Document: NRC Regulatory Guide
Document ID: 144c489b-0f8e-4351-8a5f-3262ca73fcfd
Document Type: regulatory_guide
Title: Medical Assessment of Licensed Operators or Applicants for Operator Licenses at Nuclear Power Plants + HISTORY – HISTORY 04/2014 – DG-1310 , Proposed Revision 4 02/1997 – DG-1068 , Proposed Revision 3 11/1984 – Draft OL 401-5, Proposed Revision 2 (Rev. 4)
Source: NRC Regulatory Guide Division 1
Source URL: https://www.nrc.gov/docs/ML1335/ML13352A278.pdf
Revision Date: 2023-06
Chapter: 
Section ID: RG-1.134
CFR Part: 
CFR Title: 

Content:
f utilization facilities. Beginning in 1956, the Commission’s regulations (under the Atomic Energy Commission (AEC)) required an applicant to furnish a report (e.g., Examination Form, “Certificate of Medical Examination for Operator’s License”) of a medical examination performed and signed by a licensed medical practitioner (Volume 21, page 6, of the Federal Register (21 FR 6; January 4, 1956)) (Ref. 4). The report recorded results in the following topical areas: (1) medical history; (2) eyes; (3) ears; (4) gastro-intestinal; (5) heart and blood vessels; (6) lungs; (7) deformities, atrophies, and other abnormalities, and diseases not included above; and (8) the nervous system. In April 1963, the AEC amended 10 CFR § 55.60 to require both the applicant and the examining physician to complete and sign Form AEC-396, “Certificate of Medical Examination” (28 FR 3200; April 3, 1963) (Ref. 5). DG-1310, Page 3 In March 1987, the NRC amended 10 CFR part 55 to clarify, among other things, the medical certification process for issuing licenses to operators and senior operators; it also changed the title of Form NRC-396 to “Certification of Medical Examination by Facility Licensee.” Responsibilities were clarified to reinforce that facility management is responsible for certifying the medical suitability and fitness for duty of the applicant for a license and that the NRC is responsible for making an assessment of the applicant’s qualifications for a license, including the applicant’s medical fitness (52 FR 9460; March 25, 1987) (Ref. 6). In July 1991, the NRC amended 10 CFR parts 2 and 55 to specify that the conditions and cutoff levels established under the Commission’s Fitness-for-Duty (FFD) Programs are applicable to licensed operators as conditions of their licenses. The final rule provided a basis for taking enforcement actions against licensed operators who: (1) use drugs or alcohol in a manner that would exceed the cutoff levels contained in the