What type of facility are you?
Shopping Center Service Organization Hospital Manufacturing School/University Public Facility Housing Community Federal Government State Government other

1. How long ago (years) was the last Risk Assessment done?
Unknown One Year Two Years Three Years Four Years Five Years Over Five Years

Was the Risk Assessment performed outside of your organization?
YES NO

2. How long ago (years) was the last Security survey completed?
Unknown One Year Two Years Three Years Four Years Five Years Over Five Years

Did a paid consultant perform the Security survey?
YES NO

3. How many crimes were reported on your facility last year?
unknown 1 2 3 4 5 5+

a. How many for the prior year?
unknown 1 2 3 4 5 5+

b. How many for the year before (a) above?
unknown 1 2 3 4 5 5+

c. Is your facility completely fenced?
YES NO

d. Are your facilities adequately lit?
Yes, in all locations Most of facility Some of facility NO

4. Are corrective measures taken to reduce exposure to answers in Question 3?
YES NO

5. Does your facility use security officers?
YES NO

a. Is there an established training program?
YES NO

b. Were shifts and duties established based upon the Risk Assessment?
YES NO

c. Based upon the Security Survey?
YES NO

d. Are Post instructions updated annually?
YES NO

e. Are changes incorporated when they occur?
YES NO

f. Title of person(s) responsible for ensuring Post orders reflect current procedures?
Human Resources Security Manager Contract Security Personnel Engineering CEO CFO Accounting Other

6. Does your facility use CCTV?
YES NO

a. Is your CCTV monitored 24-hours per day?
YES NO

b. Were camera locations determined from the Risk Assessment?
YES NO

c. How often do you replace VHS tapes with new tapes?
Unknown Hourly 4-8 hours 24 hours weekly biweekly monthly bimonthly

7. Does your facility use electronic access control?
YES NO

a. Is the access program linked to the CCTV?
YES NO

8. Does your firm require all employees to wear some form of picture ID?
YES NO

a. Is the picture ID used in connection with any type of access control?
YES NO

Using a scale of 1-10 (A score of 10 being the best)

9. Are employee badges accounted for when lost, after termination, or when issued to visitors and vendors?
1 2 3 4 5 6 7 8 9 10

10. When was your facility last re-keyed?
Within the last ten years Within the last seven years Within the last three years

11. How many Grand master keys exist?
1 2 3 4 5 More than 5

12. How many Sub-master keys exist?
1 2 3 4 5 More than 5

13. How many master keys are unaccounted for?
1 2 3 4 5 More than 5

14. How many master keys have been lost?
1 2 3 4 5 More than 5

15. Are Master keys ever taken from the facility?
YES NO

16. Do Security officers have a Grand Master key?
YES NO

17. Title of person(s) who accounts for keys when a termination occurs?
Human Resources Security Manager Contract Security Personnel Engineering CEO CFO Accounting Other

18. Title of person(s) who issues keys?
Human Resources Security Manager Contract Security Personnel Engineering CEO CFO Accounting Other

19. Do you have a policy against employee theft?
YES NO

20. Do you have a policy against workplace violence?
YES NO

a. Does your Workplace violence policy prohibit bringing weapons?
YES NO

21. Does your facility have an ongoing Security Education Program?
YES NO

22. Does your facility have an established perimeter with some type of continuous barrier surrounding the entire property?
YES NO

23. If facility is equipped with chain-linked fence, is it 8 feet high with three strands of barbed wire pointed outward?
YES NO

24. Are visitors required to have an escort at all times?
YES NO

25. Does your facility have a written Emergency Contingency and Recovery Plan in place?
YES NO

For the results of your survey please provide the following information:

Name of Company (optional):

Your Name (optional):

Phone Number (optional):

Fax Number to return results:
(Required - if no fax number enter - NO FAX)

Email Address:
(Required-if you  wish to receive results back)

Would you like an Soteria Force representative to call on you?
YES NO

Are you a current customer of Soteria Force?
YES NO

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