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Incident Report
Subform I: General Information
1. Report Type.
New incident report
Incident Report Number: 2015-2318
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.
23-AUG-13
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.
Active(s)
PMRA Registration No. 30404
PMRA Submission No.
EPA Registration No.
Product Name: ENDIGO INSECTICIDE
- Active Ingredient(s)
- LAMBDA-CYHALOTHRIN
- THIAMETHOXAM
7. b) Type of formulation.
Application Information
8. Product was applied?
Unknown
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).
Caller indicated that the neighbours across the road had complained about the bees getting into their pool earlier in the summer and suspected that the neighbour may have deliberately sprayed the hives. Inspector drove around looking for fields that might have been sprayed and for fields were bees might be foraging in large numbers. Could not find either. Only possible explanation was spraying of Endigo by helicopter.
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)
bees
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.).
The bee yard contained 32 bee hives.Observed approximately 28 hives that had a large number of dead bees out in front of the hives. The last time this yard was inspected by the bee keeper was on August 21st. Based on the condition of the dead bees he estimates that the bee kill took place approximately 3-4 days prior to the 27th. The number of dead bees in front of the hive was not consistent with the type of damage found in the spring.
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?
No
9. b) Up to 3 days after application?
No
10. a) Was there a buffer zone?
No
10. b) What type?
Aquatic
10. c) What was the size of the buffer zone?
11. a) Were environmental samples collected and analysed?
No
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