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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2013-3660

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.).

week of May 14-15. There were 0 - 500 dead bees per colony observed outside of hive, ground, flight. After the adverse effects there was a noticeable decline in foraging. Only 10-20% foraging, dandelions out/good weather. Stronger hives hit worse.Adult bee symptoms included shaking/trembling/twitching, crawling and disoriented. Honey bee more docile indicates no foraging, crawling away from hive, not flying. Brood symptoms slightly now normal, no abnormal amount of dead broods. No queen symptoms so far. Sample of pollen taken from affected hive, affected pollen comb from Hive B had positive detects for Diuron and thiamethoxam. Samples of pollen taken from affected hive, pollen comb from Hive A affected and weak had no detected active ingredients. Samples of honey taken from affected hive, pollen comb from Hive A affected and weak had no detected active ingredients. Sample of dead bees taken from affected hive, composite dead bee sample collected from affected yard had positive detects for clothianidin and thiabendazole. Samples of live bees taken from strong hive, live bees from weak affected hive, from Hive A had no detected active ingredients. The weather at the time of the incident was Sunny, dry (week of 14 may), quiet windy, warm. Prior to the incident, the frames of bees was weaken more than normal over-winter, higher than avg. mortality, the average number of frames of brood was slightly behind (less bees) and it was too early to assess the frames of pollen and honey and then after. The following pests were present in the affected bee yard in the past year; varroa mite. After the incident, the average frames of bees had an 80% decline in foragers (no old bees in hive) only young left, there was a slight decline with the frames of brood but now bounced back and the frames of pollen and honey were starting to recover, forage correctly. Additional food sources provided to the bees included sugar syrup (spring 2013, fall 2012) and pollen supplement (spring 2013). In 2012, the following treatments were applied to the hives: formic acid, amitraz and antibiotics. In 2013, the following treatments were applied to the hives: amitraz and antibiotics. Other crops in the area included corn, soybeans, clover - most hives within 100 feet of crop fields, edge of bush and field. Most planting was done week of may 13th. Corn had already sprouted after shower 10/24 hives noticed damaged (later listed 12 affected yards). Some dead bees in front not many, 15% above normal over-winter loss everywhere except one yard. Before seeding: lots of queenless over winter, normal now. Lots of issues with canola spray over th years. yard (north of another beekeeper) badly hit. BK started noticing effects 14-15 May lots of planting between May 14 and may 21. Inspector notes: Yard 1: 37 total yard (some over-wintering only). 24 have colonies. Some yards were not unwrapped as of 28 May, moving hives for pollination. affected 10/24 noticed damage. BK later listed 12 yards as affected. Beekeeper collected 2 dead bee samples. Observations: some dead bees in front - not many, no foraging bees in the air. 80% foragers affected. In Essex yard - good yard had lots of brood, no foragers, all young bees. This is noted across all yards. Beekeeper notes everything he does/sees at the yards. Some colony decline Aug 2012, hives did not got into winter with as many bees.

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