Form TSA Form Number 41 TSA Form Number 41 CCSF Security Profile

CCSF Security Profile

INSTRUCTIONS: Companies seeking to be designated as a Certified Cargo Screening Facility (CCSF) must complete this form. A separate form must be submitted for each facility. This completed form must be submitted as part of the CCSF application package via fax to 703-603-0725 or via email as a protected data file (PDF) to CCSP@dhs.gov. Upon receipt of the complete CCSF application package, TSA will distribute the Certified Cargo Screening Program draft regulatory order, the Certified Cargo Screening Program Standard Security Program the Indirect Air Carrier Standard Security Program Alternate Procedures and the Facility Security Plan guidelines as applicable.

The complete CCSF application package includes TSA Form 419A, CCSF Letter of Intent, TSA Form 419B, CCSF Facility Profile Application, TSA Form 419C, CCSF SSI Agreement, TSA Form 419X Principal Attestation, TSA Form 419X Security Profile.

Section 1. General Security Profile Information
Please provide a 24 hour contact phone number for the facility or an individual (required)	     
Is your facility wholly owned by your company or are parts rented to discrete entities? (Please explain which percentage is occupied by your company)	     
What is the general purpose of this facility? What activities occur? (i.e. office space, manufacturing, warehouse packing, etc)	     
Is the site normally open to the public?
Which hours and days represent high activity use of the facility?
How many people have unescorted access to the facility? (i.e. employees, contractors, vendors, etc)
Section 2. Physical Security Information
Describe the construction materials that comprise the exterior of the facility (i.e. concrete, wood, brick, etc)
How are the facility entry points protected? (i.e. guarded by personnel, CCTV, swipe badges, etc)
Does this facility have Closed Circuit Television? If so, please describe its use (i.e., is it monitored continuosly? If recorded, what is the length of retention?) Is it used for surveillance, access control, recording capabilities?)
Do you have any full-time security personnel at this facility? (i.e direct employee or contracted) If so, please describe their roles and duties.
How do you respond to security related events at your facility? Does your facility have a emergency response plan?
Section 3. Access Controls
Is the movement within the building controlled? If so, please describe how movement is controlled. (i.e. escorts, guards, locked/secured areas, etc).
Do you have an access control system? If yes, please describe the method. (i.e. swipe badges, bio metric controls, etc)
How is the employee entrance(s) to the facility controlled during normal business hours?
How is the employee entrance(s) to the facility controlled after normal business hours?
Is identification media issued to employees?
Is the wearing of this media required? (i.e. visible above waist)
If yes, how is the wearing of identification media enforced?
Are there prohibited areas for some employees, or is the entire facility accessable by all employees? If there are prohibited areas, how is the movement of employees controlled (i.e. swipe badges, key locks, etc)
Is a form of government identification, drivers license or passport for instance, required of visitors entering the facility? And if so, are the vistors registered? (i.e. utilization of a log)
Describe any procedures in place to identify, challenge and address unauthorized persons.

Section 4. Procedural & Personnel Security
Has management established and communicated a general security policy to employees?
Have security procedures been published and disseminated to employees? (i.e. team meetings, email, formal training)
Is there a designated individual to supervise a security program at this site?
What mechanisms do you use to protect sensitive and/or important files and computer operations secured? (i.e. safe, locked cabinet, locked office, etc)
What mechanism will you use to protect Sensitive Security Information (SSI) both digital and hardcopy? (i.e. safe, locked cabinet, locked office, etc)
Does the company conduct pre-employment background checks on all potential employees and/or contractors? If so, please describe the type of background check, (i.e. criminal history, credit, etc)
Have you designated employees/contractors successfully completed a TSA Security Threat Assesment (STA) in accordance with the Alternatie Procedure for the IAC Standard Security Program or TSA Order?
If not,how many individuals do you intend to submit for review?
Describe your process for releasing pesonnel no longer employeed. (i.e. formal exit interview) What procedures are in place to maintain a secure facility? (i.e. required to turn in technology, ID badge, keys,deletion of access codes, etc)
Section 5. Designated Screening Area (DSA)
What screening methods will you use to screen cargo at your facility? (i.e. AT X-ray, ETD, EDS, physical search, etc)
Please describe what mechanism will be in place to secure the DSA? (i.e., fencing, physical barriers, guards, CCTV, etc)
How will access points leading into the DSA be secured? (card swipe, bio metrics, guard, etc)
What is expected response plan in the event of a DSA breach?
What is your plan for security/maintaining chain of custody once your cargo has been screened? (escorts, tamper evidence technology, seals, bolts, etc)
Will you have any part-time or seasonal employment in the DSA? If so, please explain.
Please describe any other security related items planned for the DSA

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TSA Form 419E, [mm/yy] [File: #] OMB control number [# - #]; Expiration Date: [mm/dd/yyyy]