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Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2021-2986

2. Registrant Information.

Registrant Reference Number: M-642607-01-1

Registrant Name (Full Legal Name no abbreviations): Bayer CropScience Inc.

Address: Suite 200, 160 Quarry Park Blvd S.E.

City: Calgary

Prov / State: Alberta

Country: Canada

Postal Code: T2C 3G3

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

Scientific Study

4. Date registrant was first informed of the incident.

5. Location of incident.

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. 33710      PMRA Submission No.       EPA Registration No.

Product Name: TETRANILIPROLE TECHNICAL

• Active Ingredient(s)
  • TETRANILIPROLE
    • Guarantee/concentration 96.77 %

PMRA Registration No. 28428      PMRA Submission No.       EPA Registration No.

Product Name: THIACLOPRID TECHNICAL INSECTICIDE

• Active Ingredient(s)
  • THIACLOPRID
    • Guarantee/concentration 98.5 %

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 VII: Scientific Study

1. Study Reference

Title Tetraniliprole + thiacloprid SC 480 (120 + 360) G:Effects (Acute Contact and Oral) on Honey Bees (Apis mellifera L.) in the Laboratory

Date 12-NOV-18

2. a) Is an extension needed to translate the document?

No

3. Type of incident identified in the study

Increased health or environmental risk

4. Describe the incident identified in the study (e.g. study demonstrates an increased risk to non-Hodgkin's Lymphoma after exposure to pesticide X)

We are submitting a study report containing a contact acute endpoint that meets the criteria for reporting to PMRA. The test was conducted with a mixture formulation containing tetraniliprole and thiacloprid, however this product is not registered in Canada.

5. a) Was the study discontinued before completion?

No

5. b) Provide the reason for discontinuation

6. If the study is ongoing, what is the expected completion date?

For Registrant use only

7. Provide supplemental information here

There is no registered product in Canada containing tetraniliprole and thiacloprid, thus the restuls reported in the study submitted are not relevant for the pollinator risk assessment.