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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2012-3134

2. Registrant Information.

Registrant Reference Number: x

Registrant Name (Full Legal Name no abbreviations): x

Address: x

City: x

Prov / State: x

Country: x

Postal Code: X

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


4. Date registrant was first informed of the incident.

5. Location of incident.

Country: CANADA

Prov / State: ALBERTA

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.       PMRA Submission No.       EPA Registration No.

Product Name:

  • Active Ingredient(s)
    • THIRAM

7. b) Type of formulation.

Application Information

8. Product was applied?


9. Application Rate.


10. Site pesticide was applied to (select all that apply).

Site: Agricultural-Outdoor/Agricole-extérieur

Préciser le type: seed treatment

11. Provide any additional information regarding application (how it was applied, amount applied, the size of the area treated etc).

Canola planted with air seeder. The pesticide was applied as seed treatment. The conditions at the time of planting were fine, winds - 25km/hr, and the crop was planted within 2 feet of hives from the beeyard.

To be determined by Registrant

12. In your opinion, was the product used according to the label instructions?


Subform IV: Environment (includes plants insects and wildlife)

1. Type of organism affected

Terr. Invrtbrt-Honey Bee/Inv.Ter-Abeille

2. Common name(s)

3. Scientific name(s)

4. Number of organisms affected


5. Description of site where incident was observed

Fresh water



Salt Water

6. Check all symptoms that apply

Abnormal behavioural effects


7. Describe symptoms and outcome (died, recovered, etc.).

Bee mortality was observed on 2012-05-12 and was visited on 2012-06-06; a bee sample was collected on 2012-06-04. There were 24 hives in the bee yard, with 24 hives showing mortality. The estimated number of dead bees per colony affected was >500. The observed symptoms: noted a significant number of bees crawling on grass & unable to fly (drones, adults & young bees) in front of each hive. Really tiny bees were hatching. Brood were looking unhealthy - spotty and signs of brood sac. Several hives have turned up queen less. Most tracheas viewed under a microscope were clear, some scarring present but scarring looked different than the classic mite infected trachea. The state of the colony afterwards was unknown.Mite treatment if Fall 2011: treated twice in fall with Formic Acid to treat Varroa and tracheal mites. Mite treatment in Spring 2012: Apivar used to treat Varroa, drenched twice with Fumagelan. No history of past diseases at this yard. Prior to incident hives were strong and expanding. April 25 were 10-14 frames of bees and 6-8 frames of brood; pollen stores around 2 frames. Hives were not moved for pollination. : Native forage, alfalfa, canola, grain all within 5km of hive. Dandelions and alfalfa were in bloom when field was seeded by the treated canola. Mon June 4, 2012: [name] notified via email by [name]. Tues June 5, 2012: [name] back in office and first heard about the incident. Wedn June 6, 2012: [name] picked up samples and shipped them to the PMRA lab

8. a) Was the incident a result of (select all that apply)


8. b) i) How many times has the product been applied this year?


8. b) ii) What was the date of the last application?


9. Did it rain

9. a) During application?


9. b) Up to 3 days after application?


10. a) Was there a buffer zone?


10. b) What type?


10. c) What was the size of the buffer zone?

11. a) Were environmental samples collected and analysed?


To be determined by Registrant

12. Severity classification (if there is more than one possible classification, select the most severe)

13. Please provide supplemental information here