Standard form for export notification under the Rotterdam Convention

FORM INSTRUCTIONS

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Submission of Import Response Introduction Article 10 of the Convention sets out the obligations of Parties with respect to the future import of chemicals listed in Annex III of the Convention and subject to the PIC procedure. Parties have an ongoing obligation to submit to the Secretariat, as soon as possible and in any event no later than nine months after the date of dispatch of a decision guidance document their import decision (whether a final or interim response) concerning the future import of the chemical. For each chemical listed in Annex III of the Convention, and therefore subject to the PIC procedure, a decision guidance document (DGD) is prepared and sent to all Parties (Article 7). The DGD is intended to help governments assess the risks connected with the handling and use of the chemical and make more informed decisions about future import and use of the chemical, taking into account local conditions. Parties are required to take a decision as to whether they will allow future import of each of the chemicals in Annex III (Article 10). These decisions, known as import responses, are published by the Secretariat and made available to all Parties every six months through the PIC Circular and on the Convention’s website in the section Import Responses. In this way, Parties are informed prior to an export as to whether or not there will be consent to import. Import decisions taken by Parties must be trade neutral. That is, if the Party decides not to accept imports of a specific chemical, it must also stop domestic production of the chemical for domestic use and refuse imports from any source, including from countries that are not Party to the Convention. All exporting Parties are required to ensure that exports of chemicals subject to the PIC procedure do not occur contrary to the decision of each importing Party (Article 11). They should ensure that import responses published in the PIC Circular are immediately communicated to their exporters, industry and any other relevant authorities, such as the Department of Customs. Where a Party changes an import decision submitted previously to the Secretariat the DNA should submit a revised import response as soon as possible. Information on the submission process The form for submission of an Import Response developed by the Secretariat is available on the Rotterdam Convention website in English, French and Spanish. The forms are available in an interactive electronic version with pop-up instructions and also in a simple printable Word version. DNAs may type the information into the forms in any of these three languages.  For the official submission to the Secretariat, the completed form must be printed, signed, dated and stamped or sealed by the DNA. The Secretariat encourages DNAs to submit electronic scanned versions of the completed forms by fax or email, but they can also be sent in hard copy by regular mail to the following addresses: Secretariat at FAO Food and Agriculture Organization of the United Nations Viale delle Terme di Caracalla 00153 Rome, Italy Fax: (+39 06) 5705 3224 E-mail: pic@fao.org Secretariat at UNEP United Nations Environment Programme 11-13, Chemin des Anémones CH – 1219 Châtelaine, Geneva, Switzerland Fax: (+41 22) 917 8082 E-mail: pic@pic.int Please click on the "Form Instruction" button (located also on the top of this page) for detailed instruction on the Import Response form sample or on the "Download Form" button to transfer an empty Import Response form. FORM INSTRUCTIONS DOWNLOAD FORM

Submission of a Notification of Final Regulatory Action

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SHPF Incident Report Forms - Human HealthIncidents and Environmental Incidents

Submission of Import Response

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FORM FOR SUBMISSION OF AN IMPORT RESPONSE

introduction

Section 3   Response regarding future import Please check ONLY ONE of the two options to indicate whether the response given in the form is a final decision OR an interim response.

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SUBMISSION OF IMPORT RESPONSE

Section 2   Indication regarding previous response Both a final decision as well as an interim decision can be revised with a resubmitted completed Import Response Form. The previous decision will always be replaced by the new response.

Country: SECTION 1.IDENTITY OF CHEMICAL 1.1Common name  2,4,5-T and its salts and estersAldrinBinapacrylCaptafolChlordaneChlordimeformChlorobenzilateDDTDieldrinDinoseb and its salts and estersDNOC and its salts (such as ammonium salt, potassium salt and sodium salt)EDB (1,2-dibromoethane)Ethylene dichlorideEthylene oxideFluoroacetamideHCH (mixed isomers)HeptachlorHexachlorobenzeneLindaneMercury Compounds including inorganic mercury compounds, alkyl mercury compounds and alkyloxyalkyl and aryl mercury compoundsMonocrotophosParathionPentachlorophenol and its salts and estersToxaphene (Camphechlor)Tributyltin compoundsdustable powder formulations containing a combination of benomyl at or above 7%, carbofuran at or above 10% and thiram at or above 15%Methamidophos (Soluble liquid formulations of the substance that exceed 600 g active ingredient/l)Methyl-parathion (emulsifiable concentrates (EC) at or above 19.5% active ingredient and dusts at or above 1.5% active ingredient)Phosphamidon (Soluble liquid formulations of the substance that exceed 1000 g active ingredient/l)Actinolite asbestosAmosite, asbestosAnthophylliteCrocidolitePolybrominated Biphenyls (PBBs)Polychlorinated Biphenyls (PCBs)Polychlorinated Terphenyls (PCTs)Tetraethyl leadTetramethyl leadTremoliteTris(2,3 dibromopropyl)phosphate 1.2CAS  93-76-5309-00-2485-31-42425-06-157-74-96164-98-3510-15-650-29-360-57-188-85-7534-52-1106-93-4107-06-275-21-8640-19-7608-73-176-44-8118-74-158-89-999-99-96923-22-456-38-287-86-58001-35-256-35-9,4342-36-3,1461-22-9,1983-10-4,24124-25-2,2155-70-6,85409-17-217804-35-2, 1563-66-2, 137-26-810265-92-6298-00-013171-21-677536-66-412172-73-517068-78-9, 77536-67-512001-28-413654-09-6, 36355-01-8, 27858-07-71336-36-361788-33-878-00-275-74-177536-68-6126-72-7 1.3Category              Pesticide   Industrial   Severely hazardous pesticide formulation SECTION 2.INDICATION REGARDING PREVIOUS RESPONSE, IF ANY 2.1This is a first time import response for this chemical in the country. 2.2This is a modification of a previous response.       Date of issue of the previous response: SECTION 3.RESPONSE REGARDING FUTURE IMPORT Final decision (Fill in section 4 below) ORInterim response (Fill in section 5 below)

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1.3 Category or categories The category or categories checked here must be consistent with the categories listed for the chemical in Annex III of the Convention. The response given later in Section 4 or 5 must relate to the category or categories checked in this section.

SUBMISSION OF IMPORT RESPONSE

Section 4.  Final Decision Section 4 must be filled in ONLY WHEN a final decision has been taken.

SECTION 4.FINAL DECISION, PURSUANT TO NATIONAL LEGISLATIVE OR ADMINISTRATIVE MEASURES 4.1No consent to import      Is the import of the chemical from all sources simultaneously prohibited? Yes No   Is domestic production of the chemical for domestic use simultaneously prohibited? Yes No 4.2Consent to import    4.3Consent to import only subject to specified conditions      The specified conditions are:   Are the conditions for import of the chemical the same for all sources of import? Yes No     Are the conditions for domestic production of the chemical for domestic use the same as for all imports? Yes No 4.4National legislative or administrative measure upon which the final decision is based   Description of the national legislative or administrative measure:

SECTION 5.INTERIM RESPONSE 5.1No consent to import          Is the import of the chemical from all sources simultaneously prohibited? Yes No       Is domestic production of the chemical for domestic use simultaneously prohibited? Yes No 5.2Consent to import    5.3Consent to import only subject to specified conditions      The specified conditions are:       Are the conditions for import of the chemical the same for all sources of import? Yes No          Are the conditions for domestic production of the chemical     for domestic use the same as for all imports? Yes No 5.4Indication of active consideration in order to reach a final decision       Is a final decision under active consideration? Yes No 5.5Information or assistance requested in order to reach a final decision   The following additional information is requested from the Secretariat:   The following assistance is requested from the Secretariat in evaluating the chemical:

Section 5.  Interim response Section 5 must be filled in ONLY WHEN no final decision has been taken. An interim response is valid during the period until a final decision is reached.

5.5  Information or assistance requested in order to reach a final decision If additional information is required, this must be clearly stated. If assistance is requested from the Secretariat in evaluating the chemical, the specific areas of difficulty and the nature of the assistance requested should be indicated.

Section 7.  Designated National Authority This section is important to verify that the notification is coming from the designated national authority that has been officially nominated by the government of the Party. The form must be dated (with the date of completion of the form or its submission to the Secretariat), signed by the officially nominated DNA and stamped with the official seal. If any of this information is not provided or does not coincide with the records of the Secretariat, the notification will be considered incomplete.

SECTION 6.RELEVANT ADDITIONAL INFORMATION, WHICH MAY INCLUDE:       Is this chemical currently registered in the country? Yes No       Is this chemical manufactured in the country? Yes No   If yes to either one of these questions:       Is this intended for domestic use? Yes No          Is this intended for export? Yes No Other remarks   SECTION 7.DESIGNATED NATIONAL AUTHORITY Institution   Address   Name of person in charge   Position of person in charge   Telephone   Telefax   E-mail address  

Submission of a notification of Final Regulatory Action Introduction The purpose of this document is to provide guidance to designated national authorities (DNAs) in completing a “Notification of final regulatory action” form. It has been developed by the Secretariat of the Rotterdam Convention to assist Parties successfully complete the form. The Secretariat hopes that Parties will more clearly understand the sections of the form and information requested, enabling them to easily submit complete notifications. Article 5, paragraph 1, of the Convention requests Parties who have adopted a final regulatory action to ban or severely restrict and chemical to notify the Secretariat. Article 5, paragraph 3, tasks the Secretariat with verifying whether notifications contain the information required by Annex I of the Convention. As the recipient of the notifications, the Secretariat has gained much experience and a good understanding of the problems faced by Parties in successfully submitting all the information required by Annex I. In order to assist Parties in preparing complete notifications and to standardise the format in which they are submitted, the “Form for Notification of Final Regulatory Action” was developed and is based on the information requirements set out in Annex I. This guidance follows the structure of the notification form and has been developed based on the experience of the Secretariat as well as the lessons learned by members of the Chemical Review Committee. This guidance is considered a work-in-progress that will continue to evolve and be updated as experience is gained and more feedback from Parties is received. Parties are encouraged to send comments on the guidance to the Secretariat at pic@pic.int or pic@ fao.org. Structure of this document The guidance provided in this document is structured as follows: Background: provides information on the notification process, including submission, verification and review by the Chemical Review Committee (CRC). Highlights: provides highlights on the preparation of notifications of final regulatory action and on key points, such as the need to submit supporting documentation and the label of the chemical for which the notification has been prepared. It also provides information on the submission process. Brief overview: provides, for each of the four sections of the notification form, a brief overview of the information required. Specific guidance: uses the notification form to illustrate an example of a completed notification and provide detailed advice on the key information elements that might be included in the specific sections of the form. Background Under Article 5 of the Rotterdam Convention, Parties have an obligation to notify the Secretariat when they take a final regulatory action to ban or severely restrict a chemical. These notifications play an important role in the information exchange on hazardous chemicals and identification of candidate chemicals for the PIC procedure. Upon receipt of a form for notification of final regulatory action, the Secretariat verifies that the form contains all of the information called for in Annex I of the Convention. Where the notification form is verified to be complete, a summary of the final regulatory action is prepared by the Secretariat and sent to the DNA for their comments and indications as to any omissions or mistakes. The summary is then published in Appendix I of the PIC Circular. The DNA is also asked to submit the supporting documentation used as the basis for the final regulatory action and further details on risk evaluation, if any. Where the notification form is verified not to be complete, the Secretariat writes to the DNA and provides a detailed list of what information is missing and invites the DNA to provide that information. All notifications verified as complete by the Secretariat represent a key input into the information exchange mechanism under the Convention. Summaries published in the PIC Circular provide Parties with information about hazardous chemicals that are banned or severely restricted in order to protect human health or the environment. Where there are at least two notifications of final regulatory action for the same chemical from two different PIC regions the notifications forms and related supporting documentation are forwarded to the Chemical Review Committee (CRC) for review. The CRC reviews the notifications in the light of the information requirements and criteria set out in Annexes I and II of the Convention, respectively. In order for a notification of final regulatory action on a chemical to support the listing of that chemical in Annex III, the notification must be found by the CRC to meet the criteria in Annex II. Where two notifications are found to meet the above-mentioned criteria, the CRC may recommend to the Conference of the Parties that the chemical be listed in Annex III of the Convention and subject to the PIC procedure. The CRC then drafts a decision guidance document (DGD) which uses as its basis the information in the notifications and supporting documentation. For these reasons, it is important that notifications are as complete as possible. The final decision to add the chemical to Annex III and adopt the DGD is made by the Conference of the Parties. fig. 1: from notification to inclusion of a hazardous chemical in Annex III The progression of a notification from national decision to inclusion as a chemical in Annex III and subsequently becoming subject to the PIC procedure is illustrated in Figure 1.   Highlights It is important that all parts of the form are completed. Where information is not available for a specific element this should be clearly indicated rather than leaving the section empty or blank (e.g. indicate “not available”).Whenever additional space is needed, separate sheets of paper may be attached to the form and should clearly indicate to which section of the form the information is related.Information in the notification should be presented as clearly and unambiguously as possible. It is also particularly important that the documentation that supports the final regulatory action is clearly referenced in the relevant sections of the form.Along with the completed notification form, documents and references that are mentioned in the form should be provided or the source of the information should be reported. This can include published or unpublished information and internal or national reports. Although copies of such documentation may be submitted, please note that it is not sufficient to only refer to the documentation and that the form itself must be completed with the relevant information.The notification form should be submitted with the information and documentation which was used to support the national decision to ban or severely restrict the chemical. It is not intended that a Party collect information in order to complete the notification form, however, it is assumed that information is collected in order to make the regulatory decision. That is the information that should be submitted together with the notification form. In addition, a reference provided to an international risk evaluation that was completed after the national regulatory action was taken would not be accepted by the CRC as a relevant supporting document for a notification.Together with the notification form, the label of the chemical, which is a mandatory part of the product packaging, should be submitted. It is essential for the CRC to have the label when reviewing a notification and the documentation supporting the national decision.Where possible, copies of the text of the national decision and supporting risk evaluation should form a part of the supporting documentation that is submitted with the notification. Similarly, other information that would help to explain the use of the chemical in the country before and after the regulatory action should be provided, e.g. product labels, which are particularly important for chemicals that are severely restricted.Where supporting documentation is voluminous or not available in English, a focussed summary should be prepared. Detailed guidance on the preparation of a focussed summary may be found at www.pic.int in the section dedicated to the CRC.Information on the submission process The form for notification of final regulatory action developed by the Secretariat is available on the Rotterdam Convention website in English, French and Spanish. The forms are available in an interactive electronic version with pop-up instructions and also in a simple printable Word version. DNAs may type the information into the forms in any of these three languages. For the official submission to the Secretariat, the completed form must be printed, signed, dated and stamped or sealed by the DNA. The Secretariat encourages DNAs to submit electronic scanned versions of the completed forms by fax or email, but they can also be sent in hard copy by regular mail to the following addresses: Secretariat at FAO Food and Agriculture Organization of the United Nations Viale delle Terme di Caracalla 00153 Rome, Italy Fax: (+39 06) 5705 3224 E-mail: pic@fao.org Secretariat at UNEP United Nations Environment Programme 11-13, Chemin des Anémones CH – 1219 Châtelaine, Geneva, Switzerland Fax: (+41 22) 917 8082 E-mail: pic@pic.int Brief overview on the information required by each section of the form  SECTION 1 of the form: identity of the chemicalThis section serves to clearly identify the chemical that is the subject of the final regulatory action. The exact identity of the chemical is important to clearly establish as only when two notifications from two PIC regions for the same chemical are received will the chemical be referred to the Chemical Review Committee for consideration for inclusion in Annex III and subject to the PIC procedure. In most instances, the information needed to complete this section can be found in international sources and the documentation used to support the national final regulatory action. If any of the information requested in this section is missing, the form could be considered incomplete. It is preferable to indicate “not available” in a section for which information has not been found. Where available, copies of the label of the products containing the chemical(s) should be provided in order to better identify the chemical. SECTION 2 of the form: Final Regulatory ActionThis section serves to provide detailed information concerning the national regulatory action and the underlying basis for the national decision to ban or severely restrict the chemical. The form was developed to be in line with the information requirements set out in Annex I. The information provided in this section makes up the main content of the summary of the regulatory action prepared by the Secretariat for publication in Appendix I of the PIC Circular. This information and the relevant supporting documentation are also the basis for the work of the Chemical Review Committee in reviewing candidate chemicals. It is important that the information provided regarding the national regulatory action be as complete as possible and presented in a clear and unambiguous way. The underlying supporting documentation should be clearly referenced in the appropriate sections and where the supporting documentation is not publicly available (such as on the internet) copies should be provided to the Secretariat along with the notification form. Copies of product labels should be provided, where available, since they might help to describe the conditions of use in a country by defining the use or uses, including the rate and frequency of application. SECTION 2.1 identifies whether the chemical was banned or severely restricted in line with the definitions in Article 2 of the Convention. This distinction is important because the information required in subsequent sections regarding use(s) and risk evaluation are different depending on whether the chemical was banned or severely restricted. SECTION 2.2 provides for a brief summary of the final regulatory action (section 2.2.1) and an opportunity to provide a specific reference to the relevant regulatory document (section 2.2.2) and the date of entry into force of the final regulatory action (section 2.2.3). SECTION 2.3 clarifies whether the category of the chemical subject to the final regulatory action is a pesticide or an industrial chemical. In most instances chemicals are used as either pesticides or as industrial chemicals, but some chemicals can also be used as both. Where a regulatory action applies to a pesticide then only those sections relevant to pesticide use need to be completed, and the same goes also for industrial chemicals. The specific use(s) before and after the final regulatory action need to be defined for each category of chemical. This is particularly important where a chemical is severely restricted and only certain uses remain allowed. The information on use(s) is particularly important for chemicals that are subject to a severe restriction as this will help verify if the action is in fact a severe restriction as defined by the Convention. SECTION 2.4 identifies whether the final regulatory action was based on a hazard or risk evaluation. This is perhaps the most challenging part of the notification process as this section requires an explanation of the basis for the national decision. This information is critical for the CRC in reviewing the notifications in the context of the criteria in Annex II. Where no hazard or risk evaluation has been conducted, Parties are not required to complete the following sections and may proceed directly to section 2.5.3.3. Where a hazard or risk evaluation has been conducted, further information on the hazard or risk evaluation is to be provided. Parties are requested to provide a reference to the detailed information as well as to describe the hazard or risk evaluation and, in particular, whether it is applicable to human health or the environment or both (Section 2.4.2). Where, for example, a national decision is based on human health concerns only, a Party is not obliged to provide information on the environmental effects of the chemical (e.g. complete section 2.4.2.1 only). The Chemical Review Committee has developed a guidance paper entitled Bridging information on notifications of final regulatory actions making use of risk evaluations and/or exposure assessments completed in another country or from an international risk evaluation. These guidelines may be of particular interest for those countries whose national regulatory programmes require the use of risk evaluations but which lack the capacity and resources to perform such evaluations. A key element of these guidelines is the exposure or potential exposure to the chemical. When notifying of a national decision based all or in part on a risk evaluation conducted elsewhere, every effort should be made to demonstrate the relationship of the conditions of use in the notifying country to that of the country that undertook the risk evaluation. This may take the form of actual or measured exposure, or reflect the results of modelling of expected or anticipated exposure. Any information that might be provided to facilitate this comparison should be provided, such as product labels which describe the composition of products used, rate and frequency of application, availability and practicality of personal protective equipment or other risk mitigation measures that may have been put in place as a result of the original risk evaluation yet that may be impractical in the notifying country. A notification is still complete against Annex I if no risk evaluation is undertaken, as long as the Party clearly indicates this in the notification form (section 2.4). There is no requirement under the Convention for a Party to undertake a risk or hazard evaluation and Parties may take national decisions on whatever basis they feel appropriate. In many countries, national regulatory decisions make use of risk assessments undertaken at the international level (e.g. World Health Organization (WHO)) or under the auspices of other Conventions (e.g. Stockholm Convention or Montreal Protocol) or by other governments (e.g. European Community). However, in order for the notification to meet the criteria of Annex II and for the CRC to consider the chemical as a candidate for inclusion in the Convention, the CRC must establish that the final regulatory action has been taken as a consequence of a risk evaluation. A risk evaluation under the Rotterdam Convention considers information on hazard and exposure. Information on hazard assessment may be taken from a range of sources however information on exposure must be related to the prevailing conditions of use in the notifying country. Therefore, if a notification is not based on a risk evaluation, it is complete but will not be considered as a notification in support of the inclusion of a chemical in Annex III of the Convention. Section 2.5, refers to Annex I and the likely relevance that the regulatory action may have for other States and regions. It also allows putting the final regulatory action in a broader context. It includes information on quantities of the chemical traded, socio- economic effects of the regulatory action and alternatives and any other information that the notifying country would like to provide. The information in this section of the form is not mandatory. SECTION 3 of the form: Properties of the chemicalThis section provides detailed information on the physico-chemical, toxicological and eco-toxicological properties of the chemical subject to the national regulatory action in line with the information requirements set out in Annex I. This information is not commonly generated at the national level but may be available from a range of international sources including the Pesticide Manual, evaluations of WHO or other international agreements, such as the Stockholm Convention or Montreal Protocol, or by other governments (e.g. European Community). Although much of this information is widely available, it is part of the information required to be included in a notification by Annex I and therefore must be provided. The relevant references and supporting documentation for the information should be clearly referenced in the appropriate sections. Where the supporting documentation is not publicly available (such as on the internet) copies should be provided to the Secretariat. This information and the relevant supporting documentation are considered by the Chemical Review Committee. SECTION 4 of the form: Designated National AuthorityThis section is important to verify that the notification is coming from the designated national authority that has been officially nominated by the government of the Party. The form must be dated (with the date of completion of the form or its submission to the Secretariat), signed by the officially nominated DNA and stamped with the official seal. If any of this information is not provided or does not coincide with the records of the Secretariat, the notification will be considered incomplete. Specific guidance on the sections of the form for notification of Final Regulatory Action The following pages contain an example,  provided as guidance only, of a completed notification form submitted to the Secretariat and found to be complete against Annexes I and II of the Convention. Please click on the "Form Instruction" button (located also on the top of this page) for detailed instruction on the  sections of the form or on the "Download Form" button to download an empty form for notification of Final Regulatory Action. FORM INSTRUCTIONS DOWNLOAD FORM

1.1 Common name Although there may be many common names used for a chemical in a country, the name(s) provided should as far as possible represent those that are in use in the country in order to allow for the precise identification of the chemical(s) subject to the regulatory action. If the final regulatory action applies to a group of chemicals, the common name for each of the chemicals should be provided.

Parathion-methyl (BSI, E-ISO, (m) F-ISO); Synonyms: methyl parathion (ESA, JMAF); metaphos (USSR)

1.1  Common name

FORM FOR NOTIFICATION OF FINAL REGULATORY ACTION TO BAN OR SEVERELY RESTRICT A CHEMICAL

1.3 Trade names and names of preparations Although trade names and names of preparations vary widely across countries, the name(s) provided should as far as possible represent those that are in use in the country in order to provide a precise identification of the chemical(s) subject to the regulatory action. A source for this information could be the label of the product.

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1.3  Trade names and names of preparations

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SUBMISSION OF A NOTIFICATION OF FINAL REGULATORY ACTION

1.2  Chemical name according to an internationally recognized nomenclature (e.g. IUPAC), where such nomenclature exists

Country:

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1.2 Chemical name according to an internationally recognized nomenclature (e.g. IUPAC), where such nomenclature exists Needed to precisely identify the chemical. The nomenclature used must also be indicated so that the information can be verified. The Pesticide Manual contains information on internationally recognized nomenclature

- Formulation types: capsule suspension (CS); dustable powder (DP); emulsifiable concentrate (EC); ultra low volume liquid (UL); (wettable powder (WP). - Selected trade names: Folidol-M; Metacide; Cekumethion; Dhanuman; Faast; Fostox metil; Jiajiduiliulin; Morfos Methyl; Parataf; 'Paratox; Penncap-M; Sweeper; Thionyl; Bladan M; Declare; - Mixtures: Verecar T (+ tetradifon); Afidan M 40 (+ endosulfan); Seis-Tres (+ parathion); Sulfanex-Methyl (+ endosulfan); - Discontinued names: Methyl Bladan; Mefos

SECTION 1 IDENTITY OF CHEMICAL SUBJECT TO THE FINAL REGULATORY ACTION

SECTION 1

IUPAC: O,O-dimethyl O-4-nitrophenyl phosphorothioate CA: Phosphorothioic acid, O,O-dimethyl O-(4-nitrophenyl) ester

This is a first time notification of final regulatory action on this chemical.

1.5.2  Notifications may be resubmitted at any time in response to changes in the regulatory status of a chemical in a country (e.g. all uses banned where previously use was severely restricted). For replacement notifications, please indicate the date of submission of the previous notification.

RTECS: TG0175 EINECS: 206-050-1 UN: 2783 CIPAC: 487

1.4.3  Other numbers            (specify the             numbering system)

298-00-0

1.5  Indication regarding previous notification on this chemical, if any

1.4.1  Cas number

1.5.2

3808 10 40

This notification replaces all previously submitted notifications on this chemical.

1.4.1 The Chemical Abstracts Service (CAS) number provides for a precise identification of the chemical(s) subject to the regulatory action. If the regulatory action applies to a group of chemicals, please provide the CAS number for the group (if available) as well as for the individual chemicals. CAS numbers can be found in the Pesticide Manual

1.4.3 Identification numbers from other systems may be given where available (i.e. EINECS, RTECS) The numbering system used must also be indicated so that the information can be verified.

1.4.2  Harmonized System            customs code

Date of issue of the previous notification: .................................................................................................

1.4  Code numbers

1.5.1

1.5.1  Choose ONLY ONE of the two options.

1.4.2 Harmonized System (HS) Customs Codes have been developed for a wide range of chemicals by the World Customs Organization (WCO) and should be included where available.

2.2.3  Date of entry into            force of the final             regulatory action

It is prohibited to place on the market or use plant protection products containing parathion- methyl. Parathion-methyl is not included as an authorised active ingredient in Annex I to Directive 91/414/EEC. The authorisations for plant protection products containing parathion- methyl had to be withdrawn within a period of 6 months from the date of adoption of the Commission Decision 2003/166/EC. From that date, no authorisations for plant protection products containing parathion-methyl could be granted or renewed.

2.2.1  Summary of the            final regulatory action

2.1 Choose only on of the two options. The terms “banned” and “severely restricted” are defined in Article 2 of the Convention. A ban is when all uses of a chemical are prohibited while a severe restriction applies to a situation where virtually all use has been prohibited.

Commission Decision 2003/166/EC of 10/03/2003 concerning the non-inclusion of parathion- methyl in Annex I to Council Directive 91/414/EEC and the withdrawal of authorisations for plant protection products containing this active substance (Official Journal of the European Union L67 of 12/03/2003, pp. 18-19) (copy attached, available at http://europa.eu.int/eur- lex/en/archive/2003/l_06720030312en.html).

2.2.1 Summary of the Final Regulatory Action This summary should highlight the key elements of the regulatory action that will allow others to understand the basis for the national decision to ban or severely restrict the chemical. It should include the category of chemical (pesticide or industrial chemical), the legal or administrative basis for the action, the date it entered into force, the scope of the action (ban or severe restriction) as well as the underlying reasons for the action, e.g. human health or environmental concerns or both. The information in this summary should be consistent with the information to be provided in the sub-sections of 2.2, sections 2.3 and 2.4 and with the information on the risk or hazard evaluation underlying the national decision in section 2.4 (where applicable). This description may be taken in part from the text of the decision of the regulatory authority as well as the relevant supporting documentation. The explanation or description of the basis for the decision should reflect the concerns identified in the risk or hazard evaluation, set out in more detail in the supporting documentation.

SECTION 2

2.2.2 Reference to the regulatory document, e.g. where decision is recorded or published A precise reference to the national regulatory document (e.g. national decree, national gazette or bulletin, etc.) where the decision regarding the national regulatory action is officially recorded or published should be provided. A copy of the document should also be included with the notification.

2.2.2  Reference to the            regulatory document,            e.g. where decision             is recorded or             published

FINAL REGULATORY ACTION

2.1  The chemical is:

2.2.3 Date of entry into force of the Final Regulatory Action The date (day, month, year) when the regulatory action came into force for the chemical in the country as specified in the national decision.

banned           OR 

2.2  Information specific to the final regulatory action

severely restricted

9 September 2003. Authorisations for plant protection products containing parathion-methyl had to be withdrawn within a period of six months from the date of the final regulatory action.

2.3.3  Final regulatory action has been taken for the category

Formulation(s) and use or uses that remain allowed  (only in case of a severe restriction)

2.3.3 Final regulatory action has been taken for the category Choose this option if the regulatory action addresses the category pesticide. Formulation(s) and use(s) prohibited by the final regulatory action List the specific pesticide use(s) prohibited by the final regulatory action. Indicate whether the final regulatory action bans or severely restricts all formulations or only certain formulations.  Formulation(s) and use(s) that remain allowed (only in case of a severe restriction) If the regulatory action is a severe restriction, list the specific pesticide use(s) that remain allowed. Where the final regulatory action is identified as a severe restriction, list the specific pesticide formulation(s) and use(s) that remain allowed.

Pesticide

2.3.2  Final regulatory action has been taken for the category

Use or uses that remain allowed (only in case of a severe restriction)

Parathion-methyl is a non-systemic insecticide and acaricide used worldwide to control chewing and sucking insects in a very wide range of crops, such as cereals, fruits (including citrus), vines, vegetables, ornamentals, cotton, and field crops. Intended uses within the European Community were to control Clysia ambiguella (common names: Grape bud moth, Vine moth, Grape cochylis) on vines (grape vine and table grape) Good Agricultural Practices were considered for 1 to 3 spray applications at application rates of 0.3 kg parathion-methyl/ha.

2.3 Category or categories where the final regulatory action has been taken In the context of the Rotterdam Convention, chemicals are grouped into two categories: pesticides and industrial chemicals. Most chemicals fall into one or the other category, but regulatory actions can cover both. Depending on the scope of the national regulatory action the information in sections 2.3.2 and 2.3.3 should be completed accordingly (e.g. industrial or pesticide or in some cases both).

Industrial

2.3     Category or categories where the final regulatory action has been taken

All applications as plant protection product.

2.3.1 All use(s) of the chemical in your country prior to the final regulatory action List the use(s) of the chemical in the country before the final regulatory action was taken. This information is essential where a chemical has been severely restricted to verify that the remaining uses constitute a severe restriction. The CRC needs this information to understand the extent to which the regulatory action is expected to lead to a significant decrease in the quantity of chemical used or the number of its uses, or a reduction of risk in line with the criteria in Annex II, paragraph (c).

Formulation(s) and use or uses prohibited by the final regulatory action

Use or uses prohibited by the final regulatory action

2.3.2 Final regulatory action has been taken for the category Choose this option if the regulatory action addresses the category industrial chemical. Use(s) prohibited by the final regulatory action List the specific industrial chemical use(s) prohibited by the final regulatory action. Use(s) that remain allowed (only in case of a severe restriction) If the regulatory action is a severe restriction, list the specific industrial chemical use(s) that remain allowed.

2.3.1  All use or uses of the            chemical in your             country prior to the             final regulatory action

EC Member States may have granted a period of grace for disposal, storage, placing on the market and use of existing stocks, no longer than 18months from the date of adoption of Commission Decision 2003/166/EC (i.e. until 9 September 2004).

2.4  Was the final regulatory action based on         a risk or hazard evaluation?

2.4.2.1 Is the reason for the final regulatory action relevant to human Yes health?

2.4 Choose only one of the two options. If the response is Yes, proceed to section 2.4.1. If the response is No, proceed directly to section 2.5.3.3. Parties do not have an obligation to base their final regulatory actions on risk or hazard evaluation. If no risk or hazard evaluation was undertaken, the notification still meets the requirements of Annex I and will be published in the PIC Circular.

Yes

2.4.1 If yes,reference to the relevant documentation, which describes the hazard or risk evaluation List the reference to the risk or hazard evaluation or references to the specific documents which describe the risk or hazard evaluation that supports the national regulatory action. The risk or hazard evaluation should be submitted to the Secretariat in order for the CRC to consider if the notification meets the criteria in Annex II.

Review report for the active substance parathion-methyl 2665/01-final: 18 October 2002 (copy attached) and supporting background documents (dossier, monograph, and the peer review report under the Peer review Programme (ECCO, October 2002) Directive 91/414/EEC provides for the European Commission to carry out a programme of work for the examination of existing active substances used in plant protection products which were already on the market on 25 July 1993, with a view to their possible inclusion in Annex I to the Directive. Within this context, a number of companies notified their wish to secure the inclusion of parathion-methyl as an authorised active ingredient. A Member State was designated to undertake a hazard and risk assessment based on the dossier submitted by the notifiers. The assessment report was subjected to peer review, during which the Commission undertook extensive consultations with experts of the Member States as well as with the main notifier. The results were then reviewed by the Member States and the Commission within the Standing Committee on the Food Chain and Animal Health (SCFCAH) before a final decision was taken. The evaluation was based on the review of scientific data generated for parathion-methyl and for the use of a representative formulation in the context of the conditions prevailing in the European Community (intended uses, recommended application rates, good agricultural practices).Only data that had been generated according to scientifically recognized methods were validated and used for the evaluation. Moreover data reviews were performed and documented according to generally recognized scientific principles and procedures. It was concluded tat parathion-methyl was not demonstrated to fulfil the safety requirements laid down in Article 5 (1) (a) and (b) of Directive 91/414/EEC. The following areas of concern were identified: the safety of operators potentially exposed to parathion-methyl; and the possible impact of the substance on non-target insects, birds and mammals. In addition available data were insufficient concerning the following: identity, physical and chemical properties and methods of analysis, the environmental fate and ecotoxicology of the substance; certain aspects concerning mammalian toxicology; plant metabolism and residues in treated crops

No (If no, you may also complete section 2.5.3.3)

2.4.1  If yes, reference to            the relevant             documentation, which            describes the hazard             or risk evaluation

2.3.2 Choose only one of the two options. If the response is Yes, complete the following sections. If the response is No, proceed directly to section 2.4.2.2. if yes, give summary of the hazard or risk evaluation related to human health, including the health of consumers and workers Provide a summary of the hazard or risk evaluation on which the ban or severe restriction was based as it relates to human health, including the health of consumers and workers. The summary should clearly identify the conditions that led to the concern regarding human health. Where an international risk evaluation or a risk evaluation from another country is used as a basis for a national decision, the notification must demonstrate how this risk evaluation reflects the conditions prevailing in the notifying country. A separate sheet of paper may be added to provided more information if necessary.

Final regulatory action was taken to protect operators applying plant protection products containing parathion-methyl. The principal issues which lead to these overall conclusions relate mainly to concerns about operator exposure. Exposure scenarios using UK Predictive Operator Exposure Model demonstrated that operator exposure was unacceptable for the proposed uses within the European Com munity (grapevines and table grapes). The es timated exposure exceeded the acceptable operator expos ure level (AOEL) during the m ixing/loading and the application operations, even when personal prot ective eq uipment (PPE) was worn. Usi ng t he German Model, scenari os f or hi gh crops/ tractor mount ed appl ications were accept able usi ng PPE, but not for high crops/hand held scenarios. A safe use for consumers exposed to potential residues resulting from the use of these plant protection products was not demonstrated. No metabolism data relevant to grapes (and processed products) were available. The notifier provided data on several crop residues, from which no extrapolation was possible, thus preventing an adequate risk assessment. Moreover this was not considered necessary as it was already demonstrated that the use of parathion - methyl was not safe for operators, which was sufficient grounds to take the final regulatory action. Review report for the active substance parathion-methyl 2665/01-final: 18 October 2002 (copy attached) and supporting background documents (dossier, monograph, and the peer review report under the Peer review Programme (ECCO, October 2002) 

No

2.4.2  Summary description of the risk or hazard evaluation upon which the ban or severe restriction was based.

If yes, give summary of the hazard or risk evaluation related to human health, including the health of consumers and workers

2.4.2.2 Is the reason for the final regulatory action relevant to human Yes health?

Complete reduction of risk from plant protection uses.

Expected effect of the final regulatory action

Final regulatory action was taken to protect non-target organisms. Concerns were identified with regard to: - Insectivorous birds: the acute and long-term risk was found unacceptable following the use of parathion-methyl on vines at the application rate of 0.3 kg a.s./ha, based on technical material data. - Herbivorous mammals: the acute risk was found unacceptable following the use of parathionmethyl on vines at the application rate of 0.3 kg a.s./ha, based on technical material data. The risk associated with the use of microencapsulated formulation was acceptable. - Aquatic vertebrates: The risk evaluation based on data from both technical material and formulations found an unacceptable risk at the application rate of 0.3 kg a.s./ha on vines. The risk could be acceptable when mitigation measures (buffer zone) were used. - Aquatic invertebrates: The acute and chronic risk associated with the use of both technical material and microencapsulated formulations was unacceptable at the application rate of 0.3 kg a.s./ha on vines, even when a buffer zone of 50 m was considered. - High toxicity was recorded for non-target arthropods, and the long-term risk to earthworms was unacceptable. Review report for the active substance parathion-methyl 2665/01-final: 18 October 2002(copy attached) and supporting background documents (dossier, monograph, 

Expected effect of the final regulatory action Provide a summary of the expected effects to human health as a result of the final regulatory action (e.g. a ban would be expected to reduce risk to human health by eliminating exposure). More detailed expected effects should be contained in the supporting documentation. In the case of a severe restriction, the summary will need to clearly outline how the severe restriction led, or would be expected to lead, to significant reduction of risk for human health, including the health of consumers and workers. The information provided here should be linked to the criteria in Annex II on reduced use and/or risk.

2.4.2.2 Choose only one of the two options. Chose ONLY ONE of the two options. If the response is Yes, complete the following sections.  If the response is No , proceed directly to section 2.5.  If yes, give summary of the hazard or risk evaluation related to the environment Provide a summary of the hazard or risk evaluation on which the ban or severe restriction was based as it relates to the environment.  The summary should clearly identify the conditions that led to the concern regarding the environment.  Where an international risk evaluation or a risk evaluation from another country is used as a basis for a national decision, the notification must demonstrate how this risk evaluation reflects the conditions prevailing in the notifying country.  A separate sheet of paper may be added to provided more information if necessary.

Not available

2.5.3.1  Assessment of socio-economic effects of the final regulatory action

Submission of Import Response

imported

2.5.3.3  Basis for the final regulatory action if other than hazard or risk evaluation

exported

Quantity per year (MT)

used

Year

produced

2.5 Other relevant information regarding the final regulatory action Information in section 2.5 should be provided where it is available. Where not available, it should be indicated as such (e.g. “Not available” rather than leaving the section blank). Information given in this section is very useful for other countries, especially developing countries and countries with economies in transition.

The final regulatory action was taken in light of the conclusions of the risk evaluation performed for uses as proposed in Northern and Southern European Member States, which covered a large and diverse geographic area. Similar health and environmental problems are likely to be encountered in other countries where substance is used, particularly in developing countries

2.5     Other relevant information regarding the final regulatory action

2.5.1 Provide the most recent data, specifying quantity and year(s). For pesticides, estimate the quantity of active ingredient. For formulated products, calculate the volume of active ingredients in individual products and include this in the total quantity.

2.5.2  Indication, to the            extent possible, of             the likely relevance             of the final regulatory             action to other states             and regions

2.5.2 Example – human health: Human health concerns with respect to occupational exposure that may be relevant to countries where personal protective equipment (PPE) is not readily available or not practicable. Example – environment: Environmental concerns – e.g. toxicity to aquatic environment – if not possible to ensure set backs and buffer zones under conditions of use etc. quantity.

2.5.3  Other relevant information that may cover:

2.5.3.1 Socio-economic effects may include a consideration of economic impacts on farmers or producers when a pesticide is no longer available, or, in the case of an industrial chemical, the ability of industry to adapt or find a less hazardous chemical for their processes.

2.5.3.3 There may be national policies regarding specific types of chemicals or chemicals with certain characteristics, e.g. persistent and bio-accumulative chemicals or chemicals that are human carcinogens. If possible please link this information to that given in section 2.4

Intended uses within the European Community were to control Clysia ambiguella (common names: Grape bud moth, Vine moth, Grape cochylis) on vines (grape vine and table grape). Biological agents, such as Trichogrammatidae, genre Trichogramma may be used to combat Clysia ambiguella

2.5.1  Estimated quantity            of the chemical             produced, imported,             exported and used

2.5.3.4  Additional information related to the chemical or the final regulatory action, if any

2.5.3.4 Information that could be provided here includes text that might help others understand the basis for the national regulatory action or any other information that the notifying country would like to highlight.

2.5.3.2  Information on alternatives and their relative risks, e.g. IPM, chemical and nonchemical alternatives

3.2     Further information on the properties of the chemical

Classification in the EU in accordance with Council Directive 67/548/EEC

3.2.1  Description of            physico-chemical             properties of the             chemical

WHO (IPCS 2000-2002)  IARC (1991, vol 53)  UN Classification

Ia (Extremely hazardous)  Not classifiable as to its carcinogenicity to humans (Group 3).  UN Hazard Class: 6.1

3.2.1 Provide a summary of key information only, such as description of the form of the chemical, solubility in water and organic solvents, melting point and vapour pressure with an indication of the temperature, etc. A specific reference to the relevant documentation should be given. The policy guidance developed for the CRC provides examples of the type of references to international sources that have been previously provided (available at www.pic.int). Possible sources: - Pesticide Manual - Inchem datasheet (http://www.inchem.org/documents/pds.htm) – if not possible to ensure set backs and buffer zones under conditions of use etc. quantity.

Reference

SECTION 3

Minimum purity: > 800 g/kg FAO specification: > 950 g/Kg (FAO Specification 487/TK (2001)) Molecular Formula: C8H10NO5PS Molecular Mass: 263.23 Structural Formula:

3.2 Further information on the properties of the chemical Chemical properties are usually found through international sources.

International classification systems e.g. WHO, IARC, etc.

Hazard class

PROPERTIES 3

Other classification systems e.g. EU, USEPA

3.1     Information on hazard classification where the chemical is subject to classification requirements

3.1 Information on hazard classification where the chemical is subject to classification requirements. The hazard classification relates to the active ingredient. Enter the hazard classification from an international system in the first column and the hazard class the chemical is assigned to in the second column. Enter the hazard classification from other systems (e.g. EU, US EPA or a national hazard classification system) in the first column and the hazard class in the second column.

Absorption, distribution, excretion and metabolism in mammals Parathion-methyl is highly absorbed (>90%) and excreted within 48 hours (>99%), mainly via urine (76-92%). Parathion-methyl is extensively metabolised (desulfurization, dealkylation, sulfate conjugation, oxidation) and has no potential for accumulation. Acute toxicity LD50 (oral, rat) 3-20 mg/kg, (T+, very toxic) LD50 (dermal, rat) 46-491 mg/kg (T, toxic) LD50 (dermal, rabbit) > 2000 mg/kg LC50 (inhalation, nose only, 4 h, rat) 0.135 mg/l, (T+, very toxic) Skin and eye irritation non irritant Sensitisation non sensitiser (M & K)

3.2.3  Further information on the properties of the chemical

3.2.2 Provide a summary of key information only, such as acute toxicity, short and long-term exposure, effects on reproduction, mutagenicity, carcinogenicity, etc. A specific reference to the relevant documentation should be given. Please ensure to indicate whether the information given above is based on national studies or taken from references. The policy guidance developed for the CRC provides examples of the type of references to international sources that have been previously provided (available at www.pic.int).

3.2.2  Information on hazard classification where the chemical is subject to classification requirements

 Full Report on parathion-methyl (ECCO, October 2002)

3.2.3 Provide a summary of key information only, such as toxicity to fish, aquatic invertebrates, birds, bees, etc. A specific reference to the relevant documentation should be given. Please ensure to indicate whether the information given above is based on national studies or taken from references. The policy guidance developed for the CRC provides examples of the type of references to international sources that have been previously provided (available at www.pic.int).

Fate and behaviour Soil: Parathion-methyl is not persistent in soil. Mineralisation after 120 days is about 60 % of the initial parathion-methyl treatment. Parathion-methyl degraded with half-lives of 12 to 22 days in laboratory studies. The main metabolite observed is p-nitrophenol. Water: - Ground water: Parathion-methyl is adsorbed and is not expected to leach in soil with water. Koc adsorption = 230 to 670. - Surface water: hydrolysis half lives of parathion-methyl range from 33 to 68 days, depending of pH. Parathion-methyl is assumed to be biodegradable. Air: volatilisation: 74% of the applied dose was lost from

SECTION 4

DESIGNATED NATIONAL AUTHORITY

The name of the institution, complete address, name and position of the person in charge (if applicable), telephone, fax and/or e-mail for the DNA should be given here. This information must be provided for each notification form submitted to the Secretariat. Date, signature of DNA and official seal: The date of completion of the form, signature of the DNA and official seal must be provided for each notification form submitted. Please note that the date given here refers to the form itself and not the date of the regulatory action, which is given in section 1.5.

Institution Address Name of person in charge Position of person in charge Telephone Telefax E-mail address Date, signature of DNA and official seal:   ………………………………………………………………………………………………………..

PLEASE RETURN THE COMPLETED FORM TO:

Secretariat for the Rotterdam ConventionUnited Nations Environment Programme (UNEP) 11-13, Chemin des Anémones CH - 1219 Châtelaine, Geneva, Switzerland Tel: (+41 22) 9178177 Fax: (+41 22) 9178082 E-mail: pic@pic.int

Secretariat for the Rotterdam ConventionFood and Agriculture Organization of the United Nations (FAO) Viale delle Terme di Caracalla 00100 Rome, Italy Tel: (+39 06) 5705 2188 Fax: (+ 39 06) 57056347 E-mail: pic@pic.int

Introduction to the Severely Hazardous Pesticide Formulation Report Forms on Human Health and Environmental Incidents The severely hazardous pesticide formulation report forms consist of three sections: Introduction, the text is intended to provide relevant background information on the Rotterdam Convention and how the information collected by the form and submitted by the Designated National Authority will be used. Part A is to be completed by the Designated National Authority once he/she receives Part B from the field. It reflects the information requirements of part 1 of Annex IV of the Convention. There is some redundancy between Parts A and B of the form particularly with respect to information on product identity. It was thought that this redundancy might help countries to consolidate responses by using Part A of the form to report on more than one incident for the same formulation. Part B is designed to provide “a clear description of the incidents related to the problem, including the adverse effects and the way in which the formulation was used” (part 1 paragraph g of Annex IV of the Convention). The form has been constructed around these points. It consists of a series of closed questions or checklist that captures the basic information needed with options for including additional information where it is available. Introduction Purpose of the forms To facilitate the implementation of Article 6 of the Convention and the identification of candidate formulations for inclusion in the Rotterdam Convention, the Secretariat has developed two forms: one for reporting on environmental incidents and one for reporting on human health incidents related to an SHPF. The Convention provides a mechanism for countries to decide whether or not they wish to receive future shipments of such pesticide formulations and for ensuring compliance with these decisions by exporting countries. What is the Rotterdam Convention? The Rotterdam Convention on the Prior Informed Consent (PIC) Procedure for Certain Hazardous Chemicals and Pesticides in International Trade promotes a shared responsibility between importing and exporting parties in the international trade of certain hazardous chemicals. It gives importing countries the power to decide which chemicals they want to receive and to exclude those they cannot manage safely. The Convention includes provisions for developing countries and countries with economy in transition, that are experiencing health or environmental problems with severely hazardous pesticide formulations under conditions of use, to identify such formulations as candidates for inclusion in the Convention. Further information on the operation of the Rotterdam Convention may be found at www.pic.int. What are the severely hazardous pesticide formulation report forms? Those forms consist of two parts Part A and Part B. Part A (Transmittal Form) is to be used by the Designated National Authority (DNA) to transmit an incident report form to the Secretariat. Part B (Pesticide Incident Report Form) has been developed to collect the information required by the Convention, that is a clear description of the incidents related to the use of a severely hazardous pesticide formulation, including the adverse effects and the way in which the formulation was used. Part B of the form consists of a series of closed questions or checklist that captures the basic information needed with options for including additional information where it is available. Although programmes for collecting quantitative information on environmental incidents of pesticides may not be implemented in many countries, use of such national programmes for reporting environmental incidents should be made, where they exist. The format has been developed so that it might be widely used by States, aid agencies, intergovernmental organizations and non-governmental organizations etc., in reporting on pesticide incidents. If there are other formats available that meet the information requirements of Parts 1 and 3, Annex IV of the Convention, they may also be used in preparing a submission and forwarded through the DNA to the Secretariat together with Part A of the SHPF form. There is some redundancy between Parts A and B of this form. It was thought that this might help countries to consolidate responses by using Part A of the form to report on more than one incident for the same formulation. What is an environmental incident? For the purposes of this incident report form, an environmental incident is defined as the contamination of land, water and/or air by a severely hazardous pesticide formulation (SHPF) causing the temporary or permanent impairment or mortality of non-target organisms or biological processes under the “conditions of use” in developing countries or countries with economies in transition (Article 6). In this instance, “conditions of use” does not include accidental spills/leaks, nor deliberate misuse of an SHPF, and is clearly limited to effects caused by a certain formulation of a substance. The following are some examples of potential incidents: the poisoning of birds or other wildlife that ingest granular insecticides used for soil treatment. Such incidents may result from the application method (eg. broadcast application rather than injection into the soil) or from the behaviour of non-target organisms (eg. scavenging of granules).the poisoning of aquatic organisms due to the contamination of a stream or pond. Such incidents may occur if sufficient buffer zones between treated areas and waterways were not observed.the severe disturbance of non-target populations (e.g. honey bees, earthworms, beneficial insects). What happens to the completed form? Once Part B- Incident report form has been completed to the extent possible based on the information available, it should be forwarded to the DNA. The DNA is to coordinate the completion of Part A- Transmittal form and forward the entire document to the Secretariat. The Secretariat is required to collect: for Human incidents: additional information including physico-chemical and toxicological properties of the pesticide formulation, information on incidents related to the formulation in other States, the existence of handling or applicator restrictions in other states and risk and/or hazard evaluations where availablefor Environmental incidents: information on environmental incidents related to the formulation in other States, and the existence of environmental restrictions or environmental guidelines in other states, or relevant evaluations, where available.This information along with the completed form is reviewed by the Chemical Review Committee (CRC). The CRC will decide whether or not to recommend the inclusion of the pesticide formulation in the Rotterdam Convention. Your co-operation in completing this form and your contribution for the identification of severely hazardous pesticide formulations posing environmental problems under conditions of use is greatly appreciated. If you have any questions or comments relating to the completion of this form please contact the Secretariat at the address below. Secretariat at FAO Food and Agriculture Organization of the United Nations Viale delle Terme di Caracalla 00153 Rome, Italy Fax: (+39 06) 5705 3224 E-mail: pic@fao.org Secretariat at UNEP United Nations Environment Programme 11-13, Chemin des Anémones CH – 1219 Châtelaine, Geneva, Switzerland Fax: (+41 22) 917 8082 E-mail: pic@pic.int Please click on the "Incident report forms" button to download the forms on environmental incidents and for reporting on human health incidents related to an SHPF. Incident report forms

Standard form for export notification under the Rotterdam Convention Background Article 12 and Annex V of the Convention sets out the provisions and information requirements related to export notification. Where a chemical is banned or severely restricted by a Party is exported, that Party shall provide an export notification to the importing Party. The importing Party has the obligation to acknowledge receipt of the export notification within 30 days. At the request of the third meeting of the Conference of the Parties the Secretariat has developed this standard form for export notification in order to facilitate Parties in meeting their obligations under the Convention. Parties are encouraged to use this form when making or acknowledging receipt of export notifications. Where there are forms that have been developed at the national level that meet the information requirements of Annex V of the Convention they may continue to be used. Parties may also wish to consult Article 13 of the Convention which sets out the information required to accompany exported chemicals including the Harmonised Systems codes, labelling requirements and safety data sheets. Introduction to the form The form is divided into seven sections which covers the information requirements of Annex V of the Convention. The substantive information in sections 1,2,4,5 and 6 can be taken from the notification of final regulatory action, which was submitted by the designated national authority of the notifying country at the time when the chemical was banned or severely restricted. On the first page of the form a reference number may be assigned which will help in tracking the export notification and the preparation and receipt of the associated acknowledgment. The last page consists of a form that may be used to acknowledge receipt of an export notification. This form is to be signed by the designated national authority of the importing country and sent to the designated national authority of the exporting country. If a preparation is exported, section 2 of the form must be completed including detailed information on the identity of each substance and the concentration in the preparation. No information is needed if a pure substance is to be exported. If a copy of a safety data sheet is attached to the export notification form that includes the information set out in sections 4 and 5 it is not necessary to complete these sections of the form. Incident report forms