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Incident Report
Subform I: General Information
1. Report Type.
New incident report
Incident Report Number: 2013-3635
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.
16-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 2013, the following treatments were applied to the hives: Fluvalinate-tau. Information on crops located near the beeyards: 86 ac of corn was <50 m from the beeyard, and was planted on 2013-05-15 and 2013-05-16]. Seed treatment was used on the crop. Other crops in the area include previously planted winter wheat which was just planted. Information on crops located near the beeyards: 186 ac of corn was <50 m from the beeyard, and was planted on 2013-05-15 and 2013-05-16. Seed treatment was used on the crop. Other crops in the area include previously planted winter wheat which was just planted.Information on crops located near the beeyards: 186 ac of corn was <50 m from the beeyard, and was planted on 2013-05-15 and 2013-05-16. Seed treatment was used on the crop. Other crops in the area include previously planted winter wheat which was just planted. Initial call (May 17): 1 beeyard with dead bees noticed today. Dead bees in front of hives, some shaking. 30-50 bees in front of each (22 hives). Yesterday okay. 23 yards total. Planting recently.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 bee
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
Abnormal behavioural effects
Death
Reproductive impairment
7. Describe symptoms and outcome (died, recovered, etc.).
There were a total of 33 colonies in the bee yard. There were 33 affected colonies. There were 501 - 1000 dead bees observed outside the hive. Bees were actively foraging at the time of the incident. Dead bees had pollen on their legs. After the adverse effects there was a noticeable decline in foraging. Not enough adult bees to fully cover brood which is considered abnormal. Additionally, not normal condition as noted from the bees affected. There was significant decline in brood production.Samples of live bees taken from strong hive had no detected active ingredients. Sample of dead bees taken from affected hive had positive detects for clothianidin. Samples of live bees taken from strong hive had no detected active ingredients.The weather at the time of the incident was sunny, dry, 22-24C. Prior to the incident, there were an average of 6 - 7 frames of bees, 5 - 6 frames of brood, and 10 frames of pollen and honey. The following pests were present in the affected bee yard in the past year: varroa mite. After the incident, there were an average of 4 - 5 frames of bees, 5 - 6 frames of brood, and 10 frames of pollen and honey. The previously noted disease(s) or pest(s) got worse after the incident. Additional food sources provided to the bees included sugar syrup (fall 2012).
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?
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
