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Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2025-1081

2. Registrant Information.

Registrant Reference Number: 2025-CA-00061

Registrant Name (Full Legal Name no abbreviations): Merck Animal Health (Intervet Canada Corp)

Address: 16750 Transcanada Highway

City: Kirkland

Prov / State: Quebec

Country: Canada

Postal Code: H9M 4M7

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: ALBERTA

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.

PMRA Registration No. 25488      PMRA Submission No.       EPA Registration No. 773-82

Product Name: Boss Pour-On

• Active Ingredient(s)
  • PERMETHRIN

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?

Bottle-plastic / Bouteille-plastique

2. Did packaging failure occur during?

Transportation

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.

One bottle of Boss Pour-On 5L was received by a clinic with visible product on the primary packaging. When the bottle was inspected, the bottle was leaking from under the cap. No human exposure was reported.

For Registrant use only

5. Provide supplemental information here.

28 Feb 2025 After the investigation carried out with the multidisciplinary team, no specific failures were identified in the process related to the batch in question. In this specific case no systemic irregularities were found, but rather a specific failure that was detected by the customer.