BOMB THREAT ASSESSMENT FORM
Threat Report Form reference number:
PART 1 - Specific Target Identification
Rows
Yes
Description
Flight number or
carrier specified?
Departure/arrival
time specified?
Destination and/or
route specified
Location of aircraft
given?
Type of aircraft
specified?
Aircraft registration
specified?
Other e.g. airway
bill number:
Therefore has a specific aircraft been
identified?
Airport/installation
named?
Terminal building
specified?
Airline facility
named?
Other:
Therefore, it has a specific ground facility
been i
dentified?
PART 1 - Specific Target Identified?
Yes
NO
Part 2 - Attack Details (Bomb)
Rows
Yes
Description
(Technical)
description of device
Exact location of
device?
Concealment/Conveyance
method (vehicle, bag, cargo, catering, person-borne)
Perpetrator, Method,
Timing
OTHER THREAT - (e.g. Hijack, sabotage, cyber)
Description e.g. perpetrator, method, timing
Description e.g. perpetrator, method, timing
PART 2 - Attack Details Provided?
Yes
NO
Target Identification (1) and /or Attack Details (2)?
Yes
NO
Part 3 - Verification of Information Provided
Rows
Yes
Description
Were informant’s
personal details given and verified?
Do target and attack details
appear accurate?
Was information
not widely available
given?·
- Plausible information indicating privileged knowledge bout target or attack method - Specified individual passengers, crew members, or staff. - Specialist industry terms used
Terrorist or other organisation named or code word used
(NB check with Police)
Motive/objective expressed e.g. extortion or political demand made
Other information that verifies/supports threat as credible
Other information that discredits the threat
PART 3 - Information Verified?
Yes
NO
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Part 4 - Background Data
Rows
Yes
Description
Record relevant threat levels
Additional DfT/Security Services information
Known/preferred terrorist Modus operandi?
Current events / incidents
Recent history of warnings or incidents
Police information
High-profile persons on flight/ in airport
Categories of interest e.g. deportees
Any suspicious activity relevant to the flight
Other information that verifies/supports threat as credible
Other information that discredits the threat
PART 4 - Does Background Data add to credibility?
Yes
NO
Overall Credibility (3) and /or (4)
Yes
NO
Identify and describe ALL relevant baseline and additional security measures in place
Are there any current relevant compliance operational issues eg related to equipment or staff
PART 5 - Issues with security measures
Yes
NO
AGREED ASSESSMENT
RED
AMBER
GREEN
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CONTINUATION SHEET COMMENTS NOTES JUSTIFICATIONS
POLICE:
Police aware:
Name of Officer
Contact No
Police/Crime Ref
Rank ID Number
Any other info
ORGANISATION
THREAT ASSESSOR #1
Name
Company
Date and Time Completed
/
Month
/
Day
Year
Date
Tel
Operations Centre Tel
Email
example@example.com
Contact Person Duty Manager
ORGANISATION
THREAT ASSESSOR #2 (if necessary)
Name
Company
Date and Time Completed
/
Month
/
Day
Year
Date
Tel
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