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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2016-5482

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


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).

The properties were farmed as one field with potato rows sloping toward the adjacent brook, allowing runoff from the field to flow down the rows toward the Brook. There was a turnstrip and tree line at the bottom of the field near the Brook. The ground in this area was relatively bare and would do little to impede the flow of runoff. Spray Records obtained from the defendant confirmed that a pesticide sold under the trade name Bravo with the active ingredient Chlorothalonil was sprayed on the Defendants field referred to as the Home Field on July 6, July 14, and July 21, 2011 (commencing at 7:30 a.m. on July 21).

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)


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.).

During the afternoon of July 23, 2011, a Project Coordinator with Trout Unlimited discovered a dead brook trout in a River, near xxx Pond. He also noticed several large brook trout crowded into the mouth of a nearby spring which appeared to be trying to get into the spring water and away from the river water. He proceeded upstream where he observed more dead trout. He then reported his observations to PEI Department of Environment, Energy and Forestry officials. PEI Conservation Officers arrived shortly thereafter and a detailed inspection of the area was conducted in an effort to determine the cause of the dead fish. Over the several days following July 23, 2011, members of Trout Unlimited collected approximately 500 dead fish from the brook and river system downstream from where runoff was deposited from the Defendant s field. There were no dead fish upstream of that location, while live fish were observed upstream. Conservation Officers found no evidence of runoff into the brook or the River watershed from any other fields in the area. The fish recovered ranged from 5 cm to 55 cm in length, with a mean length of 30.4 cm. Rainfall data for the forecast area provided by Environment Canada confirmed rainfall amounts of 12.2 millimetres (mm) on July 21, 2011, 33 mm on July 22, 2011, and 6.8 mm on July 23, 2011. Environment Canada categorized the 33 mm rainfall on July 22, 2011, as a significant amount, but well below Environment Canada s rainfall warning threshold of 50 mm in 24 hours. Most of the precipitation on July 22nd occurred in a relatively short period of time between 2 p.m. and 6 p.m. which Environment Canada categorized as a roughly 1 in 5 year event. These rainfall amounts resulted in runoff from the Defendant s potato field entering the adjacent brook.

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