Health Canada
www.hc-sc.gc.ca
Common menu bar links
Incident Report
Subform I: General Information
1. Report Type.
New incident report
Incident Report Number: 2015-2276
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.
Environment
4. Date registrant was first informed of the incident.
5. Location of incident.
Country: CANADA
Prov / State: NOVA SCOTIA
6. Date incident was first observed.
21-JUN-14Product 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: x
- Active Ingredient(s)
- ACETAMIPRID
- IMIDACLOPRID
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).
11. Provide any additional information regarding application (how it was applied, amount applied, the size of the area treated etc).
Too many crops to list. The hive is located within an urban setting that is surrounded by agriculture comprised of a multitude of crops. The hive was only 3 months old and never received any treatments for any type of pest. The hive is now healthy.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
Death
7. Describe symptoms and outcome (died, recovered, etc.).
There were a total of 2 colonies in the bee yard including 1 nuc. There was 1 affected colony. There were an average of 20 frames of bees, 12-14 frames of brood, and 4-5 frames of pollen and honey. Bees were actively foraging when incident occurred and when questionnaire was being filled out. There were >2000 dead bees observed outside of each hive. No adult, queen and brood symptoms observed. The weather at the time of the incident was sunny. beekeeper believes forager's got into something was the cause of the incident. Bker contacted Inspector when he noticed higher then usual amount of dead bees. the hive is not healthy. Sample of dead bees taken had positive detects for imicloprid and acetamiprid.
8. a) Was the incident a result of (select all that apply)
Unknown
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?
10. c) What was the size of the buffer zone?
11. a) Were environmental samples collected and analysed?
Yes
