Print | Need Larger Text?

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2021-2152

2. Registrant Information.

Registrant Reference Number: NUA

Registrant Name (Full Legal Name no abbreviations): Nufarm Agriculture Inc.

Address: 5101, 333 96th Ave NE

City: Calgary

Prov / State: AB

Country: Canada

Postal Code: T3K 0S3

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

Packaging Failure

4. Date registrant was first informed of the incident.

5. Location of incident.

Country: CANADA

Prov / State: SASKATCHEWAN

6. Date incident was first observed.

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.

PMRA Registration No. 25341      PMRA Submission No. 2019-5826      EPA Registration No.

Product Name: NUFARM KORIL 235 LIQUID HERBICIDE

• Active Ingredient(s)
  • BROMOXYNIL
    • Guarantee/concentration 235 g/L

7. b) Type of formulation.

Application Information

8. Product was applied?

Yes

9. Application Rate.

Other Units: acre/case

10. Site pesticide was applied to (select all that apply).

Site: Agricultural-Outdoor/Agricole-extérieur

Préciser le type: canola

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?

Subform VI: Packaging Failure

1. What is the type of packaging that failed?

Jug-plastic / Cruche-plastique

2. Did packaging failure occur during?

Use of Product

specify Uncertain whether the failure occurred in storage, transport or when product was used.

3. Did packaging failure result in?

potential injury

4. Describe how the packaging failed and the surrounding circumstances, including a description of the potential injury or exposure.

Grower spiked jug, lid was not affixed and product splashed on grower. Less that one minute of exposure likely occurred and there were no symptoms. The grower promptly washed product from skin with water. When jug was spiked, styrofoam seal and plastic lid both came off resulting in chemical splashing the Grower.

For Registrant use only

5. Provide supplemental information here.