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FEIN/tax
number: |
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FMC No.: |
if applicable! |
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Company
Name: |
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Years in
Business: |
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Address: |
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# of
employees: |
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City, State
& ZIP |
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Type of
Company: |
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Country: |
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Contact
Name: |
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Your C-TPAT
status: |
Certified* |
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Contact
Phone: |
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Accepted by
CBP* |
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Contact
Mobile: |
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Applied for
recently* |
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Contact Fax: |
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C-TPAT
not applicable to our type of company. |
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Contact
E-Mail: |
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Non,
but please contact me about C-TPAT |
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Security Programs: |
Does your company
participate in any of the below mentioned Customs Industry Partnership
Programs or is signatory to any other cargo security programs (Please
check mark item(s) applicable below): |
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Customs-Trade
Partnership Against Terrorism? |
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Carrier
Initiative Program? |
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Super
Carrier Initiative Program? |
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Business
Anti-Smuggling Coalition? |
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Free
and Secure Trade? |
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Member
of the International
Cargo Security Council ? |
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Other, please describe:
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* |
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If your company
already is, or is in the process of becoming C-TPAT certified, please
e-mail us your SVI number and a copy of your initial C-TPAT Agreement-, Acceptance letter or
your C-TPAT Certificate to
ctpat@scansurity.com.
In affirmative, you don't need to continue this questionnaire, but
go to end and
submit your above information by clicking here. |
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Does your company have any policy or
procedure established related to the following? |
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Please check mark any item, which is
applicable to your company: |
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Conveyance: |
Vessel/aircraft integrity
should be maintained to protect against the introduction of
unauthorized personnel and material. Conveyance security procedures
should include the physical search of all readily accessible areas,
security all internal/external compartments and panels, and reporting
cases in which unmainfested materials, or signs of tampering, are
discovered.
Does your company
have and/or utilize: |
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ISO
Standard High Security Cargo seals on all
containers/trailers? |
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Verification-
procedures and/or systems for Container cargo seals? |
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Physical
search procedures in place for your facility? |
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Employee
color photo IDs and uniforms/T-Shirts |
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Warning
signs? |
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Special
security search devices (In affirmative, please elaborate
below)? |
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Other, please describe:
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Access
Control: |
Unauthorized
access to the vessel should be prohibited. Controls should include
the positive identification of all crew, visitors and vendors as
well as procedures for challenging unauthorized/unidentified persons.
Does your company
have and/or utilize: |
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Visitor/Vendor
Log book or verification system in place? |
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Employee
procedures in place for challenging unknown persons? |
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Employee
owned vehicles not allowed
next to cargo area? |
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Other, please describe:
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Procedural
Security: |
Procedures should be in place to protect
against unmanifested material being introduced aboard the aircraft.
Does your company have and/or
utilize: |
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File
AMS under own bond and SCAC code (NVOCCs only!)? |
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Inspection
of all empty containers prior to loading? |
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Recording
of all container and seal numbers in? |
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Overage
and shortage procedures in place? |
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Reporting
procedures for suspected illegal activities? |
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Verification
that cargoes properly marked, weighed, counted and stowed? |
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Other, please describe:
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Manifest
Procedures: |
You should ensure that manifests
are complete, legible, accurate, and submitted in a timely manner to
Customs and Border Protection (CBP).
Does your company have and/or utilize: |
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Manifest
review prior to submission to CBP? |
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Does
your manifest system accept EDI manifests from 3rd parties? |
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Does
your service call other port in the Americas apart from U.S. ports? |
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Does
your service call ports within 24 hours steaming from first U.S. Port? |
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Other, please describe:
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Personnel
Security: |
A company should conduct employment
screening, back ground check and interviewing of prospective
employees, prior to employment.
Does your company have and/or utilize: |
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Employment
Application? |
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Interviewing
procedures? |
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Reference
checks? |
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Criminal
history checks? |
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Drug
Screening and ongoing random drug testing of all employees? |
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Fingerprinting? |
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Credit
reference? |
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Other, please describe:
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Training &
Education: |
A security
awareness program should be provided to all employees
including, but not limited to: Recognizing internal conspiracies,
maintain cargo integrity, and determining and addressing unauthorized
access. These programs should encourage active employment
participation in security controls preferably supported with an
incentive program.
Does your company have and/or
utilize: |
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Awareness
program? |
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Security
seminars for employees on continuous basis? |
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Incentive
program (In affirmative, please describe below)? |
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Security
training of all new employees? |
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Other, please
describe:
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Physical Security: |
All buildings,
warehouses, and on/off port- or container- yard facilities should be
constructed of materials that deter unlawful entry and protect against
outside intrusion. Physical security should include adequate locking
devices for external and internal doors, windows, gates and fences.
Perimeter fencing should also be provided when appropriate, as well as
adequate lighting inside and outside the facility; including parking
areas. There should also be segregation and marking of international,
domestic, high-value, and dangerous goods cargo within the warehouse
by means of a safe, cage, or otherwise fenced-in area.
Does your
company have and/or utilize: |
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Adequate
locking devices for doors, window, gates and fences? |
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Adequate
lighting around the vessels while in port and cargo loading facility? |
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Segregation
of international, domestic, high-value and dangerous goods cargo
within the facility by means of a safe cargo or other fenced areas? |
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Dedicated
Security personnel on board of the vessels or at the facility? |
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Other, please describe:
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By submitting this
questionnaire, I hereby certify that the information given by me in
completing this questionnaire is true and correct to the best of my
knowledge. Should significant changes occur in our program, we will
provide our supply chain partner notification in writing of these
changes. |
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