Order 460 nurse protocols in Russian. On approval of instructions for declaring the death of a person based on a diagnosis of brain death. documents provided for by this Instruction

MINISTER OF DEFENSE OF THE RUSSIAN FEDERATION
ORDER dated December 29, 2003 N 460
ON APPROVAL OF INSTRUCTIONS FOR TRAINING AUTOMOBILE SERVICE SPECIALISTS AND ADMISSION OF DRIVERS TO DRIVE VEHICLES IN THE ARMED FORCES OF THE RUSSIAN FEDERATION

In order to improve the procedure for training automotive service specialists and allowing drivers to drive vehicles in the Armed Forces Russian Federation I order:

1. Approve the attached Instructions for the training of automotive service specialists and the admission of drivers to drive vehicles in the Armed Forces of the Russian Federation.

2. Deputy Ministers of Defense of the Russian Federation, commanders-in-chief of the branches of the Armed Forces of the Russian Federation, commanders of troops of military districts, fleets, branches of the Armed Forces of the Russian Federation, heads of main and central departments of the Ministry of Defense of the Russian Federation, commanders of formations, commanders of formations and military units, chiefs ( heads) of organizations of the Armed Forces of the Russian Federation to exclude access to driving and remove from driving vehicles drivers in respect of whom there is reason to believe that they are intoxicated, jeopardizing traffic safety, as well as persons who do not have the right to drive vehicles of this (corresponding) category.

3. Costs associated with obtaining a license for the right to additional training and retraining of drivers, paying for examinations, producing certificate forms, issuing and replacing driver’s licenses for military personnel undergoing military service on conscription, cadets of military educational institutions of higher education vocational education of the Ministry of Defense of the Russian Federation, accordingly, at the expense of the funds provided for in the consolidated estimate of expenditures of the Ministry of Defense for combat training and educational expenses of military educational institutions according to the relevant articles of the classification of expenditures of the budgets of the Russian Federation.

4. Control over the implementation of this Order is entrusted to the head of the Main Armored Directorate of the Ministry of Defense of the Russian Federation.

Minister of Defense

Russian Federation

S. IVANOV

Application

to the Order of the Minister of Defense

Russian Federation

INSTRUCTIONS FOR TRAINING AUTOMOBILE SERVICE SPECIALISTS AND ADMISSION OF DRIVERS TO DRIVE VEHICLES IN THE ARMED FORCES OF THE RUSSIAN FEDERATION

I. General provisions

1. This Instruction was developed in accordance with the Federal Law of December 10, 1995 N 196-FZ “On Road Safety” (Collected Legislation of the Russian Federation, 1995, N 50, Art. 4873; 1999, N 10, Art. 1158; 2002, No. 18, Article 1721; 2003, No. 2, Article 167), Resolutions of the Government of the Russian Federation dated July 12, 1999 No. 796 “On approval of the Rules for admission to driving self-propelled machines and issuing tractor operator (tractor operator) licenses” (Collected Legislation of the Russian Federation, 1999, N 29, Art. 3759) and dated December 15, 1999 N 1396 “On approval of the Rules for passing qualification exams and issuing driver’s licenses” (Collected Legislation of the Russian Federation, 1999, N 52, Art. 6396 ; 2000, No. 38, Article 3805; 2001, No. 48, Article 4526).

2. This Instruction establishes the procedure for training specialists in the automotive service, admitting vehicle drivers to drive vehicles in military authorities, associations, formations, military units, military educational institutions higher professional education and organizations of the Armed Forces of the Russian Federation.

3. The objectives of this Instruction are to implement the requirements of the specified regulatory legal acts in the Armed Forces of the Russian Federation, taking into account the design features of automotive equipment, its purpose and the established procedure for use in the Armed Forces of the Russian Federation, as well as ensuring the safety of military service.

II. Training of automotive service specialists

4. Training of soldiers (sailors) - specialists in the operation, repair and storage of automotive equipment (hereinafter referred to as AT) is carried out in training military units (centers), at repair enterprises of the Main Armored Directorate of the Ministry of Defense of the Russian Federation (hereinafter referred to as GABTU), branches of the Armed Forces of the Russian Federation, military districts, fleets, branches of the Armed Forces of the Russian Federation from among military personnel who have undergone training in the repair of vehicles before conscription in educational institutions of public associations, educational institutions of primary and secondary vocational education, or military personnel who do not have such training .

The knowledge and practical skills of specialists during their service are improved in military units (units) in technical training classes, when working on equipment in parks, workshops, repair plants and in the field.

5. Training of sergeants and foremen - specialists in the operation, repair and storage of aircraft is carried out in training military units (centers), military schools of junior specialists (hereinafter referred to as VShMS) in accordance with the orders and directives of the Minister of Defense of the Russian Federation, commanders-in-chief of the branches of the Armed Forces of the Russian Federation , commanders of troops of military districts, fleets, branches of the Armed Forces of the Russian Federation from among drivers of vehicles of categories "B" and (or) "C" according to programs approved by the head of the GABTU.

The knowledge, command, methodological and practical skills of sergeants and foremen are improved in military units (units) in the process of performing official duties in command training classes, instructor-methodological classes and educational-methodical training sessions.

6. Training of warrant officers (midshipmen) - specialists in the operation, repair and storage of vehicles, vehicle driving instructors is carried out in schools for warrant officers and midshipmen, schools for technicians according to programs approved by the head of the GABTU.

7. Training of cadets in military educational institutions of higher professional education of the Ministry of Defense of the Russian Federation in order to obtain a driver’s license for the right to drive vehicles of the relevant categories is carried out in accordance with qualification requirements based on state educational standards and exemplary curricula and programs approved by the Ministry of Education of the Russian Federation in agreement with the Ministry of Transport of the Russian Federation, with the Main State Inspectorate for Supervision of the Technical Condition of Self-Propelled Machines and other types of equipment of the Ministry of Agriculture of the Russian Federation and the Ministry of Internal Affairs of the Russian Federation.

8. Training of automotive service officers is carried out in military educational institutions of higher professional education of the Ministry of Defense of the Russian Federation in accordance with qualification requirements based on state educational standards, curricula and programs agreed with the Ministry of Education of the Russian Federation, the Main Personnel Directorate of the Ministry of Defense of the Russian Federation and approved head of GABTU.

9. Improving knowledge and skills in operating vehicles of officers, warrant officers and midshipmen is carried out:

in the system of commander training in technical training classes, courses (camps) for training, retraining, advanced training, organized by the heads of automobile services of the branches of the Armed Forces of the Russian Federation, military districts (fleets), branches of the Armed Forces of the Russian Federation, associations and formations;

when studying in educational institutions of vocational education to obtain higher level vocational education;

through independent study (preparation).

10. Training of personnel of the Armed Forces of the Russian Federation in confident use of AT, development of skills and abilities necessary for its technically competent operation, safe management, maintenance of constant combat readiness, and skillful use in everyday activities and combat conditions is carried out in technical training classes for automotive service specialists and automotive training classes for personnel of the military branches (services), cadets (students) of military educational institutions of higher professional education of the Ministry of Defense of the Russian Federation.

11. Technical training of automotive service specialists and automotive training of personnel of the Armed Forces of the Russian Federation are an integral part of combat training.

Technical training of specialists in the automotive service of military units (units) is planned by the headquarters of military units in accordance with the combat training plans of military units and is carried out according to programs approved by the head of the GABTU.

Automotive training of personnel of the Armed Forces of the Russian Federation is organized in the combat training system and is carried out according to programs approved by the commanders-in-chief of the branches of the Armed Forces of the Russian Federation and the commanders of the branches of the Armed Forces of the Russian Federation with methodological guidance and the participation of the heads of the automobile service.

Automotive training for officers, warrant officers and midshipmen is carried out in order to improve practical skills in performing job responsibilities to ensure the safety, operation, timely maintenance and repair of standard vehicles available under control.

During automotive training classes, sergeants, sergeants and soldiers learn the rules of practical assistance to drivers in servicing vehicles and troubleshooting problems.

12. The study and development of new brands of vehicles entering service (supply) of military units (formations) are organized at training camps according to the plans of the branches of the Armed Forces of the Russian Federation, military districts (fleets), branches of the Armed Forces of the Russian Federation, main and central departments Ministry of Defense of the Russian Federation, associations at officer courses, in military training units (centers), Higher Military Schools and organizations of the Armed Forces of the Russian Federation.

III. Additional driver training

13. Additional training of drivers in the Armed Forces of the Russian Federation is carried out according to curricula and additional training programs approved by the head of the GABTU.

14. All car drivers, mechanic-drivers of tracked vehicles, tractor drivers and drivers of self-propelled vehicles (hereinafter referred to as drivers) called up for military service and having a certificate for the right to drive this equipment, at the beginning of the summer and winter training periods, undergo two months of additional training, which includes includes general military training and additional training in the specialty.

15. Additional training of drivers is organized in a military unit (except for training military units (centers), VShMS), a formation (garrison) at one of the military units that has the necessary training material and technical base, at training camps as part of freelance (combined) units (training groups) ). For military units of army (district) subordination with a small number of drivers, additional training is organized centrally by branch of the military, special troops and services at one of the military units.

The list of military units that are responsible for additional training of drivers is determined in terms of training of military command and control bodies and troops (forces) of the branch of the Armed Forces of the Russian Federation, military district, fleet, formation and in terms of formation training.

16. The procedure for conducting additional training is established by order of the commander of the military unit, formation (chief of the garrison) organizing additional training. Before the start of classes, personnel involved in conducting classes undergo three days of methodological training.

To conduct driving and marching lessons during the period of additional training, drivers from the military units of the garrison are allocated in the required number vehicles with practical driving instructors.

Training is carried out on vehicles of those brands that will be assigned to the drivers. Driver training groups are staffed by vehicle category. Lists of training groups 15 days before the start of training must be registered with the military automobile inspection (VAI) of the garrison in the logbook of training groups for additional training (retraining) of drivers for the right to drive vehicles in the garrison (Appendix No. 1 to this Instruction).

When registering groups, the garrison VAI must check readiness for training, the availability of educational and material resources and accept an application for the participation of an official of the garrison VAI in the qualification exam.

17. Before the start of training, by order of the commander of the military unit, drivers are assigned standard vehicles and conducted practical lessons to ensure the combat readiness of a military unit with a daily march of 30 km as part of a battalion (division).

During additional training, car drivers undergo day and night marches of 100 km, and at the end of additional training - a complex tactical and special exercise with a march of 300 km. In personnel formations, at weapons and equipment storage bases, property storage bases, warehouses, bases, arsenals, in organizations of the Armed Forces of the Russian Federation, including in military educational institutions of higher professional education of the Ministry of Defense of the Russian Federation, a 300 km march is not carried out. Instead, driving of vehicles equivalent in terms of consumption of motor resources is organized in urban conditions, on autodromes, airfields, as well as on roads and terrain characteristic of performing specific tasks.

A 50 km march is carried out with driver mechanics of tracked vehicles and tractor drivers.

18. After completing the additional training program, a commission appointed by order of the commander of the military unit, formation (chief of the garrison), takes exams from drivers on traffic rules, design and maintenance of vehicles and driving. The commissions include the most trained officers of the automobile services of military units (garrison), capable of competently examining trainees, and an official of the garrison's Higher Aviation Inspectorate. Protocols for passing the qualification exams (Appendix No. 2 to these Instructions) are submitted to the garrison’s Higher Inspectorate.

Drivers who have successfully passed the exams, by order of the commander of the military unit, are allowed to independently operate the vehicle assigned to them, which is noted on the driver’s military ID in the “Special Notes” section:

"Additional training (training, retraining) since "__" ____ 20__

according to "__" _______ 20__ for the right to drive a vehicle

passed."

__________________________________________________________________

(position, military rank, signature, first name, surname,

Mastic seal of a military unit)

19. The study by drivers of special equipment mounted on automobile base chassis, the procedure and features of transportation of special cargo is organized by the relevant services according to separate programs.

In the Higher School of Motor Vehicles and training military units (centers), training of cadets (drivers of combined specialties) in driving vehicles is carried out throughout the entire period of training and the driving test, in addition to other subjects of training, is taken for final exams. After passing the exams, a corresponding entry is made in the military ID in the “Special Notes” section (clause 18 of these Instructions).

IV. Retraining of drivers to work on transport

products from other brands within the same category

20. Retraining of drivers for working on vehicles of other brands within the same category is organized in military units at training camps according to the relevant retraining programs approved by the head of the GABTU.

Retraining of driver-mechanics of multi-axle special wheeled chassis (tractors) is carried out in training military units (centers) and high school medical schools from among drivers of vehicles of categories "B" and (or) "C" according to curricula and retraining programs approved by the head of the GABTU (for Missile Forces strategic purpose (Strategic Missile Forces), retraining of driver mechanics is carried out according to retraining programs agreed with the GABTU and approved by the commander of the Strategic Missile Forces).

21. After completing the retraining program, a commission appointed by order of the commander of a military unit, formation (chief of the garrison), takes exams on the rules of the road, design and maintenance of vehicles and driving from drivers, driver mechanics. The commissions include the most trained officers of the automobile services of military units (garrison), who are capable of competently examining trainees.

Drivers and driver mechanics who have successfully passed the exams, by order of the commander of the military unit, are allowed to independently operate the vehicle assigned to them, about which a corresponding entry is made in the driver’s military ID in the “Special Notes” section (clause 18 of this Instruction).

V. Driver retraining

22. Retraining of drivers in the Armed Forces of the Russian Federation is carried out on the basis of state educational standards and model curricula and programs approved by the Ministry of Education of the Russian Federation in agreement with the Ministry of Transport of the Russian Federation, with the Main State Inspectorate for Supervision of the Technical Condition of Self-Propelled Vehicles and Other Types of Equipment Ministry of Agriculture of the Russian Federation and Ministry of Internal Affairs of the Russian Federation.

Military units carrying out retraining of drivers of vehicles of categories “B”, “C”, “D” or “E” must have a license to conduct such activities. A copy of the license is kept in the relevant VAI of the garrison and State Inspectorate road safety of the Ministry of Internal Affairs of the Russian Federation (hereinafter referred to as the State Traffic Inspectorate), serving this territory.

Lists of students in each training group and applications for examinations are sent to the garrison’s Higher Inspectorate and the territorial division of the State Traffic Inspectorate.

At the VAI of the garrison, training groups are registered in the register of training groups for additional training (retraining) of drivers for the right to drive vehicles in the garrison (Appendix No. 1 to this Instruction).

23. Retraining of drivers for the right to drive vehicles of category "B" is carried out with drivers who have licenses to drive vehicles of category "C" ("C" and "D").

24. Retraining of drivers for the right to drive vehicles of category "D" is carried out according to the plans of the branches of the Armed Forces of the Russian Federation, military districts, fleets, branches of the Armed Forces of the Russian Federation, main and central departments of the Ministry of Defense of the Russian Federation in training military units (centers) and VShMS from among drivers who have a license to drive vehicles of categories “B” and (or) “C”, who have reached the age of twenty.

25. Retraining of drivers for the right to drive combinations of vehicles of category "E" is carried out according to the plans of associations and formations in training military units (centers) and VShMS from among drivers who have driver's licenses with permitting marks in columns: "B"; "B" and "C"; "B", "C" and "D"; "C"; "C" and "D".

Drivers with a total driving experience of at least 12 months are allowed to take the exam for the right to drive a combination of vehicles of category "E".

26. After completing the retraining program, a commission appointed by order of the commander of a military unit, formation (chief of the garrison), takes drivers exams on traffic rules, design and maintenance of vehicles and driving. The commissions include the most trained officers of the automobile services of military units (garrison), capable of competently examining trainees, and an official of the garrison's Higher Aviation Inspectorate. Protocols for passing the qualification exams (Appendix No. 2 to these Instructions) are submitted to the garrison’s Higher Inspectorate.

Drivers who have undergone retraining in driving vehicles of the relevant categories, have successfully passed the exams, and received a certificate of completion of training, are allowed to take theoretical and practical exams at the territorial bodies of the State Traffic Inspectorate to obtain the right to drive vehicles of the corresponding categories.

After receiving a driver’s license for the right to drive a vehicle, the driver makes a corresponding entry in the military ID in the “Special Notes” section (clause 18 of these Instructions).

27. Military units that train or retrain drivers to obtain the right to drive self-propelled vehicles of established categories must have a license to conduct such activities. Copies of the license are stored in the relevant VAI of the garrison, the inspection for supervision of the technical condition of self-propelled vehicles and other types of equipment in the Russian Federation (hereinafter referred to as state technical supervision bodies) at the location of the military unit.

After completing the training (retraining) program, a commission appointed by order of the commander of a military unit, formation (chief of the garrison), takes drivers exams on traffic rules, design and maintenance of self-propelled vehicles of established categories, and driving. The commissions include the most trained officers of the automobile services of military units (garrison), capable of competently examining trainees, and an official of the garrison's Higher Aviation Inspectorate.

Drivers who have undergone training (retraining) in driving self-propelled vehicles of established categories, who have successfully passed exams and received a certificate of completion of training, are allowed to take theoretical and practical exams at the territorial state technical supervision bodies to obtain the right to drive vehicles of the corresponding categories. Taking exams for military personnel undergoing conscription military service and issuing tractor driver (tractor driver) certificates to them are carried out at the location of the military unit by state technical supervision bodies. After receiving a tractor driver’s (tractor operator) license, a corresponding entry is made in the driver’s military ID in the “Special Notes” section (clause 18 of these Instructions).

VI. Admission of drivers to drive vehicles

28. To drive vehicles in the Armed Forces of the Russian Federation, military personnel who have driver’s licenses of the established form with permit marks for driving vehicles of the corresponding categories, who have passed medical examination and having a medical certificate of the established form about fitness to drive vehicles of the relevant categories.

29. Admission to driving vehicles is issued by order of the commander of the military unit to assign the vehicle to the driver.

30. During checks (inspections) of the technical condition of weapons and military equipment and during driving lessons, drivers to whom the vehicles are not assigned are, in the prescribed manner, allowed to drive vehicles of those categories for which they have the appropriate driver’s license.

31. Drivers selected by a commission of a military unit and having a driver’s license for the right to drive category “C” vehicles are allowed to drive trucks equipped for transporting personnel when driving a single vehicle and when moving vehicles as part of organized transport columns more than 8 people, including passengers in the cabin - categories "C" and "D").

32. Drivers who have a permit mark on their driver’s license in the column corresponding to the category of the tractor being driven ("B" or "C") and in the column " E".

33. Drivers who have a driver’s license with a permitting mark in column “C” and an entry in the military ID in the section “Special Marks” (clause 18 of these Instructions) are allowed to drive multi-axle special wheeled chassis and tractors.

34. Drivers who have a tractor driver (tractor driver) license of the appropriate category and an entry in the military ID in the “Special Marks” section (clause 18 of these Instructions) are allowed to drive tracked vehicles.

35. Drivers are allowed to drive vehicles equipped for the transportation of dangerous goods:

when driving vehicles in a train - having a mark on the driver's license for the right to drive vehicles of this category and a corresponding entry in the military ID in the section "Special Marks" (clause 18 of these Instructions);

when driving a single vehicle, in addition, having continuous driving experience of at least 10 months.

36. Persons who have a license to drive vehicles, but have not worked as a driver for more than one year, are allowed to drive vehicles after testing their knowledge of the Rules of the Road and driving skills (as part of the driver retraining program) by a commission of the military unit.

37. Removal from driving vehicles (deprivation of access to driving) is carried out by order of the commander of the military unit (chief of the garrison):

upon expiration of the established period of validity of the driver's license;

when the driver’s health deteriorates, preventing safe driving, confirmed by a medical report;

upon deprivation of the right to drive vehicles;

for violation of the rules of operation and maintenance of the assigned machine;

when transferring control of the vehicle to other persons;

for driving vehicles while intoxicated or otherwise intoxicated.

38. In cases of a change in the driver’s fitness category for military service due to health reasons, termination, loss, damage of a medical certificate, or other cases, the driver is subject to a mandatory medical examination.

VII. The procedure for producing, supplying and storing forms

documents provided for by this Instruction

39. Forms of certificates of completion of training are strictly accountable documents, have a registration series and number and are produced centrally in a printing manner.

The supply of military units and organizations of the Armed Forces of the Russian Federation with the specified forms is carried out by the VAI at the request of the VAI units. The deadline for submitting applications for the planned year is October 1 of the current year.

40. Forms of certificates of completion of training are taken into account in the logbooks and issuance of strict reporting forms and are stored in the VAI of the branches of the Armed Forces of the Russian Federation, military districts, fleets, branches of the Armed Forces of the Russian Federation, as strict reporting forms.

The issuance of these forms to military units is carried out by the relevant military authorities on the basis of the protocols for passing the qualification exams (Appendix No. 2 to the Instructions) within 5 days from the date of their receipt.

Certificates of completion of training are issued to personnel based on the results of passing qualification exams against signature upon presentation of an identity document.

41. Once a year, a commission appointed by the relevant higher authority of the VAI conducts an audit of the accounting, storage and consumption of training certificate forms.

Forms of certificates of completion of training that are damaged during completion are destroyed in the prescribed manner on the basis of an act of a commission appointed by order of the garrison commander. The act is accompanied by the name and number of the damaged document cut out and pasted onto a separate sheet.

42. The remaining documents provided for by these Instructions are prepared according to orders of the military aviation branch of the Armed Forces of the Russian Federation, military district, fleet, branch of the Armed Forces of the Russian Federation and are issued to military units by the corresponding military military units upon applications and powers of attorney from these military units.

Chief of the Main

armored vehicle control

Ministry of Defense

Russian Federation,

Colonel General

S.MAEV

Appendix No. 1

to the Instructions (clauses 16, 22)

MAGAZINE

Accounting for training groups for additional training

(retraining) of drivers for the right to drive vehicles

By means of the ______________________ garrison

(name of garrison)

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Number
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Appendix No. 2

to the Instructions (clauses 18, 26, 40)

I APPROVED

Commander of the military unit _________

__________________________________

(military rank, signature, initial

First name, last name)

"__" _____________________ 20__

M.P.

PROTOCOL N ________

Passing qualification exams in the military

Units (garrison) ___________________

"__" ___________ 20__

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P/
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Military
rank,
surname,
Name,
surname

Series and number
driver's license
ID
nia, when and
issued by
allowed to
management
category
transport
facilities

Where
passed
training
nie,
term
training
nia

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facilities

results
exams

arrange-
quality,
technical
logical
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rules
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safe
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road
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marriage

leader
de-
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In total _____________ people were examined.

The decision was made:

On admission to the exam at the State Traffic Inspectorate (authorities

state technical supervision) _________ people

__________ people did not pass the exams.

Chairman of the commission ________________________________________

(military rank, signature, name initial,

Surname)

Members of the commission _______________________________________________

(military ranks, signatures, name initials,

Surnames)

The association assists in providing services in the sale of timber: at competitive prices on an ongoing basis. Forest products of excellent quality.

I. General information

Brain death occurs with the complete and irreversible cessation of all brain functions, recorded with a beating heart and artificial ventilation. Brain death is equivalent to human death.

Decisive for declaring brain death is the combination of the fact that the functions of the entire brain have ceased with proof of the irreversibility of this termination.

The right to establish a diagnosis of brain death is provided by the availability of accurate information about the causes and mechanisms of development of this condition. Brain death can develop as a result of primary or secondary brain damage.

Brain death as a result of its primary damage develops due to a sharp increase in intracranial pressure and the resulting cessation of cerebral circulation (severe closed craniocerebral injury, spontaneous and other intracranial hemorrhages, cerebral infarction, brain tumors, closed acute hydrocephalus, etc.), as well as due to open craniocerebral trauma, intracranial surgical interventions on the brain, etc. .

Secondary brain damage occurs as a result of hypoxia of various origins, incl. in case of cardiac arrest and cessation or sharp deterioration of systemic circulation, due to long-term shock, etc.

II. Conditions for making a diagnosis of brain death

The diagnosis of brain death is not considered until the following effects have been excluded: intoxication, including drugs, primary hypothermia, hypovolemic shock, metabolic endocrine coma, as well as the use of narcotics and muscle relaxants.

Therefore, the first and indispensable condition for establishing a diagnosis of brain death is to prove the absence of influence medicines, depressing the central nervous system and neuromuscular transmission, intoxication, metabolic disorders (including severe electrolyte, acid-base, and endocrine) and infectious brain lesions. During a clinical examination of the patient, the rectal temperature should be consistently above 32 degrees. C, systolic arterial pressure not lower than 90 mm Hg. (at lower blood pressure it should be raised intravenous administration vasopressor drugs). In the presence of intoxication established as a result toxicological study, the diagnosis of brain death until its signs disappear is not considered.

III. A set of clinical criteria, the presence of which is mandatory to establish a diagnosis of brain death

3.1. Complete and persistent lack of consciousness (coma).

3.2. Atony of all muscles.

3.3. Lack of response to strong painful stimulation in the area of ​​the trigeminal points and any other reflexes that are closed above cervical spine spinal cord.

3.4. Lack of pupil reaction to direct bright light. It should be known that no medications that dilate the pupils were used. The eyeballs are motionless.

3.5. Absence of corneal reflexes.

3.6. Absence of oculocephalic reflexes.

To induce oculocephalic reflexes, the doctor takes a position at the head of the bed so that the patient's head is held between the doctor's hands, and the thumbs lift the eyelids. The head turns 90 degrees to one side and is held in this position for 3 - 4 seconds, then - the opposite side at the same time. If, when turning the head, no eye movements occur and they staunchly maintain a median position, then this indicates the absence of oculocephalic reflexes. Oculocephalic reflexes are not examined in the presence or suspicion of traumatic injury to the cervical spine.

3.7. Absence of oculovestibular reflexes. To study oculovestibular reflexes, a bilateral caloric test is performed. Before performing this procedure, it is necessary to ensure that there is no perforation of the eardrums. The patient's head is raised 30 degrees above the horizontal level. A small catheter is inserted into the external auditory canal, and slow irrigation of the external auditory canal is performed. cold water(temperature +20 degrees C, 100 ml) for 10 seconds. With intact brain stem function, after 20 - 25 seconds. Nystagmus or deviation of the eyes towards the slow component of nystagmus appears. No nystagmus or deviation eyeballs with a caloric test performed on both sides, it indicates the absence of oculovestibular reflexes.

3.8. Absence of pharyngeal and tracheal reflexes, which are determined by the movement of the endotracheal tube in the trachea and upper respiratory tract, as well as when advancing the catheter in the bronchi for aspiration of secretions.

3.9. Lack of spontaneous breathing. Registration of the absence of breathing is not allowed by simply disconnecting from the ventilator, since the hypoxia that develops in this case has a harmful effect on the body and, above all, on the brain and heart. The patient should be disconnected from the ventilator using a specially designed disconnection test (apneetic oxygenation test).

The disconnect test is carried out after the results of paragraphs are obtained. 3.1 - 3.8. The test consists of three elements:

a) to monitor the blood gas composition (PaO2 and PaCO2), one of the arteries of the limb must be cannulated;

b) before disconnecting the ventilator, it is necessary to perform mechanical ventilation for 10 - 15 minutes in a mode that provides normocapnia (PaCO2 - 35 - 45 mm Hg) and hyperoxia (PaO2 at least 200 mm Hg) - FiO2 = 1.0 (i.e. 100% oxygen), selected VE (minute ventilation), optimal PEEP (positive end expiratory pressure);

c) after completing paragraphs. a) and b) the ventilator is turned off and humidified 100% oxygen is supplied to the endotracheal or tracheostomy tube at a rate of 6 liters per minute. During this time, endogenous carbon dioxide accumulates and is monitored by taking arterial blood samples. The stages of blood gas monitoring are as follows: 1) before the start of the test under mechanical ventilation; 2) 10 - 15 minutes after the start of mechanical ventilation with 100% oxygen; 3) immediately after disconnection from mechanical ventilation, then every 10 minutes until PaCO2 reaches 60 mm Hg. If spontaneous respiratory movements are not restored at these or higher PaCO2 values, the disconnection test indicates a lack of function. respiratory center brain stem. When minimal respiratory movements appear, mechanical ventilation is immediately resumed.

IV. Additional (confirmatory) tests to the set of clinical criteria when establishing a diagnosis of brain death

The diagnosis of brain death can be reliably established on the basis of clinical tests (see paragraphs 3.1 - 3.9). Additional tests are performed after identifying the signs described in paragraphs. 3.1 - 3.9. An EEG study (see clause 4.1) is mandatory to confirm the clinical diagnosis of brain death in all situations where there are difficulties in performing paragraphs. 3.6 - 3.7 (injury or suspected injury of the cervical spine, perforation of the eardrums). Panangiography of the main arteries of the head (see paragraph 4.2) is carried out to shorten the required duration of observation (see paragraph 5).

4.1. Establishing the absence of electrical activity of the brain is carried out in accordance with the international provisions of electroencephalographic research in conditions of brain death. An EEG recording in which the amplitude of activity from peak to peak does not exceed 2 μV, when recording from scalp electrodes with a distance between them of at least 10 cm and with a resistance of up to 10 kOhm, but not less than 100 Ohm, is taken as electrical silence of the brain. Needle electrodes are used, at least 8, arranged according to the “10 - 20%” system, and 2 ear electrodes. The interelectrode resistance must be at least 100 Ohms and no more than 10 kOhms, the interelectrode distance must be at least 10 cm. It is necessary to determine the safety of switching and the absence of unintentional or intentional creation of electrode artifacts. Recording is carried out on the encephalograph channels with a time constant of at least 0.3 seconds. with a sensitivity of no more than 2 µV/mm (the upper limit of the frequency bandwidth is not lower than 30 Hz). Devices with at least 8 channels are used. EEG is recorded with bi- and monopolar leads. The electrical silence of the cerebral cortex under these conditions should remain for at least 30 minutes of continuous recording. If there is doubt about the electrical silence of the brain, repeated EEG registration is necessary. Assessment of EEG reactivity to light, loud sound and pain: the total stimulation time with light flashes, sound stimuli and painful stimuli is at least 10 minutes. The source of flashes, fired at a frequency of 1 to 30 Hz, should be located at a distance of 20 cm from the eyes. The intensity of sound stimuli (clicks) is 100 dB. The speaker is located near the patient's ear. Stimuli of maximum intensity are generated by standard photo- and phonostimulators. For painful stimulation, strong injections of the skin with a needle are used.

An EEG recorded by telephone cannot be used to determine the electrical silence of the brain.

4.2. When determining the absence of cerebral circulation, contrast double panangiography of four great vessels head (common carotid and vertebral arteries) with an interval of at least 30 minutes. Mean arterial pressure during angiography should be at least 80 mm Hg.

If angiography reveals that none of the intracerebral arteries are filled with a contrast agent, then this indicates cessation of cerebral circulation.

V. Duration of observation

5.1. In case of primary brain damage, to establish clinical picture of brain death, the duration of observation should be at least 6 hours from the moment of the first establishment of the signs described in paragraphs. 3.1 - 3.9. At the end of this time, the results of the neurological examination are re-registered, revealing the loss of brain functions in accordance with paragraphs. 3.1 - 3.8. The disconnection test (see clause 3.9) is not performed again. This observation period can be shortened if, immediately after establishing loss of brain function in accordance with paragraphs. 3.1 - 3.9, double panangiography of the main arteries of the head is performed, revealing the cessation of cerebral circulation (see paragraph 4.2). In this situation, brain death is declared without further observation.

5.2. In case of secondary brain damage, to establish the clinical picture of brain death, the duration of observation should be at least 24 hours from the moment of the first establishment of the signs described in paragraphs. 3.1 - 3.9, and if intoxication is suspected, the duration of observation is increased to 72 hours. During these periods, the results of neurological examinations are recorded every 2 hours, revealing loss of brain functions in accordance with paragraphs. 3.1 - 3.8. This observation period can also be shortened if, immediately after establishing loss of brain function in accordance with paragraphs. 3.1 - 3.9, double panangiography of the main arteries of the head is performed, revealing the cessation of cerebral circulation (see paragraph 4.2).

When recording neurological examinations, it is necessary to take into account that spinal reflexes and automatisms can be observed under conditions of ongoing mechanical ventilation.

VI. Establishing a diagnosis of brain death and documentation

6.1. The diagnosis of brain death is established by a commission of medical doctors - preventive institution where the patient is located, consisting of: a resuscitator - anesthesiologist with at least 5 years of experience in the intensive care unit and resuscitation unit and a neurologist with the same experience in the specialty. To conduct special research, the commission includes specialists in additional methods research with at least 5 years of experience in the specialty, including those invited from other institutions on a consultative basis. The appointment of the composition of the commission and approval of the Protocol for establishing brain death is carried out by the head of the intensive care unit where the patient is located, and during his absence - by the responsible duty doctor of the institution.

6.2. The commission cannot include specialists involved in organ retrieval and transplantation.

6.3. The main document is the Brain Death Protocol, which is important for stopping resuscitation measures and for organ removal. The Protocol for Determining Brain Death must indicate the data of all studies, the surnames, first names and patronymics of the doctors - members of the commission, their signatures, the date and hour of registration of brain death and, therefore, the death of a person (Appendix).

6.4. Responsible for diagnosing a person’s death are the doctors who determined brain death in the medical and preventive institution where the patient died. Arterial systolic pressure is below 90 mm Hg. (specify numbers) ____________________ Rectal temperature below 32 C (specify numbers) ____________________ - intoxication, including drugs ____________________ - muscle relaxants ____________________ - narcotic drugs ____________________ - metabolic or endocrine coma ____________________ - hypovolemic shock ____________________ - primary hypothermia ____________________ II. The following signs indicating the cessation of function of the cerebral hemispheres and brain stem were registered: (statement of signs and data from additional tests is indicated with the word “yes”) complete and persistent lack of consciousness (coma) __________________ lack of spontaneous breathing __________________ lack of response to strong painful stimuli (pressure on trigeminal points, sternum) and any other reflexes that close above the cervical spinal cord __________________ atony of all muscles __________________ pupils do not respond to light __________________ pupil diameter greater than 5 mm __________________ absence of corneal reflexes __________________ absence of oculocephalic reflexes __________________ absence of oculovestibular reflexes __________________ absence of pharyngeal and tracheal reflexes (during the movement of the endotracheal tube and sanitation of the respiratory tract) __________________ absence of spontaneous breathing during the disconnection test (PaCO2 level must be at least 60 mm Hg) __________________ a) PaCO2 at the end of the apnea check, indicate the numbers __________________ b) PaO2 at the end of the apnea check in mmHg __________________ III. Additional (confirmatory) tests (statement of these additional tests is marked with the word “yes”) A. Electroencephalogram (complete electrical silence of the brain) __________________ B. Cerebral panangiography (lack of filling of the intracerebral arteries) __________________ IV. Comments ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ V. Conclusion Having examined the above results and being guided in their interpretation by the Instructions for ascertaining the death of a person based on the diagnosis of brain death, we certify the death of the patient (last name, first name, patronymic) ___________________________________________________________________ ___________________________________________________________________ based on brain death. date _________________ (day, month, year) time of death _________ Signatures of doctors included in the commission: ______________________ ______________________ ______________________ ______________________

Order of the Minister of Defense of the Russian Federation of November 28, 2002 N 460
“On approval of the Federal Aviation Rules for state registration of state aircraft”

With changes and additions from:

In accordance with Article 33 of the Air Code of the Russian Federation (Collection of Legislation of the Russian Federation, 1997, N 12, Art. 1383; 1999, N 28, Art. 3483), paragraph 1 of the Decree of the President of the Russian Federation of August 8, 1998 N 938 “On increasing flight safety in the Russian Federation and measures to improve activities in the field of aviation" (Collection of Legislation of the Russian Federation, 1998, N 33, Art. 3960) and Decree of the Government of the Russian Federation of March 27, 1998 N 360 "On Federal Rules for the Use of Airspace and federal aviation rules" (Collected Legislation of the Russian Federation, 1998, No. 14, Art. 1593; 2000, No. 17, Art. 1875) to carry out state registration of state aircraft, I order:

1. Approve the attached Federal Aviation Rules for state registration of state aircraft.

2. Control over the implementation of this order is entrusted to the General Staff of the Armed Forces of the Russian Federation.

Minister of Defense of the Russian Federation

Establishes a general procedure for state registration of state aircraft and their registration in State Register state aircraft of the Russian Federation.

All state aircraft of domestic or foreign production intended for flight operations are subject to state registration. Meteorological balloons are not subject to state registration. Unmanned aerial vehicles and tethered balloons are subject to number-by-number registration.

The rules are mandatory for all federal executive authorities and organizations with state aviation units.

Order of the Minister of Defense of the Russian Federation of November 28, 2002 N 460 “On approval of the Federal Aviation Rules for state registration of state aircraft”

Registration No. 4293

This order comes into force 10 days after the day of its official publication

This document is amended by the following documents:

The changes come into force 10 days after the official publication of the said order.

Order of the Ministry of Regional Development of the Russian Federation dated October 6, 2009 No. 460 “On the additional issuance of a state housing certificate”

In order to implement the subprogram “Fulfillment of state obligations to provide housing for categories of citizens established by federal legislation,” the federal target program“Housing” for 2002-2010 (hereinafter referred to as the Subprogram), approved by Decree of the Government of the Russian Federation of December 31, 2005 No. 865 (Collected Legislation of the Russian Federation, 2006, No. 6, Art. 694), in accordance with the Rules for Issue and Sale state housing certificates as part of the implementation of the Subprogram, approved by Decree of the Government of the Russian Federation of March 21, 2006 No. 153 (Collected Legislation of the Russian Federation, 2006, No. 13, Art. 1405; 2007, No. 43, Art. 5208, 2008, No. 15, Art. 1564; 2009, No. 20, Art. 2472), and by order of the Government of the Russian Federation of August 30, 2006 No. 1207-r (Collected Legislation of the Russian Federation, 2006, No. 37, Art. 3895), I order:

1. As part of the implementation of the Subprogram, carry out the additional issuance of a state housing certificate of the “MC” series on the allocation of social payments for the purchase of housing to citizens participating in the Subprogram in an amount within the balance of unused subsidy funds as of September 20, 2009, allocated in accordance with the order of the Federal Agency for Construction and Housing and Communal Services dated September 18, 2006 No. 232 “On the issue and issuance of state housing certificates” of the Samara Region, in the amount of 1,085,100 one million eighty-five thousand one hundred) rubles.

2. The federal state institution “United Directorate for the Implementation of Federal Investment Programs” (Yu.V. Ilek) should ensure that the form of the state housing certificate of the “MC” series is sent to the Samara region.

3. Control over the implementation of this order shall be assigned to the Deputy Minister of Regional Development of the Russian Federation S.I. Kruglika.

Order of the Ministry of Regional Development of the Russian Federation dated October 6, 2009 No. 460 “On the additional issuance of a state housing certificate”

In accordance with the Decree of the Government of the Russian Federation of October 11, 2001 N 712 “On the extension of the effect of paragraph four of paragraph 1 of the Decree of the Government of the Russian Federation of August 25, 1999 N 936 to the children of military personnel, employees of internal affairs bodies, institutions and criminal executive bodies system, died (missing) in 1994 - 1997 while performing tasks in an armed conflict of a non-international nature in the Chechen Republic" (Collected Legislation of the Russian Federation, 2001, No. 43, Art. 4096) I order:

1. Military commissariats shall ensure the payment from January 1, 2002 of a monthly allowance to the children of military personnel who served under contract and died (missing in action) in 1994 - 1997 while performing tasks in a non-international armed conflict in the Chechen Republic and adjacent areas in the territories of the North Caucasus classified as a zone of armed conflict, in the amount and manner provided for by Decree of the Government of the Russian Federation of August 25, 1999 N 936 “On additional measures for the social protection of family members of military personnel and employees of internal affairs bodies directly involved in the fight against terrorism on the territory of the Republic of Dagestan and those killed (missing in action) while performing official duties" (Collected Legislation of the Russian Federation, 1999, No. 35, Art. 4321; 2001, No. 1 (Part II), Art. 130; No. 43, Art. 4096; 2003, No. 33, Article 3269; 2006, No. 41, Article 4258; 2007, No. 1 (Part II), Article 250).

(as amended by Order of the Minister of Defense of the Russian Federation dated August 13, 2009 N 867)

2. Payment of the specified benefit shall be made from funds provided in the federal budget for the payment of pensions to military personnel and members of their families.

3. Control over the implementation of this Order is entrusted to the Deputy Minister of Defense of the Russian Federation for financial and economic work.

(as amended by Order of the Minister of Defense of the Russian Federation dated August 13, 2009 N 867)

The association assists in the provision of services in the sale of timber: the cost of 1 cubic meter of timber at competitive prices on an ongoing basis. Forest products of excellent quality.

Order 460 of 2006

MINISTER OF DEFENSE OF THE RUSSIAN FEDERATION

ON APPROVAL OF THE REGULATIONS

1. Approve and put into effect from December 1, 2008 the attached Regulations on the organization and conduct of civil (local) defense in the Armed Forces of the Russian Federation.

2. The Chief of Logistics of the Armed Forces of the Russian Federation - Deputy Minister of Defense of the Russian Federation, in the prescribed manner, submit proposals to bring the regulatory legal acts of the Ministry of Defense of the Russian Federation into compliance with the Regulations specified in paragraph 1 of this Order.

to the Order of the Minister of Defense

2008 N 460

ON THE ORGANIZATION AND CONDUCT OF CIVIL (LOCAL) DEFENSE

IN THE ARMED FORCES OF THE RUSSIAN FEDERATION

I. GENERAL PROVISIONS

1. These Regulations have been developed in accordance with Federal Law No. 61-FZ of May 31, 1996 “On Defense”, Federal Law No. 28-FZ of February 12, 1998 “On Civil Defense”, Decree of the President of the Russian Federation of August 16 2004 N 1082 “Issues of the Ministry of Defense of the Russian Federation” and in pursuance of the Decree of the Government of the Russian Federation of November 26, 2007 N 804 “On approval of the Regulations on civil defense in the Russian Federation” and defines the tasks, activities, order of organization and management, composition forces and means of civil (local) defense of the Armed Forces of the Russian Federation.

Further in the text of these Regulations, unless otherwise stated, will be referred to for brevity as: the Ministry of Defense of the Russian Federation - the Ministry of Defense; Armed Forces of the Russian Federation - Armed Forces; General Staff of the Armed Forces of the Russian Federation - General Staff; Ministry of the Russian Federation for Civil Defense, Emergency Situations and Disaster Relief - EMERCOM of Russia; civil (local) defense of the Armed Forces - civil (local) defense; territorial and local garrisons - garrisons; civilian personnel of the Armed Forces of the Russian Federation - civilian personnel.

2. Civil (local) defense in the Armed Forces is organized in accordance with the Constitution of the Russian Federation, federal constitutional laws, federal laws, regulatory legal acts of the President of the Russian Federation, the Government of the Russian Federation, the Ministry of Emergency Situations of Russia and the Ministry of Defense.

3. Civil (local) defense in the Armed Forces is a system of measures implemented by military authorities to prepare for defense and to protect personnel, civilian personnel of military units and organizations of the Armed Forces, the population of military camps, supplies of material resources and production facilities from dangers arising during the conduct of military operations or as a result of these actions, as well as in the event of emergencies of a natural and man-made nature.

4. Civil defense is organized at facilities that are not used to effectively support military operations and are not military installations.

Article 52 of the Additional Protocol to the Geneva Conventions of 12 August 1949, relating to the protection of victims of international armed conflicts (Protocol I, Geneva, 8 June 1977).

5. Local defense is organized at military installations that, by virtue of their nature, location, purpose or use, make an effective contribution to military operations and the complete or partial destruction, capture or neutralization of which in the conduct of military operations gives the enemy a clear military advantage.

6. Civil defense, taking into account the specifics of the organization and activities of troops (forces), as well as in the interests of the integrity of the operational-strategic management of the Armed Forces, is carried out in the local defense system.

II. MAIN GOALS

7. The main tasks of civil (local) defense are:

training of leadership and management bodies of civil (local) defense, non-standard emergency rescue units of civil (local) defense, training of civilian personnel and the population of military camps in methods of protection against dangers arising during the conduct of military operations or as a result of these actions, as well as in the event of emergency situations of natural and man-made nature;

notifying the personnel of installations and the population of military camps about the dangers arising during the conduct of military operations or as a result of these actions, as well as in the event of emergencies of a natural and man-made nature;

dispersal of installation personnel, evacuation of the population of military camps to safe areas;

accumulation and maintenance of a fund of protective structures for sheltering personnel of objects and the population of military camps, providing civilian personnel of objects and the population of military camps with means personal protection respiratory organs;

carrying out measures for light and other types of camouflage of objects;

carrying out emergency rescue operations in the event of dangers arising for the personnel of facilities and the population of military camps during the conduct of military operations or as a result of these actions, as well as due to emergencies of a natural and man-made nature;

priority life support for the personnel of installations and the population of military camps affected by military operations or as a result of these actions, as well as in emergency situations of a natural and man-made nature;

fighting fires that occurred during military operations or as a result of these actions;

detection and designation of areas in garrisons and facilities exposed to radioactive, chemical, biological and other contamination;

sanitary treatment of personnel of facilities and the population of military camps, disinfection of buildings and structures, special treatment of weapons, military and special equipment, territories of facilities and military camps during military operations or as a result of these actions;

restoration and maintenance of order in garrisons, facilities and military camps damaged during military operations or as a result of these actions, as well as due to natural and man-made emergencies;

urgent restoration of the functioning of necessary public services in garrisons, installations and military camps in war time, as well as in emergency situations of a natural and man-made nature;

development and implementation of measures aimed at ensuring the sustainable functioning of facilities of important defense importance in wartime;

ensuring the constant readiness of civil (local) defense forces and means.

III. MAIN CIVIL (LOCAL) DEFENSE EVENTS

8. The main activities of civil (local) defense, carried out in order to solve the problem related to the training of the leadership and management bodies of civil (local) defense, emergency rescue units of civil (local) defense, with the training of civilian personnel and the population of military camps methods of protection against dangers arising during military operations or as a result of these actions, as well as in the event of emergencies of a natural and man-made nature, are:

development of normative and methodological support for the training of management personnel, civil (local) defense authorities, emergency rescue units of civil (local) defense, civilian personnel and the population of military camps within the framework of unified system training the population in the field of civil defense and protection from natural and man-made emergencies;

planning and implementation of training for management personnel and civil (local) defense management bodies, emergency rescue units of civil (local) defense, training of civilian personnel and the population of military camps in methods of protection against dangers arising during the conduct of military operations or as a result of these actions, with the occurrence of emergencies of a natural and man-made nature, as well as the procedure for acting on warning signals, methods of providing first aid medical care, rules for the use of collective and individual protective equipment;

creation of classrooms and civil (local) defense corners for conducting classes with civilian personnel; creation of consultation centers in military camps to conduct classes with the population.

9. The main measures of civil (local) defense carried out in order to implement the task associated with notifying the personnel of installations and the population of military camps about the dangers arising during the conduct of military operations or as a result of these actions, as well as in the event of emergencies of a natural and man-made nature, are:

inclusion of objects in centralized warning systems of military districts and fleets, centralized warning systems of civil defense, local warning systems of potentially dangerous objects;

creation of radio networks for civil (local) defense of garrisons, modernization of radio and wire communication systems at facilities;

creation of local warning systems at potentially dangerous civil (local) defense facilities.

10. The main civil (local) defense measures carried out in order to solve the problem associated with the dispersal of personnel of installations and the evacuation of the population of military camps to safe areas are:

determination, together with military command and control bodies (organizational and mobilization), executive authorities of the constituent entities of the Russian Federation and local government bodies of areas for the placement of dispersed personnel of objects in the suburban area and safe areas for the evacuation of the population of military camps;

creation and organization of activities of evacuation bodies for the dispersal of personnel of facilities and evacuation bodies for the removal (withdrawal) of the population of military camps, as well as training of personnel of these bodies;

planning and organizing the removal (withdrawal) of personnel from facilities to dispersal areas, their placement and delivery to the place of work and back;

planning and organizing the removal (withdrawal) of the population of military camps to safe areas and their placement;

training the personnel of the installations in actions to carry out dispersal measures and the population of military camps in actions to carry out evacuation measures.

11. The main measures of civil (local) defense carried out in order to solve the problem associated with the accumulation and maintenance of a fund of protective structures for sheltering personnel of objects and the population of military camps, providing civilian personnel of objects and the population of military camps with personal respiratory protection means are :

construction, maintenance in a state of constant readiness for intended use and maintenance of protective structures and their technical systems;

adaptation in peacetime and in times of threat of buried premises for sheltering personnel of installations and the population of military camps;

preparation in peacetime and construction during a period of threat of prefabricated protective structures with simplified internal equipment and shelters of the simplest type;

providing shelter for personnel of installations and the population of military camps in protective structures;

generalization and submission to supplying authorities of the need for personal protective equipment, organization of their receipt, storage and issuance in a timely manner.

12. The main civil (local) defense measures carried out in order to solve the problem associated with light and other types of camouflage of objects are:

determining the list of objects to be masked;

development of plans for the implementation of comprehensive camouflage of objects located in cities that are duly assigned to civil defense groups and/or that are likely targets when using modern weapons;

creation and maintenance in a state of constant readiness for intended use of reserves of material and technical means necessary for carrying out measures to implement light and other types of camouflage of objects;

carrying out engineering and technical measures to reduce the unmasking signs of objects.

13. The main measures of civil (local) defense carried out in order to solve the problem associated with carrying out emergency rescue operations in the event of dangers for personnel of objects and the population of military camps during military operations or as a result of these actions, as well as due to natural emergencies and technogenic nature are:

creation, equipment and training of emergency rescue units of civil (local) defense at sites, as well as the development of plans for their actions;

creation and maintenance of reserves of material and technical means in readiness for intended use for comprehensive provision of emergency rescue operations;

participation in development modern technologies and technical means for carrying out emergency rescue operations;

organization of interaction with territorial bodies of the Ministry of Emergency Situations of Russia and civil defense forces.

14. The main measures of civil (local) defense carried out in order to solve the problem associated with the primary life support of personnel of objects and the population of military camps affected by military operations or as a result of these actions, as well as in emergency situations of a natural and man-made nature, are:

planning and organization of basic types of life support for personnel of installations and the population of military camps;

creation and maintenance of stocks of material, technical, medical, food and other means in readiness for intended use;

rationed supply of affected personnel of facilities and the population of military camps with food and non-food products, provision of public services;

carrying out sanitary, hygienic and anti-epidemic measures among the personnel of installations and the population of military camps affected by military operations or as a result of these actions;

deployment of first aid stations and provision of first aid first aid to the affected personnel of the installations and the population of military camps;

evacuating victims to medical institutions;

determination of the population of military camps left without housing;

organizing the placement of the population of military camps left homeless in preserved buildings and structures, as well as in temporary housing (tents, dugouts, etc.);

providing personnel of installations and the population of military camps with information and psychological support.

15. The main measures of civil (local) defense carried out in order to implement the task related to the fight against fires that arose during military operations or as a result of these actions are:

creation (in the absence of regular fire-fighting units at the sites) as part of non-standard emergency rescue units of civil (local) defense of non-standard fire-fighting units, equipping them with material and technical means and preparing for actions as intended;

extinguishing fires in areas where emergency rescue and other urgent work is carried out in wartime;

extinguishing fires at facilities and military camps in wartime;

organization of interaction when extinguishing fires at facilities and in military camps with regular fire-fighting units of garrisons, other military units and organizations of the Armed Forces, as well as with units of the State Fire Service of the Ministry of Emergency Situations of Russia and other types of fire protection.

16. The main measures of civil (local) defense carried out in order to solve the problem associated with the detection and designation of areas in garrisons and facilities exposed to radioactive, chemical, biological and other contamination are:

planning and organizing the activities of chemical and special laboratories, sanitary-epidemiological and veterinary-epizootic organizations available in garrisons and at facilities for detection and identification various types contamination (pollution);

creation, equipping with material and technical means and organizing activities at the sites of non-standard observation posts from non-standard emergency rescue units of civil (local) defense;

introduction of radiation protection regimes in garrisons, facilities and military camps exposed to radioactive contamination;

participation in improving methods and technical means for monitoring the state of the radiation, chemical, biological situation, including in assessing the degree of contamination and contamination of food and objects environment radioactive, chemical and biological substances.

17. The main measures of civil (local) defense carried out in order to solve the problem associated with the sanitary treatment of personnel of objects and the population of military camps, disinfection of buildings and structures, special treatment of weapons, military and special equipment, territories of objects and military camps under the control of military actions or as a result of these actions are:

early creation of stocks of decontaminating, degassing and disinfecting substances and solutions at sites and military camps;

creation of non-standard radiation, chemical and biological protection units at facilities as part of non-standard emergency rescue units of civil (local) defense to carry out sanitary treatment of personnel and the population of military camps, disinfection of equipment, buildings and territories, their equipment and organization of their activities;

organization of activities for the disinfection of equipment, buildings and territories, sanitary treatment of personnel of facilities and the population of military camps.

18. The main measures of civil (local) defense carried out in order to solve the problem associated with restoring and maintaining order in garrisons, facilities and military camps damaged during military operations or as a result of these actions, as well as due to natural and man-made emergencies character are:

creation and organization of activities at facilities as part of non-staff emergency rescue units of civil (local) defense of non-staff commandant units;

restoration and protection of public order, ensuring the movement of forces and equipment to carry out emergency rescue and other urgent work, implementing access control and maintaining order in hot spots and emergency zones at facilities and military camps;

organization of accounting and placement of personnel of objects during dispersal;

ensuring the delivery of work shifts of objects from dispersal areas to the place of work and back;

prevention and timely suppression of crimes and other illegal actions, accounting for losses of personnel of objects and the population of military camps, protection of material assets of objects;

organization of interaction when performing tasks with regular commandant units of garrisons, with military units and organizations of the Armed Forces and other military formations and bodies.

19. The main civil (local) defense measures carried out in order to solve the problem associated with the urgent restoration of the functioning of necessary public services in garrisons, facilities and military camps in wartime, as well as in emergency situations of a natural and man-made nature, are:

ensuring the readiness of public utilities to work in wartime conditions, developing plans for their actions;

creating stocks of equipment and spare parts for repairing damaged gas, energy and water supply systems;

creation and preparation of a reserve of mobile equipment for water purification, desalination and transportation;

creation at water supply stations managed by facilities and military camps of the necessary reserves of reagents, reagents, preservatives and disinfectants;

creation of reserves of tanks and containers, prefabricated pipelines, mobile backup and autonomous energy sources, other necessary equipment and technical means.

20. The main civil (local) defense activities carried out in order to solve the problem associated with the development and implementation of measures aimed at ensuring the sustainable functioning of facilities of important defense importance in wartime are:

creation and organization of work in peacetime and wartime of commissions on issues of increasing the sustainability of the functioning of facilities;

rational placement of facilities and infrastructure, as well as means of production in accordance with the requirements of building codes and rules for the implementation of engineering and technical measures of civil defense;

development and implementation of measures aimed at increasing the reliability of the functioning of gas, energy and water supply systems and sources;

development and implementation in peacetime and wartime of engineering and technical measures for civil defense;

planning, preparing and conducting emergency rescue and other urgent work at facilities that continue to operate in wartime;

advance creation of reserves of material and technical resources necessary to maintain and (or) restore the production process;

Creation insurance fund documentation;

increasing the effectiveness of protection production assets when exposed to modern weapons.

21. The main civil (local) defense activities carried out in order to solve the problem associated with ensuring the constant readiness of civil (local) defense forces and means are:

creation, equipping with modern technical means and organizing training in civil (local) defense of combat crews of control points and emergency rescue units of civil (local) defense of objects;

development and clarification of civil (local) defense plans, plans for the protection of the population of military camps;

participation in the development of highly efficient technologies for carrying out emergency rescue and other urgent work;

planning interaction with the civil defense forces of the Russian Ministry of Emergency Situations (hereinafter referred to as civil defense forces) when solving tasks as intended.

22. Civil (local) defense activities are carried out at facilities, with the exception of buildings that house military command and control bodies of the central apparatus of the Ministry of Defense, military command and control bodies of branches (arms) of the Armed Forces, military districts, fleets, armies and flotillas, as well as units communications between formations, missile launch sites, airfields, military commissariats and other military units and organizations of the Armed Forces, in which the protection of personnel, civilian personnel and material assets, carrying out rescue and other urgent work, and preparing the necessary forces and means are carried out according to plans for combat and mobilization readiness and combat support.

IV. BASICS OF CIVIL (LOCAL) DEFENSE ORGANIZATION

23. Local defense activities are planned and carried out at facilities specified in the list of local defense facilities of the Armed Forces.

24. Civil defense activities are planned and carried out at facilities specified in the list of civil defense facilities of the Armed Forces.

25. Lists of local and civil defense facilities of the Armed Forces (hereinafter referred to as lists of facilities) are developed by the local defense management body of the Armed Forces on the proposal of the commanders-in-chief of the branches of the Armed Forces, commanders of the troops of military districts, fleets, branches of the Armed Forces, heads of the main and central departments of the Ministry of Defense and are approved by the Chief of Logistics of the Armed Forces of the Russian Federation - Deputy Minister of Defense of the Russian Federation.

The procedure for developing and approving lists of objects is determined by legal acts of the Ministry of Defense.

26. Non-standard emergency rescue units (hereinafter referred to as formations) of civil (local) defense are created at the facilities.

The procedure for creating and organizing the activities of civil (local) defense units, their composition and equipment are determined by the legal acts of the Ministry of Defense.

27. In military hospitals and sanatoriums to strengthen medical units In other facilities, medical and nursing teams are being created.

On the basis of existing chemical and special laboratories in garrisons and at facilities, medical organizations chemical and medical laboratories for civil (local) defense, first aid stations, sanitary washing stations, clothing disinfection stations and special treatment points for weapons, military and special equipment (hereinafter referred to as civil (local) defense organizations) are being deployed.

28. In local garrisons, within the boundaries of which there are two or more objects, as well as in territorial garrisons, civil (local) defense tasks are planned and carried out.

The composition of local garrisons and their ranks are determined by the list of local garrisons in which civil (local) defense tasks are planned and carried out, developed by the local defense management body of the Armed Forces on the proposal of the commanders of military districts (fleets) and approved by the Chief of Logistics of the Armed Forces of the Russian Federation - Deputy Minister defense of the Russian Federation.

The procedure for developing and approving the list of local garrisons in which civil (local) defense tasks are planned and carried out is determined by the legal acts of the Ministry of Defense.

The list of territorial garrisons and their boundaries are approved by order of the Minister of Defense of the Russian Federation on the proposal of the commanders of military districts.

Article 1 of the Charter of the garrison and guard services of the Armed Forces of the Russian Federation.

29. In military units not classified as local defense facilities, to which military camps are assigned, civil defense tasks are planned and carried out in terms of ensuring the protection of the population from dangers arising during the conduct of military operations or as a result of these actions, as well as in the event of natural emergencies and technogenic nature.

The composition of military camps is determined by a list of military towns developed by the local defense management body of the Armed Forces on the proposal of the commanders-in-chief of the branches of the Armed Forces, commanders of troops of military districts, fleets, branches of the Armed Forces, heads of the main and central departments of the Ministry of Defense and approved by the chief of logistics of the Armed Forces of the Russian Federation - Deputy Minister of Defense of the Russian Federation.

The procedure for developing and approving the list of military camps is determined by the legal acts of the Ministry of Defense.

V. MANAGEMENT OF CIVIL (LOCAL) DEFENSE

AND RESPONSIBILITIES OF OFFICERS

30. General management of civil (local) defense in the Armed Forces, control over its condition and readiness is carried out by the Minister of Defense of the Russian Federation through the Chief of Logistics of the Armed Forces of the Russian Federation - Deputy Minister of Defense of the Russian Federation.

31. Management of civil (local) defense in the branches and branches of the Armed Forces, in military districts, in fleets, in formations and formations (except for combined arms), in the main and central directorates of the Ministry of Defense, garrisons and at facilities is carried out by the relevant commanders (chiefs) .

32. Direct management of civil (local) defense and control over its condition and readiness is carried out by:

in the branches and branches of the Armed Forces, in military districts, in fleets, in formations and formations (except for combined arms) - chiefs of logistics - deputy commanders-in-chief (commanders, commanders) for logistics;

in the main and central departments of the Ministry of Defense - one of the deputy heads of the department;

in garrisons - military commandants of garrisons;

In garrisons where a full-time position of a military garrison commandant is not provided, the management of civil (local) defense, control over its condition and readiness is carried out through one of the deputy garrison commanders.

at facilities - chiefs of staff or deputy heads of facilities;

in military units not classified as local defense facilities and to which military camps are assigned - logistics chiefs - deputy commanders for logistics (material and technical support).

33. Planning and organization of civil (local) defense activities, control over their implementation in the Ministry of Defense, branches and branches of the Armed Forces, main and central departments of the Ministry of Defense, associations and formations, garrisons and facilities are carried out by specially created in accordance with the law of the Russian Federation by civil (local) defense authorities or civil (local) defense officials.

The composition and procedure for the creation of civil (local) defense management bodies and the appointment of civil (local) defense officials are determined by the legal acts of the Ministry of Defense.

34. The main tasks of civil (local) defense authorities and civil (local) defense officials are:

organization of planning and implementation of civil (local) defense activities;

organization of training of non-standard emergency rescue units in civil (local) defense and training of civilian personnel, the population of military camps in methods of protection from dangers arising during the conduct of military operations or as a result of these actions, as well as in the event of emergencies of a natural and man-made nature;

participation in organizing the creation and maintenance of material and technical supplies for the purposes of civil (local) defense;

organizing planning and carrying out activities to maintain the sustainable functioning of facilities in wartime;

organization of the creation and maintenance of civil (local) defense formations in readiness for action;

organization of interaction with territorial bodies of the Ministry of Emergency Situations of Russia.

VI. CIVIL (LOCAL) DEFENSE PLANNING

35. The main document for planning civil (local) defense is the civil (local) defense plan developed in accordance with the established procedure.

36. Local defense plans are developed in military districts, fleets, garrisons and local defense facilities.

Civil defense plans are developed at civil defense facilities.

37. Civil (local) defense plans are developed:

in military districts (in fleets) - by local defense management bodies with the involvement of headquarters officials, commanders of military branches, and deputies (for armaments and logistics) of the commander of the military district (fleet);

in garrisons - by military commandants of garrisons with the involvement of the heads of garrison services; in garrisons where the regular position of a military commandant of the garrison is not provided - by the headquarters of the military unit, the commander of which is the head of the garrison;

In garrisons, the local defense plan is a section of the action plan for fulfilling the tasks of the garrison service (Article 22 of the Charter of the Garrison and Guard Services of the Armed Forces of the Russian Federation).

at facilities - by the chief of staff or deputy head of the facility with the involvement of the heads of facility services.

38. Planning and implementation of civil (local) defense measures provided for by the plans is carried out according to the degrees of civil defense combat readiness. At the same time, the dispersal of working shifts of objects remaining in wartime in cities classified as civil defense groups, as well as separate objects of special importance, is carried out by special order.

39. The evacuation of family members of military personnel is planned and carried out in the manner determined by the General Staff, and is not included in civil (local) defense plans.

In military units that are not classified as civil (local) defense facilities and have military camps, civil defense plans are being developed.

40. When planning, preparing and conducting civil (local) defense activities, the military command and control bodies of the Armed Forces take measures to ensure the secrecy and secrecy of the transfer of troops to various degrees combat readiness.

VII. CIVIL (LOCAL) DEFENSE TRAINING

41. Training of civil (local) defense specialists for the Armed Forces is carried out at the Vystrel Training Center of the Combined Arms Academy of the Armed Forces of the Russian Federation.

By agreement with the Russian Ministry of Emergency Situations, training of civil (local) defense specialists can be carried out at the Academy of Civil Defense of the Ministry of the Russian Federation for Civil Defense, Emergencies and Disaster Relief.

42. In garrisons and at facilities, in order to increase readiness for skillful and coordinated actions to solve civil (local) defense problems, training is carried out for management personnel, unit commanders and personnel of civil (local) defense formations.

By agreement with the territorial bodies of the Ministry of Emergency Situations of Russia, training of the management staff of local defense of garrisons and the management of civil (local) defense facilities can be carried out in educational and methodological centers of civil defense.

43. Training in educational and methodological centers of civil defense is carried out with a break from the main work of no more than 12 days a year, and with personnel of civil (local) defense formations - no more than 5 days a year, maintaining average earnings and paying for business trips in accordance with the legislation of the Russian Federation.

The specified payments to persons seconded for training disputes are made by the military units and organizations of the Armed Forces in which they work.

44. In military command bodies, associations, formations, military units and organizations of the Armed Forces, civilian personnel are trained in methods of protection in conditions of dangers arising during military operations or as a result of these actions, as well as in the event of emergencies of a natural and man-made nature.

At civil (local) defense facilities, training is carried out with civilian personnel who are not part of the civil (local) defense formation.

Training is carried out by an official appointed by the commander (chief) from among the most trained civilian personnel at the place of work without interrupting them from work in the form of lectures and practical exercises.

45. In military units that are not classified as civil (local) defense facilities, to which military camps are assigned, training is organized for the population of the military camp in methods of protection in the face of dangers arising during military operations and emergency situations of a natural and man-made nature.

VIII. PREPARATION FOR CONDUCTING AND CONDUCTING

CIVIL (LOCAL) DEFENSE

46. ​​Preparation for the conduct and conduct of civil (local) defense includes advance preparation and implementation of measures to protect the personnel of installations, the population of military camps, material and cultural values ​​from dangers arising during the conduct of military operations or as a result of these actions, as well as the occurrence of natural and man-made emergencies.

47. Preparation for civil (local) defense is carried out in peacetime according to plans for implementing the main activities of civil (local) defense for the current year.

48. The conduct of civil (local) defense begins from the moment of declaration of a state of war, the actual outbreak of hostilities or the introduction by the President of the Russian Federation of martial law throughout the territory of the Russian Federation or in its individual localities, as well as in the event of emergencies of a natural and man-made nature.

49. The organization of civil (local) defense in the Armed Forces is built on a territorial principle according to the scheme: military district (fleet) - territorial garrison - local garrison - object, military camp.

50. Civil (local) defense is organized:

in military districts (fleets) - by the commanders of the troops of the military districts (fleets) through the chiefs of logistics - deputy commanders of the troops of the military districts (fleets) for the rear;

in garrisons - by the commanders of the garrisons through the military commandants of the garrisons; in garrisons where the full-time position of military commandant of the garrison is not provided - through one of the deputy chiefs of the garrison;

at facilities - by the heads of facilities through the chiefs of staff or deputy heads of facilities;

in military units that are not classified as local defense facilities and to which military camps are assigned - by the commanders of military units through the chiefs of logistics - deputy commanders for logistics (material and technical support).

51. The organization of management on special issues when dealing with civil (local) defense is carried out by the relevant heads of services of the military district (fleet) and garrison.

In military units and organizations of the Armed Forces, where the staff does not provide for the positions of heads of relevant services, the performance of their duties is assigned to one of the officials from among the most trained in relevant special issues.

52. The organization of management in the conduct of civil (local) defense in peacetime consists of the purposeful activities of the leadership and management bodies of civil (local) defense to maintain the constant readiness of civil (local) defense forces and means, training civilian personnel and the population of military camps in actions in conditions of dangers arising from military operations and emergency situations of a natural and man-made nature.

53. The organization of management in the conduct of civil (local) defense in emergency situations of a natural and man-made nature is aimed at ensuring the protection of personnel, civilian personnel of facilities and the population of military camps from emerging dangers; carrying out emergency rescue and other urgent work in garrisons and at facilities to eliminate the consequences of accidents, catastrophes and natural disasters.

54. The organization of management during the conduct of civil (local) defense during a period of threat and during the transfer of troops (forces) from peacetime to wartime is aimed at bringing the local defense system into readiness to carry out tasks and consists in implementing the plans of the accounting year for the construction (retrofitting) of missing and bringing available protective structures into readiness, staffing civil (local) defense formations with civil (local) personnel and property, defense to established standards, clarifying civil (local) defense plans.

The volume, organization, order, methods and timing of measures to bring civil (local) defense to the established degrees of readiness, carried out during a period of threat and during the transition from peacetime to wartime, are determined by the civil (local) defense plan of the Armed Forces.

55. The organization of management in the conduct of civil (local) defense in conditions of military operations is aimed at ensuring the protection of personnel, civilian personnel of installations and the population of military camps from modern weapons, reducing the effectiveness of their use, carrying out rescue and other urgent work in garrisons and at facilities exposed to the combat effects of modern weapons, the resumption of service and production activities of facilities that were not disabled.

IX. ORGANIZATION OF INTERACTION

ON CIVIL (LOCAL) DEFENSE ISSUES

56. Interaction on issues of civil (local) defense is organized in the prescribed manner in order to ensure coordinated actions of the Armed Forces, civil defense forces, executive authorities and forces of other departments involved in or ensuring the implementation of civil (local) defense tasks.

Interaction is organized according to tasks, place, time and methods of joint action.

57. When organizing interaction between civil (local) defense forces of the Armed Forces and civil defense forces, the following are agreed upon: the procedure for mutual notification of dangers arising during military operations and emergency situations; organization of reconnaissance of sources of nuclear damage, zones of radioactive, chemical, bacteriological contamination and catastrophic flooding; establishment of a unified system of radiation and chemical surveillance and laboratory control; procedures for sharing relevant intelligence data; the procedure for using in mutual interests the terrain in the suburban area, communication routes, bridges and crossings, transport and communications; initial areas of civil defense forces allocated to carry out rescue and other urgent work; routes for civil defense forces to reach work sites; the procedure for carrying out emergency rescue and other urgent work by civil defense forces at local defense facilities and in military camps; the procedure for organizing the curfew service and regulating traffic on routes to the suburban area; measures for mutual assistance with transport, medical, engineering, logistics and other issues that may arise during the conduct of civil (local) defense.

When organizing interaction with executive authorities, the following are agreed upon: the order of movement and placement of personnel in the suburban area; organizing the supply of food, basic necessities and medical supplies and other issues.

X. MATERIAL, TECHNICAL AND FINANCIAL SUPPORT

CIVIL (LOCAL) DEFENSE EVENTS

58. The provision of civil (local) defense property to garrisons, facilities and the population of military camps is carried out in accordance with the established procedure by the provisioning authorities of military districts (fleets) according to the relevant standards free of charge.

59. Civil (local) defense property received according to equipment standards is stored in the manner established for storing emergency reserve property, is accounted for separately from current allowance property and is refreshed in the prescribed manner.

60. It is permitted to use property of civil (local) defense (except Supplies) for classes and exercises, followed by putting it in order or replenishing something that has fallen into disrepair.

61. Providing facilities educational literature, visual aids, simulation tools and other types of educational equipment, as well as the production and replication of film and video materials for the training of civil (local) defense units of garrisons and facilities is carried out according to the relevant budget items of the Ministry of Defense.

62. The provision of centralized warning equipment and electric sirens is carried out free of charge, respectively, by the chiefs of communications and the heads of radiation, chemical and biological protection services of military districts (fleet) on the basis of the notification scheme for garrisons and civil (local) defense facilities of the military district (fleet).

The procedure for developing a notification scheme for garrisons and civil (local) defense facilities of a military district (fleet) is determined by the legal acts of the Ministry of Defense.

63. Providing personal protective equipment and carrying out preventive vaccinations to civilian personnel of facilities maintained at the expense of income from manufactured products, work performed and services provided is carried out on an equal basis with persons of civilian personnel of facilities maintained at the expense of funds allocated from the federal budget to the Ministry of Defense (hereinafter are called budgetary organizations).

64. The provision of filtering gas masks to the population of military camps is carried out in the manner prescribed by the relevant orders of the Minister of Defense of the Russian Federation and directives of the General Staff.

65. Electrical, filtering and other equipment for protective structures is supplied:

for new construction and major repairs of structures - at the expense of funds allocated for the construction and major repairs of these structures;

when installing or replacing non-mountable equipment of existing structures - free of charge through the radiation, chemical and biological protection services of military districts (fleets).

66. The supply of filter-ventilation units (units) for protective structures of local defense of garrisons and facilities is carried out by the radiation, chemical and biological protection services of military districts (fleets).

67. Financing of expenses associated with the installation and maintenance of centralized warning equipment, local warning systems, training in civil (local) defense, training of civilian personnel of facilities and the population of military camps, carrying out other civil (local) defense activities is carried out in budgetary organizations according to the relevant items of the Ministry of Defense budget.

68. Financing of the construction of new and reconstruction of existing protective structures (except for service military engineering structures), as well as the re-equipment of existing premises for protective structures for personnel, is carried out according to the capital construction plans of the branches and branches of the Armed Forces, the main and central departments of the Ministry of Defense according to the subordination of the facilities .

69. Major repairs of protective structures in budgetary organizations are financed from funds allocated for major repairs by the branches and branches of the Armed Forces, the main and central departments of the Ministry of Defense according to the subordination of the facilities.

70. Current repairs of protective structures are carried out according to plans for the current repair of buildings and structures, equipment budgetary organizations with payment for work according to the relevant items of the Ministry of Defense budget.

71. Expenses for the preparation and conduct of measures for civil (local) defense, carried out by commercial organizations that are part of the Armed Forces, in accordance with Decree of the Government of the Russian Federation of March 16, 2000 N 227 “On reimbursement of costs for the preparation and conduct of measures for civil defense” are reimbursed from the federal budget when these activities are included in the state defense order.

72. Expenses for the preparation and conduct of civil (local) defense activities, the reimbursement of which is not provided for in the state defense order, are accepted for deduction from the tax base for income tax as expenses associated with production and sales.

73. During the construction of new, expansion and reconstruction of existing facilities, engineering and technical measures of civil (local) defense are an integral part of the construction projects of these facilities.

74. The design assignment issued by the customer must indicate the category of the facility for civil (local) defense, the composition of the working shifts, the volume and nature of measures to protect personnel and ensure the survivability of the facility in wartime conditions. Assignments are coordinated with fire and rescue and local defense services and approved in the prescribed manner.

75. Design organizations of the Ministry of Defense are prohibited from accepting assignments for the design of new, expansion and reconstruction of existing civil (local) defense facilities and military camps that have not been agreed upon with the relevant fire and rescue and local defense services.

76. Responsibility for the development of projects for engineering and technical measures for civil (local) defense when designing the construction and reconstruction of facilities of the Ministry of Defense rests with the customers and heads of design organizations, and for the implementation of engineering and technical measures provided for by the projects - with customers and heads of construction organizations.

77. Monetary and material resources necessary to support civil (local) defense activities are included in estimates, applications and title lists submitted to the relevant funding authorities.

78. Heads of facilities are given the right to make monetary and material costs for the implementation of civil (local) defense measures in accordance with the legislation of the Russian Federation and legal acts of the Ministry of Defense.

XI. CONTROL OF ORGANIZATION AND CONDITION

CIVIL (LOCAL) DEFENSE

79. Control over the organization and state of civil (local) defense is organized and carried out during the preparation and implementation of civil (local) defense activities, as well as inspections, final and control checks of troops (forces), audits, exercises, training and classes.

80. Methods and elements of inspection, indicators of the state of civil (local) defense in the Armed Forces are established by Order of the Minister of Defense of the Russian Federation of 2006 N 042 “On the procedure for conducting inspections in the Armed Forces of the Russian Federation.”

81. State supervision in the field of civil defense is carried out by structural units of the central apparatus and territorial bodies EMERCOM of Russia, specially authorized to solve problems in the field of civil defense, in accordance with the Regulations on state supervision in the field of civil defense (Resolution of the Government of the Russian Federation of May 21, 2007 N 305).

State supervision in the field of civil defense in relation to civil defense facilities of the Armed Forces is carried out in agreement with the Minister of Defense of the Russian Federation.

and local defense

The association assists in the provision of services in the sale of timber: veneer logs at competitive prices on an ongoing basis. Forest products of excellent quality.

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MINISTRY OF HEALTH
RUSSIAN FEDERATION

On approval of the Instructions for declaring the death of a person based on the diagnosis of brain death


Lost force on January 1, 2016 on the basis
Order of the Ministry of Health of Russia dated December 25, 2014 N 908n
____________________________________________________________________


In accordance with the Law of the Russian Federation of December 22, 1992 N 4180-1 “On transplantation of human organs and (or) tissues” (Gazette of the Congress of People's Deputies of the Russian Federation and the Supreme Council of the Russian Federation, 1993, N 2, Art. 62)

I order:

Approve the Instructions for declaring the death of a person based on the diagnosis of brain death.

Minister
Yu. Shevchenko

Registered
at the Ministry of Justice
Russian Federation
January 17, 2002,
registration N 3170

Appendix Instructions for declaring the death of a person based on a diagnosis of brain death

I. General information

Brain death occurs with the complete and irreversible cessation of all brain functions, recorded with a beating heart and artificial ventilation. Brain death is equivalent to human death.

Decisive for declaring brain death is the combination of the fact that the functions of the entire brain have ceased with proof of the irreversibility of this termination.

The right to establish a diagnosis of brain death is provided by the availability of accurate information about the causes and mechanisms of development of this condition. Brain death can develop as a result of primary or secondary brain damage,

Brain death as a result of its primary damage develops due to a sharp increase in intracranial pressure and the resulting cessation of cerebral circulation (severe closed craniocerebral injury, spontaneous and other intracranial hemorrhages, cerebral infarction, brain tumors, closed acute hydrocephalus, etc.), as well as due to open craniocerebral injury, intracranial surgical interventions on the brain, etc.

Secondary brain damage occurs as a result of hypoxia of various origins, incl. in case of cardiac arrest and cessation or sharp deterioration of systemic circulation, due to long-term shock, etc.

II. Conditions for making a diagnosis of brain death

The diagnosis of brain death is not considered until the following effects have been excluded: intoxication, including drugs, primary hypothermia, hypovolemic shock, metabolic endocrine coma, as well as the use of narcotics and muscle relaxants.

Therefore, the first and indispensable condition for establishing a diagnosis of brain death is to prove the absence of exposure to drugs that depress the central nervous system and neuromuscular transmission, intoxication, metabolic disorders (including severe electrolyte, acid-base, and endocrine) and infectious brain lesions. During a clinical examination of the patient, the rectal temperature should be consistently above 32°C, systolic blood pressure should not be lower than 90 mmHg. (at lower blood pressure it should be raised by intravenous vasopressor drugs). In the presence of intoxication established as a result of a toxicological study, the diagnosis of brain death is not considered until its signs disappear.

III. A set of clinical criteria, the presence of which is mandatory to establish a diagnosis of brain death

3.1. Complete and persistent lack of consciousness (coma).

3.2. Atony of all muscles.

3.3. Lack of response to strong painful stimuli in the area of ​​the trigeminal points and any other reflexes that close above the cervical spinal cord.

3.4. Lack of pupil reaction to direct bright light. It should be known that no medications that dilate the pupils were used. The eyeballs are motionless.

3.5. Absence of corneal reflexes.

3.6. Absence of oculocephalic reflexes.

To induce oculocephalic reflexes, the doctor takes a position at the head of the bed so that the patient's head is held between the doctor's hands, and the thumbs lift the eyelids. The head turns 90 degrees in one direction and is held in this position for 3-4 seconds, then in the opposite direction for the same time. If, when turning the head, no eye movements occur and they staunchly maintain a median position, then this indicates the absence of oculocephalic reflexes. Oculocephalic reflexes are not examined in the presence or suspicion of traumatic injury to the cervical spine.

3.7. Absence of oculovestibular reflexes.

To study oculovestibular reflexes, a bilateral caloric test is performed. Before performing this procedure, it is necessary to ensure that there is no perforation of the eardrums. The patient's head is raised 30 degrees above the horizontal level. A small catheter is inserted into the external auditory canal, and the external auditory canal is slowly irrigated with cold water (temperature +20°C, 100 ml) for 10 seconds. With preserved function of the brain stem, nystagmus or deviation of the eyes towards the slow component of nystagmus appears after 20-25 seconds. The absence of nystagmus or deviation of the eyeballs during a caloric test performed on both sides indicates the absence of oculovestibular reflexes.

3.8. Absence of pharyngeal and tracheal reflexes, which are determined by the movement of the endotracheal tube in the trachea and upper respiratory tract, as well as by advancing the catheter in the bronchi for aspiration of secretions.

3.9. Lack of spontaneous breathing.

Registration of the absence of breathing is not allowed by simply disconnecting from the ventilator, since the hypoxia that develops in this case has a harmful effect on the body and, above all, on the brain and heart. The patient should be disconnected from the ventilator using a specially designed disconnection test (apneetic oxygenation test).

The disconnection test is carried out after the results according to paragraphs 3.1-3.8 are obtained. The test consists of three elements:

a) to monitor the blood gas composition (PaO and PaCO), one of the arteries of the limb must be cannulated;

b) before disconnecting the ventilator, it is necessary to perform mechanical ventilation for 10-15 minutes in a mode that provides normocapnia (PaCO - 35-45 mmHg) and hyperoxia (PaO at least 200 mmHg) - FiO = 1.0 (i.e. 100% oxygen), selected VE (minute ventilation), optimal PEEP (positive end expiratory pressure);

c) after performing points a) and b), the ventilator is turned off and humidified 100% oxygen is supplied to the endotracheal or tracheostomy tube at a rate of 6 liters per minute. During this time, endogenous carbon dioxide accumulates and is monitored by taking arterial blood samples. The stages of blood gas monitoring are as follows: 1) before the start of the test under mechanical ventilation; 2) 10-15 minutes after the start of mechanical ventilation with 100% oxygen; 3) immediately after disconnection from mechanical ventilation, then every 10 minutes until PaCO reaches 60 mmHg. If spontaneous respiratory movements are not restored at these or higher PaCO values, the disconnection test indicates about the absence of functions of the respiratory center of the brain stem. When minimal respiratory movements appear, mechanical ventilation is immediately resumed.

IV. Additional (confirmatory) tests to the set of clinical criteria when establishing a diagnosis of brain death

The diagnosis of brain death can be reliably established on the basis of clinical tests (see paragraphs 3.1-3.9). Additional tests are performed after identifying the signs described in paragraphs 3.1-3.9. An EEG study (see paragraph 4.1) is mandatory to confirm the clinical diagnosis of brain death in all situations where there are difficulties in performing paragraphs 3.6-3.7 (trauma or suspected injury of the cervical spine, perforation of the eardrums). Panangiography of the main arteries of the head (see paragraph 4.2) is carried out to shorten the required duration of observation (see paragraph 5).

4.1. Establishing the absence of electrical activity of the brain is carried out in accordance with the international provisions of electroencephalographic research in conditions of brain death. An EEG recording in which the amplitude of activity from peak to peak does not exceed 2 μV, when recording from scalp electrodes with a distance between them of at least 10 kOhm and with a resistance of up to 10 kOhm, but not less than 100 Ohm, is taken as electrical silence of the brain. Needle electrodes are used, at least 8, arranged according to the “10-20%” system, and 2 ear electrodes. The interelectrode resistance must be at least 100 Ohms and no more than 10 kOhms, the interelectrode distance must be at least 10 cm. It is necessary to determine the safety of switching and the absence of unintentional or intentional creation of electrode artifacts. Recording is carried out on the encephalograph channels with a time constant of at least 0.3 sec and a sensitivity of no more than 2 μV/mm (the upper limit of the frequency bandwidth is not lower than 30 Hz). Devices with at least 8 channels are used. EEG is recorded with bi- and monopolar leads. The electrical silence of the cerebral cortex under these conditions should remain for at least 30 minutes of continuous recording. If there is doubt about the electrical silence of the brain, repeated EEG registration is necessary. Assessment of EEG reactivity to light, loud sound and pain: the total stimulation time with light flashes, sound stimuli and painful stimuli is at least 10 minutes. The source of flashes, fired at a frequency of 1 to 30 Hz, should be located at a distance of 20 cm from the eyes. The intensity of sound stimuli (clicks) is 100 dB. The speaker is located near the patient's ear. Stimuli of maximum intensity are generated by standard photo- and phonostimulators. For painful stimulation, strong injections of the skin with a needle are used.

An EEG recorded by telephone cannot be used to determine the electrical silence of the brain.

4.2. When determining the absence of cerebral circulation, contrast double panangiography of the four main vessels of the head (common carotid and vertebral arteries) is performed with an interval of at least 30 minutes. Mean arterial pressure during angiography should be at least 80 mmHg.

If angiography reveals that none of the intracerebral arteries are filled with a contrast agent, then this indicates cessation of cerebral circulation.

V. Duration of observation

5.1. In case of primary brain damage, to establish the clinical picture of brain death, the duration of observation should be at least 6 hours from the moment of the first establishment of the signs described in paragraphs 3.1-3.9. At the end of this time, the results of the neurological examination are re-registered, revealing loss of brain functions in accordance with paragraphs 3.1-3.8. The disconnection test (see clause 3.9) is not performed again. This observation period can be shortened if, immediately after establishing the loss of brain functions in accordance with paragraphs 3.1-3.9, a double panangiography of the main arteries of the head is performed, revealing the cessation of cerebral circulation (see paragraph 4.2). In this situation, brain death is declared without further observation.

5.2. In case of secondary brain damage, to establish the clinical picture of brain death, the duration of observation should be at least 24 hours from the moment of the first establishment of the signs described in paragraphs 3.1-3.9, and if intoxication is suspected, the duration of observation increases to 72 hours. During these periods, the results of neurological examinations are recorded every 2 hours, revealing loss of brain functions in accordance with paragraphs 3.1-3.8. This observation period can also be shortened if, immediately after establishing the loss of brain functions in accordance with paragraphs 3.1-3.9, a double panangiography of the main arteries of the head is performed, revealing the cessation of cerebral circulation (see paragraph 4.2).

When recording neurological examinations, it is necessary to take into account that spinal reflexes and automatisms can be observed under conditions of ongoing mechanical ventilation.

VI. Establishing a diagnosis of brain death and documentation

6.1. The diagnosis of brain death is established by a commission of doctors of the medical institution where the patient is located, consisting of: a resuscitator-anesthesiologist with at least 5 years of experience in the intensive care unit and resuscitation unit and a neurologist with the same experience in the specialty. To conduct special research, the commission includes specialists in additional research methods with at least 5 years of experience in their specialty, including those invited from other institutions on an advisory basis. The appointment of the composition of the commission and approval of the Protocol for establishing brain death is carried out by the head of the intensive care unit where the patient is located, and during his absence - by the responsible duty doctor of the institution.

6.2. The commission cannot include specialists involved in organ retrieval and transplantation.

6.3. The main document is, which is important for stopping resuscitation measures and for organ removal. The Protocol for Determining Brain Death must indicate the data of all studies, the surnames, first names and patronymics of the doctors - members of the commission, their signatures, the date and hour of registration of brain death and, therefore, the death of a person (Appendix).

6.4. Responsible for diagnosing a person’s death are the doctors who determined brain death at the medical institution where the patient died.

6.5. These Instructions do not apply to the determination of brain death in children.

Appendix to the Instructions for ascertaining the death of a person based on a diagnosis of brain death

Brain death protocol

Brain death protocol

Surname

Date of Birth

N medical history

Diagnosis of a disease leading to brain death

consisting of:

anesthesiologist-resuscitator

neurologist

medical specialists

within ______ hours the patient’s condition was examined

and state that:

I. The following factors preventing the establishment of
diagnosis of brain death

(statement of factors is marked with the word “excluded”)

Blood systolic pressure
below 90 mm Hg.

(indicate numbers)

Rectal temperature below 32C

(indicate numbers)

Intoxication, including drugs

Muscle relaxants

Narcotic drugs

Metabolic or endocrine comas

Hypovolemic shock

Primary hypothermia

II. The following signs indicating cessation of function have been recorded:
cerebral hemispheres and brain stem

(statement of signs and data from additional tests is marked with the word “yes”)

complete and persistent absence

consciousness (coma)

lack of independent

lack of reaction to strong painful stimuli (pressure on the trigeminal points, sternum) and any other reflexes that close above the cervical spine

spinal cord

atony of all muscles

pupils do not react to light

pupil diameter is more than 5 mm

absence of corneal reflexes

absence of oculocephalic

reflexes

absence of oculovestibular

reflexes

absence of pharyngeal and tracheal reflexes (during movement of the endotracheal

tubes and airway sanitation)

absence of spontaneous breathing during the disconnection test (PaCO level must be at least

60 mmHg)

a) PaCO at the end of the apnea test

(indicate numbers)

b) RaO at the end of the apnea test

(in mmHg)

III. Additional (confirmatory) tests

(statement of these additional tests is marked with the word “yes”)

A. Electroencephalogram (full electrical

brain silence)

B. Cerebral panangiography (lack of filling of intracerebral

Size: px

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Transcript

1 EXAMPLE OF COMPLETION Approved by Decree of the President of the Russian Federation dated June 23, 2014 460 To the Department of Personnel Policy and Personnel Management of the Bank of Russia (indicate the name of the personnel department of the federal government agency, other body or organization) REFERENCE<1>about income, expenses, property and property obligations<2>I, Ivanov Ivan Ivanovich, born, passport series, issued by the city, Moscow, Department of Internal Affairs for the Levoberezhny district, (last name, first name, patronymic, Date of Birth, series and number of the passport, date of issue and authority that issued the passport) Department of Cash Circulation, Deputy Director of the Department, (place of work (service), position occupied (replaced); in the absence of the main place of work (service) - occupation; position , the replacement of which is applied for by a citizen (if applicable)) registered at the address: Moscow, st. Lavochkina, 6, apt. 105, I actually live at the address: Moscow region, Khimki, st. Lenina, 13, apt. 30, (address of place of registration) I provide information about the income, expenses of my wife, minor child (underline as appropriate) Ivanova Margarita Yuryevna, born, passport, issued in the city .Moscow, Department of Internal Affairs "Yaroslavsky" (last name, first name, patronymic, year of birth, series and number of passport, date of issue and authority that issued the passport), Moscow, Lavochkina st., 6, apt. 105, actually residing in address: Moscow region, Lenina St., 13, apt. 30 (address of registration, main place of work (service), position held (replaced)) to accountant LLC Begonia (in the absence of a main place of work ( service) - occupation) from February - housewife for the reporting period from January 1, 2014 to December 31, 2014 about property owned by Margarita Yuryevna Ivanova (last name, first name, patronymic) by right of ownership, about deposits in banks, securities , on liabilities of a property nature as of December 31, 2014 1 _To be completed in person or using a specialized software in the manner established by regulatory legal acts of the Russian Federation. 2 _Information is submitted by the person holding a position, the exercise of powers for which entails the obligation to provide such information (by a citizen applying to fill such a position), separately for himself, for his spouse and for each minor child.

2 Section 1. Information on income<3>Type of income Amount of income<4>Income from main place of work, 00 2 Income from teaching and scientific activity 0 3 Income from other creative activities 0 4 Income from deposits in banks and other credit institutions 12870.00 5 Income from securities and participation interests in commercial organizations 0 6 Other income (specify type of income): 0 7 Total income for the reporting period 93457 .00 3 _Income (including pensions, benefits, and other payments) for the reporting period is indicated. _ 4 _Income received in foreign currency is indicated in rubles at the Bank of Russia exchange rate on the date of receipt of income.


3 Section 2. Cost information<5>Type of acquired property Transaction amount Source of funds used to acquire the property Reason for acquisition<6>Land plots: 3) 2 Other real estate: 3 Vehicles: 4 Securities: 5 _Information on expenses is presented in the cases established by Article 3 of the Federal Law of December 3, 2012 230-FZ "On control over the compliance of expenses of persons replacing government positions, and other persons to their income." If there are no legal grounds for providing the specified information, this section is not completed. 6 _Indicate the name and details of the document that is the legal basis for the emergence of ownership rights. A copy of the document is attached to this certificate.


4 Section 3. Information about property 3.1. Real estate Type and name of property Type of ownership<7>Location (address) Area (sq. m) Reason for acquisition and source of funds<8>1 Land plots<9>: located in the dacha, horticultural and vegetable gardening associations Share (1/ Moscow region, Istrinsky district, Petrovo village, DNT "Stroitel", uch, 00 Certificate of ownership AA from, sales contract from Residential buildings, dachas: The dacha is in the stage construction Joint (spouse Ivanov Ivan Ivanovich, city) Moscow region, Istrinsky district, Petrovo village, DNT "Stroitel", uch, 0 Certificate of ownership of explosives from the Apartment: I do not have 4 Garages: I do not have 5 Other real estate: I do not have 7 _Indicate the type of ownership (individual, shared, common); for joint ownership, indicate other persons (full name or name) who own the property; for shared ownership, indicate the share of the person whose property information is provided. 8 _Indicate the name and details of the document that is the legal basis for the emergence of ownership rights, as well as in the cases provided for in Part 1 of Article 4 of the Federal Law of May 7, 2013 79-FZ “On the prohibition of certain categories of persons from opening and having accounts (deposits) and storing cash funds and valuables in foreign banks located outside the territory of the Russian Federation, own and (or) use foreign financial instruments", the source of funds from which the property was purchased. 9 _The type of land plot (share, share) is indicated: for individual housing construction, country house, garden, household, vegetable garden and others.


5 3.2. Vehicles Type, make, model of vehicle, year of manufacture Type of ownership<10>Place of registration Passenger cars: Daewoo Matiz, 2009 individual 3 department. MOTOTRER STSI Traffic Police Department of Internal Affairs for the Central Administrative District of Moscow 2 Trucks: 3 Motorized vehicles: 4 Agricultural machinery: 5 Water transport: 6 Air transport: 7 Other vehicles: 10 The type of ownership is indicated (individual, general); for joint ownership, other persons (full name or name) who own the property are indicated; for shared ownership, the share of the person whose property information is being presented is indicated.


6 Section 4. Information about accounts in banks and other credit organizations Name and address of the bank or other credit organization Type and currency of the account<11>Account opening date Account balance<12>Amount credited to the account Money <13>1 OJSC "Sberbank of Russia", Moscow, Vavilova St., 19 2 OJSC "Sberbank of Russia", Moscow, Vavilova St., 19 Deposit, ruble Current, ruble g, g, 12 11 _The type is indicated accounts (deposit, current, settlement, loan and others) and account currency. 12 _The account balance is indicated as of the reporting date. For accounts in foreign currency, the balance is indicated in rubles at the Bank of Russia exchange rate as of the reporting date. 13 _The total amount is indicated cash receipts to the account for the reporting period in cases where the specified amount exceeds the total income of the person and his spouse for the reporting period and the two years preceding it. In this case, the certificate is accompanied by an extract of cash flows on this account for the reporting period. For accounts in foreign currency, the amount is indicated in rubles at the Bank of Russia exchange rate as of the reporting date.


7 Section 5. Information on securities 5.1. Shares and other participation in commercial organizations and funds Name and legal form of the organization<14>Location of the organization (address) Authorized capital<15>Share of participation<16>Reason for participation<17>1 Does not have 14 _Indicate the full or abbreviated official name of the organization and its legal form (joint stock company, limited liability company, partnership, production cooperative, foundation and others). 15 _The authorized capital is indicated in accordance with the constituent documents of the organization as of the reporting date. For authorized capital expressed in foreign currency, the authorized capital is indicated in rubles at the Bank of Russia exchange rate as of the reporting date. 16 _Participation share is expressed as a percentage of the authorized capital. For joint stock companies, the par value and number of shares are also indicated. 17 _The basis for acquiring a participation interest (founding agreement, privatization, purchase, exchange, donation, inheritance, etc.) is indicated, as well as details (date, number) of the corresponding agreement or act.


8 5.2. Other securities Type of security<18>Person who issued the security Nominal value of the obligation Total quantity Total value<19>1 Does not have Total for section 5 “Information on securities” the total declared value of securities, including participation shares in commercial organizations. 18 _All securities are indicated by type (bonds, bills and others), with the exception of shares specified in subsection 5.1 "Shares and other participation in commercial organizations and funds." 19 _The total value of securities of this type is indicated based on the cost of their acquisition (if it cannot be determined - based on market value or nominal value). For liabilities expressed in foreign currency, the value is indicated in rubles at the Bank of Russia exchange rate as of the reporting date.


9 Section 6. Information on property obligations 6.1. Real estate objects in use<20>Type of property<21>Type and terms of use<22>Reason for use<23>Location (address) Area (sq. m) 1 Apartment Free use from 2014 to the present time actual provision by Ivanov I.I. (spouse) Moscow region, Khimki, Lenina st., no. 13, apt. 30 78.0 2 Apartment Under a social tenancy agreement from 2001 to the present, social tenancy agreement from the city, registration of the city. Moscow, Lavochkina st., 6, apt. 1 3 Residential building Free use from 2014 to the present time, actual provision by I.I. Ivanov (spouse) Spain, Catalonia, Salou, Jaime Alley, And Spruce Conquistodor, 4 50.0 20 _Indicated as of the reporting date. 21 _The type of real estate is indicated ( land plot, residential building, dacha and others). 22 _The type of use (rent, free use, etc.) and terms of use are indicated. 23 _The basis for use (agreement, actual provision, etc.) is indicated, as well as details (date, number) of the corresponding agreement or act.


10 6.2. Current financial obligations<24>Contents of the obligation<25>Creditor (debtor)<26>Reason for occurrence<27>Amount of liability/liability amount as of the reporting date<28>Conditions of obligation<29>1 does not have 2 3 I confirm the accuracy and completeness of this information. "10" February 2015 (signature) Ivanov Ivan Ivanovich (signature of the person presenting the information) (full name and signature of the person who accepted the certificate) 24 Indicate the current financial obligations available at the reporting date in an amount equal to or exceeding rub., the creditor or debtor of which is the person whose obligations are presented. 25 The nature of the obligation is indicated (loan, credit, etc.). 26 The second party to the obligation is indicated: creditor or debtor, his last name, first name and patronymic (name legal entity), address. 27 The basis for the occurrence of the obligation is indicated, as well as the details (date, number) of the relevant agreement or act. 28 The amount of the principal liability (without the amount of interest) and the amount of the liability as of the reporting date are indicated. For liabilities expressed in foreign currency, the amount is indicated in rubles at the Bank of Russia exchange rate as of the reporting date. 29 Indicate the annual interest rate obligations, property pledged to secure the obligation, guarantees and sureties issued to secure the obligation.



EXAMPLE OF COMPLETION Fields are not required to be filled in APPROVED by Decree of the President of the Russian Federation dated June 014 N 460 To the Directorate for Personnel Policy (indicate the name of the personnel department

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