treatment provided? Provide details in question 13.
Unknown
6. a) Was the person hospitalized?
Unknown
6. b) For how long?
7. Exposure scenario
Non-occupational
8. How did exposure occur? (Select all that apply)
Other
9. If the exposure occured during application or re-entry, what protective clothing was worn? (select all that apply)
Unknown
10. Route(s) of exposure.
Oral
Respiratory
11. What was the length of exposure?
Unknown / Inconnu
12. Time between exposure and onset of symptoms.
Unknown / Inconnu
13. Provide any additional details about the incident (eg. description of the frequency and severity of the symptoms, type of medical treatment, results from medical tests, outcome of the incident, amount of pesticide exposed to, etc.)
2021SCCA00004120 - The reporter, a homeowner, indicates an exposure to a pesticide containing the active ingredient corn gluten meal. One day before the day of initial contact with the registrant, the reporter indicated he cooked on his outside grill and noticed the grill produced an unusual amount of smoke. The reporter indicated the food that was prepared had an unusual taste and he subsequently developed a sore throat and vomited once an unknown amount of time later. On the day of initial contact, the reporter noticed that the pesticide had gotten into the grill and was likely the cause of the smoke. The reporter was advised to seek medical attention should the symptoms persist, but no toxicity was expected. No additional information is available.
To be determined by Registrant
14. Severity classification.
Minor
15. Provide supplemental information here.
Please note that this submission in no way implies that Scotts Canada Ltd. agrees with the allegations contained within this incident report.
Subform II: Human Incident Report (A separate form for each person affected)
1. Source of Report.
Other
2. Demographic information of data subject
Sex: Female
Age: >19 <=64 yrs / >19 <=64 ans
3. List all symptoms, using the selections below.
System
4. How long did the symptoms last?
Unknown / Inconnu
5. Was medical treatment provided? Provide details in question 13.
Unknown
6. a) Was the person hospitalized?
Unknown
6. b) For how long?
7. Exposure scenario
Non-occupational
8. How did exposure occur? (Select all that apply)
Other
9. If the exposure occured during application or re-entry, what protective clothing was worn? (select all that apply)
Unknown
10. Route(s) of exposure.
Oral
Respiratory
11. What was the length of exposure?
Unknown / Inconnu
12. Time between exposure and onset of symptoms.
Unknown / Inconnu
13. Provide any additional details about the incident (eg. description of the frequency and severity of the symptoms, type of medical treatment, results from medical tests, outcome of the incident, amount of pesticide exposed to, etc.)
2021SCCA00004120 - The reporter, a homeowner, indicates an exposure to a pesticide containing the active ingredient corn gluten meal. One day before the day of initial contact with the registrant, the reporter indicated he cooked on his outside grill and noticed the grill produced an unusual amount of smoke. The reporters wife indicated the food that was prepared had an unusual taste and she subsequently developed a sore throat an unknown amount of time later. On the day of initial contact, the reporter noticed that the pesticide had gotten into the grill and was likely the cause of the smoke. The reporter was advised to have his wife seek medical attention should the symptoms persist, but no toxicity was expected. No additional information is available.
To be determined by Registrant
14. Severity classification.
Minor
15. Provide supplemental information here.
Please note that this submission in no way implies that Scotts Canada Ltd. agrees with the allegations contained within this incident report.