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Incident Report
Subform I: General Information
1. Report Type.
New incident report
Incident Report Number: 2013-3625
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.
Environment
4. Date registrant was first informed of the incident.
5. Location of incident.
Country: CANADA
Prov / State: ONTARIO
6. Date incident was first observed.
14-MAY-13Product 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. PMRA Submission No. EPA Registration No.
Product Name: unknown
- Active Ingredient(s)
- CLOTHIANIDIN
7. b) Type of formulation.
Application Information
8. Product was applied?
Unknown
9. Application Rate.
Unknown
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).
In 2012, the following treatments were applied to the hives: Amitraz.In 2013, the following treatments were applied to the hives: formic acid and antibiotics. Columns EM-ES: General SF: Application Information. Information on crops located near the beeyards: 100 ac of corn was adjacent from the beeyard, and was planted on 2013-05-06.;100 ac of corn was 1 km from the beeyard, and was planted on 2013-05-08. Too soon to determine health of hive after case. Entrance reducers to hive not removed (this could be problematic and could cause dead bees). Oxytet was applied 3 times in spring for foulbrood.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
Terr. Invrtbrt-Honey Bee/Inv.Ter-Abeille
2. Common name(s)
honey beee
3. Scientific name(s)
Unknown
4. Number of organisms affected
Unknown
5. Description of site where incident was observed
Fresh water
Terrestrial
Agricultural
Salt Water
6. Check all symptoms that apply
Death
7. Describe symptoms and outcome (died, recovered, etc.).
There were a total of 11 colonies in the bee yard. There were 8 affected colonies.There were 0 - 500 dead bees per colony observed outside the hive.There were no bees foraging it was too cold. Sample of pollen taken from affected hive. Sample of Honey taken from affected hive ( comb sample) had positive detects for thiamethoxm.Sample of Honey taken from affected hive (comb sample) had positive detects for pyrimethanil. Sample of Pollen taken from affected hive (comb sample) had positive detects for clothianidin. Sample of Pollen taken from affected hive (comb sample) had positive detects for Thiamethoxam. Sample of Pollen taken from affected hive (comb sample) had positive detects for Pyrimethanil. Sample of Honey taken from affected hive (comb sample) had positive detects for Pyrimethanil. Sample of Honey taken from affected hive (comb sample) had positive detects for Thiamethoxam. Sample of Dead bees taken from affected hive (collected by University name) had positive detects for clothianidin. Samples of unaffected live bees taken from unaffected hive had no detected active ingredients. Sample of vegetation taken from affected home yard, had positive detects for thiamethoxam. Sample of vegetation taken from affected home yard, had positive detects for clothianidin. The weather at the time of the incident was overcast/cloudy, windy, cold (4-7C), humid. Prior to the incident, there were an average of 9 frames of bees, 28 - 9 strong hives frames of brood, and 9 frames of pollen and honey.After the incident, there were an average of 4 frames of pollen and honey. Additional food sources provided to the bees included sugar syrup and pollen supplement (pollen patties).
8. a) Was the incident a result of (select all that apply)
Unknown
8. b) i) How many times has the product been applied this year?
Unknown
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?
Aquatic
10. c) What was the size of the buffer zone?
11. a) Were environmental samples collected and analysed?
Unknown
