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FEIN/tax
number: |
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USDOT Number: |
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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
Carrier: |
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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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No
plans for C-TPAT |
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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 National
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 a copy of your initial C-TPAT Agreement-, Acceptance letter or
your C-TPAT Certificate to
ctpat@scansurity.com.
You don't need to continue this questionnaire, but click here
to submit the above information. |
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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 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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Tamper-proof/tamper-
evident seals on all truck or trailer moves? |
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Verification-
procedures and/or systems for Container cargo seals? |
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Physical
search procedures in place for trucks? |
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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 parked within truck parking 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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Advance
list of cargo? |
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Inspection
of all empty non-sealed containers before pick-up? |
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Recording
of all full containers and seal numbers prior to pick-up? |
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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 cargo is properly marked, weighed, counted and stowed? |
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Other, please describe:
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Manifest
Procedures: |
The airline 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? |
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Does
your manifest system accept EDI manifests from 3rd parties? |
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Other, please describe:
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Personnel
Security: |
A Trucking 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: |
The trucker's
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? |
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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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