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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2015-2259

2. Registrant Information.

Registrant Reference Number: x

Registrant Name (Full Legal Name no abbreviations): x

Address: x

City: x

Country: 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: x

  • 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).

11. Provide any additional information regarding application (how it was applied, amount applied, the size of the area treated etc).

The property the bee yard is on, is mainly scrub land consisting of tall grasses. There are several marshy areas (see Topographical map), as well as pine stands planted throughout the property. The area features several lakes and creeks. Across the road (to the west), there is what appears to be a dairy farm with a hay field 200m from the bee yard, as well as a crop field that looked like it had cereals in 2013. There are more crop fields behind the barn that are not visible from the road (see Satellite map). No early spring foraging sites (pussy willows etc) were identified during the inspection. A marshy area with tall reed grass was identified by the OMAF bee inspector as a likely water foraging site.

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


7. Describe symptoms and outcome (died, recovered, etc.).

There were a total of 31 colonies in the bee yard. There were 31affected colonies. No pests in the past year. Additional food sources provided to the bees included sugar syrup (barrel fed in fall after the last honey crop is harvested) and pollen supplement (on the hives right now, homemade). In the fall, apivar was applied to the hives. In fall the antibotic fumagillan-B was applied to the hives. Bees had dead bees had pollen on their legs, too cold/windy for foraging during inspection. Must have been foraging at some point: pollen on legs of dead/dying bees. There were 0-500 dead bees observed outside (under hives) of each hive. Adult bee symptoms included crawling and wings flared out on dead bees. Too cold to inspect brood frames - did not want to chill brood. no queen symptoms observed. The weather at the time of the incident was overcast and windy from the rest, temperature was cool 8 C. Beekeeper believes neonitinoids were the cause of the incident. Bees in the hive look on average like everyone elses bees in this area for this time of year (in terms of cluster size, pollen stores etc). Cluster size is decent. Beekeeper reported wings flared forward. Very little of this was observed, as the beekeeper had collected most dead bees that morning. Wax seen in front of hives, or down in bottom board can be seen as a sign of a weaker hive that is being robbed. This was observed in some hives. Fairly strong wind in NW direction during inspection. Quite cold, no foraging. Only bees of hive currently being inspected were flying- afterwards they all went back in hive. Many dead bees out front, were old, decomposing. NORMAL winter-kill clean out. Several of inspected hives were lifted, and up to ten dead/dying fresh bees were found UNDER the bottom board. OMAF inspector thought they couldn┐t get into hive but were trying to get to some shelter. Water sample taken from edge of marsh area. 30m from hives, bee inspector felt this would be a year-round water source for the bees. Bees were seen crawling up to 5 feet in front of hives (by inspectors). [name] called [name] after she left inspection to tell her that as it warmed up there were even more bees crawling around (indication that mortality event is ongoing, assuming those bees will die). All hives were requeened in the fall. Sample of dead bees taken had positive detects for imidacloprid. Sample of dead bees taken had no detected active ingredients. Sample of pollen comb had positive detects for thiamethoxam and clothianidin.

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