C-TPAT Security Assessment
Date
:
Company name:
Address :
City :
State :
Respondent name:
Phone number :
Email address :
Please indicate your company status of the following security programs:
C-TPAT:
No Intention to Apply
Approved
Pending
C-TPAT SVI #:
(if applicable)
PIP:
No Intention to Apply
Approved
Pending
FAST:
No Intention to Apply
Approved
Pending
CSA:
No Intention to Apply
Approved
Pending
Please check all items that apply to your company and it's facilities:
Security guards?:
Security cameras?:
Security fence?:
Controlled gate?:
Controlled visitor access?:
Employee background check?:
Employee criminal background check?:
Employee security awareness?:
Computer network security?:
Separate employee parking from loading area?:
Seals placed on trailers after loading?:
Trailer seal type?:
(if yes to above)
Empty trailers are inspected before loading?:
Empty trailers inspeced by?:
(if yes to above)
Notes: