ML20217P140

Forwards Revised Forms,Nrc form-398,personal Qualifications statement-licensee & NRC form-396,certification of Medical Exam by Facility Licensee

ML20217P140
Person / Time
Site:	Pilgrim
Issue date:	04/02/1998
From:	Conte R NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION I)
To:	Santiago M BOSTON EDISON CO.
References
RTR-REGGD-01.134, RTR-REGGD-1.134 IEIN-97-067, IEIN-97-67, NUDOCS 9804090329
Download: ML20217P140 (5)

Text

I L

l APR 2 jggg Mr.' Mark Santiago Manager - Training Chiltonville Training Center 46 Sandwich Road Plymouth, MA 02360 Gentlemen:

SUBJECT:

REVISED NRC FORMS 398 and 396 Enclosed is a copy of the revised forms: NRC Form-398, Personal Qualifications Statement

- Licensee (Enclosure 1), and NRC Form-396, Certification of Medical Examination by

' Facility Licensee (Enclosure 2). Due to error on the instructions for Form 398, addendum instructions for completing the form are provided as Enclosure 3 to this letter. You should use these forms immediately for any new applications or license renewals that you are sending to the NRC.

Enclosure 4 provides a summary of the detailed changes for these forms. On Form 398, you should note that applicants are now required to provide evidence on the significant i control manipulations performed as trainees at the facility for which the license is being l sought. On this matter, you should refer to NRC Information Notice No. 97-67, dated 1 August 21,1997. l On Form 396, the applicable guidance used in making the medical determinations needs to be indicated. Also, be advised that the NRC staff has recently approved Revision 3 of Regulatory Guide 1.134," Medical Evaluation of Licensed Personnel at Nuclear Power )

Plants," which endorses ANSl/ANS-3.4-1996," Medical Certification and Monitoring of i Personnel Requiring Operator Licenses for Nuclear Power Plants." A notice in the Federal l Register will be out shortly.

Further, you should keep a copy of Enclosure 3 with the Form 398 until new forms are l printed and distributed. Your office can obtain additional copies of both forms by i contacting Beverly Martin by telephone on 301-415-5877or by writing to her, U.S. j Nuclear Regulatory Commission, Office of the Chief Information Officer, Mail Stop T-6-F- 1 33, Washington, D.C. 20555-0001,or e-mail BAM1@NRC. gov. k I l 3 i

i l

L j'

9804090329 980402 PDR I

ADOCK 0500 293 f6% l

L i

.Mr. Mark Santiago l ..

If you have any questions regarding these forms, please contact Virgil Curley at 610-337-5379 or by e-mail VNC@NRC. gov.

Sincerely, iNRl ~&fow Richard J. Conte, Chief Operator Licensing and Human Performance Branch Division of Reactor Safety Docket No. 50-293 Enclosure 1: NRC Form-398 - Personal Qualifications Statement - Licenseo Enclosure 2: NRC Form-396 - Certification of Medical Examination by Facility Licensee Enclosure 3: Addendum Instructions for NRC Form-398 Enclosure 4: Description of Changes to NRC Forms-398 and 396 cc w/ enclosures:

L. J.' Oliver, Vice President - Nuclear /

Station Manager PUBLIC -

bec w/ enclosures:

OL Facility File DOCUMENT NAME: A:\ forms.pil t . T3 receive a copy of this document. Indicate in the box: "C" = Copy without attachment /encicaure *E" = Copy with attachment / enclosure "N" = No copy ,

OFFICE RI/DRS l Rl/DRS , / l / l 1 l NAME Curley (& Conte r DATE 04/01/98 04/ / /98 04/ /98 04/ /98 04! /98 0FFICIAL RECORD COPY

i i

l l

EN' CLOSURE 3 l ADDENDUM INSTRUCTION TO NRC FORM 398 Applies to the Instructions for item 4.g, on the " Type of Application":

g. DATE PASSED GENERIC FUNDAMENTALS EXAM SECTION (GFES)

The last sentence of 4.g states: "This does not include instructor l certification examinations or requalification examinations".

This statement is in error and is not in accordance with Interim Rev. 8, ES-205,

! section B, third paragraph, which states as follows:

" Applicants do not need to take the GFE (nor obtain a waiver) if they were previously issued an RO or SRO license or an instructor certification (underline added] based on a site specific written examination (on the same type of facility) that was administered between Gebruary 1982 and

November 1989 and included the material cru. , by the GFE Applicants who were issued a license before 1982, wit N cc Fake the examination or i apply for a waiver in accordance with ES-2(,4 l

The last sentence of 4.g should read, "This does not h,hde reoualification examinations."

I l

l

ENCLOSURE 4 i

CHANGES TO NRC FORMS 398 AND 396 NRC Form - Item Description of Changes I Number Number

_ 398 4.g' See Enclosure 3 398' 13 Instruction Sheet

All new app!'ications must provide evidence in accordance with 10 CFR 55.31(b) that the applicant, as a trainee, has successfully manipulated the controls of the

]

facility for which a license is sought. This section was J changed to read as follows:

"At a minimum, five significant control manipulations must be performed which affect reactivity or power level under item 13.3c. list the five sianificant control maniculations in item  !

1. 17. "

398 18 Instruction Sheet - changed to read: "NRC Form-396, Certification of Medical Examination by Facility licensee must accompany this application unless a waiver of the medical ,

examination is beina reauestgsk '

398 NA Form: The OMB expiration date is now 10/31/2000. In d e OMB block the following was added: "If an information collection does not displav a currentiv valid OMB control number, the NRC may not conduct or sponsor, and a oetson is not reauired to mspond to the information collection".

398 NA Form and Instructior.s: Yop and Bottom left-hand side have date changes to 10-1997. l l

l l

1

NRC Form item Description of Changes Number Number

-396 Item A Medical Exam Information - statement regarding safeguards and fitness for duty requirements has been moved from item B to be included with the statement under A - Medical Exam Information as noted below:

"This is to certify that the above named applicant for an operator / senior operator license has been examined by a physician and that the aooficant has been frund to meet the:

safeauards and fitness for duty reauirements for licensed operators at this facilitv."

item A Below the physician name,...... line, the word " physical" has t

been added:

" Based on the results of the ohvsical examination, including...."

In this same paragraph it states as follows: "I certify that in reaching this determination, the guidance contained in "

ANSI /A.dS 3.4-1996, or ANSI /ANS 3.4-1983 was used.

Item B NONMEDICAL CERTIFICATION (old form) has been changed to: B - CERTIFICATION Inew form) 396 NA Top and Bottom left-hand side of the form have date changes to 3-1998 396 NA Top right corner - OMB expiration dato changed to :

.12/31/1999 l '

1 t:

i i

I f.

j 4