supply chain security questionnaire section 1 - type of ... · pdf filesteamship line nvocc...

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Supply Chain Security Questionnaire Company Name: _______________________________________________________________________Date: ______________ Address: ________________________________________________________________________________________________ City: ______________________________________ State/Province: ______________________ Postal/Zip Code: ____________ Contact:_____________________________________________ Title: _______________________________________________ Phone:______________________________ Fax: _________________________ Email: _________________________________ Steamship Line NVOCC Airline Airfreight Consolidator CFS/Warehouse Freight Forwarder Customs Broker Highway Carrier Other: __________________________ Section 2 – Procedural Security and Documentation KEY: N/A Not applicable U/D Under development YES NO N/A U/D Does your company participate in the US Customs and Border Protection’s Customs-Trade Partnership Against Terrorism (CTPAT) program? If you answered “YES” to question #1, STOP HERE, insert your C-TPAT Status Verification Interface (SVI) number: ___________________________________________ , and return page one of this questionnaire via email to: [email protected] . We recommend use of the C-TPAT Security Link Portal for exchanging SVI tokens. Kindly email your SVI# using your C-TPAT Portal account to: [email protected] . Does your company participate in US Customs and Border Protection’s Carrier Initiative Program (CIP)? Does your company participate in any government partnership: i.e. Authorized Economic Operator AEO/Canada Border Services Agency’s Partners In Protection program (PIP) Program? Does your company participate in the Free and Secure Trade (FAST) Program in the US or Canada? Does your company have a written corporate security policy? Does your company have procedures to protect against the introduction of un-manifested materials into your facility and/or conveyances? i.e.: Use of CBP 7/17 inspection process/other Does your company have procedures to ensure the accuracy of the information contained in manifests, bills of lading and other shipping documents? Does your company have procedures to identify and report shortages and overages? Does your company have procedures to verify seals on containers, trailers, rail cars? Do you validate shipper, consignee, notify party names and addresses? Are company vehicles (including trailers and containers) locked/secured when left unattended? Are empty trailers, containers or other conveyances stored in a secure manner to prevent unauthorized use or access? Does your company have a system to track the movement of your conveyances? Does your company have procedures to protect against falsification of documents? Does your company have procedures to identify and report suspicious persons or activities to Customs or other law enforcement agencies? Section 1 - Type of Supplier/Service Provider (please check all that apply)

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Page 1: Supply Chain Security Questionnaire Section 1 - Type of ... · PDF fileSteamship Line NVOCC ... bills of lading and other shipping documents? ... to Western Overseas Corporation on

Supply Chain Security Questionnaire Company Name: _______________________________________________________________________ Date: ______________

Address: ________________________________________________________________________________________________

City: ______________________________________ State/Province: ______________________ Postal/Zip Code: ____________

Contact:_____________________________________________ Title: _______________________________________________

Phone:______________________________ Fax: _________________________ Email: _________________________________

Steamship Line NVOCC Airline

Airfreight Consolidator CFS/Warehouse Freight Forwarder

Customs Broker Highway Carrier Other: __________________________

Section 2 – Procedural Security and Documentation

KEY: N/A Not applicable U/D Under development YES NO N/A U/D

Does your company participate in the US Customs and Border Protection’s Customs-Trade Partnership Against Terrorism (CTPAT) program?

If you answered “YES” to question #1, STOP HERE, insert your C-TPAT Status Verification Interface (SVI) number: ___________________________________________ , and return page one of this questionnaire via email to: [email protected]. We recommend use of the C-TPAT Security Link Portal for exchanging SVI tokens. Kindly email your SVI# using your C-TPAT Portal account to: [email protected]. Does your company participate in US Customs and Border Protection’s Carrier Initiative Program (CIP)?

Does your company participate in any government partnership: i.e. Authorized Economic Operator AEO/Canada Border Services Agency’s Partners In Protection program (PIP) Program?

Does your company participate in the Free and Secure Trade (FAST) Program in the US or Canada?

Does your company have a written corporate security policy?

Does your company have procedures to protect against the introduction of un-manifested materials into your facility and/or conveyances? i.e.: Use of CBP 7/17 inspection process/other

Does your company have procedures to ensure the accuracy of the information contained in manifests, bills of lading and other shipping documents?

Does your company have procedures to identify and report shortages and overages?

Does your company have procedures to verify seals on containers, trailers, rail cars?

Do you validate shipper, consignee, notify party names and addresses?

Are company vehicles (including trailers and containers) locked/secured when left unattended?

Are empty trailers, containers or other conveyances stored in a secure manner to prevent unauthorized use or access?

Does your company have a system to track the movement of your conveyances?

Does your company have procedures to protect against falsification of documents?

Does your company have procedures to identify and report suspicious persons or activities to Customs or other law enforcement agencies?

Section 1 - Type of Supplier/Service Provider (please check all that apply)

Page 2: Supply Chain Security Questionnaire Section 1 - Type of ... · PDF fileSteamship Line NVOCC ... bills of lading and other shipping documents? ... to Western Overseas Corporation on

Section 3 – Building/Yard Physical Security Is your facility designed and constructed to protect against unlawful entry?

Does your facility have adequate locking devices on all external and internal doors, windows, gates?

Is the interior and exterior of your facility, including parking areas, adequately lighted?

Do you have separate parking areas away from cargo, loading dock areas for employees and visitors?

Do you segregate domestic, international, high-value, and dangerous goods in your facility by means of cages, signs or floor markings?

Section 4 – Access Controls Do your employees have identification badges and are they required to wear them at all times while on premises?

Are visitors required to sign in and are they accompanied by an authorized employee at all times?

Does your company have procedures to challenge unauthorized/unidentified persons in your facility?

Do you restrict access to computer areas (mainframe, media storage, etc.)?

Are computer workstations, pc’s and other terminal devices password protected?

Are passwords routinely changed?

Do you restrict access to computer files?

Do you perform routine system back up?

Is system access via the internet protected by means of firewalls, encryption or other security protocols?

Section 5 – Personnel, Training and Education Does your company perform pre-employment screening?

Does your company perform periodic background checks on employees whose positions or job functions directly relate to security?

Does your company have an internal code of conduct?

Does your company provide security awareness training to all employees?

Do you encourage active employee participation in security controls?

On behalf of my company, ___________________________________________________ , I certify that the information provided to Western Overseas Corporation on this Supply Chain Security Questionnaire is true, accurate and was completed to the best of my knowledge. We concur to apprise Western Overseas Corporation of changes, additions or deletions to the information provided in this questionnaire. Print Name ____________________________________________________ Title ______________________________________ Signature ____________________________________________________________________________ Date _______________ Please email, mail or fax the completed questionnaire to: Email: [email protected] Fax: 562-986-1367 Western Overseas Corporation 10731 Walker Street Cypress, CA 90630-4757