Incident Reporting Form for Registrants and Applicants

• Incident Reporting Form
• User Guide for Incident Reporting Form
• Guidance Document for the Incident Reporting Regulations

Incident Reporting Form

Users will require version 7.0.7 or higher of Adobe Acrobat or Adobe Reader to electronically complete an Incident Report. For further information please refer to the Incident Report Form User Guide.

Subform I: General Information

1. Report Type
   • New incident report
   • Update the report
   
   Incident Report No.:
2. Registrant Information
   
   Registrant Reference Number:
   Registrant Name (Full Legal Name, no abbreviations):
   Address:
   City:
   Prov / State:
   Country:
   Postal Code:
   Registrant Contact Person:
   Telephone:
   Fax:
   Email:
3. Select the appropriate subform(s) for the incident:
   • Human
   • Residues in Food
   • Domestic Animal
   • Packaging Failure
   • Environment
   • Scientific Study

Incident Reporting Form User Guide - Version 2.0

The User Guide provides the Registrants and Applicants the functional and technical information needed in order to complete the Incident Reporting Form and submit it to the PMRA.

To obtain an electronic copy of the document Incident Reporting Form User Guide - Version 2.0, as well as a consolidated list of changes that were made between Version 1.02 and 2.0 of the Form, please contact our publications office.

Should you require further information please contact the Pest Management Information Service.

Guidance Document for the Pest Control Products Incident Reporting Regulations

Summary

Guidance documents are meant to provide assistance to registrants and interested stakeholders on how to comply with governing statutes and regulations. Guidance documents also provide assistance to staff on how Health Canada mandates and objectives should be implemented in a manner that is fair, consistent and effective.

Guidance documents are administrative instruments not having force of law and, as such, allow for flexibility in approach. Alternate approaches to the principles and practices described in this document may be acceptable provided they are supported by adequate scientific justification. Alternate approaches should be discussed in advance with the relevant program area to avoid the possible finding that applicable statutory or regulatory requirements have not been met.

This document is intended to be used in conjunction with the  Pest Control Products Incident Reporting Regulations (IRR). It is not to be considered a substitute for the IRR or a stand alone document.

To obtain an electronic copy of the document, Guidance Document for the Pest Control Products Incident Reporting Regulations, please contact our publications office.

Should you require further information please contact the Pest Management Information Service.