Use exact date format, such as 01.10.2012 to 02.10.2012, dd/mm/yyyy,, dd/mm/yyyy,, Previous RA3 registration number, where available,, AEO certificate/C-TPAT status/other certifications, where available,, Name,, Company/Organisation/Authority,, Unique Alphanumeric Identifier (UAI),, E-mail address,, Telephone number – including international codes,, Name,, Company number (e.g. commercial register identification number, if applicable),, Number/Unit/Building,, Street,, Town,, Postcode,, State (where relevant),, Country,, P.O. Box address, if applicable,, Number/Unit/Building,, Street,, Town,, Postcode,, State (where relevant),, Country,, P.O. Box address, if applicable,, air cargo only air and other modes of transport freight forwarder with cargo premises freight forwarder without cargo premises handling agent others ,, a) receive cargo from another 3rd country regulated agent ,, b) receive cargo from 3rd country known consignors ,, c) receive cargo from 3rd country account consignors ,, d) receive exempted cargo ,, e) screen cargo ,, f) store cargo ,, g) other, please specify ,, Number,, Name,, Job title,, E-mail address,, Telephone number – including international codes,, YES or NO,, If NO go directly to point 2.5.,, Date – use exact format dd/mm/yyyy,, Version,, Is the security programme submitted and/or approved by the appropriate authority of the state of the entity? If YES please describe the process.,, YES or NO,, If NO, describe why detailing the reasons,, YES or NO,, If NO, specify the reasons,, YES or NO,, If YES, describe the process,, YES or NO,, If YES, describe the management system and explain if it is approved, checked or provided by the appropriate authority or another entity.,, If NO, explain how the entity ensures that security controls are applied in the required manner.,, Comments from the entity,, Comments from the EU aviation security validator,, YES or NO,, If YES, indicate the number of preceding years taken into account for the pre-employment check and state which entity carries it out.,,  Background check  Pre-employment check  Check of criminal records  Interviews  Other (provide details) Explain the elements, indicate which entity carries this element out and where applicable, indicate the preceding timeframe that is taken into account. ,, YES or NO,, If YES, indicate the number of preceding years taken into account for the pre-employment check and state which entity carries it out.,,  Background check  Pre-employment check  Check of criminal records  Interviews  Other (provide details) Explain the elements, indicate which entity carries this element out and where applicable, indicate the preceding timeframe that is taken into account. ,, YES or NO,, If YES, describe the elements and duration of the training,, YES or NO,, If YES, describe the elements and durations of training courses.,, YES or NO,, If YES, specify the elements and the frequency of the recurrent training,, YES or NO,, If NO, specify reasons,, Comments from the entity,, Comments from the EU aviation security validator,, YES or NO,, If YES, how?,, YES or NO,, If YES, specify the information included in the database.,, If NO, how does the entity know that cargo comes from another RA3, KC3 or AC3?,, YES or NO,, If YES, describe the procedure and the safeguards required by the entity from the consignor.,, YES or NO – explain,, YES or NO,, If YES, describe the procedure,, YES or NO,, If YES, how? Describe the procedure ,, YES or NO,, If YES, describe (seals, locks, inspection, etc.),, YES or NO,, YES or NO,, If YES, how?,, YES or NO,, If NO, specify reasons,, Comments from the entity,, Comments from EU aviation security validator,, YES or NO,, If YES, Specify the nature of these entities and provide details: Private screening company Government regulated company Government screening facility or body Other Specify the nature of the agreement/contract between the validated entity and the entity that applies the screening on its behalf. ,, Specify, including details of equipment used for screening air cargo and air mail (e.g. manufacturer, type, software version, standard, serial number etc.) for all the methods deployed.,, YES or NO,, If YES, provide details,, If NO, give details specifying the approval of the equipment and date thereof, as well as any indications that it complies with EU equipment standards.,, YES or NO,, If YES, describe the process,, YES or NO,, If YES, describe how it is ensured that the screening method selected is employed to a standard sufficient to reasonably ensure that no prohibited articles are concealed in the consignment.,, YES or NO,, If YES, describe the process of resolving alarms to reasonably ensure the absence of prohibited articles.,, If NO, describe what happens to the consignment,, YES or NO,, YES or NO,, If YES, detail,, YES or NO,, If YES, describe,, YES or NO,, If YES, describe,, YES or NO,, If NO, specify reason,, Comments from the entity,, Comments from the EU aviation security validator,, YES or NO,, If YES, describe,, YES or NO,, If YES, describe,, YES or NO,, If NO, indicate procedures applied,, YES or NO,, If YES, describe how security status is issued and in which document,, YES or NO,, If NO, specify reason,, Comments from the entity,, Comments from EU aviation security validator,, YES or NO,, If YES, Specify the nature of these entities and provide details: Private screening company Government regulated company Government screening facility or body Other ,, YES or NO,, If YES, describe Specify what kind(s) of protection(s) are put in place: Physical (fence, barrier, building of solid construction, etc.) Human (patrols etc.) Technological (CCTV, alarm system, etc.) And explain how they are organised. ,, YES or NO,, If YES, describe Specify how all access points (including doors and windows) to identifiable and secured air cargo/air mail are controlled. ,, YES or NO,, If YES, describe how it is protected (physical, human, technological, etc.) Specify also if the building is of solid construction and what kinds of materials are used, if available. ,, If NO, specify reasons,, YES or NO,, If NO, specify reason,, Comments from the entity,, Comments from EU aviation security validator,, YES or NO,, If NO, explain,, YES or NO,, If NO, specify reason,, Comments from the entity,, Comments from EU aviation security validator,, YES or NO,, YES or NO,, YES or NO,, YES or NO,, If YES, how,, YES or NO,, If YES, how,, YES or NO,, If YES, specify how,, YES or NO,, YES or NO,, If YES, please describe what kind of security controls (pre-employment check, background check, etc.) and what kind of training (security awareness training, etc.).,, YES or NO,, If NO, specify reasons,, Comments from the entity,, Comments from EU aviation security validator,, Assessment (and notification) (highlight the one that applies) If it is a ‘PASS’ the entity will be considered designated as a 3rd country EU aviation security validated regulated agent (RA3). ,Pass/Fail, Where the overall assessment is a fail, list below the areas where the entity fails to achieve the required standard of security or has a specific vulnerability. Also, advice on the adjustments needed to achieve the required standard and thus to pass., Comments from EU aviation security validator,, Comments from the entity,, ,,, ,,, ,,, ,,, ,,, ,,, ,,, ,,, ,,, Use exact date format, such as 01.10.2012 to 02.10.2012, dd/mm/yyyy,, dd/mm/yyyy,, Previous KC3 registration number, where available,, AEO certificate/C-TPAT status/other certifications, where available,, Name,, Company/Organisation/Authority,, Unique Alphanumeric Identifier (UAI),, E-mail address,, Telephone number – including international codes,, Name,, Company number (e.g. commercial register identification number, if applicable),, Number/Unit/Building,, Street,, Town,, Postcode,, State (where relevant),, Country,, P.O. Box address, if applicable,, Number/Unit/Building,, Street,, Town,, Postcode,, State (where relevant),, Country,, P.O. Box address, is applicable,, What is the nature of business(es) – type of cargo processed in the applicant’s premises?,, Production Packing Storage Despatch Other, please specify ,, Number,, Name,, Job title,, E-mail address,, Telephone number – including international codes,, YES or NO,, If NO, go directly to point 2.5,, Date – use exact format dd/mm/yyyy,, Version,, Is the security programme submitted to and/or approved by the appropriate authority of the state in which the entity is located? If YES, please describe the process.,, YES or NO,, If NO, describe why, detailing the reasons,, YES or NO,, If NO, specify the reasons,, YES or NO,, If YES, describe the process,, YES or NO,, If YES, describe the management system and explain if it is approved, checked or provided by the appropriate authority or other entity.,, If NO, explain how the entity ensures that security controls are applied in the required manner.,, Comments from the entity,, Comments from the EU aviation security validator,, Describe,, Comments from the entity,, Comments from the EU aviation security validator,, YES or NO,, If YES, indicate the number of preceding years taken into account for the pre-emplyment check and state which entity carries it out.,,  Background check  Pre-employment check  Check of criminal records  Interviews  Other (provide details) Explain the elements, indicate which entity carries this element out and where applicable, indicate the preceding timeframe that is taken into account. ,, YES or NO,, If YES, indicate the number of preceding years taken into account for the pre-employment check and state which entity carries it out.,,  Background check  Pre-employment check  Check of criminal records  Interviews  Other (provide details) Explain the elements, indicate which entity carries this element out and where applicable, indicate the preceding timeframe that is taken into account. ,, YES or NO,, If YES, describe the elements and duration of the training,, YES or NO,, If YES, specify the elements and the frequency of the recurrent training,, YES or NO,, If NO, specify reasons,, Comments from the entity,, Comments from the EU aviation security validator,, YES or NO,, If YES, how is access controlled? Explain and describe. Multiple answers may be possible.  By security staff  By other staff  Manual checking if persons are allowed to enter the area  Electronic access control systems  Other, specify ,, If YES, how is it ensured that a person is authorised to enter the area? Explain and describe. Multiple answers may be possible. Use of a company identification card Use of another type of identification card such as passport or driver’s licence List of authorised persons used by (security) staff Electronic authorisation, e.g. by use of a chip Distribution of keys or access codes only to authorised personnel Other, specify ,, YES or NO,, If YES, how are these points secured? Explain and describe. Multiple answers may be possible. Presence of security staff Electronic access control systems which allow access to one person at a time Barriers, e.g. shutters or locks CCTV system Intruder detection system ,, YES or NO,, If YES, explain and describe what they are  Fencing or barriers  CCTV system  Intruder detection system  Surveillance and patrols  Other, specify ,, YES or NO,, YES or NO,, If NO, specify reasons,, Comments from the entity,, Comments from the EU aviation security validator,, YES or NO,, If YES, explain how the access is controlled and limited to authorised persons,, YES or NO,, If YES, explain how it is supervised,, YES or NO,, If YES, describe,, YES or NO,, If NO, specify reasons,, Comments from the entity,, Comments from the EU aviation security validator,, YES or NO,, If YES, explain how the access is controlled and limited to authorised persons,, YES or NO,, If YES, explain how it is supervised,, YES or NO,, If YES, describe,, YES or NO,, Describe,, YES or NO,, If YES, describe which process is used to make the packaging tamper evident, for example by use of numbered seals, special stamps or security tape, etc.,, If NO, describe what protection measures that ensure the integrity of the consignments are taken.,, YES or NO,, If NO, specify reasons,, Comments from the entity,, Comments from the EU aviation security validator,, YES or NO,, If YES, explain how the access is controlled and limited to authorised persons,, YES or NO,, If YES, describe,, If NO, explain how the entity ensures that the finished and packed EU/EEA bound air cargo and air mail is protected against unauthorised interference and any tampering.,, YES or NO,, If NO, specify reasons,, Comments from the entity,, Comments from the EU aviation security validator,, YES or NO,, If YES, explain how the access is controlled and limited to authorised persons,,  Employees of the entity  Drivers  Visitors  Contractors  Others, specify ,, YES or NO,, If YES, explain how it is supervised,, YES or NO,, If YES, describe,, YES or NO,, If NO, specify reasons,, Comments from the entity,, Comments from the EU aviation security validator,, YES or NO,, If YES, how are these consignments kept separate from the company’s own cargo or mail and how are they identified to the regulated agent/haulier?,, Comments from the entity,, Comments from the EU aviation security validator.,, YES or NO,, YES or NO,, YES or NO,, YES or NO,, If YES, how,, YES or NO,, If YES, how,, YES or NO,, If YES, specify how,, YES or NO,, YES or NO,, If YES, please describe what kind of security controls (pre-employment check, background check, etc.) and what kind of training (security awareness training, etc.),, YES or NO,, If NO, specify reasons,, Comments from the entity,, Comments from the EU aviation security validator,, Assessment (and notification) (highlight the one that applies) If it is a ‘PASS’ the entity will be considered designated as a 3rd country EU aviation security validated known consignor (KC3). ,Pass/Fail, Where the overall assessment is a fail, list below the areas where the entity fails to achieve the required standard of security or has a specific vulnerability. Also advice on the adjustments needed to achieve the required standard and thus to pass., Comments from EU aviation security validator,, Comments from the entity,, ,,, ,,, ,,, ,,, ,,, ,,, ,,, ,,, ,,,