Health Canada
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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2016-5481

2. Registrant Information.

Registrant Reference Number: x

Registrant Name (Full Legal Name no abbreviations): x

Address: x

City: x

Prov / State: 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


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: Bravo

  • 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: Agricultural-Outdoor/Agricole-extérieur

Préciser le type: potato

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

On July 5, 2012, dead fish in a tributary in Prince Edward Island, were reported to Environment Canada.Environment Canada enforcement officers along with the PEI Government officials responded that same day and collected water and sediment samples at various locations for chemical analysis . Dead fish were also recovered and sent for necropsy .Dead fish collected were recovered from an area extending downstream from the southern section of Parcel XXX to a pond, a distance of approximately 3.3 kms. Spray records indicate that on June 28, at 9:00 am Bravo containing Chrolothalonil, was applied and also on July 4 at 7:30 am on on southern section of parcel XXX).

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

Fish - Schooling/Poisson-Vivant en banc

2. Common name(s)

1658 brook trout, 20 atlantic salmon, and 177 stickle backs

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


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

At this location, the officers observed evidence of run off from the southern section of Parcel XXX entering the south side of the brook. They also observed a large puddle of water on the field, water filling the tracks at the end of the field adjacent to the Brook and considerable sedimentation in the Brook itself. The cleanup of dead fish took place from July 6th-9th 2012. A total of 1855 fish were retrieved including 1658 brook trout of various year classes (young of the year to 55 in length), 20 Atlantic salmon and 177 stickle backs.During the summer of 2012, the potato crop on Parcel XXX was planted in rows running in a generally south-north direction parallel to the field boundaries. There was a 5 percent slope on the southern section of Parcel XXXgoing towards the Brook. Rainfall data received from Environment Canada for the area indicated that approximately 2mm of rain had fallen on July 4th, 2012. On July 5th, Environment Canada weather records for the same region indicated that there were showers in the morning and in the afternoon on July 5th,2012. Approximately 20mm of rain fell on July 5th, the date on which the Brook was inspected. A weather station 7100m from Parcel XXX, indicated a heavy downpour between 5:29 am and 6:00 am on July 5th. 13 mm of rain fell during that time period. This was a significant rainfall event. An onsite field assessment of the southern section of Parcel XXX revealed that the distance from the end of the potato furrows to the Brook in a central wide 50 m section was approximately 35m. In this strip, the land surface from the end of the potato furrows to the stream was made up of approximately 10 m of bare turn strip transitioning into about 15 m of sparse rye grass and 6 to 10 m of riverbank alders, providing little resistance to run off flow. None of the turn strip, rye grass or the alders would have provided much resistance to flow. A buffer zone was in place for the area.

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