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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2013-3633

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).

In 2012, the following treatments were applied to the hives: formic acid, antibiotics. In 2013, the following treatments were applied to the hives: Amitraz.Information on crops located near the beeyards: 100 ac of corn was 50m from the beeyard, and was planted on May 6th. 200 ac of corn was 0.5km from the beeyard, and was planted on May 7th. Sod farm was straight north from the beeyard, and was sprayed on May 7th. This is a small home yard operation of 3 hives. Adjacent farmer sprayed a sod farm and another planted corn on May 7th (not too sure of date). The bees were dropping sky and were being pushed out of hives May 7th evening and May 8th. Bees were actively forgaging at the time of the incident and some dead bees had pollen on their legs. Symptoms in adult bees include shaking and trembling , dead larvae and pupae were noted outside the colony. Queen effects were noted at the time of the report. The Hives were very strong prior to the incident. No disease or pest was noted on the bees. A food source was provided to the bees (sugar syrup). Disease and pest treatment was conducted in the Fall and Spring. Corn fields and a sod farm are near the bee yard. Colonies appeared populous at the time of the inspection by OMAFRA.

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 3 colonies in the bee yard. There were 3 affected colonies. There were 0 - 500 dead bees per colony. Dead bees were observed outside of the hive. Bees were actively foraging at the time of the incident. Dead bees had pollen on their legs. Adult bee symptoms included shaking/trembling/twitching. Additionally, bees were unable to fly and were crawling. Brood symptoms included dead larvae/pupae outside of colony. Additionally, bees were throwing dead brood out of hive. No queen symptoms observed.Sample of dead bees taken from affected hive, affected dead bees collected from outside the hive, had positive detects for clothianidin. Samples of live bees taken from affected hive, affected live bees had no detected active ingredients. Sample of dead bees taken from affected hive, collected Wed AM collected in first 24 hrs, had positive detects for clothianidin, Dimethenamid P and Thiamethoxam. The weather at the time of the incident was sunny, dry, very calm, warm. Prior to the incident, there were an average of 9 to 10 frames of bees, 10 frames of brood, and 10 frames of pollen and honey. After the incident, it was too soon to tell the average frames of bees, the average number of frames of brood and the average number of frames of pollen and honey. Additional food sources provided to the bees included sugar syrup.

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