Incident Report
Subform I: General Information
1. Report Type.
New incident report
Incident Report Number: 2023-0411
2. Registrant Information.
Registrant Reference Number: 3501926
Registrant Name (Full Legal Name no abbreviations): Scotts Canada Ltd.
Address: 2000 Argentia Road - Plaza 2 Suite 300
City: Mississauga
Prov / State: ON
Country: Canada
Postal Code: L5N1V8
3. Select the appropriate subform(s) for the incident.
Environment
4. Date registrant was first informed of the incident.
29-DEC-22
5. Location of incident.
Country: CANADA
Prov / State: QUEBEC
6. Date incident was first observed.
Unknown
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. 33359
PMRA Submission No.
EPA Registration No.
Product Name: SCOTTS WEED B GON MAX CONC 1L/6
- Active Ingredient(s)
- IRON (PRESENT AS FEHEDTA)
PMRA Registration No. 29060
PMRA Submission No.
EPA Registration No.
Product Name: Turf Builder Weed Prevent Corn Gluten Meal
7. b) Type of formulation.
Application Information
8. Product was applied?
Yes
9. Application Rate.
Unknown
10. Site pesticide was applied to (select all that apply).
Site: Res. - Out Home / Rés - à l'ext.maison
11. Provide any additional information regarding application (how it was applied, amount applied, the size of the area treated etc).
Please refer to field 13 on Subform II or field 17 of subform III for a detailed description regarding application.
To be determined by Registrant
12. In your opinion, was the product used according to the label instructions?
Unknown
Subform IV: Environment (includes plants insects and wildlife)
1. Type of organism affected
Herbaceous Plants / Plante herbacée
2. Common name(s)
Grass
3. Scientific name(s)
Unknown
4. Number of organisms affected
Unknown
5. Description of site where incident was observed
Fresh water
Terrestrial
Residential
Salt Water
6. Check all symptoms that apply
Abnormal leaf discoloration
Death
7. Describe symptoms and outcome (died, recovered, etc.).
29/12/2022 A landscaping company applied Turf Builder Weed Prevent Corn Gluten Meal in May 2022 to a clients lawn. In August 2022, they applied Weed BGon Max at 5 liters to approximately 5000 square feet of land. A second application was applied to areas with more weeds present. A few days after application of the Weed BGon Max, the client noticed her lawn starting to yellow and look dead in places. No further information is available.
8. a) Was the incident a result of (select all that apply)
Application
N/A
8. b) i) How many times has the product been applied this year?
2
8. b) ii) What was the date of the last application?
Unknown
9. Did it rain
9. a) During application?
Unknown
9. b) Up to 3 days after application?
Unknown
10. a) Was there a buffer zone?
Unknown
10. b) What type?
10. c) What was the size of the buffer zone?
11. a) Were environmental samples collected and analysed?
No
To be determined by Registrant
12. Severity classification (if there is more than one possible classification, select the most severe)
Major
13. Please provide supplemental information here
The information contained in this report is based on self-reported statements provided to the registrant during telephone Interview(s). These self-reported descriptions of an incident have not been independently verified to be factually correct or complete descriptions of the incident. For that reason, information contained in this report does not and can not form the basis for a determination of whether the reported clinical effects are causally related to exposure to the product identified in the telephone interviews.