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(1)
(2)

Identificar o impacto da criação do

Anexo 19 – Safety Management para a

prevenção de acidentes aeronáuticos.

(3)

ROTEIRO

ROTEIRO

ICAO

SMS / SGSO

Annex 19

(4)

ICAO is a Specialized Agency of the United Nations, with:

Headquarters in Montreal;

191 Member States;

9 Regions ;

7 Regional Offices;

Approximately 700 employees.

ICAO’s main clients are the States, and more specifically,

the Civil Aviation Regulatory Authorities.

(5)

What ICAO does:

It sets standards and regulations necessary for aviation safety,

security, efficiency and regularity, as well as for aviation

environmental protection;

Serves as the forum for cooperation in all fields of civil aviation

among its 191 Member States;

Provides extensive guidance materials;

(6)

What ICAO does:

Provides direct support to States through training and other

programs;

Uses voluntary assistance of experts (Panels, Study Groups, Task

Forces, Coordinating Groups) from States and International

Organizations;

(7)

ICAO IS NOT

A regulatory body:

It does not produce regulations;

It does not issue pilot licenses !

An enforcement body:

It does not impose sanctions;

It does not impose penalties!

(8)

DOCUMENTATION

Chicago Convention - December 7, 1944

19 Annexes

SARPs + Guidance materials;

Documents

PANS (Procedures for Air Navigation Services (OPS and

PANS-ATM);

Manuals: expanded guidance material of a more permanent nature;

(9)

What ICAO Expects of its Member States

Adherence to the Chicago Convention;

Compliance with Annexes to the Convention.

Exception

Principle of Sovereignty:

Art 38: “Any State which finds it impractical to comply in all

respects….shall give immediate notification to ICAO of the differences

between its own practice and that established by the international

standard.”

(10)

Decreto-Lei Nº. 7.952, de 11 de Setembro de 1945.

Aprova a Convenção sobre Aviação Civil Internacional

Convenção de Aviação Civil Internacional

Chicago, 7 de dezembro de 1944

ICAO

Decreto Nº 87.249, de 07 de Junho de 1982.

Dispõe sobre o SIPAER

Lei Nº 7.565, de 19 de dezembro de 1986.

Dispõe sobre o Código Brasileiro de Aeronáutica

ANEXO

S

1 A 18

ANEXO

S

1 A 18

ANEXO

S

1 A 18

ANEXO

S

1 A 18

ANEXOS

1 A 18

(19)

ORDENAMENTO JURÍDICO BRASILEIRO

SEGURANÇA DE VOO / OPERACIONAL

ANEXO 19

Safety Management

(11)

SEGUNDO UM NOVO MODELO

ISTEMA

ISTEMA

ERENCIAMENTO

ERENCIAMENTO

EGURANÇA

EGURANÇA

PERACIONAL

PERACIONAL

(12)

CONCEITO DE SEGURANÇA OPERACIONAL

A systematic approach to managing safety,

including the necessary

organizational structures, accountabilities,

policies and procedures.

(13)

OBJETIVO DO SMS:

MANTER AS ATIVIDADES DENTRO DO ESPAÇO DA

SEGURANÇA OPERACIONAL

Operação

De

fe

sa

s

ESTAGNAÇÃO

ACIDENTE

INCIDENTE

(14)
(15)

OUTCOMES OF THE HIGH LEVEL SAFETY CONFERENCE

(16)
(17)

International Civil Aviation Organization

(18)
(19)

Traffic Statistics for Revenue Scheduled Services

Passengers carried around the World (in Billions)

WHY A NEW ANNEX?

2000

1.7

2020

4.1

2012

2.9

2030

6.3

(20)

1,9

4,8

2,7

4,2

3,8

2,8

0

0,0

1,0

2,0

3,0

4,0

5,0

6,0

Brasil*

África**

Asia**

Europa**

América

Latina e

Caribe**

América do

Norte**

Oceania**

Number of accidents per million takeoffs in 2012

Africa**

Asia**

Europe**

Latin America

and Caribbean

North

America**

Source: : ICAO

3,2

Oceania**

(21)

1,9

4,8

2,7

4,2

3,8

2,8

0

0,0

1,0

2,0

3,0

4,0

5,0

6,0

Brasil*

África**

Asia**

Europa**

América

Latina e

Caribe**

América do

Norte**

Oceania**

Number of accidents per million takeoffs

Sources : ANAC / CENIPA / ICAO

3,2

África**

Ásia**

Europa**

América

Latina e

Caribe**

América

do Norte**

Oceania**

Brasil*

WHY A NEW ANNEX?

(22)

10.699

10.831

10.995

11.113

11.351

11.857

12.505

13.284

14.236

15.019

70

63

58

69

102

107

109

108

159

181

0

20

40

60

80

100

120

140

160

180

200

0

20

40

60

80

100

120

140

160

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

Sources : ANAC / CENIPA.

FLE

E

T

GR

O

WT

H

NUM

B

E

R

OF A

C

C

ID

E

NT

S

(23)

ANNEX 19

ANNEX 1

ANNEX 6

ANNEX 8

ANNEX1 1

ANNEX 13

ANNEX 14

Annex 19, 1st Edition

(24)

Sector-specific safety management provisions were retained in

their appropriate Annexes.

Examples include:

Annex 1 (1.2.4.2) - basic safety management principles

applicable to the medical assessment process of license

holders;

Annex 6, Part I and III - the flight data analysis programme is

part of the aeroplane or helicopter; and

Annex 13, Attachment E - Legal guidance for the protection of

information from safety data collection and processing system.

(25)

CONTENT OF ANNEX 19, 1

ST

EDITION

(26)

Annex 19, 1st Edition = Overview

CHAPTER 1 – Definitions;

CHAPTER 2 – Applicability;

CHAPTER 3 – State safety management responsibilities;

CHAPTER 4 – Safety management system (SMS);

CHAPTER 5 – Safety data collection, analysis and exchange.

APPENDIX 1 –State safety oversight system;

APPENDIX 2 – SMS Framework;

ATTACHMENT A – SSP Framework;

ATTACHMENT B – Legal guidance for the protection of

(27)

FOREWORD

The Standards and Recommended Practices (SARPs) in this Annex are

intended to assist States in managing aviation safety risks. Given the

increasing complexity of the global air transportation system and its

interrelated aviation activities required to assure the safe operation of

aircraft, this Annex supports the continued evolution of a proactive

strategy to improve safety performance. The foundation of this proactive

safety strategy is based on the implementation of a State safety

programme (SSP) that systematically addresses safety risks.

Annex 19, 1st Edition = Overview

(28)

Structure of Annex 19, 1st Edition

CHAPTER 1 –

Definitions

Includes 12 existing definitions and 6 new definitions

specific to the management of safety.

Safety management system (SMS) - A systematic approach to

managing safety, including the necessary organizational structures,

accountabilities, policies and procedures.

State safety programme (SSP). An integrated set of regulations and

(29)

Structure of Annex 19, 1st Edition

CHAPTER 2 –

Applicability

The Standards and Recommended Practices (SARPs) are applicable to

safety management functions related to, or in direct support of, the safe

operation of aircraft.

Note 1. Safety management provisions for States are contained in

Chapter 3 and relate to a State Safety Programme.

Note 2. Safety management provisions for specified aviation service

providers and operators are in Chapter 4 and relate to safety management

systems (SMSs). Supplementary safety management provisions specific to

individual service providers or operators are contained in other Annexes, as

referenced in this Annex.

(30)

CHAPTER 3.

State Safety Management Responsibilities

3.1 State safety programme (SSP)

3.1.1 Each State shall establish an SSP for the management of safety in the

State, in order to achieve an acceptable level of safety performance in civil

aviation. The SSP shall include the following components:

a) State safety policy and objectives;

b) State safety risk management;

c) State safety assurance; and

d) State safety promotion.

3.1 State safety programme (SSP)

3.1.1 Each State shall establish an SSP for the management of safety in the

State, in order to achieve an acceptable level of safety performance in civil

aviation. The SSP shall include the following components:

a) State safety policy and objectives;

b) State safety risk management;

c) State safety assurance; and

d) State safety promotion.

Note 1.— This Chapter outlines the safety management

responsibilities of the State through compliance with SARPs, the conduct

of its own safety management functions and the surveillance of SMSs

implemented in accordance with the provisions in this Annex.

Note 1.— This Chapter outlines the safety management

responsibilities of the State through compliance with SARPs, the conduct

of its own safety management functions and the surveillance of SMSs

implemented in accordance with the provisions in this Annex.

(31)

3.1.3 As part of its SSP, each State shall require that the following

service providers under its authority implement an SMS:

a) approved training organizations in accordance with Annex 1 that are

exposed to safety risks related to aircraft operations during the provision

of their services;

b) operators of aeroplanes or helicopters authorized to conduct

international commercial air transport, in accordance with Annex 6, Part

I or Part III, Section II, respectively;

3.1.3 As part of its SSP, each State shall require that the following

service providers under its authority implement an SMS:

a) approved training organizations in accordance with Annex 1 that are

exposed to safety risks related to aircraft operations during the provision

of their services;

b) operators of aeroplanes or helicopters authorized to conduct

international commercial air transport, in accordance with Annex 6, Part

I or Part III, Section II, respectively;

Structure of Annex 19, 1st Edition

CHAPTER 3.

State Safety Management Responsibilities

(32)

3.1.3 As part of its SSP, each State shall require that the following service

providers under its authority implement an SMS:

c) approved maintenance organizations providing services to operators of

aeroplanes or helicopters engaged in international commercial air transport, in

accordance with Annex 6, Part I or Part III, Section II, respectively;

d) organizations responsible for the type design or manufacture of aircraft, in

accordance with Annex 8;

e) air traffic services (ATS) providers in accordance with Annex 11; and

f) operators of certified aerodromes in accordance with Annex 14.

3.1.3 As part of its SSP, each State shall require that the following service

providers under its authority implement an SMS:

c) approved maintenance organizations providing services to operators of

aeroplanes or helicopters engaged in international commercial air transport, in

accordance with Annex 6, Part I or Part III, Section II, respectively;

d) organizations responsible for the type design or manufacture of aircraft, in

accordance with Annex 8;

e) air traffic services (ATS) providers in accordance with Annex 11; and

f) operators of certified aerodromes in accordance with Annex 14.

Structure of Annex 19, 1st Edition

(33)

3.1.4 As part of its SSP, each State shall require that international general

aviation operators of large or turbojet aeroplanes in accordance with

Annex 6, Part II, Section III, implement an SMS.

3.1.4 As part of its SSP, each State shall require that international general

aviation operators of large or turbojet aeroplanes in accordance with

Annex 6, Part II, Section III, implement an SMS.

Structure of Annex 19, 1st Edition

CHAPTER 3.

State Safety Management Responsibilities

(34)

Structure of Annex 19, 1st Edition

Outlines the safety management responsibilities of service providers,

described in Appendix 2 (SMS framework);

Also includes the safety management responsibilities of international

general aviation operators, conducting operations of large or turbojet

aeroplanes.

Outlines the safety management responsibilities of service providers,

described in Appendix 2 (SMS framework);

Also includes the safety management responsibilities of international

general aviation operators, conducting operations of large or turbojet

aeroplanes.

(35)

4.1 General

4.1.1 Except as required in 4.2, the SMS of a service provider shall:

a) be established in accordance with the framework elements contained

in Appendix 2; and

b) be commensurate with the size of the service provider and the

complexity of its aviation products or services.

4.1 General

4.1.1 Except as required in 4.2, the SMS of a service provider shall:

a) be established in accordance with the framework elements contained

in Appendix 2; and

b) be commensurate with the size of the service provider and the

complexity of its aviation products or services.

Structure of Annex 19, 1st Edition

CHAPTER 4.

Safety Management Systems

(36)

4.1.2 The SMS of an approved training organization […] shall be made acceptable to

the State(s) responsible for the organization’s approval;

4.1.3 The SMS of a certified operator of aeroplanes or helicopters authorized to

conduct international commercial air transport [...] shall be made acceptable to the

State of the Operator;

4.1.4 The SMS of an approved maintenance organization providing services to

operators of aeroplanes or helicopters engaged in international commercial air

transport […] shall be made acceptable to the State(s) responsible for the

organization’s approval;

4.1.2 The SMS of an approved training organization […] shall be made acceptable to

the State(s) responsible for the organization’s approval;

4.1.3 The SMS of a certified operator of aeroplanes or helicopters authorized to

conduct international commercial air transport [...] shall be made acceptable to the

State of the Operator;

4.1.4 The SMS of an approved maintenance organization providing services to

operators of aeroplanes or helicopters engaged in international commercial air

transport […] shall be made acceptable to the State(s) responsible for the

organization’s approval;

Structure of Annex 19, 1st Edition

(37)

4.1.5 The SMS of an organization responsible for the type design of aircraft […] shall be

made acceptable to the State of Design;

4.1.6 The SMS of an organization responsible for the manufacture of aircraft […] shall

be made acceptable to the State of Manufacture;

4.1.7 The SMS of an ATS provider […] shall be made acceptable to the State responsible

for the provider’s designation;

4.1.8 The SMS of an operator of a certified aerodrome […] shall be made acceptable to

the State responsible for the aerodrome’s certification.

4.1.5 The SMS of an organization responsible for the type design of aircraft […] shall be

made acceptable to the State of Design;

4.1.6 The SMS of an organization responsible for the manufacture of aircraft […] shall

be made acceptable to the State of Manufacture;

4.1.7 The SMS of an ATS provider […] shall be made acceptable to the State responsible

for the provider’s designation;

4.1.8 The SMS of an operator of a certified aerodrome […] shall be made acceptable to

the State responsible for the aerodrome’s certification.

Structure of Annex 19, 1st Edition

CHAPTER 4.

Safety Management Systems

(38)

4.2 International general aviation – aeroplanes

4.2.1 The SMS of an international general aviation operator, conducting

operations of large or turbojet aeroplanes in accordance with Annex 6,

Part II, Section 3, shall be commensurate with the size and complexity of

the operation.

4.2 International general aviation – aeroplanes

4.2.1 The SMS of an international general aviation operator, conducting

operations of large or turbojet aeroplanes in accordance with Annex 6,

Part II, Section 3, shall be commensurate with the size and complexity of

the operation.

Structure of Annex 19, 1st Edition

(39)

4.2 International general aviation – aeroplanes

4.2.2

Recommendation.— The SMS should as a minimum include:

a)

a process to identify actual and potential safety hazards and assess the associated

risks;

b)

a process to develop and implement remedial action necessary to maintain an

acceptable level of safety; and

c)

provision for continuous monitoring and regular assessment of the

appropriateness and effectiveness of safety management activities.

4.2 International general aviation – aeroplanes

4.2.2

Recommendation.— The SMS should as a minimum include:

a)

a process to identify actual and potential safety hazards and assess the associated

risks;

b)

a process to develop and implement remedial action necessary to maintain an

acceptable level of safety; and

c)

provision for continuous monitoring and regular assessment of the

appropriateness and effectiveness of safety management activities.

Structure of Annex 19, 1st Edition

CHAPTER 4.

Safety Management Systems

(40)

Structure of Annex 19, 1st Edition

CHAPTER 5 –

Safety Data Collection, Analysis and Exchange

Outlines the specifications to support safety management activities by

collection and analysis of safety data and by exchange of safety information, as

part of the SSP;

Complemented by Attachment B - Legal guidance for the protection of

(41)

5.1 Safety data collection (Reporting systems)

5.1.1 Each State shall establish a mandatory incident reporting system to facilitate

collection of information on actual or potential safety deficiencies.

5.1.2 Each State shall establish a voluntary incident reporting system to facilitate

collection of information on actual or potential safety deficiencies that may not be

captured by the mandatory incident reporting system.

5.1 Safety data collection (Reporting systems)

5.1.1 Each State shall establish a mandatory incident reporting system to facilitate

collection of information on actual or potential safety deficiencies.

5.1.2 Each State shall establish a voluntary incident reporting system to facilitate

collection of information on actual or potential safety deficiencies that may not be

captured by the mandatory incident reporting system.

Structure of Annex 19, 1st Edition

CHAPTER 5 –

Safety Data Collection, Analysis and Exchange

(42)

5.1 Safety data collection (Reporting systems)

5.1.3

Recommendation.— Subject to Standard 5.3.1, State authorities responsible

for

the implementation of the SSP should have access to appropriate information

available in the incident reporting systems referenced in 5.1.1 and 5.1.2 to support their

safety responsibilities.

Note 1.— State authorities responsible for the implementation of the SSP include

accident investigation authorities.

Note 2.— Each State is encouraged to establish other safety data collection and

processing systems to collect safety information that may not be captured by the incident

reporting systems mentioned in 5.1.1 and 5.1.2 above.

5.1 Safety data collection (Reporting systems)

5.1.3

Recommendation.— Subject to Standard 5.3.1, State authorities responsible

for

the implementation of the SSP should have access to appropriate information

available in the incident reporting systems referenced in 5.1.1 and 5.1.2 to support their

safety responsibilities.

Note 1.— State authorities responsible for the implementation of the SSP include

accident investigation authorities.

Note 2.— Each State is encouraged to establish other safety data collection and

processing systems to collect safety information that may not be captured by the incident

reporting systems mentioned in 5.1.1 and 5.1.2 above.

(43)

5.2 Safety data analysis

5.2.1 Each State shall establish and maintain a safety database to facilitate the effective

analysis of information on actual or potential safety deficiencies obtained, including

that from its incident reporting systems, and to determine any actions required for the

enhancement of safety.

5.2.2

Recommendation.— Each State should, following the identification of

preventive actions required to address actual or potential safety deficiencies, implement

these actions and establish a process to monitor implementation and effectiveness of the

responses.

5.2 Safety data analysis

5.2.1 Each State shall establish and maintain a safety database to facilitate the effective

analysis of information on actual or potential safety deficiencies obtained, including

that from its incident reporting systems, and to determine any actions required for the

enhancement of safety.

5.2.2

Recommendation.— Each State should, following the identification of

preventive actions required to address actual or potential safety deficiencies, implement

these actions and establish a process to monitor implementation and effectiveness of the

responses.

(44)

5.3 Safety data protection

5.3.1 A voluntary incident reporting system shall be non-punitive and afford protection

to the sources of the information.

Note 1.— A non-punitive environment is fundamental to voluntary reporting.

5.3.2

Recommendation.— States should not make available or use safety data

referenced in 5.1 or 5.2 for other than safety-related purposes, unless exceptionally, an

appropriate authority determines in accordance with their national legislation, the

value of its disclosure or use in any particular instance, outweighs the adverse

impact such action may have on aviation safety.

5.3 Safety data protection

5.3.1 A voluntary incident reporting system shall be non-punitive and afford protection

to the sources of the information.

Note 1.— A non-punitive environment is fundamental to voluntary reporting.

5.3.2

Recommendation.— States should not make available or use safety data

referenced in 5.1 or 5.2 for other than safety-related purposes, unless exceptionally, an

appropriate authority determines in accordance with their national legislation, the

value of its disclosure or use in any particular instance, outweighs the adverse

impact such action may have on aviation safety.

(45)

5.4 Safety information exchange

5.4.1

Recommendation.— If a State, in the analysis of the information contained in its

database, identifies safety matters considered to be of interest to other States, that

State should forward such safety information to them as soon as possible.

5.4.2

Recommendation.— Each State should promote the establishment of safety

information sharing networks among users of the aviation system and should facilitate

the free exchange of information on actual and potential safety deficiencies.

5.4 Safety information exchange

5.4.1

Recommendation.— If a State, in the analysis of the information contained in its

database, identifies safety matters considered to be of interest to other States, that

State should forward such safety information to them as soon as possible.

5.4.2

Recommendation.— Each State should promote the establishment of safety

information sharing networks among users of the aviation system and should facilitate

the free exchange of information on actual and potential safety deficiencies.

(46)

1.

The SMS framework now applies to organizations responsible for

the type design and manufacture of aircraft;

2.

The following four components of the SSP framework were

elevated to the status of Standard in chapter 3:



State Safety policy and objectives



State Safety Risk Management



State Safety assurance

(47)

3.

The State Safety Oversight System (Appendix 1) is applicable to the

oversight of all product and service providers; and

4.

The Safety Data Collection Analysis and Exchange (Chapter 5) and the

Legal Guidance for the Protection of Safety Information from Safety

Data

Collection

and

processing

systems

(Attachment

B)

are

complementary to the SSP.



These provisions, transferred from Annex 13, provide the necessary

foundation for the collection, analysis, and exchange of safety data to

complement the SSP provisions (and protection).

(48)

1.

Highlights the

importance of safety management at the

State level;

2.

Enhances safety by

consolidating safety management

provisions applicable to multiple aviation domains

3.

Facilitates the

evolution of safety management provisions;

4.

Promotes

aligned implementation of SMS and SSP

provisions; and

5.

Creates a process to collect and analyse feedback regarding the

(49)

COST IMPACT OF ANNEX 19 – SAFETY MANAGEMENT

(50)

COST IMPACT OF ANNEX 19 – SAFETY MANAGEMENT

o

The overall cost impact is light because Annex 19 is mostly based

on existing provisions gradually introduced since 2001.

o

Impact to the States:

o

Administrative work for the review and amendment of existing

legislation and regulations;

o

Update to references to existing Annex provisions;

o

Notification of differences to Annex 19, if any (State Letters).

o

Impact to the Service providers and international general aviation

operators:

(51)
(52)

ICAO Safety Management Public Website



In order to support the implementation of safety management

provisions, the ICAO Safety Management public website has been

updated and contains:



History and overview of ICAO safety management provisions;



List of safety management guidance material;



ICAO safety management tool kit;



Links to safety management material developed by other organisations;



Information on how the USOAP will address safety management

provisions;



Annex 19 promotional material



Latest developments; and

(53)
(54)
(55)

ICAO Documentation



For ICAO Member State’s Civil Aviation Administration and

governmental bodies/agencies involved in noncommercial

aviation activities (ANAC / CENIPA / DECEA):



Free access is provided to all ICAO State Letters and saleable

documents through the ICAO Portal (ICAO NET).



FOR ALL OTHERS



Annex 19 is available for purchase in hard copy or electronic

format through

http://store1.icao.int/

or Email at

sales@icao.int

.

(56)

Annex 19 – Phase 2



Phase 2, which focuses on the development of new requirements

and further guidance material;



ICAO continues to work in close collaboration with its Member States

and international organizations on the development of safety

management provisions;



Many of the comments received and issues identified during Phase 1

are addressed in the on

going work programmes of the SMP and/or

other groups of experts.

(57)

Annex 19 – Phase 2



The on

‐‐‐‐

going safety management work programme will

include

:



Development of amendments to SSP provisions;



Development of amendments to SMS provisions;



Development of emergency response plan provisions;



Enhancement of provisions for the collection, analysis and protection of safety data

and safety information;



Further development of SMS and SSP implementation and assessment tools;



Extension of the applicability of the SMS provisions; and



Enhancement of provisions for the integration of SMS and SSP activities.

(58)

Annex 19 – Phase 2



Future amendments to Annex 19 are expected to follow a three year

amendment cycle;



An impact assessment will be required for any proposed changes to

Annex

19

provisions

to

ensure

stability

and

continuity

in

the

implementation of SSP and SMS for all States;



While overarching safety management SARPs will be included in Annex

19, new sector

specific management provisions are expected to be

included in the appropriate Annexes.

(59)

ROTEIRO

ROTEIRO

ICAO

SMS / SGSO

Annex 19

(60)

Identificar o impacto da criação do

Anexo 19 – Safety Management para a

prevenção de acidentes aeronáuticos.

(61)

REFERENCES

Agência Nacional de Aviação Civil [National Civil Aviation Agency]. (2013). Dados estatísticos

(Statistics data). Retrieved August 19, 2013, from

http://www.anac.gov.br/Area.aspx?ttCD_CHAVE=26

.

Carboni, O. Q. (2013, August). Annex 19 – Safety Management, First Edition. Proceedings of the 1st

National Symposium on Aeronautical Accidents Prevention, São Paulo. Brazil.

Centro de Investigação e Prevenção de Acidentes Aeronáuticos [Aeronautical Accidents Investigation

and Prevention Center]. (2013). Estatísticas [Statistics]. Retrieved August 19, 2013, from

http://www.cenipa.aer.mil.br/cenipa/index.php/estatisticas/estatisticas/aviacao-civil-brasileira

.

International Civil Aviation Organization. 2010. The High-Level Safety Conference Report (Doc 9935).

Montreal, Canada.

International Civil Aviation Organization. 2013. Safety Management Manual - 3

rd

edition (Doc 9859).

Montreal, Canada.

International Civil Aviation Organization. 2013. Annex 19 – Safety Management. Montreal, Canada.

International Civil Aviation Organization. 2013. The 2013 Safety Report. Montreal, Canada.

Lourenço, L. R. C. (2013, August). Os maiores vilões da aviação e como combatê-los. Proceedings of

the 1st National Symposium on Aeronautical Accidents Prevention, São Paulo. Brazil.

(62)
(63)

aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa

CEL COIMBRA (MSc)

CENIPA

Divisão de Aviação Militar

61-33648819

61-96494872

coimbrafacm@cenipa.aer.mil.br

Referências

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Prevention and/or control of arbovirus diseases require detailed eco- epidemiological studies to determine: (1) the effective role of each potential vector in each

on the levels of satisfaction and patient safety, in addition to improving adherence to antiretroviral therapy with the use of information and communication technologies to

2.6 - Avaliar a sobrevida global das pacientes com carcinoma de mama, em relação aos fatores clínicos (idade, estadiamento clínico), histopatológicos

e ainda as mais injustas, guerras, fizerão em públicos Periódicos circular anecdotas d|fFamatorias contra o Du- que da Victoria, accusando-o de infractor do Trata- do, com que