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{{#Wiki_filter:UNITED STATESNUCLEAR REGULATORY COMMISSIONOFFICE OF NUCLEAR REACTOR REGULATIONWASHINGTON, D.C. 20555February 5, 1991NRC INFORMATION NOTICE NO. 91-08: MEDICAL EXAMINATIONS FOR LICENSED OPERATORS
{{#Wiki_filter:UNITED STATES NUCLEAR REGULATORY
 
COMMISSION
 
===OFFICE OF NUCLEAR REACTOR REGULATION===
WASHINGTON, D.C. 20555 February 5, 1991 NRC INFORMATION
 
NOTICE NO. 91-08: MEDICAL EXAMINATIONS
 
FOR LICENSED OPERATORS


==Addressees==
==Addressees==
:All holders of operating licenses or construction permits for nuclear power,test and research reactors.
:
All holders of operating
 
licenses or construction
 
permits for nuclear power, test and research reactors.


==Purpose==
==Purpose==
:~-- This information notice is intended to alert addressees to recent problemsidentified in the administration and documentation of medical examinations forlicensed operators and operator license applicants. It is expected thatrecipients will review the information for applicability to their facilitiesand consider actions, as appropriate, to avoid similar problems. However,suggestions contained in this information notice do not constitute NRC require-ments; therefore, no specific action or written response is required.
:~-- This information
 
notice is intended to alert addressees
 
to recent problems identified
 
in the administration
 
and documentation
 
of medical examinations
 
for licensed operators
 
and operator license applicants.
 
It is expected that recipients
 
will review the information
 
for applicability
 
to their facilities
 
and consider actions, as appropriate, to avoid similar problems.
 
However, suggestions
 
contained
 
in this information
 
notice do not constitute
 
NRC require-ments; therefore, no specific action or written response is required.Description
 
of Circumstances:
During recent inspections
 
at the Palo Verde Nuclear Generating
 
Station and the Trojan Nuclear Plant, the staff of the U.S. Nuclear Regulatory
 
Commission (NRC)identified
 
concerns regarding
 
the administration
 
and certification
 
of medical examinations
 
for licensed operators
 
and operator license applicants.


==Description of Circumstances==
The NRC staff reviewed the facility licensees'  
:During recent inspections at the Palo Verde Nuclear Generating Station and theTrojan Nuclear Plant, the staff of the U.S. Nuclear Regulatory Commission (NRC)identified concerns regarding the administration and certification of medicalexaminations for licensed operators and operator license applicants. The NRCstaff reviewed the facility licensees' documentation and determined that thelicensees' examining physicians had in several instances not performed some ofthe tests specified by American Nuclear Society Standard ANSI/ANS 3.4-1983 tomeet the NRC's requirements for operator medical qualifications (e.g., standardurinalysis, electrocardiogram, depth perception, and stamina tests). In othercases, operators were performing licensed duties with disqualifying medicalconditions without the licensee having provided NRC notification as required bySection 55.25 of Title 10 of the Code of Federal Regulations (10 CFR). Theinspections also indicated that some medical examinations were not performedwithin the required 2-year period resulting in some operators performinglicensed duties without having a current medical examination. When thoseoperators with incomplete or lapsed medical examinations were examined, severalwere determined to have medically disqualifying conditions.The inspection findings indicate that these facility licensees had providedinsufficient management guidance or oversight to the examining physicians toensure complete, accurate, and timely medical examinations. Both facilitylicensees had attested on the Certificates of Medical Examination (Form9101300033 A
documentation
 
and determined
 
that the licensees'  
examining
 
physicians
 
had in several instances
 
not performed
 
some of the tests specified
 
by American Nuclear Society Standard ANSI/ANS 3.4-1983 to meet the NRC's requirements
 
for operator medical qualifications (e.g., standard urinalysis, electrocardiogram, depth perception, and stamina tests). In other cases, operators
 
were performing
 
licensed duties with disqualifying
 
medical conditions
 
without the licensee having provided NRC notification
 
as required by Section 55.25 of Title 10 of the Code of Federal Regulations
 
(10 CFR). The inspections
 
also indicated
 
that some medical examinations
 
were not performed within the required 2-year period resulting
 
in some operators
 
performing
 
licensed duties without having a current medical examination.
 
When those operators
 
with incomplete
 
or lapsed medical examinations
 
were examined, several were determined
 
to have medically
 
disqualifying
 
conditions.
 
The inspection
 
findings indicate that these facility licensees
 
had provided insufficient
 
management
 
guidance or oversight
 
to the examining
 
physicians
 
to ensure complete, accurate, and timely medical examinations.
 
Both facility licensees
 
had attested on the Certificates
 
of Medical Examination (Form 9101300033 A


* 7 = > / ? // Z
* 7 = > / ? // Z


..IN 91-08February 5, 1991 NRC-396) submitted with their applications for operator licenses that theguidance contained in ANSI/ANS 3.4-1983 was followed, when in fact it was not.Discussion:10 CFR 55.21 requires each applicant for an operator license to have a medicalexamination by a physician as a precondition for licensing and every two yearsthereafter. The physician must determine that the licensed operator or licenseapplicant meets the requirements of 10 CFR 55.33(a)(1), such that the appli-cant's licensed operator's] medical condition and general health will notadversely affect the performance of the assigned operator duties or causeoperational errors endangering public health and safety. The facility licenseemust certify the license applicant's medical fitness by submitting FormNRC-396, "Certification of Medical Examination by Facility Licensee," inaccordance with 1o CFR 55.31(a)(6) or 55.57(a)(6), for initial and 6-yearlicense renewal applications, respectively.Form NRC-396 specifically identifies American Nuclear Society Standard ANSI/ANS3.4-1983, "Medical Certification and Monitoring of Personnel Requiring OperatorLicenses for Nuclear Power Plants," or ANSI/ANS-15.4-1977(N380), "Selection andTraining of Personnel for Research Reactors," as the criterion to be used forthe medical examination of individuals applying for initial or renewallicenses. Regulatory Guide1.13-4 "Medical-Evaluation of LicenseiLPersonnelfor Nuclear Power Plants," endorses ANSI/ANS 3.4-1983 as an acceptable methodfor determining that the medical condition and general health of nuclearoperators will not cause operational errors and for determining whether anapplicant or operator has an abnormal health condition that could result indisqualification.If, during the term of a license, an operator's medical condition changes andno longer meets the standards set forth in ANSI/ANS 3.4-1983 or ANSI/ANS-15.4-1977(N380), as certified to the NRC with the individual's license applica-tion, then the facility licensee must notify the Commission pursuant to 10 CFR55.25 within 30 days of learning of the diagnosis. If the examining physicianindicates that the condition can be accommodated as noted in Section 5.1 ofANSI/ANS 3.4-1983, then an authorized representative of the facility licenseemay request a conditional license by submitting Form NRC-396 with the support-ing medical evidence for NRC evaluation. The facility licensee may return theoperator to licensed duties before obtaining the NRC's permission, provided theexamining physician, using the guidance in ANSI/ANS 3.4-1983 orANSI/ANS-15.4-1977(N380), has recommended to the facility's management that theoperator can return to duty. This recommendation of medical qualification mustbe documented and retained for future NRC inspection.The NRC's regulations do not require Form NRC-396, which invokes the medicalexamination criteria established in ANSI/ANS 3.4-1983 orANSI/ANS-15.4-1977(N380), to document an operator's medical condition andgeneral health during the second and fourth years after the initial or renewallicense is issued. However, the facility licensee must continue to conductthose biennial medical examinations in accordance with the ANSI Standard todetect any changes in the operator's medical condition. The facility licenseeis responsible, pursuant to 10 CFR 55.27, to document and maintain the results
..IN 91-08 February 5, 1991 NRC-396) submitted
 
with their applications
 
for operator licenses that the guidance contained
 
in ANSI/ANS 3.4-1983 was followed, when in fact it was not.Discussion:
10 CFR 55.21 requires each applicant
 
for an operator license to have a medical examination
 
by a physician
 
as a precondition
 
for licensing
 
and every two years thereafter.
 
The physician
 
must determine
 
that the licensed operator or license applicant
 
meets the requirements
 
of 10 CFR 55.33(a)(1), such that the appli-cant's licensed operator's]  
medical condition
 
and general health will not adversely
 
affect the performance
 
of the assigned operator duties or cause operational
 
errors endangering
 
public health and safety. The facility licensee must certify the license applicant's
 
medical fitness by submitting
 
Form NRC-396, "Certification
 
of Medical Examination
 
by Facility Licensee," in accordance
 
with 1o CFR 55.31(a)(6)  
or 55.57(a)(6), for initial and 6-year license renewal applications, respectively.
 
Form NRC-396 specifically
 
identifies
 
American Nuclear Society Standard ANSI/ANS 3.4-1983, "Medical Certification
 
and Monitoring
 
of Personnel
 
Requiring
 
Operator Licenses for Nuclear Power Plants," or ANSI/ANS-15.4-1977(N380), "Selection
 
and Training of Personnel
 
for Research Reactors," as the criterion
 
to be used for the medical examination
 
of individuals
 
applying for initial or renewal licenses.
 
Regulatory
 
Guide1.13-4 "Medical-Evaluation
 
of LicenseiLPersonnel
 
for Nuclear Power Plants," endorses ANSI/ANS 3.4-1983 as an acceptable
 
method for determining
 
that the medical condition
 
and general health of nuclear operators
 
will not cause operational
 
errors and for determining
 
whether an applicant
 
or operator has an abnormal health condition
 
that could result in disqualification.
 
If, during the term of a license, an operator's
 
medical condition
 
changes and no longer meets the standards
 
set forth in ANSI/ANS 3.4-1983 or ANSI/ANS-15.4-1977(N380), as certified
 
to the NRC with the individual's
 
license applica-tion, then the facility licensee must notify the Commission
 
pursuant to 10 CFR 55.25 within 30 days of learning of the diagnosis.
 
If the examining
 
physician indicates
 
that the condition
 
can be accommodated
 
as noted in Section 5.1 of ANSI/ANS 3.4-1983, then an authorized
 
representative
 
of the facility licensee may request a conditional
 
license by submitting
 
Form NRC-396 with the support-ing medical evidence for NRC evaluation.
 
The facility licensee may return the operator to licensed duties before obtaining
 
the NRC's permission, provided the examining
 
physician, using the guidance in ANSI/ANS 3.4-1983 or ANSI/ANS-15.4-1977(N380), has recommended
 
to the facility's
 
management
 
that the operator can return to duty. This recommendation
 
of medical qualification
 
must be documented
 
and retained for future NRC inspection.
 
The NRC's regulations
 
do not require Form NRC-396, which invokes the medical examination
 
criteria established
 
in ANSI/ANS 3.4-1983 or ANSI/ANS-15.4-1977(N380), to document an operator's
 
medical condition
 
and general health during the second and fourth years after the initial or renewal license is issued. However, the facility licensee must continue to conduct those biennial medical examinations
 
in accordance
 
with the ANSI Standard to detect any changes in the operator's
 
medical condition.
 
The facility licensee is responsible, pursuant to 10 CFR 55.27, to document and maintain the results
 
IN 91-08 February 5, 1991 of medical qualifications
 
data, test results, and the medical history of each operator and senior operator for the current license period and to provide the documentation
 
to the Commission
 
upon request.It is important
 
to note that the deficiencies
 
identified
 
during NRC inspections
 
and described
 
herein may provide some insight into the adequacy of addressees'
medical examination
 
programs for licensed operators
 
and license applicants.
 
The NRC is concerned
 
that some facility programs may not be receiving
 
suffi-cient management
 
oversight
 
to ensure that all license applicants
 
and licensed operators
 
are medically
 
qualified
 
to safely perform their assigned operator duties. The NRC cautions facility licensees
 
to ensure the completeness
 
and accuracy of the medical examinations
 
performed
 
by their physicians
 
prior to certifying
 
the fitness of their license applicants
 
to the NRC on Form 396.This information
 
notice requires you have any questions
 
about the of the technical
 
contacts listed no specific action or written response.
 
If information
 
in this notice, please contact one below or the appropriate
 
NRR project manager.e t Charles E. Rossi, rector Division of Operational
 
Events Assessment-Office of Nuclear Reactor Regulation
 
Technical
 
Contacts: D. J. Lange, NRR (301) 492-3171 R. M. Gallo, NRR (301) 492-1031 L. F. Miller, RV (415) 943-3869 T. A. Peebles, RII (404) 331-5541 G. C. Wright, RIII (708) 790-5695 J. L. Pellet, RIV (817) 680-8159 L. Bettenhausen, RI (215) 337-5291 Attachment:
List of Recently Issued NRC Information
 
Notices
 
-u m z O r--' 0 n c rn< C> (A rn rn m I 2 cn CD 0 Ca Q2 MC :I 0 a Z Om_ic'm M O rUn rn 0 Zo Attachment
 
1 IN 91-08 February 5, 1991 LIST OF RECENTLY ISSUED NRC INFORMATION
 
NOTICES Information
 
Date of Notice No. Subject Issuance Issued to 90-77, Inadvertent
 
Removal of Fuel 02/04/91 All holders of OLs or Supp. I Assemblies
 
from the Reactor Core CPs for pressurized- water reactors (PWRs).91-07 Maintenance
 
Deficiency
 
Assoc- 02/04/91 All holders of OLs or iated with General Electric CPs for nuclear power Horizontal
 
Custom 8000 reactors.Induction
 
Motors 91-06 Lock-up of Emergency
 
Diesel 01/31/91 All holders of OLs or Generator
 
and Load Sequencer
 
CPs for ruclear power Control Circuits Preventing
 
reactors.Restart of Tripped Emergency Diesel Generator 91-05 Intergranular
 
Stress Corrosion
 
01/30/91 All holders of OLs or Cracking in Pressurized
 
===Water CPs for pressurized===
Reactor Safety Injection
 
water reactors (PWRs).Accumulator
 
Nozzles 91-04 Reactor Scram Following
 
Control 01/28/91 All holders of OLs or Rod Withdrawal
 
Associated
 
with CPs for nuclear power Low Power Turbine Testing reactors.91-03 Management
 
of Wastes Contaminated
 
01/07/91 All medical licensees.
 
with Radioactive
 
Materials
 
("Red Bag' Waste and Ordinary Trash)91-02 Brachytherapy
 
Source Management
 
01/07/91 All Nuclear Regulatory
 
Commission (NRC) medi-cal licensees
 
author-ized to use byproduct material for medical purposes.91-01 Supplier of Misrepresented
 
01/04/91 All holders of OLs or Resistors
 
CPs for nuclear power reactors.OL -Operating
 
License CP
 
* Construction
 
Permit ((0 .amm.4 >b. Go
 
IN 91-08 February 5, 1991 of medical qualifications
 
data, test results, and the medical history of each operator and senior operator for the current license period and to provide the documentation
 
to the Commission
 
upon request.It is important
 
to note that the deficiencies
 
identified
 
during NRC inspections
 
and described
 
herein may provide some insight into the adequacy of addressees'
medical examination
 
programs for licensed operators
 
and license applicants.
 
The NRC is concerned
 
that some facility programs may not be receiving
 
suffi-cient management
 
oversight
 
to ensure that all license applicants
 
and licensed operators
 
are medically
 
qualified
 
to safely perform their assigned operator duties. The NRC cautions facility licensees
 
to ensure the completeness
 
and accuracy of the medical examinations
 
performed
 
by their physicians
 
prior to certifying
 
the fitness of their license applicants
 
to the NRC on Form 396.This information
 
notice requires no specific action or written response.
 
If you have any questions
 
about the information
 
in this notice, please contact one of the technical
 
contacts listed below or the appropriate
 
NRR project manager.Charles E. Rossi, Director Division of Operational
 
===Events Assessment===
Office of Nuclear Reactor Regulation
 
Technical
 
Contacts: D. J. Lange, NRR (301) 492-3171 R. M. Gallo, NRR (301) 492-1031 L. F. Miller, RV (415) 943-3869 T. A. Peebles, RII (404) 331-5541 G. C.(708)Wright, RIII 790-5695 J. L. Pellet, RIV (817) 680-8159 L. Bettenhausen, RI (215) 337-5291 Attachment:
List of Recently Issued NRC Information
 
Notices*SEE PREVIOUS CONCURRENCES
 
act D/DOEA:NRf
 
'CERossi 01 /o/91*C/LOLB:DLPQ:NRR
 
RGallo 01/14/91 C/OGCB:DOEA:NRR
 
CHBerlinger
 
01/28/91*DD/DLPQ:NRR
 
CThomas 01/18/91*RPB:ADM TechEd 01/14/91*D/DLPQ:NRR
 
JWRoe 01/18/91*LOLB:DLPQ:NRR
 
FGuenther 01/14/91*LOLB:DLPQ:NRR
 
DLange 01/14/91 DOCUMENT NAME: IN 91-08 I IN 91-*E 2 X-February *)K 1991 of medical qualifications
 
data, test results, and the medical history of each operator and senior operator for the current license period and to provide the documentation
 
to the Commission
 
upon request.It is important
 
to note that the deficiencies
 
identified
 
during NRC inspections
 
and described
 
herein may provide some insight into the adequacy of addressees'
medical examination
 
programs for licensed operators
 
and license applicants.
 
The NRC is concerned
 
that some facility programs may not be receiving
 
suffi-cient management
 
oversight
 
to ensure that all license applicants
 
and licensed operators
 
are medically
 
qualified
 
to safely perform their assigned operator duties. The NRC cautions facility licensees
 
to ensure the completeness
 
and accuracy of the medical examinations
 
performed
 
by their physicians
 
prior to certifying
 
the fitness of their license applicants
 
to the NRC on Form 396.This information
 
notice requires no specific action or written response.
 
If you have any questions
 
about the information
 
in this notice, please contact one of the technical
 
contacts listed below or the appropriate
 
NRR project manager.Charles E. Rossi, Director Division of Operational
 
===Events Assessment===
Office of Nuclear Reactor Regulation
 
Technical
 
Contacts: D. J.(301)Lange, NRR 492-3171 R. M. Gallo, NRR (301) 492-1031 L. F. Miller, RV (415) 943-3869 T. A. Peebles, R11 (404) 331-5541 G. C.(708)Wright, RIII 790-5695 J. L. Pellet, RIV (817) 680-8159 L. Bettenhausen, RI (215) 337-5291 Attachment:
List of Recently Issued NRC Information
 
Notices Document Name: GUENTHER -80*SEE PREVIOUS CONCURRENCES
 
*LOLB:DLPQ:NRR
 
FGuenther 01/14/91*LOLB:DLPQ:NRR
 
DLange 01/14/91 D/DOEA:NRR
 
CERossi 01/ /91*C/LOLB:DLPQ:NRR
 
RGallo 01/14/91 C/l 2 tB:D0EA: NRR CHBerlinger
 
01/-91*DD/DLPQ:NRR
 
CThomas 01/18/91*RPB:ADM TechEd 01/14/91*D/DLPQ:NRR
 
JWRoe 01/18/91 IN 91-xx January xx, 1991 It is important
 
to note that the deficiencies
 
identified
 
during NRC inspections
 
and described
 
herein may provide some insight into the adequacy of addressees'
medical examination
 
programs for licensed operators
 
and license applicants.
 
The NRC is concerned
 
that some facility programs may not be receiving sufficient
 
management
 
oversight
 
to ensure that all license applicants
 
and licensed operators
 
are medically
 
qualified
 
to safely perform their assigned operator duties. The NRC cautions facility licensees
 
to ensure the completeness
 
and accuracy of the medical examinations
 
performed
 
by their physicians
 
prior to certifying
 
the fitness of their license applicants
 
to the NRC on Form 396.This information
 
notice requires no specific action or written response.
 
If you have any questions
 
about the information
 
in this notice, please contact one of the technical
 
contacts listed below or the appropriate
 
NRR project manager.Charles E. Rossi, Director Division of Operational
 
===Events Assessment===
Office of Nuclear Reactor Regulation
 
Technical
 
Contact: D. J. Lange, NRR R. M. Gallo, NRR L. F. Miller, RV (301) 492-3171 (301) 492-1031 (415) 943-3869 T. A. Peebles, RI G. C. Wright, RIII J. L. Pellet, RIV (404) 331-5541 (708) 790-5695 (817) 680-8159 L. Bettenhausen, RI (215) 337-5291 Attachment:
1. List of Recently Issued NRC Information
 
Notices DISTRIBUTION:
FGuenther DLange RGallo WDean JWRoe COThonas CBerlinger
 
===CERossi OLB RF Central Files TLSzymanski===
JMLanning
 
*SEE PREVIOUS PAGE FOR CONCURRENCE
 
OFC :OLB:DLPQ*
:OLB:DLPQ*
:OLB:DLPQ*
:TECH:EDITOR*
:DIR:DLPQ
 
:DDIR:DLPQ
 
______ _ _ _______ ___ __ _ -------NAME :FGuenther
 
:DLange :RGallo :JMain :Ab______ ____ _ __ 1- ------DATE :1/14/91 :1/14/91 :1/14/91 :1/14/91 : 9 //1/91 :1 1 iT 1 1 OFC :OGCB:DOEA:NRR
 
:D:DOEA:NRR
 
.__--------------------
___ --------------
______ _______ -------------
NAME :CBerllnger
 
:CERoss: : : DATE : / /91 : / /91 : : : OFFICIAL RECORD COPY DOCUMENT NAME: GUENTHER -80
Dfstribution
 
and concurrence
 
for Information
 
Notice No. 91- dated DISTRIBUTION


IN 91-08February 5, 1991 of medical qualifications data, test results, and the medical history of eachoperator and senior operator for the current license period and to provide thedocumentation to the Commission upon request.It is important to note that the deficiencies identified during NRC inspectionsand described herein may provide some insight into the adequacy of addressees'medical examination programs for licensed operators and license applicants.The NRC is concerned that some facility programs may not be receiving suffi-cient management oversight to ensure that all license applicants and licensedoperators are medically qualified to safely perform their assigned operatorduties. The NRC cautions facility licensees to ensure the completeness andaccuracy of the medical examinations performed by their physicians prior tocertifying the fitness of their license applicants to the NRC on Form 396.This information notice requiresyou have any questions about theof the technical contacts listedno specific action or written response. Ifinformation in this notice, please contact onebelow or the appropriate NRR project manager.e t Charles E. Rossi, rectorDivision of Operational Events Assessment-Office of Nuclear Reactor RegulationTechnical Contacts:D. J. Lange, NRR(301) 492-3171R. M. Gallo, NRR(301) 492-1031L. F. Miller, RV(415) 943-3869T. A. Peebles, RII(404) 331-5541G. C. Wright, RIII(708) 790-5695J. L. Pellet, RIV(817) 680-8159L. Bettenhausen, RI(215) 337-5291Attachment:List of Recently Issued NRC Information Notices
FGuenther DLange RGallo WDean JWRoe COThomas CBerlinger


-umzOr--' 0nc rn< C> (Arn rnmI2cnCD0CaQ2MC :I0 aZ Om_ic'mM OrUnrn0ZoAttachment 1IN 91-08February 5, 1991 LIST OF RECENTLY ISSUEDNRC INFORMATION NOTICESInformation Date ofNotice No. Subject Issuance Issued to90-77, Inadvertent Removal of Fuel 02/04/91 All holders of OLs orSupp. I Assemblies from the Reactor Core CPs for pressurized-water reactors (PWRs).91-07 Maintenance Deficiency Assoc- 02/04/91 All holders of OLs oriated with General Electric CPs for nuclear powerHorizontal Custom 8000 reactors.Induction Motors91-06 Lock-up of Emergency Diesel 01/31/91 All holders of OLs orGenerator and Load Sequencer CPs for ruclear powerControl Circuits Preventing reactors.Restart of Tripped EmergencyDiesel Generator91-05 Intergranular Stress Corrosion 01/30/91 All holders of OLs orCracking in Pressurized Water CPs for pressurizedReactor Safety Injection water reactors (PWRs).Accumulator Nozzles91-04 Reactor Scram Following Control 01/28/91 All holders of OLs orRod Withdrawal Associated with CPs for nuclear powerLow Power Turbine Testing reactors.91-03 Management of Wastes Contaminated 01/07/91 All medical licensees.with Radioactive Materials ("RedBag' Waste and Ordinary Trash)91-02 Brachytherapy Source Management 01/07/91 All Nuclear RegulatoryCommission (NRC) medi-cal licensees author-ized to use byproductmaterial for medicalpurposes.91-01 Supplier of Misrepresented 01/04/91 All holders of OLs orResistors CPs for nuclear powerreactors.OL -Operating LicenseCP
CERossi V~--- -P-----------
e--------------
___ __ __ __ _NAME :FG her : :ng RGallo :J :CThomas :JWRoe---:------- ---_:e ______ _-+/- __rg---: -e --- -------- -----------
:--~~~~~~~
DATE * /1 /91 I/ /91 ./ /91 /91 / 91 /91 OFC OGCB:DOEA:NRR


* Construction Permit((0 .amm.4 >b. Go
/:D:DOEA:NRR


IN 91-08February 5, 1991 of medical qualifications data, test results, and the medical history of eachoperator and senior operator for the current license period and to provide thedocumentation to the Commission upon request.It is important to note that the deficiencies identified during NRC inspectionsand described herein may provide some insight into the adequacy of addressees'medical examination programs for licensed operators and license applicants.The NRC is concerned that some facility programs may not be receiving suffi-cient management oversight to ensure that all license applicants and licensedoperators are medically qualified to safely perform their assigned operatorduties. The NRC cautions facility licensees to ensure the completeness andaccuracy of the medical examinations performed by their physicians prior tocertifying the fitness of their license applicants to the NRC on Form 396.This information notice requires no specific action or written response. Ifyou have any questions about the information in this notice, please contact oneof the technical contacts listed below or the appropriate NRR project manager.Charles E. Rossi, DirectorDivision of Operational Events AssessmentOffice of Nuclear Reactor RegulationTechnical Contacts:D. J. Lange, NRR(301) 492-3171R. M. Gallo, NRR(301) 492-1031L. F. Miller, RV(415) 943-3869T. A. Peebles, RII(404) 331-5541G. C.(708)Wright, RIII790-5695J. L. Pellet, RIV(817) 680-8159L. Bettenhausen, RI(215) 337-5291Attachment: List of Recently Issued NRC Information Notices*SEE PREVIOUS CONCURRENCESactD/DOEA:NRf 'CERossi01 /o/91*C/LOLB:DLPQ:NRRRGallo01/14/91C/OGCB:DOEA:NRRCHBerlinger01/28/91*DD/DLPQ:NRRCThomas01/18/91*RPB:ADMTechEd01/14/91*D/DLPQ:NRRJWRoe01/18/91*LOLB:DLPQ:NRRFGuenther01/14/91*LOLB:DLPQ:NRRDLange01/14/91DOCUMENT NAME: IN 91-08 IIN 91-*E2 X-February *)K 1991 of medical qualifications data, test results, and the medical history of eachoperator and senior operator for the current license period and to provide thedocumentation to the Commission upon request.It is important to note that the deficiencies identified during NRC inspectionsand described herein may provide some insight into the adequacy of addressees'medical examination programs for licensed operators and license applicants.The NRC is concerned that some facility programs may not be receiving suffi-cient management oversight to ensure that all license applicants and licensedoperators are medically qualified to safely perform their assigned operatorduties. The NRC cautions facility licensees to ensure the completeness andaccuracy of the medical examinations performed by their physicians prior tocertifying the fitness of their license applicants to the NRC on Form 396.This information notice requires no specific action or written response. Ifyou have any questions about the information in this notice, please contact oneof the technical contacts listed below or the appropriate NRR project manager.Charles E. Rossi, DirectorDivision of Operational Events AssessmentOffice of Nuclear Reactor RegulationTechnical Contacts:D. J.(301)Lange, NRR492-3171R. M. Gallo, NRR(301) 492-1031L. F. Miller, RV(415) 943-3869T. A. Peebles, R11(404) 331-5541G. C.(708)Wright, RIII790-5695J. L. Pellet, RIV(817) 680-8159L. Bettenhausen, RI(215) 337-5291Attachment:List of Recently Issued NRC Information NoticesDocument Name: GUENTHER -80*SEE PREVIOUS CONCURRENCES*LOLB:DLPQ:NRRFGuenther01/14/91*LOLB:DLPQ:NRRDLange01/14/91D/DOEA:NRRCERossi01/ /91*C/LOLB:DLPQ:NRRRGallo01/14/91C/l2tB:D0EA: NRRCHBerlinger01/-91*DD/DLPQ:NRRCThomas01/18/91*RPB:ADMTechEd01/14/91*D/DLPQ:NRRJWRoe01/18/91 IN 91-xxJanuary xx, 1991 It is important to note that the deficiencies identified during NRC inspectionsand described herein may provide some insight into the adequacy of addressees'medical examination programs for licensed operators and license applicants.The NRC is concerned that some facility programs may not be receivingsufficient management oversight to ensure that all license applicants andlicensed operators are medically qualified to safely perform their assignedoperator duties. The NRC cautions facility licensees to ensure thecompleteness and accuracy of the medical examinations performed by theirphysicians prior to certifying the fitness of their license applicants to theNRC on Form 396.This information notice requires no specific action or written response. Ifyou have any questions about the information in this notice, please contactone of the technical contacts listed below or the appropriate NRR projectmanager.Charles E. Rossi, DirectorDivision of Operational Events AssessmentOffice of Nuclear Reactor Regulation
NAME :CBerlinger


===Technical Contact:===
:CERossi DATE : /91 :91 OFFICIAL Re CORD COPY 8 Document N'ame: GUENTHER 80\}}
D. J. Lange, NRR R. M. Gallo, NRR L. F. Miller, RV(301) 492-3171 (301) 492-1031 (415) 943-3869T. A. Peebles, RI G. C. Wright, RIII J. L. Pellet, RIV(404) 331-5541 (708) 790-5695 (817) 680-8159L. Bettenhausen, RI(215) 337-5291Attachment:1. List of Recently Issued NRC Information NoticesDISTRIBUTION:FGuentherDLangeRGalloWDeanJWRoeCOThonasCBerlingerCERossiOLB RFCentral FilesTLSzymanskiJMLanning *SEE PREVIOUS PAGE FOR CONCURRENCEOFC :OLB:DLPQ* :OLB:DLPQ* :OLB:DLPQ* :TECH:EDITOR* :DIR:DLPQ :DDIR:DLPQ______ _ _ _______ ___ __ _ -------NAME :FGuenther :DLange :RGallo :JMain :Ab______ ____ _ __ 1- ------DATE :1/14/91 :1/14/91 :1/14/91 :1/14/91 : 9 //1/91 :1 1iT11OFC :OGCB:DOEA:NRR :D:DOEA:NRR .__-------------------- ___ -------------- ______ _______ -------------NAME :CBerllnger :CERoss: : :DATE : / /91 : / /91 : : :OFFICIAL RECORD COPY DOCUMENT NAME: GUENTHER -80
Dfstribution and concurrence for Information Notice No. 91- datedDISTRIBUTIONFGuentherDLangeRGalloWDeanJWRoeCOThomasCBerlingerCERossiV~--- -P----------- e-------------- ___ __ __ __ _NAME :FG her : :ng RGallo :J :CThomas :JWRoe---:------- ---_:e ______ _-+/- __rg---: -e --- -------- -----------:--~~~~~~~DATE * /1 /91 I/ /91 ./ /91 /91 / 91 /91OFC OGCB:DOEA:NRR /:D:DOEA:NRRNAME :CBerlinger :CERossiDATE : /91 :91OFFICIAL Re CORD COPY 8Document N'ame: GUENTHER 80\  
}}


{{Information notice-Nav}}
{{Information notice-Nav}}

Revision as of 13:11, 31 August 2018

Medical Examinations for Licensed Operators
ML031190668
Person / Time
Site: Beaver Valley, Millstone, Hatch, Monticello, Calvert Cliffs, Dresden, Davis Besse, Peach Bottom, Browns Ferry, Salem, Oconee, Mcguire, Nine Mile Point, Palisades, Palo Verde, Perry, Indian Point, Fermi, Kewaunee, Catawba, Harris, Wolf Creek, Saint Lucie, Point Beach, Oyster Creek, Watts Bar, Hope Creek, Grand Gulf, Cooper, Sequoyah, Byron, Pilgrim, Arkansas Nuclear, Three Mile Island, Braidwood, Susquehanna, Summer, Prairie Island, Columbia, Seabrook, Brunswick, Surry, Limerick, North Anna, Turkey Point, River Bend, Vermont Yankee, Crystal River, Haddam Neck, Ginna, Diablo Canyon, Callaway, Vogtle, Waterford, Duane Arnold, Farley, Robinson, Clinton, South Texas, San Onofre, Cook, Comanche Peak, Yankee Rowe, Maine Yankee, Quad Cities, Humboldt Bay, La Crosse, Big Rock Point, Rancho Seco, Zion, Midland, Bellefonte, Fort Calhoun, FitzPatrick, McGuire, LaSalle, Fort Saint Vrain, Shoreham, Satsop, Trojan, Atlantic Nuclear Power Plant  Entergy icon.png
Issue date: 02/05/1991
From: Rossi C E
Office of Nuclear Reactor Regulation
To:
References
IN-91-008, NUDOCS 9101300033
Download: ML031190668 (8)
v • d • e


UNITED STATES NUCLEAR REGULATORY

COMMISSION

OFFICE OF NUCLEAR REACTOR REGULATION

WASHINGTON, D.C. 20555 February 5, 1991 NRC INFORMATION

NOTICE NO. 91-08: MEDICAL EXAMINATIONS

FOR LICENSED OPERATORS

Addressees

All holders of operating

licenses or construction

permits for nuclear power, test and research reactors.

Purpose

~-- This information

notice is intended to alert addressees

to recent problems identified

in the administration

and documentation

of medical examinations

for licensed operators

and operator license applicants.

It is expected that recipients

will review the information

for applicability

to their facilities

and consider actions, as appropriate, to avoid similar problems.

However, suggestions

contained

in this information

notice do not constitute

NRC require-ments; therefore, no specific action or written response is required.Description

of Circumstances:

During recent inspections

at the Palo Verde Nuclear Generating

Station and the Trojan Nuclear Plant, the staff of the U.S. Nuclear Regulatory

Commission (NRC)identified

concerns regarding

the administration

and certification

of medical examinations

for licensed operators

and operator license applicants.

The NRC staff reviewed the facility licensees'

documentation

and determined

that the licensees'

examining

physicians

had in several instances

not performed

some of the tests specified

by American Nuclear Society Standard ANSI/ANS 3.4-1983 to meet the NRC's requirements

for operator medical qualifications (e.g., standard urinalysis, electrocardiogram, depth perception, and stamina tests). In other cases, operators

were performing

licensed duties with disqualifying

medical conditions

without the licensee having provided NRC notification

as required by Section 55.25 of Title 10 of the Code of Federal Regulations

(10 CFR). The inspections

also indicated

that some medical examinations

were not performed within the required 2-year period resulting

in some operators

performing

licensed duties without having a current medical examination.

When those operators

with incomplete

or lapsed medical examinations

were examined, several were determined

to have medically

disqualifying

conditions.

The inspection

findings indicate that these facility licensees

had provided insufficient

management

guidance or oversight

to the examining

physicians

to ensure complete, accurate, and timely medical examinations.

Both facility licensees

had attested on the Certificates

of Medical Examination (Form 9101300033 A

  • 7 = > / ? // Z

..IN 91-08 February 5, 1991 NRC-396) submitted

with their applications

for operator licenses that the guidance contained

in ANSI/ANS 3.4-1983 was followed, when in fact it was not.Discussion:

10 CFR 55.21 requires each applicant

for an operator license to have a medical examination

by a physician

as a precondition

for licensing

and every two years thereafter.

The physician

must determine

that the licensed operator or license applicant

meets the requirements

of 10 CFR 55.33(a)(1), such that the appli-cant's licensed operator's]

medical condition

and general health will not adversely

affect the performance

of the assigned operator duties or cause operational

errors endangering

public health and safety. The facility licensee must certify the license applicant's

medical fitness by submitting

Form NRC-396, "Certification

of Medical Examination

by Facility Licensee," in accordance

with 1o CFR 55.31(a)(6)

or 55.57(a)(6), for initial and 6-year license renewal applications, respectively.

Form NRC-396 specifically

identifies

American Nuclear Society Standard ANSI/ANS 3.4-1983, "Medical Certification

and Monitoring

of Personnel

Requiring

Operator Licenses for Nuclear Power Plants," or ANSI/ANS-15.4-1977(N380), "Selection

and Training of Personnel

for Research Reactors," as the criterion

to be used for the medical examination

of individuals

applying for initial or renewal licenses.

Regulatory

Guide1.13-4 "Medical-Evaluation

of LicenseiLPersonnel

for Nuclear Power Plants," endorses ANSI/ANS 3.4-1983 as an acceptable

method for determining

that the medical condition

and general health of nuclear operators

will not cause operational

errors and for determining

whether an applicant

or operator has an abnormal health condition

that could result in disqualification.

If, during the term of a license, an operator's

medical condition

changes and no longer meets the standards

set forth in ANSI/ANS 3.4-1983 or ANSI/ANS-15.4-1977(N380), as certified

to the NRC with the individual's

license applica-tion, then the facility licensee must notify the Commission

pursuant to 10 CFR 55.25 within 30 days of learning of the diagnosis.

If the examining

physician indicates

that the condition

can be accommodated

as noted in Section 5.1 of ANSI/ANS 3.4-1983, then an authorized

representative

of the facility licensee may request a conditional

license by submitting

Form NRC-396 with the support-ing medical evidence for NRC evaluation.

The facility licensee may return the operator to licensed duties before obtaining

the NRC's permission, provided the examining

physician, using the guidance in ANSI/ANS 3.4-1983 or ANSI/ANS-15.4-1977(N380), has recommended

to the facility's

management

that the operator can return to duty. This recommendation

of medical qualification

must be documented

and retained for future NRC inspection.

The NRC's regulations

do not require Form NRC-396, which invokes the medical examination

criteria established

in ANSI/ANS 3.4-1983 or ANSI/ANS-15.4-1977(N380), to document an operator's

medical condition

and general health during the second and fourth years after the initial or renewal license is issued. However, the facility licensee must continue to conduct those biennial medical examinations

in accordance

with the ANSI Standard to detect any changes in the operator's

medical condition.

The facility licensee is responsible, pursuant to 10 CFR 55.27, to document and maintain the results

IN 91-08 February 5, 1991 of medical qualifications

data, test results, and the medical history of each operator and senior operator for the current license period and to provide the documentation

to the Commission

upon request.It is important

to note that the deficiencies

identified

during NRC inspections

and described

herein may provide some insight into the adequacy of addressees'

medical examination

programs for licensed operators

and license applicants.

The NRC is concerned

that some facility programs may not be receiving

suffi-cient management

oversight

to ensure that all license applicants

and licensed operators

are medically

qualified

to safely perform their assigned operator duties. The NRC cautions facility licensees

to ensure the completeness

and accuracy of the medical examinations

performed

by their physicians

prior to certifying

the fitness of their license applicants

to the NRC on Form 396.This information

notice requires you have any questions

about the of the technical

contacts listed no specific action or written response.

If information

in this notice, please contact one below or the appropriate

NRR project manager.e t Charles E. Rossi, rector Division of Operational

Events Assessment-Office of Nuclear Reactor Regulation

Technical

Contacts: D. J. Lange, NRR (301) 492-3171 R. M. Gallo, NRR (301) 492-1031 L. F. Miller, RV (415) 943-3869 T. A. Peebles, RII (404) 331-5541 G. C. Wright, RIII (708) 790-5695 J. L. Pellet, RIV (817) 680-8159 L. Bettenhausen, RI (215) 337-5291 Attachment:

List of Recently Issued NRC Information

Notices

-u m z O r--' 0 n c rn< C> (A rn rn m I 2 cn CD 0 Ca Q2 MC :I 0 a Z Om_ic'm M O rUn rn 0 Zo Attachment

1 IN 91-08 February 5, 1991 LIST OF RECENTLY ISSUED NRC INFORMATION

NOTICES Information

Date of Notice No. Subject Issuance Issued to 90-77, Inadvertent

Removal of Fuel 02/04/91 All holders of OLs or Supp. I Assemblies

from the Reactor Core CPs for pressurized- water reactors (PWRs).91-07 Maintenance

Deficiency

Assoc- 02/04/91 All holders of OLs or iated with General Electric CPs for nuclear power Horizontal

Custom 8000 reactors.Induction

Motors 91-06 Lock-up of Emergency

Diesel 01/31/91 All holders of OLs or Generator

and Load Sequencer

CPs for ruclear power Control Circuits Preventing

reactors.Restart of Tripped Emergency Diesel Generator 91-05 Intergranular

Stress Corrosion

01/30/91 All holders of OLs or Cracking in Pressurized

Water CPs for pressurized

Reactor Safety Injection

water reactors (PWRs).Accumulator

Nozzles 91-04 Reactor Scram Following

Control 01/28/91 All holders of OLs or Rod Withdrawal

Associated

with CPs for nuclear power Low Power Turbine Testing reactors.91-03 Management

of Wastes Contaminated

01/07/91 All medical licensees.

with Radioactive

Materials

("Red Bag' Waste and Ordinary Trash)91-02 Brachytherapy

Source Management

01/07/91 All Nuclear Regulatory

Commission (NRC) medi-cal licensees

author-ized to use byproduct material for medical purposes.91-01 Supplier of Misrepresented

01/04/91 All holders of OLs or Resistors

CPs for nuclear power reactors.OL -Operating

License CP

  • Construction

Permit ((0 .amm.4 >b. Go

IN 91-08 February 5, 1991 of medical qualifications

data, test results, and the medical history of each operator and senior operator for the current license period and to provide the documentation

to the Commission

upon request.It is important

to note that the deficiencies

identified

during NRC inspections

and described

herein may provide some insight into the adequacy of addressees'

medical examination

programs for licensed operators

and license applicants.

The NRC is concerned

that some facility programs may not be receiving

suffi-cient management

oversight

to ensure that all license applicants

and licensed operators

are medically

qualified

to safely perform their assigned operator duties. The NRC cautions facility licensees

to ensure the completeness

and accuracy of the medical examinations

performed

by their physicians

prior to certifying

the fitness of their license applicants

to the NRC on Form 396.This information

notice requires no specific action or written response.

If you have any questions

about the information

in this notice, please contact one of the technical

contacts listed below or the appropriate

NRR project manager.Charles E. Rossi, Director Division of Operational

Events Assessment

Office of Nuclear Reactor Regulation

Technical

Contacts: D. J. Lange, NRR (301) 492-3171 R. M. Gallo, NRR (301) 492-1031 L. F. Miller, RV (415) 943-3869 T. A. Peebles, RII (404) 331-5541 G. C.(708)Wright, RIII 790-5695 J. L. Pellet, RIV (817) 680-8159 L. Bettenhausen, RI (215) 337-5291 Attachment:

List of Recently Issued NRC Information

Notices*SEE PREVIOUS CONCURRENCES

act D/DOEA:NRf

'CERossi 01 /o/91*C/LOLB:DLPQ:NRR

RGallo 01/14/91 C/OGCB:DOEA:NRR

CHBerlinger

01/28/91*DD/DLPQ:NRR

CThomas 01/18/91*RPB:ADM TechEd 01/14/91*D/DLPQ:NRR

JWRoe 01/18/91*LOLB:DLPQ:NRR

FGuenther 01/14/91*LOLB:DLPQ:NRR

DLange 01/14/91 DOCUMENT NAME: IN 91-08 I IN 91-*E 2 X-February *)K 1991 of medical qualifications

data, test results, and the medical history of each operator and senior operator for the current license period and to provide the documentation

to the Commission

upon request.It is important

to note that the deficiencies

identified

during NRC inspections

and described

herein may provide some insight into the adequacy of addressees'

medical examination

programs for licensed operators

and license applicants.

The NRC is concerned

that some facility programs may not be receiving

suffi-cient management

oversight

to ensure that all license applicants

and licensed operators

are medically

qualified

to safely perform their assigned operator duties. The NRC cautions facility licensees

to ensure the completeness

and accuracy of the medical examinations

performed

by their physicians

prior to certifying

the fitness of their license applicants

to the NRC on Form 396.This information

notice requires no specific action or written response.

If you have any questions

about the information

in this notice, please contact one of the technical

contacts listed below or the appropriate

NRR project manager.Charles E. Rossi, Director Division of Operational

Events Assessment

Office of Nuclear Reactor Regulation

Technical

Contacts: D. J.(301)Lange, NRR 492-3171 R. M. Gallo, NRR (301) 492-1031 L. F. Miller, RV (415) 943-3869 T. A. Peebles, R11 (404) 331-5541 G. C.(708)Wright, RIII 790-5695 J. L. Pellet, RIV (817) 680-8159 L. Bettenhausen, RI (215) 337-5291 Attachment:

List of Recently Issued NRC Information

Notices Document Name: GUENTHER -80*SEE PREVIOUS CONCURRENCES

  • LOLB:DLPQ:NRR

FGuenther 01/14/91*LOLB:DLPQ:NRR

DLange 01/14/91 D/DOEA:NRR

CERossi 01/ /91*C/LOLB:DLPQ:NRR

RGallo 01/14/91 C/l 2 tB:D0EA: NRR CHBerlinger

01/-91*DD/DLPQ:NRR

CThomas 01/18/91*RPB:ADM TechEd 01/14/91*D/DLPQ:NRR

JWRoe 01/18/91 IN 91-xx January xx, 1991 It is important

to note that the deficiencies

identified

during NRC inspections

and described

herein may provide some insight into the adequacy of addressees'

medical examination

programs for licensed operators

and license applicants.

The NRC is concerned

that some facility programs may not be receiving sufficient

management

oversight

to ensure that all license applicants

and licensed operators

are medically

qualified

to safely perform their assigned operator duties. The NRC cautions facility licensees

to ensure the completeness

and accuracy of the medical examinations

performed

by their physicians

prior to certifying

the fitness of their license applicants

to the NRC on Form 396.This information

notice requires no specific action or written response.

If you have any questions

about the information

in this notice, please contact one of the technical

contacts listed below or the appropriate

NRR project manager.Charles E. Rossi, Director Division of Operational

Events Assessment

Office of Nuclear Reactor Regulation

Technical

Contact: D. J. Lange, NRR R. M. Gallo, NRR L. F. Miller, RV (301) 492-3171 (301) 492-1031 (415) 943-3869 T. A. Peebles, RI G. C. Wright, RIII J. L. Pellet, RIV (404) 331-5541 (708) 790-5695 (817) 680-8159 L. Bettenhausen, RI (215) 337-5291 Attachment:

1. List of Recently Issued NRC Information

Notices DISTRIBUTION:

FGuenther DLange RGallo WDean JWRoe COThonas CBerlinger

CERossi OLB RF Central Files TLSzymanski

JMLanning

  • SEE PREVIOUS PAGE FOR CONCURRENCE

OFC :OLB:DLPQ*

OLB:DLPQ*
OLB:DLPQ*
TECH:EDITOR*
DIR:DLPQ
DDIR:DLPQ

______ _ _ _______ ___ __ _ -------NAME :FGuenther

DLange :RGallo :JMain :Ab______ ____ _ __ 1- ------DATE :1/14/91 :1/14/91 :1/14/91 :1/14/91 : 9 //1/91 :1 1 iT 1 1 OFC :OGCB:DOEA:NRR
D:DOEA:NRR

.__--------------------

___ --------------

______ _______ -------------

NAME :CBerllnger

CERoss: : : DATE : / /91 : / /91 : : : OFFICIAL RECORD COPY DOCUMENT NAME: GUENTHER -80

Dfstribution

and concurrence

for Information

Notice No. 91- dated DISTRIBUTION

FGuenther DLange RGallo WDean JWRoe COThomas CBerlinger

CERossi V~--- -P-----------

e--------------

___ __ __ __ _NAME :FG her : :ng RGallo :J :CThomas :JWRoe---:------- ---_:e ______ _-+/- __rg---: -e --- -------- -----------

--~~~~~~~

DATE * /1 /91 I/ /91 ./ /91 /91 / 91 /91 OFC OGCB:DOEA:NRR

/:D:DOEA:NRR

NAME :CBerlinger

CERossi DATE : /91 :91 OFFICIAL Re CORD COPY 8 Document N'ame: GUENTHER 80\


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