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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2013-3609

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: ONTARIO

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: unknown

  • Active Ingredient(s)

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: Unknown / Inconnu

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?


Subform IV: Environment (includes plants insects and wildlife)

1. Type of organism affected

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

2. Common name(s)

honey bee

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

Reproductive impairment

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

There were a total of 19 colonies in the bee yard. There were 6 affected colonies. The average number of dead adult bees per colony was 0 - 500 and found dead outside the hive. Bees were actively foraging at the time of the incident. After the adverse effects there was a noticeable decline in foraging. Some dead bees had pollen on their legs.Adult bee symptoms included shaking, trembling, twitching, vomit, regurgitation, crawling, disoriented. Brood symptoms included dead larvae/pupae on bottom board, dead larvae/pupae outside of colony, additionally not too sure about spotty brood. Queen symptoms included dead queens, emergency/supersedure queen cells, queen stopped laying, additionally lost 2 queens and queens are only laying drones. Sample of pollen taken from affected hive (hive A - weak hive affected pollen comb) had positive detects for Carbendazim, Clothianidin, and thiamethoxam. Samples of live bees taken from the strong hive (affected Yard 1 and affected hive B) had no detected active ingredients. Sample of dead bees taken from affected hive had positive detects for clothianidin, pyrimethanil and thiabendazole. The weather at the time of the incident was dry, more died after a rain. Prior to the incident, there was an average of 10 frames/box of bees (very healthy); there was good brood production, (noticed other hives were very strong); frames of pollen and honey were good. The following pests were present in the affected bee yard in the past year, nosema and varro a mite.After the incident there was no change in the frames of bees; (other than loss of 1 cup of bees) frames of bees; the hives seem to be bouncing back, new eggs being laid, and there was no change with frames of pollen and honey. Additional food sources provided to the bees included sugar syrup and honey, feeding since May 10 to discourage foraging. In 2012, the following treatments were applied to the hives: formic acid, antibiotics. In 2013, the following treatments were applied to the hives: antibiotics. Information on crops located near the beeyards: approx.. 5 ha of what was assured to be corn, based on the description of the plants was 200 m from the beeyard. Bees were foraging at the time of planting. Soybeans were previously planted, seeding date is not known. A water treatment facility is located closed to the yard. Corn was planted May 8. Bkeeper and wife saw a large planter with seed reservoir. Next day (May 9), dead bees in front of hives. May 10 more dead bees (2 to 3 days). He began feeding sugar syrup may 10 to discourage foraging. Bkeeper estimates that 50% of total bee population lost. Now May 17 - colonies seem to be bouncing back, lots of brood is hatching. Beekeeper noted that bees have an arched shape after the incident. Strongest hives are impacted. Inspectors saw twitching/disorientation symptoms of living bees at the time of site visit. Strongest hives are impacted. Not too sure what he (bkeeper) can do other than feeding sugar syrup, too hot to close up boxes.

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