Incident Report
Subform I: General Information
1. Report Type.
New incident report
Incident Report Number: 2024-2064
2. Registrant Information.
Registrant Reference Number: 00091881, 00091879
Registrant Name (Full Legal Name no abbreviations): Syngenta Canada Inc.
Address: 140 Research Lane, Research Park
City: Guelph
Prov / State: Ontario
Country: Canada
Postal Code: N1G4Z3
3. Select the appropriate subform(s) for the incident.
Packaging Failure
4. Date registrant was first informed of the incident.
14-FEB-24
5. Location of incident.
Country: CANADA
Prov / State: SASKATCHEWAN
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. 33391
PMRA Submission No.
EPA Registration No.
Product Name: MIRAVIS NEO 300SE
- Active Ingredient(s)
- AZOXYSTROBIN
- PROPICONAZOLE
- PYDIFLUMETOFEN
7. b) Type of formulation.
Application Information
8. Product was applied?
No
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 VI: Packaging Failure
1. What is the type of packaging that failed?
Jug-plastic / Cruche-plastique
2. Did packaging failure occur during?
Storage
3. Did packaging failure result in?
potential exposure
4. Describe how the packaging failed and the surrounding circumstances, including a description of the potential injury or exposure.
The reporter described packaging failure involving a pesticide containing the active ingredients azoxystobin, propioconazole, and pydiflumetofen. The reporter (warehouse) identified a jug that had leaked on the inside of the case. The jug appeared to have leaked from around the cap. No exposure or environmental injury reported.
For Registrant use only
5. Provide supplemental information here.