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:
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 FFD rule, (2) are determined by a facility medical review officer (MRO) to be under the influence of any prescription or over-the-counter drug that could adversely affect his or her ability to safely and competently perform licensed duties, or (3) sell, use, or possess illegal drugs (56 FR 32070; July 15, 1991) (Ref. 7). In March 1995, the NRC amended 10 CFR 55.25 to require that if during the term of the license, the licensee develops a permanent physical or mental condition that causes the licensee to fail to meet the medical requirements, the facility licensee must notify the Commission within 30 days of learning of the diagnosis (60 FR 13617; March 14, 1995) (Ref. 8). Both applicants and licensees are required to provide the NRC with certification by the facility licensee of their medical condition and general health on Form NRC 396, “Certification of Medical Examination by Facility Licensee.” When the certification requests a conditional license, the supporting medical evidence must be submitted with Form NRC 396 to the Commission. The Commission then makes a determination regarding its assessment of the applicant or licensee’s medical fitness to actively perform the functions of a licensed operator or senior operator. If during the term of the license, the licensee develops a permanent physical or mental condition that causes the licensee to fail to meet the medical requirements, the facility licensee must notify the Commission within 30 days of learning of the diagnosis as described in 10 CFR 55.25. Regulatory Guidance In September 1977, the staff issued RG 1.134, “Medical Certification and Monitoring of Personnel Requiring Operator Licenses” (Ref. 9), endorsing industry’s consensus on the American National Standards Institute/American Nuclear