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Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2022-5120

2. Registrant Information.

Registrant Reference Number: M-483555-01-1

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

Address: Suite 200, 160 Quarry Park Boulevard SE

City: CALGARY

Prov / State: AB

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. 26142      PMRA Submission No.       EPA Registration No.

Product Name: CONVERGE 75 WDG HERBICIDE

• Active Ingredient(s)
  • ISOXAFLUTOLE

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 Provence 750 WG - Acute oral toxicity study in rats (Rattus norvegicus)

Date 10-MAR-09

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)

Same/very similar formulation in an acute oral toxicity study (M-165809-01-1) had an LD50 in rats greater than 5000 mg/kg. This particular study in question now has an LD50 in rats greater than 2000 mg/kg, changing the EPA and GHS acute toxicity category.

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

Since this study only tested a dosing of 2000 mg/kg bw/d and all animals survived it is still possible that the originally submitted value LD505000 mg/kg bw/d is still valid.