Round Module Wrap Incident Report

Form for Reporting Round Module Wrap Incidents

One of the National Cotton Council’s (NCC) foremost priorities is the continued delivery of contamination-free cotton to U.S. cotton customers in the global marketplace – a need more critical than ever because of fierce competition from other growths and man-made fibers.

If you have firsthand knowledge of unacceptable round module wrap performance at any time, please complete and submit this questionnaire.

No identifying information will be shared or published without written consent.

Question Title

* 1. Contact Information

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

Question Title

* 2. Where did this incident take place? Check all that apply.

On the harvester

In the field

Module transport

On arrival

On the gin yard

On the module feeder

Other (please specify)

Question Title

* 3. If this incident took place at multiple locations, please list the affected company name, city, and state below:

Location 1:

Location 2:

Location 3:

Question Title

* 4. SIZE OF WRAP INCIDENT

Please indicate the percentage of wraps or modules that were not in acceptable condition or did not perform as expected.

Percentage of unacceptable material

100%

Clear

i We adjusted the number you entered based on the slider’s scale.

Question Title

* 5. TIME FRAME

Please provide approximate dates of the START, when the incident/problem was discovered/reported, and END, when the incident/problem ceased.

If the issue has not been resolved, please leave the end date blank.

Start Date

Date

End Date

Date

Round Module Wrap Incident Report

Form for Reporting Round Module Wrap Incidents

Question Title

* 1. Contact Information

Question Title

* 2. Where did this incident take place? Check all that apply.

Question Title

* 3. If this incident took place at multiple locations, please list the affected company name, city, and state below:

Question Title

* 4. SIZE OF WRAP INCIDENTPlease indicate the percentage of wraps or modules that were not in acceptable condition or did not perform as expected.

Question Title

* 5. TIME FRAMEPlease provide approximate dates of the START, when the incident/problem was discovered/reported, and END, when the incident/problem ceased.If the issue has not been resolved, please leave the end date blank.

* 4. SIZE OF WRAP INCIDENT

Please indicate the percentage of wraps or modules that were not in acceptable condition or did not perform as expected.

* 5. TIME FRAME

Please provide approximate dates of the START, when the incident/problem was discovered/reported, and END, when the incident/problem ceased.

If the issue has not been resolved, please leave the end date blank.