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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2013-3653

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)
    • DIURON

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 7 colonies in the bee yard. There were 7 affected colonies and 5 dead colonies.There were 1501-2000 dead bees per colony observed inside and outside. After the adverse effects there was a noticeable decline in foraging. Bees appeared very cold. They were crawling slowly away, confused and falling down. There were no queens, since no eggs. Adult bee symptoms included shaking/trembling/twitching, crawling and disoriented. Brood symptoms included dead larvae/pupae on bottom board and overall decline in brood production. Queen symptoms included queen that stopped laying and failure of colony to re-queen itself. There was a significant impact.Samples of honey comb taken from affected hive, capped honey comb, had no detected active ingredients. Samples of pollen taken from affected hive, capped honey comb, had no detected active ingredients. Sample of dead bees taken from affected hive, located outside, had positive detects for carbendazim and diuron. Samples of live bees taken from unaffected hive, a strong hive in affected yard, had no detected active ingredients. Samples of water, from creek, had no detected active ingredients.Sample of vegetation, corn cobs and tassels, had positive detects for clothianidin. Samples of vegetation, goldenrod, had no detected active ingredients. The weather at the time of the incident was sunny, dry, 20C at noon Aug 15, low humidity. Prior to the incident, there were an average of 7 frames of bees, 10 frames of brood, and 10 frames of pollen and honey. The following pests were present in the affected bee yard in the past year; chalkbrood and wax moth. After the incident, there were an average of 2 frames of bees, unsure of how many frames of brood, and 0 frames of pollen and honey. It was unknown if previously noted disease(s) or pest(s) got worse after the incident. Additional food sources provided to the bees included sugar syrup for the first time this year 2013, but never before. Started this from a recommendation by OMAFRA inspection visit in Aug 2013. In 2012, the following treatments were applied to the hives: formic acid. Information on crops located near the beeyards: Corn field located 50 m from the beeyard. Cornfield throughout. Another corn field was 50 m from the beeyard. Initial call: Airport sites surrounded by corn. Prior to this, she noted that the bees were in good shape. Bees were found dead inside the hives, not outside. Live bees are not flying and are acting like zombies. Queen is not laying and that the hives smell like death. Last year BK went from 22 hives to 2. This year she started with 21 and is down to 7.

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