ML061300530

Annual Monitoring Report

ML061300530
Person / Time
Site:	Nine Mile Point
Issue date:	05/01/2006
From:	Mark Miller Constellation Energy Group
To:	Office of Nuclear Regulatory Research
References
Download: ML061300530 (39)

Text

Constellation Energy- P.O. Box 63 Lycoming, NY 13093 Nine Mile Point Nuclear Station May 1, 2006 U. S. Nuclear Regulatory Commission Washington, DC 20555-0001 ATTENTION: Office of Nuclear Regulatory Research REIRS Project Manager

SUBJECT:

Nine Mile Point Nuclear Station Unit Nos. I and 2; Docket Nos. 50-220 and 50-4 10 Annual Monitoring Report In accordance with the requirements of 10 CFR 20.2206, Nine Mile Point Nuclear Station, LLC (NMPNS) is submitting the annual report of the results of individual monitoring carried out at the Nine Mile Point Units 1 and 2. Data is provided for each individual for whom radiation monitoring was provided in 2005.

The reports are provided on electronic media on the enclosed diskette. Attachment 1 to this letter provides identifying information pertaining to the formatting of the exposure data on the enclosed diskette.

Should you have questions regarding the information in this submittal, please contact M. H. Miller, Licensing Director, at (315) 349-1510.

Very truly yours, Mar. Miller Licensing Director MHM/RF/sac Attachment (1) Annual Monitoring Report Diskette Information Enclosure (1) 2005 REIRS Data Constellation Energy Nine Mile Point Nuclear Station cc: S. J. Collins, NRC (w/o attachments)

T. G. Colburn, NRC (w/o attachments)

Ra' 3 Resident Inspector, NRC (w/o attachments) 2YI A;h St drff 5//opo;,1

Document Control Desk May 1, 2006 Page 2 bcc: L. S. Larragoite C. W. Fleming, Esquire T. J. O'Connor J. A. Hutton T. F. Syrell J. L. Lyon NMPIL 2048 l COMMITMENTS IDENTIFIED IN TIHS CORRESPONDENCE:

• NONE Posting Requirements for Responses - NOV/Order No

ATTACHMENT (1)

Annual Monitoring Report Diskette Information Nine Mile Point Nuclear Station, LLC May 1, 2006

ATTACHMENT (1)

Annual Monitoring Report Diskette Information The following information pertains to the enclosed diskette labeled '2005 REIRS DATA Constellation Energy Group Nine Mile Point Nuclear Station.' The file 2005-REIRS.TXT contains the 2005 Exposure Information for Constellation Energy Group's Nine Mile Point Units I and 2.

Filename: 2005-REIRS.TXT Date Created: 02/24/2006 Operating System: Windows NT Server The file 2005-REIRS.TXT is formatted according to the instructions in Appendix A, "Format for Electronic Transmission of Exposure Data" of Regulatory Guide 8.7.

Text fields are left justified.

Numeric fields are formatted as '999.999'.

Numeric fields are right justified even when they contain text codes.

Numeric fields do not have a trailing period "." as described in the instructions.

Nine Mile Point Nuclear Station, LLC Page 1 of 1

CNG-LN-1 .01-1001 Preparation of Regulatory Correspondence Revision 0000 Page 22 of 23 ATTACHMENT 4, REGULATORY CORRESPONDENCE REVIEW Letter Subject or Number /2>arm A/~

Letter Characteristics Preparer Supv

___________________________________________________ Review Review Cover Letter _

Letter Date NA Addressee k Unit and docket numbers v I Subject V,

• References are correct AIF References are used - I - _

Attachment listed correctly v Attachment described in letter v' Regulatory Commitments identified in separate attachment N0WsT Commitments listed on bcc page Commitments have owners and dates -I______

Oath or affirmation statement correct LA Signature authority correct VLZ Letterhead matches signature authority NA Letter Text

• Technical Specification/Regulatory references correct (Reg Guides, GLs, Orders, etc.)

Consistent terminology used v _

Pages are numbered consecutively Figures/tables are numbered or identified A0 VA Figures/tables are described or referenced I./ 0mv 1 Commitments are identified wvo yE Margins and indents appropriate VV Attachments/Enclosures Attachment cover sheet matches list in letter Attachment cover sheet matches attachment header V

• Technical Specification/Regulatory references correct (Reg Guides, GLs, Orders, etc.)

Consistent terminology used Margins and indents appropriate / ,,

Pages are numbered consecutively V0 Figures/tables are numbered or identified_  ;/

Figures/tables are described or referenced_

Commitments are identified NOt/AJE AAM

• References are correct AdSL L-'

References are used vvti EWo Preparer: _RF y/ 7/0 6 Supervisor: 7& t Initials Date Initials Date

• - These items do not have to be routinely reviewed for scheduled reports identified in site procedures.

These items will be verified at least annually. I

[Letterhead]

April 28, 2006 U. S. Nuclear Regulatory Commission Washington, DC 20555-0001 ATTENTION: REIRS Project Manager

SUBJECT:

Nine Mile Point Nuclear Station Unit Nos. 1 and 2; Docket Nos. 50-220 and 50410 Annual Monitoring Report In accordance with the requirements of 10 CFR 20.2206, Nine Mile Point Nuclear Station, LLC (NMPNS) is submitting the annual report of the results of individual monitoring carried out at the Nine Mile Point Units 1 and 2. Data is provided for each individual for whom radiation monitoring was provided in 2005.

The reports are provided on electronic media on the enclosed diskette. Attachment I to this letter provides identifying information pertaining to the formatting of the exposure data on the enclosed diskette.

Should you have questions regarding the information in this submittal, please contact M. H. Miller, Licensing Director, at (315) 349-1510.

Very truly yours, Mary H. Miller Licensing Director MIM/RF/sac Attachment (1) Annual Monitoring Report Diskette Information Enclosure (1) 2005 REIRS Data Constellation Energy Nine Mile Point Nuclear Station cc: S. J. Collins, NRC (w/o attachments)

T. G. Colburn, NRC (w/o attachments)

Resident Inspector, NRC (w/o attachments)

Document Control Desk April 28, 2006 Page 2 bcc: L. S. Larragoite C. W. Fleming, Esquire T. J. O'Connor J. A. Hutton T. F. Syrell J. L. Lyon NMP1L 2048 COMMITMENTS IDENTIFIED IN THIS CORRESPONDENCE:

• NONE Posting Requirements for Responses - NOV/Order No

ATTACHMENT (1)

Annual Monitoring Report Diskette Information Nine Mile Point Nuclear Station, LLC April 28, 2006

ATTACHMENT (1)

Annual Monitoring Report Diskette Information The following information pertains to the enclosed diskette labeled '2005 REIRS DATA Constellation Energy Group Nine Mile Point Nuclear Station. i The file 2005-REIRS.TXT contains the 2005 Exposure Information for Constellation Energy Group's Nine Mile Point Units 1 and 2.

Filename: 2005-REIRS.TXT Date Created: 02/24/2006 Operating System: Windows NT Server The file 2005-REIRS.TXT is formatted according to the instructions in Appendix A, "Format for Electronic Transmission of Exposure Data" of Regulatory Guide 8.7.

Text fields are left justified.

Numeric fields are formatted as '999.999'.

Numeric fields are right justified even when they contain text codes.

Numeric fields do not have a trailing period "." as described in the instructions.

Nine Mile Point Nuclear Station, LLC Page 1 of 1

Preparation of Regulatory Correspondence CNG-LN-1.01-1001 Revision 0000 Page 21 of 23 ATTACHMENT 3, PEER REVIEW FORM Date March 15, 2006 To: Peer Reviewers Anthony Desanto I I From: Preparer Michael Thornhill A Phone 315-349-4228

SUBJECT:

Technical Review of Regulatory Correspondence 2005 NMPNS REIRS Submittal Attached is a copy of: Validation package for REIRS submittal Please perform a technical review on the correspondence and document your review below according to CNG-LN-1.01 -1001, Preparation of Regulatory Correspondence. If comments are made in the correspondence, please identify your comments with your initials. Return any comments and this memo to me by: March 21, 2006 Signatures are required If unable to return by this date, contact me for an extension or review will proceed accordingly.

This document does not contain sensitive or safeguards information requiring limited distribution Preparer Signature Item Peer Reviewer: Complete and Return to Preparer Yes NIA I I have reviewed the subject document based on my prior experience and technical background, and have concluded that:

-- The correspondence is technically correct, complete, and accurate in all material respects. (optional comments may be included)

-- The correspondence is technically correct, complete, and accurate in all material respects, with noted mandatory comments 2 I have reviewed the subject document and determined that:

-- The correspondence contains material statements in my area of responsibility that have a significant impact on the conclusion of the document. I have confirmed these statements to be accurate and have attached documentation confirming this validation (if required) 3 A second technical review of this document by a Peer Reviewer is required \

Peer Reviewer A.-I /- - 1% -% OY-21."arl Print Name 4 ;lnature Date l Second Peer Reviewer a) I Print Name

".91 -C.0,;4 z 4X313 l Signature J/,0 Date

[Letterhead]

(I-j April 28, 2006 U. S. Nuclear Regulatory Commission Washington, DC 20555-0001 0 my/- 17/

ATTENTION: REIRS Project Manager (19 V/,Z7/0 ,

SUBJECT:

Nine Mile Point Nuclear Station Unit Nos. I and 2; Docket Nos. 50-220 and 50410 Annual Monitoring Report 54'a In accordance with the requirements of 10 CFR 20.2206, Nine Mile Point Nuclear Station, LLC (NMPNS) is submitting the annual report of the results of individual monitoring carried out at the Nine Mile Point Units 1 and 2. Data is provided for each individual for whom radiation monitoring was C

r- I(

provided in 2005.

The reports are provided on electronic media on the enclosed diskette. Attachment I to this letter provides C identifying information pertaining to the formatting of the exposure data on the enclosed diskette.

Should you have questions regarding the information in this submittal, please contact M. H. Miller, Licensing Director, at (315) 349-1510.

Very truly yours, Mary H. Miller Licensing Director @

MHMIRF/sac Attachment (1) Annual Monitoring Report Diskette Information Enclosure (1) 2005 REIRS Data Constellation Energy Nine Mile Point Nuclear Station cc: S. J. Collins, NRC (w/o attachments)

T. G. Colburn, NRC (w/o attachments) (5)

Resident Inspector, NRC (w/o attachments)

Document Control Desk April 28, 2006 Page 2 bcc: L. S. Larragoite C. W. Fleming, Esquire T. J. O'Connor J. A. Hutton T. F. Syrell J. L. Lyon NMP1L 2048 COMMITMENTS IDENTIFIED IN THIS CORRESPONDENCE:

• NONE Posting Requirements for Responses - NOV/Order No

ATTACHMENT (1)

Annual Monitoring Report Diskette Information Nine Mile Point Nuclear Station, LLC April 28, 2006

ATTACHMENT (1)

Annual Monitoring Report Diskette Information The following information pertains to the enclosed diskette labeled '2005 REIRS DATA Constellation Energy Group Nine Mile Point Nuclear Station.' The file 2005-REIRS.TXT contains the 2005 Exposure Information for Constellation Energy Group's Nine Mile Point Units 1 and 2. inh I, II Filename: 2005-REIRS.TXT Date Created: 02/24/2006 I Operating System: Windows NT Server The file 2005-REIRS.TXT is formatted according to the instructions in Appendix A, "Format for Electronic Transmission of Exposure Data" of Regulatory Guide 8.7.

Text fields are left justified.

Numeric fields are formatted as '999.999'.

Numeric fields are right justified even when they contain text codes.

Numeric fields do not have a trailing period "." as described in the instructions.

Nine Mile Point Nuclear Station, LLC Page 1 of 1

10 CFR 20.2206 Reports of individual monitoring. Page 1 of 2 Index I Site Map I FAQ I Help I Glossary I Contact Us L-777 SSAY] Advanced Search

.*.., U.S. Nuclear Regulatory Commission 1 Home nWho We Ame What We Do W W Do n Nuclear n Nuclear Reactors " Materials nRadioactive nFacility Waste Info fl Finder n Public 13Electronic Involvement Reading Room 1

Home > Electronic Readina Room > Document Collections > NRC Regul ions (10 CFR > PartIndex > § 20.2206 Reports of individual monitoring.

§ 20.2206 Reports of individual monitoring.

(a) This section applies to each person licensed by the Commission to--

(1) Operate a nuclear reactor designed to produce electrical or heat energy pursuant to § 50.21(b) or § 50.22 of this chapter or a testing facility as defined in § 50.2 of this chapter; or (2) Possess or use byproduct material for purposes of radiography pursuant to Parts 30 and 34 of this chapter; or (3) Possess or use at any one time, for purposes of fuel processing, fabricating, or reprocessing, special nuclear material in a quantity exceeding 5,000 grams of contained uranium-235, uranium-233, or plutonium, or any combination thereof pursuant to part 70 of this chapter; or CAD (4) Possess high-level radioactive waste at a geologic repository operations area pursuant to part 60 or 63 of this chapter; or (5) Possess spent fuel in an independent spent fuel storage installation (ISFSI) pursuant to part 72 of this chapter; or (6) Receive radioactive waste from other persons for disposal under part 61 of this chapter; or (7) Possess or use at any time, for processing or manufacturing for distribution pursuant to parts 30, 32, 33 or 35 of this chapter, byproduct material in quantities exceeding any one of the following quantities:

Quantity of Radionuclide radionuclide- in curies Cesium-137 I Cobalt-60 1 Gold-198 100 Iodine-131 1 Iridium-192 10 Krypton-85 1,000 http://www.nrc.gov/reading-rm/doc-collections/cfr/partO2O/partO20-2206.html 4/27/2006

10 CFR 20.2206 Reports of individual monitoring. Page 2 of 2 I Promethium-147 I 101 jTechetium-99m 1,000 1 The Commission may require as a license condition, or by rule, regulation, or order pursuant to § 20.2302, reports from licensees who are licensed to use radionuclides not on this list, in quantities sufficient to cause comparable radiation levels.

(b) Each licensee in a category listed in paragraph (a) of this section shall submit an annual report of the results of individual monitoring carried out by the licensee for each individual for whom monitoring was required by § 20.1502 during that year. The licensee may include additional data for individuals for whom monitoring was provided but not required. The licensee shall use Form NRC 5 or electronic media containing all the information required by Form NRC 5.

(c) The licensee shall file the report required by § 20.2206(b), covering the preceding year, on or before April 30 of each year. The licensee shall submit the report to the REIRS Project Manager by an appropriate method listed in § 20.1007 or via the REIRS Web site at http://www.reirs.com.

[56 FR 23406, May 21, 1991, as amended at 56 FR 32072, July 15, 1991; 66 FR 5578, Nov. 2, 2001; 68 FR 58802, Oct.

10, 2003]

Privacy Policy I Site Disclaimer Last revised Friday, May 27, 2005 2Z~

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UNITED STATES NUCLEAR REGULATORY COMISSION WASHINGTOK DC 2055501 U.S. ATOMIC ENERGY COMMISSION NINE ILE POINT_ NUCLEAR STATION. LLC LNMP LkC)

DOCKET NO. 50-220 FACIUTY OPERATING UCENSE Ucense No. DPR63 The Atomic Energy Conmmission (the Commission) has found that:

A The applIcation for license, as amended, owginally filed by te Niagara Moham Power Corporation as supplemented by Nine Mile Point Nuclear Station, LLC (NMP LLC, the licensee) complies with the standards and requirements of the Atomic Energy Act of 1954, as amended (the Act), and the Ctorrmmssionns rules and regulations as set forth In10 CFR Chapter I and all required notifications to other agencies or bodies have been duly made; B. Construction of the Nine Mile Point Nuclear Station Unit No. 1has been substantially completed inconformity with Construction Permit No. CPPR-16 and the application, as amended, the provisions of the Act and the rules and regulations of the Commission; C. The facility will operate inconfornity with the applcation, as amended, the provisions of the Act, and the rules and regulations of the Commission; D. There Isreasonable assurance: Q)that the activities authorized by this operating license can be conducted without endangering the health and the safety of the public, and (IJ)that such activities will be conducted in comptiance with the rules and regulations of the Commission; E. The licensee Istechnically and fInancdally qualified to engage Inthe activities authorized by this operating license inaccordance wIth the rubes and regulations of the Commnssion; F. The licensee has saffsfied the applicable provisions of 10 CFR Part 140 "Financial Protection Requirements and IndemnIty Agreementse of the Commission's regulations; G. The Issuance of this full-term operating license Will not be inimical to the common defense and swourity or to thehealth and safety of the public; Amendment No. 172

UNITED STATES NUCLEAR REGULATORY COMMISSION WASHiNGTON. DC 2055501 NINE MILE POINT NUCLEAR STATION. LLC (NMP LLC)

LONG ISLAND LIGHTING COMPANY DOCKET NO. 50-410 NINE MILE POINT NUCLEAR STATION, UNIT 2 FACILITY OPERATING LICENSE License No. NPF-69 The Nuclear Regulatory Comrnission (the Commission or the NRC) has found that A. The application for a license complies with the standards and requirements of the Atomic Energy Act of 1954, as amended (the Act), and the Commission's regulations set forth in 10 CFR Chapter I, and all required notifications to other agencies or bodies have been duly made; B. Construction of the Nine Mile Point Nuclear Station, Unit 2 (the facility) has been substantially completed Inconforrnmi with Constructon Permit No. CPPR-1 12 and the application, as arnended, the provisions of the Act, and the regulations of the Commission; C. The facility will operate In conformity with the application, as amended, the provisions of the Act, and the regulations of the Commission (except as exempted from compliance in Section 2.D. below);

D. There is reasonable assurance: () that the activities authoied by this operating license can be conducted without endangering the health and safety of the public, and () that such activities will be conducted in compliance with the Cornmission's regulations set forth in 10 CFR Chapter I (except as exempted frorn compliance In Socum 2D. below);

Amendment No. 100

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IT Pamnnzal lnfnr ation Departments Name: MILLER, MARY H Company: NINE hMILE NUCLEAR POWER STAT Transformatign4 sn DIR-LICENSING Location: NMP - Operations Bldg., 1st Fl Forms Org Number: SA-50-01 Address: P.O. BOX 63, LAKE ROAD LYCOMING, NY 13093 USA Policies Unit: NMP REGULATORY MATTERS Rtesq:Ejct Inforritation ExternalWilift Phonse: 315-349-1510 Pager: 315-249-0068 Pin:

Work Fax: Mobile Phone: 315-529-3354 Mergerscond Phone: 315-593-9797 Home Phone:

E Al Blackberry PIN: mary.miller@constell Voice Mail: blackberry is second phone A¶YJT E-Mail: Mary.Millerfaiconstellation.com CONSTELLATKN Alt Contact Name: Alt Contact Phone:

Instructions:

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@2005 Constellation Energy. All rights reserved.

http://my.constellation.comlportal/site/PortalRedesign2/template.MAXIMIZE/menuitem.2ba75fb9dl 8bal ... 4/27/2006

ATTACHMENT1: NRCCORRESPONDENCE-PREFERREDSIGNERPOLICY TYPE OF CORRESPONDENCE PRIMARY (1) SECONDARY 2 (Correspondence requiring oath, affirmation, or certification) Vice President Plant General Manager

1. Correspondence related to Technical Specifications, License Amendments, or Orders Nine Mile Point

2. Correspondence per 50.54(f), or 50.54(p)(1)

3. Correspondence related to FSAR updates 4 Training-related correspondence requiring certification

1. Responses to Inspection Reports Vice President Designee( 3)

2. Correspondence related to Enforcement Discretion Nine Mile Point

3. Request for changes to the Emergency Plan which decreases its effectiveness

4. Responses to Notices of Violations

5. Responses to Enforcement Actions

6. Quality Assurance-related correspondence related to areduction in commitment

1. LERs Plant General Manager 1.Operations Manager

2. Submittals required by Technical Specifications wMich are the responsibility of Generation 2.Licensing Director (e.g., Special Reports, etc.)

1. Responses to Inspection Reports, Bulletins, Generic Letters related to Engineering (e.g., EQ, Manager Engineering Vice President-Fire Protection, ISI1ST, etc.) Services Nine Mile Point

2. Miscellaneous Correspondence related to Engineering (e.g., EQ, Fire Protection, ISIAST, etc.)

3. Submittals required by Technical Specifications which are the responsibility of Engineering (e.g., COLR, ISI, etc.)

4. Part 21 Notification and Related Correspondence Security-related Correspondence not covered above Manager Security and Designee( 3)

Emergency Preparedness Programs Quality Assurance-related correspondence not covered above Manager, Quality and Licensing Director Performance Assessment Emergency Planning-related correspondence not covered above Director Emergency Designee( 3)

Preparedness Training-related correspondence not covered above Training Manager Designee( 3)

1. General Administrative Correspondence not covered above Licensing Director Designee( 3)

2. Responses to Generic Communications which request General/Administrative Information

3. Correspondence related to Environmental Issues NOTES: 1. The management level of the signer may be increased as determined appropriate by the Licensing Director.

2. Secondary signers are listed in order of preference.

3. Personnel designated to "act for" the primary signer shall only sign correspondence as indicated above. The designee shall have been given signature authority.

Page 15 NIP-IRG-01 Rev 27

DISTRIBUTION LIST FOR OUTGOING NRC SUBMITTALS/LETTERS (Does not include LERs, Special Reports, Operating Reports)

EXTERNAL DISTRIBUTION Mr. S. J. Collins, NRC Regional Administrator, Region I Mr. L. M. Cline, NRC Senior Resident Inspector Mr. T. G. Colburn, Senior Project Manager, NRR (2 copies)

For NRC letters related to proposed license amendments, add:

Mr. John P. Spath, Program Manager NYSERDA 17 Columbia Circle Albany, NY 12203-6399 Phone Number: (518) 862-1090 ext. 3302 INTERNAL DISTRIBUTION Records Management License File Tonya Jones (NSRB) - Ops Bldg Any additional personnel requested by Licensing Engineer M. Flaherty Plus people from telecom list NOTE: In response to Administrative Letter 94-02, "Acknowledgement of Receipt and/or Update of Official Agency Files of Licensee Submittals," ensure the following information is recorded on the green certified mail receipt whenever mailing material to the NRC Document Control Desk (DCD): (1) our return address; (2) utility name; (3) plant/unit name; and (4) docket numbers.

Should our mailing be requesting material from the DCD, ensure the above information is printed on a separate postcard or single sheet of paper that the DCD can place in a window envelope. Also, ensure the following information is added: (1) title of document requested; and (2) version of revision number of document, if applicable.

In response to Administrative Letter 94-17, "Addressing Correspondence to the NRC,"

ensure to address and forward the signed original of all written correspondence to the Document Control Desk (unless explicitly instructed to do otherwise).

NOTE: In response to DER C-94-2566 regarding outgoing correspondence to the NRC, when the Licensing Steno receives correspondence to be mailed to the NRC: (1) Ensure all pages to the document are there and in order; and (2) ensure that all necessary signatures are on the document, including any affidavits, before mailing.

NOTE: If posting is specified on the correspondence approval form, refer to NLAP-RPR-01 for posting instructions.

NOTE: For submittals containing proprietary information, copies of the proprietary information shall be included ONLY in the original letter sent to the NRC Document Control Desk and in the copies sent to the NRC NRR Project Manager (P.S. Tam currently).

Page 3 w:idxsdsbUdae pi 720 w:\indexes\distb Updated April 27, 2006

,0REITV4- U.S. NUCLEAR REGULATORY COMMISSION Revision 2 November 2005 a REGULATORY GUIDE OFFICE OF NUCLEAR REGULATORY RESEARCH REGULATORY GUIDE 8.7 (Draft was issued as DG-8029, dated May 2005)

INSTRUCTIONS FOR RECORDING AND REPORTING OCCUPATIONAL RADIATION DOSE DATA A. INTRODUCTION In Title 10, Part 20, of the Code ofFederalRegulations (10 CFR Part 20), 'Standards for Protection Against Radiation," Section 20.1502 establishes "Conditions Requiring Individual Monitoring of External and Internal Occupational Dose." Specifically, 10 CFR 20.1502 requires licensees to provide radiation monitoring for all occupationally exposed individuals who might receive a dose in excess of the specified percentage of the limits defined in I0 CFR 20.1201, 1207, or 1208. To augment that provision. 10 CFR 20.2106, "Records of Individual Monitoring Results," requires licensees to maintain records of the radiation exposures of all individuals for whom personnel monitoring is required pursuant to 10 CFR 20.1502. Also, according to 10 CFR 20.2104, "Determination of Prior Occupational Dose." licensees shall determine the dose in the current monitoring year for all persons who must be monitored. and attempt to obtain the records of cumulative occupational radiation dose. In addition, 10 CFR 20.2104(b) requires that, prior to permitting an individual to participate in a planned special exposure, licensees shall determine the internal and external doses from all previous planned special exposures, and record all previous doses in excess of the limits received during the lifetime of the individual. Licensees are required to maintain prior dose records on NRC Form 4 or its equivalent (Appendix A to this guide). Further, 10 CFR 20.2206.

"Reports of Individual Monitoring," requires certain licensees to submit to the U.S. Nuclear Regulatory Commission (NRC) an annual report of the results of individual monitoring. Licensees are required to record these annual reports on NRC Form 5 or its equivalent (Appendix B to this guide).

Tie U.S. Nuclear Regulatory Commission (NRC) issues regulatory guides to desoribe and make kailable to the public metods that the NRC ataff considers acceptable for use in implenenting specific parts of the agency's regulations. techniques that the staff uses In evaluating specific problems or postulated accidents, and data that the stiff need in reviewing applications for permits and licenses. Regulatory guides are not substitutes for regulations. and compliance with them is not required Methods and solutions that cdffer from those set forth in regulatory guides will be deemed acceptable if they provide a basis for the findings required for the issuance or continuance of i permit or license by me Commission.

This guide was issued after consideration of comments received from the public. The NRC staff encourages and welcomes comments end suggestions in connection with Improvements to published regulatory guides, as well as Items for Incluson in regulatory auldes tt. are currently being developed. The NRC staft will revise ex4stng guides, as appropriate. to accommodate comments and to refect new information or esperience. Written comments may be submitted to the Rules and Directives Branch.

Ofltce of Administration, U.S. Nuclear Regulatory Commission. Washington. DC 20555-0001.

Regulatory guides are issued In 10 broad divisions: 1, Power Reactors: 2. Research and Test Reactors: 3, Fuels and Materials Facilities; 4, Environmental and Siting:

5. AtlerIals and Plant Protedon; 6, products: 7, Transportation; 8, Occupational Health: S. Antitrust and Financial Review; and 10. General.

Requests for single copies of draft, or active regulatory guides (which may be reproduced) should be made to the U.S. Nuclear Regulatory Commission, Washington, DC 20555. Attention: Reproduction and Distribution Services Section. or by faxto (301) 415-2289: or by email to D2stributmondnrc.oov. Electronic copies f this guide and other recently issued guides are available through the NRC's public Web sie under the Regulatory Guides document collection of the NRC's Electronic Reading Room at htfttr £&.nrc.oovrreadinrnomdocaollectionst and through the NRCs Agencywide Documents Access and Management Systern (ADAMS) at h11!jV.'ww nrc.oovnreatiino-rmjadams-htrn, under Accession No. ML052970092.

This guide describes an acceptable program for the preparation, retention, and reporting of records of occupational radiation doses. It includes copies of NRC Forms 4 and 5. as well as detailed instructions for completing those forms.

Any information collections mentioned in this regulatory guide are established as requirements in 10 CFR Part 20. which provides the regulatory basis for this guide. The Office of Management and Budget (OMB) has approved those information collection requirements under OMB control number 3150-0014. The OMB has also approved the existing requirements for NRC Forms 4 and S under approval numbers 3150-0005 and 3150-0006. However, the amended information collection requirements reflected in this guide will not become effective until they receive OMB approval. Notice of OMB approval will be published in the FederalRegister. The NRC may neither conduct nor sponsor, and a person is not required to respond to. an information collection request or requirement unless the requesting document displays a currently valid OMB control number.

B. DISCUSSION This guide is structured to reflect the process a licensee would follow to decide whether monitoring for occupational exposure to radiation is required under the revised 10 CFR Part 20.

Toward that end, this guide describes acceptable methods for determining prior doses, recording monitoring results, and reporting those results, when required, to comply with 10 CFR Part 20.

This guide also includes copies of NRC Forms 4 and 5, as well as detailed instructions for completing those forms. In addition. Appendix C to this guide discusses the format for electronic submittal of dose data to the NRC.

The term "total organ dose equivalent" (TODE) has been added to denote the sum of the deep dose equivalent (DDE) and the committed dose equivalent (CDE) to the organ receiving the highest dose.

as described in 10 CFR 20.2106(a)(6).

RG 8.7. Rev. 2, Page 2

C. REGULATORY POSITION

1. Determining the Need To Monitor According to 10 CFR 20.1502, monitoring is required if an adult is likely to receive in a calendar year a dose greater than the specified percentage of the limits defined in 10 CFR 20.1201.

1207, or 1208, or is entering a high or very high radiation area. The licensee should evaluate the dose that such an individual is likely to receive before allowing the individual to receive the dose. The licensee need not perform a dose evaluation for every individual; evaluations can be performed for employees with similar job functions or work areas. Regulatory Guide 8.34, "Monitoring Criteria and Methods To Calculate Occupational Radiation Doses" (July 1992), provides further guidance for use in determining the need to monitor an individual's occupational radiation dose.

1.1 IfMonitoringIs Not Required If the prospective evaluation shows that an individual is not likely to receive in a calendar year a dose that exceeds the specified percentage of the limits defined in 10 CFR 20.1201, 1207, or 1208.

10 CFR Part 20 does not require recordkeeping or reporting regarding the individual's dose. For individuals who received a dose at other facilities in the current year, the previous dose need not be considered in this prospective evaluation. Only the dose that could be received at the facility performing the evaluation need be considered when determining the need for monitoring and, therefore. the recordkeeping and reporting requirements. If the licensee determines that monitoring is not required and a subsequent evaluation shows that the individual exceeded (or will exceed) the monitoring limit threshold, the licensee should estimate. record, and report the dose received when monitoring was not provided.

These estimates can be based on any combination of work location radiation monitoring or survey results.

monitoring results of individuals in similar work situations, or other estimates to produce a "best estimate" of the actual dose received.

If monitoring is not required to demonstrate compliance with all limits, but is required relative to one or more specific limits, the licensee should enter "NR" for "Not Required" in the blocks on NRC Forms 4 and 5 to indicate the areas for which monitoring was not required (e.g., extremity or skin doses).

Where monitoring was provided but the dose was not measurable, the licensee should enter "ND" for

'Not Detectable."

1.2 If Monitoring Is Required If the prospective evaluation shows that an individual is likely to receive in a calendar year a dose that exceeds the specified percentage of the limits defined in 10 CFR 20.1201, 1207, or 1208, 10 CFR 20.1502 requires monitoring. In addition. 10 CFR 20.2106(a) and 20.2206(b), respectively, require recording and reporting of the monitoring results. regardless of the actual dose received (even if the actual dose received is less than the dose limits for which monitoring is required).

RG 8.7. Rev. 2. Page 3

1.3 Documentatinn of PriorDoses For those individuals for whom monitoring is required (i.e., individuals who are likely to receive in a calendar year, an occupational dose requiring monitoring pursuant to J0 CFR 20.1502). 10 CFR 202104 requires a determination of the individual's current year dose at other facilities. For individuals entering a high or very high radiation area determination of current year prior occupational dose is not required unless the individual is likely to receive in a year, an occupational dose greater than the specified percentage of the limits defined in 10 CFR 20.1201, 1207, or 1208. To document that determination, the licensee is required to obtain an NRC Form 4 signed by the individual to be monitored, or a written statement that includes the names of all facilities that monitored the individual for occupational exposure to radiation during the current year and an estimate of the dose received. Although not required by the regulations.

it is considered good health physics practice to verify the information provided by the individual.

Verification may be documented in any of the following ways:

• an NRC Form 5 for each listed monitoring period

• electronic, telephone, or facsimile transfer of dose data provided by licensees listed on the written statement

• an NRC Form 4 countersigned by a licensee or current employer In addition, 10 CFR 20.2104(aX2) requires that licensees must attempt to obtain records of the individual's lifetime cumulative occupational radiation dose. To demonstrate compliance with this requirement. the individual to be monitored may provide a written estimate of the cumulative lifetime dose or an up-to-date NRC Form 4 signed by the individual. The licensee need not verify this information, so long as the individual does not participate in a planned special exposure.

NRC Forms 4 and 5. termination letters, andlor reports that document the results of monitoring performed before implementation of the 1991 revision of 10 CFR Part 20 may be used without recalculating dose according to the requirements of the 1991 revision of 10 CFR Part 20. For the purpose of assessing prior dose, whole body dose, in rem, as reported on the old NRC Forms 4 and 5 (from 1981 or earlier) can be considered equivalent to total effective dose equivalent (TEDE).

1.4 Records of PriorDosefor PersonsParticipatingin PlannedSpecial Exposures If the monitored individual has any periods of exposure (throughout his or her life) that have not been monitored and documented, the individual is not permitted to participate in a planned special exposure. Acceptable documentation of prior exposure is similar to that required to document current-year exposure. The licensee may ask the NRC to provide a report of the monitored individual's exposure history, by submitting a request via the NRC's Radiation Exposure Information and Reporting System (REIRS) for Radiation Workers (a secure web site) at htt:.--/www.reirs.com. Alternatively, the licensee may send a request signed by the monitored individual to the following point-of-contact:

REIRS Project Manager Office of Nuclear Regulatory Research U.S. Nuclear Regulatory Commission Washington, DC 20555 Each request should contain the social security number (or other unique identifier) of the monitored individual authorizing release of the information and the name and address of the person or licensee to whom the report should be sent. The NRC's REIRS database contains copies of all licensee exposure records submitted to the NRC. However, the database only contains reports submitted by the seven classes of licensees that 10 CFR Part 20 requires to report occupational exposures. Any missing monitoring periods should be obtained directly from licensees.

RG 8.7. Rev. 2. Page 4

1.5 Use ofID Types Other than Social Security Number Doses to individuals who do not have a social security number. such as citizens of foreign countries, and individuals who are either unwilling or unable to provide (cannot locate or do not want to disclose) a social security number. should be reported using another unique identifier. It is important to record the type of identification in the data block labeled "ID Type," which follows the "Identification Number" data block on NRC Forms 4 and 5. The instructions on the back of these forms define all valid ID types.

Licensees should insert the appropriate code (listed below) in the blank labeled "ID Type".

ID TYPE CODE U.S. Social Security Number SSN Passport Number PPN Canadian Social Insurance Number CSI Work Permit Number WPN INDEX Identification Number IND PADS Identification Number PAD Other OTH The use of licensee-generated identification numbers should be avoided whenever possible.

2. Records of Monitoring Results for Individuals for Whom Monitoring Is Required The preparation of NRC Form 5 with the information clearly and legibly shown, or the collection of all information requested by NRC Form 5 using paper or electronic media (see Appendix C). is required by 10 CFR 20.2106. The licensee shall maintain such records for each individual for whom occupational monitoring is required by 10 CFR 20.1502. In addition, certain classes of licensees are required to report the results of this monitoring to the NRC, pursuant to 10 CFR 20.2206, either by submitting copies of NRC Form 5 or by transmitting the required information to the NRC through electronic media.

This report, covering the preceding year, must be filed on or before April 30 of each year. NRC Form 5 provides instructions and additional information pertinent to each item.

2.1 Multiple Badges Regulatory Guide 8.34, "Monitoring Criteria and Methods To Calculate Occupational Radiation Doses" (July 1992). provides further guidance on interpreting the results of multiple dosimetric devices placed at different locations on the body to track doses to various parts of the whole body. In addition.

NRC Regulatory Issue Summary 2002-06, "Evaluating Occupational Doses Exposed to NRC-Licensed Material and Medical X-rays" (April 16, 2002), provides additional guidance.

RG 8.7, Rev. 2, Page 5

2.2 Dose Calculationsfor CDE and TODE to the Maximally Exposed Organ As required by 10 CFR 20.2106(aX6), licensees shall record, when applicable, the total organ dose equivalent (TODE), which is the sum of the deep dose equivalent (DDE) and the committed dose equivalent (CDE) to the organ receiving the highest dose (the maximally exposed organ). For cases where the licensee is using effective dose equivalent (EDE) in lieu of DDE (please refer to NRC Regulatory Issue Summary 2003-04, "Use of the Effective Dose Equivalent in Place of the Deep Dose Equivalent in Dose Assessments'), record the EDE in item number 1 1 of NRC Form 5 and note in the comment block that EDE is being used in lieu of DDE. Organ doses need not be calculated if the committed effective dose equivalent (CEDE) does not exceed I rem, and there are no overexposures in any dose category within the monitoring year, including doses previously reported by other licensees.

In this case, the licensee may record "NC" for "Not Calculated" in items 16 and 18 on NRC Forms 4 and 5. If during the course of the year, the CEDE to date for the year exceeds 1 remn or the individual receives an overexposure in another dose category, the licensee is required to calculate, record, and report the CDE and TODE to the maximally exposed organ. When the CDE and TODE to the maximally exposed organ are required to be calculated, the licensee should refer to Regulatory Guide 8.34, "Monitoring Criteria and Methods To Calculate Occupational Radiation Doses" (July 1992).

2.3 Dose to the Embryo/Fetus A declared pregnant worker is a worker who has voluntarily informed her employer (in writing) of her pregnancy and the estimated month and year of conception. In such instances, the licensee shall record the dose to the embryo/fetus for the entire gestation period [10 CFR 20.2106(e)], but need not include that information on NRC Forms 4 and 5. Multiple records are not required in the case of multiple births (twins, triplets, etc.). Licensees are required to record any dose measured to demonstrate compliance with 10 CFR 20.1208.

Licensees should be sensitive to the issue of personal privacy with regard to the dose to the embryo/fetus. If requested by the monitored woman. a letter report may be provided to subsequent licensees to document prior embryo/fetus dose. Regulatory Guide 8.36, "Radiation Dose to the Embryo/Fetus" (July 1992), provides further guidance on assessing the dose to the embryo/fetus.

2.4 Transmittal of.Reports to the NRC As required by 10 CFR 20.2206(c), certain licensees are required to submit reports of monitoring for the previous year to the NRC on or before April 30 of each year. According to 10 CFR 20.2206(b),

'...The licensee shall use Form NRC 5 or electronic media containing all the information required by Form NRC 5." Licensees shall submit their reports to the REIRS Project Manager by an appropriate method listed in 10 CFR 20.1007 or via the REIRS Web site at htto:i/Nkvw.reirs.com. Reports submitted by mail should be addressed as follows:

REIRS Project Manager Office of Nuclear Regulatory Research U.S. Nuclear Regulatory Commission Washington, DC 20555 2.5 Electronic Reporting of Dose Data Licensees (especially those with a large number of monitored individuals) are encouraged to record and report these data electronically. Appendix C to this guide provides guidance for reporting radiation dose data to the NRC in an electronic, machine-readable format.

RG 8.7. Rev. 2, Page 6

D. IMPLEMENTATION The purpose of this section is to provide information to applicants and licensees regarding the NRC staff's plans for using this guide. No backfitting is intended or approved in connection with the issuance of this guide.

Except in those cases in which an applicant or licensee proposes or has previously established an acceptable alternative method for complying with specified portions of the NRC's regulations, the methods to be described in the active guide will reflect public comments and will be used in evaluating (I) submittals in connection with applications for new licenses, license renewals, and license amendments, and (2) compliance with 10 CFR 20.1001-20.2401.

SMALL BUSINESS REGULATORY ENFORCEMENT FAIRNESS ACT The NRC staff has determined that this final action is subject to the Small Business Regulatory Enforcement Fairness Act of 1996 because it is the whole or part of a final agency action that has general applicability and future effect designed to implement, interpret, or prescribe law or policy. However.

the final action does not constitute a 'major ruler as defined in S U.S.C. 804(2).

REGULATORY ANALYSIS The NRC staff did not prepare a separate regulatory analysis for this regulatory guide.

The regulatory analysis prepared for 10 CFR Part 20, "Standards for Protection Against Radiation" (56 FR 23360). also provides the regulatory basis for this guide and examines the costs and benefits of the rule as implemented by the guide. A copy of the "Regulatory Analysis for the Revision of 10 CFR Part 20" (PNL-67112, dated November 1988), is available (as an enclosure to 10 CFR Part 20) for inspection and copying for a fee at the NRC's Public Document Roon. located at 11555 Rockville Pike, Rockville, Maryland.

RG 8.7. Rev. 2, Page 7

APPENDIX A NRC FORM 4, "CUMULATIVE OCCUPATIONAL DOSE HISTORY" Thisform is reissued every 3years. The atachedform isfor illustration only.

The currentform can befound on the NRC's public Web site at http.':/ww. nrc. eov/readlini-r/doec-colleetitonys/foronslnrc4.pdr.

Appendix A to RG 8.7. Rev. 2, Page A- I

-PAGE OF NRCU0RM4 11 NUCLEAR REGULATRY COMMISSION APPROVED BY OMB NO. 3150-0005 EXPIRES:0/3112004 TS OFO FtP! 20 rrnstt " f4 tL., r'¶raiieetrt eA 1.1 m 1, st- t- ,,mrdea virforrt,,na CC s-.yItr wct Thlo srr t5 t 150rf qu rd r lt . to adWrtr'! I30m r.s- st "4g's NI Aood tv,k 2t 3o CUMULATIVE OCCUPATIONAL DOSE HISTORY oXCoos-V o-;gss-soc-,VaoN tjo th trP2Ct-O0F33, U rOISOOIt PMaa os-t trot tcet W rnctor- CCV 5yt5I 11a 800 Usod t 10 tytt 311C t!S44 ioe .~R rneyo.: 105,0s to~~Y~ 0 5 t1043 0,0050 sp06S,pr 0~cut ss-4t54u'A J 000Trc-rt3frSKt~ts o

fr'ot f s.' Are R.vwcos .s. Ao. Nc'Al2e!s_

II.4tA_:LkST F(PS7YE5E4Th'l 2 SLIMKR 3 fDTYPE MAtE I cDATEOF TRIP 0rMO !r:, PtPt t IF EhtALE r-l j - 'AMl-Yf . ULCENSEE NAWE e L.;EIISE 0NIM4EER gS RECOIUF I0 RO'ItINE _

ESTNiATE__

NtOPECORfDSE I'  ! 1 110I

, 13 SOA,O 14 :Li 101o 1 1 ttJ l lM O .2)1, 1it-itt5 _ '_ I)00 1 m'or0li(cr, PERIOQD 7. UENSES NWSE e LiCENSE NUJMMSER PECOPD I o. ROMTE4E It CV 12 LDE l 12 SCC v Sle5l t3 5 15 CECE e *CE 17 TEDE ESTIKtATE tOt RECOR

_ YTs0 PSE r M h I.UCE$EE IlNME e CE1NSE NIeJER R55ECORD 10 ROUTNE ES1II4ATE NO 5ECORD _ FSE 1' LtX l 12 LtJE 13 SEZEVd l tEDEM 115 Elr1'E, I T5X 10:LIE fAOs'sEp55 IICENSES5 E. LI fNSE NUMMEN 0EC0) 0.

rsSTI,4ATSS NCf555C525D r I Er I 755* 12 LDE 13 ST E V5 l E E sEDE lE 10 CO IECE DOEE .

, ._:0l

.... I  :-v: d I--s-- -_E E-e t ON, nr- 141 r1Epr-) 17 ttCENSEEHA4L.E e PEvEtAERanCI~RDLM IN LU.nW II .. . -. 0 . P .R

_ vzr-l15 f~rW vlF. l r> F 15" CFrfi lf , I 17 'Fr.F l ; -"J:

I LIC 5 LKEI.SE E.,ll ENSES L

.rF -f 'A-E .FT~ 1 - l I, tOr~-L-rl 1 ( 1 2 S IT I 11 SrN 4 0 c *10 f' flf i =55F r t r- s't';F T000

. ,-i

.". _5'X30 _3: _y'uo .  :. _ SS .555 _ I: s ... ' Ms 0 _4 02 "r .5-205 _~ 2pSf5 4 5 _ .30

,mr- ronm 4 iwi7'/1tlt PIPPITCD r, FJCC-YCLIZ DAPEP

INSTRUCllONS AND ADDITIONAL INFORMATION PERTINENT TO THE COMPLETION OF NRC FORM 4 PRIVACY ACT STATEMENT (AO doses shouidbe statedin rerns 9

1. Type or print the IWIname of the monitored Individual If more than one PSE was received In a single year, Pursuant TO 5 U.S.C. 552a(eK3), enacted into law by Sectlon 3 o the Privacy Act in the order of ltst name (include "Jr,' "Sr." 'lIt," etc.). the licensee should sum them and report the tldal of al of 1974 (Public Law 93-579), the following statement Is furnished to individuals who first name, middle iniffal (it applicable). PSEs. supply Information to the U.S. Nuclear Regulatory Commission (NRC) on NRC Form 4. This Information is mnalnained in a system of records designated as

2. Enter the indiidual's Identlfication number. Inducding 11. Enter the deep dose equivalent (DDE) to the whole NRC-27 and described at 65 Federal Register 56434 (September 18 2000), or the punctuation. Thisnumber should be the 9dgit social body. most recent Federal Register publication of the Nuclear Regulatory Commisslon s security number if at ill possible. Ithe indodual has "Republiation of Systems of Records Notices' that Is available at the NRC PublIc no social security number. enter the number from 12. Enter the eye dose equivalent (LDE) recorded for the Document Room. 11555 Rockville PIke. Rockvilie. Maryland. or located In NRC's another oficeat Identification such as a passport or lens of the eye. Agencywiade Documents Acess and Management System (ADAMS).

work permit.

13. Enter the shallow dose equivalent recorded for the skin 1. AUTHORITY: 42 U.S.C. 2073. 2093, 2095. 2111, 2133. 2134. 2201(o)

3. Enter the code for the type of Identification used as of the whole body (SDE.WB). (1996): 10 CFR 20.210G. 20.2201-20.2204 and 20.2206 (2000); Executive Order 9397. November 22. 1943.

shown belw

14. Enter the shallow dose equivalent recordedforthe skin 2. PRINCIPAL PURPOSE(SJ: The Information Is used by the NRC In is CODE ID TYPE df the extremity receiving the maexmum dose evaluation of the risk of radiation exposure associated with the~lIcensed SSN U.S. Social Security Number (SDE.ME). activity and In exercising its statutory responsibility to monitor and regulale PPN Passport Number the safety and health practices of its ficensees. The data permits a CSI Canadian Social Insurance Number 15. Enter the cormitted effective dose equivalent (CEDE). meaningful comparison of both current and longtern exposure experience WPN Work Permit Number among types oflicensees and among icensees within each type. Data on PADS PADS Identification Number 16. Enter the omnmitted dose equivalent (CDE) recorded your exposure to radiation Is avalable to you upon your request.

OTH Other for the maxlnmaly exposed organ.

3. ROULTNE USE(S): The information may be used to provide data toothor

4. Check the box that denotes the sex of the Indviduel 17. Enter the total effective dose equivalent (TEDE). The Federal and Stae agencies involved in monitoring andlir evaluating radiation being monitored. TEDE Is Vie sui of itemris It and 15. exposure received by indsduals monitored for radiation exposure white employed by or visiting or temporarily assigned to certain NRC ticensed

5. Enter the dade of birth of the Individual being monitored 18. Enter the total organ dose equivalent (TODE) for the facilities to return data provided by licensee upon request. The Information In the format MMIDDAYW. maxtmaity exposed organ. The TODE Is the sum of may also be disclosed to an appropriate Federal, State. boat, or Foreign items 11 and 18. agency In the event the Information Indicates a vIolation or potential violation

6. Enter the monitoring period for which this report Is of law and In the course of an admInistralive or Judidal proceeding. I filed. The format should be MMhDD/YYYY - 19. Signature ofthe monitored indivfrall. The signatureof addition. this Information may be transferred to an appropriate Federal. State.

MMIDDIYYYY. the monitored indsidual on this form indicates that the local, or Foreign agency to the extent relevant and necessary for an NRC information contained on the form is complete and decision about you orto the extent relevant and necessary for that agencs

7. Enter the name of the licensee or facility not licensed correct to the best of his or her knowedge. decdliom about you. Information from this form may also be disclosed. In the by NRC that provided monitoring. course of discovery and Inpresenting evidence, to a Congressignal office to

20. Enter the date this form was signed by the monitored respond to their inquiry made at your request or to NRC-pald experts, consultants, and others under contract with the NRC, on a need-to-know

8. Enterthe NRC license number or numbers. Indilvdual. basis.

9. Place an X" In Record. Estimate, or No Record. 21. (OPTIONAL] Enter the name of the ficensee or faclNty 4. WHETHER DISCLOSURE IS MANDATORY OR VOLUNTARY AND Choose 'Record' it the dose data fisted represent a net licensed by NRC. providing monitoring for exposure EFFECT ON INDMDUAL OF NOT PROIIDING INFORMATION:tHIs final determination of the dose received to the best of to radiation (such as a DOE facility) or the employer If voluntary that you furnish the requested information. Including soci secury the licensees knowledge. Choose 'Estinate" only If the indivIdual Is not employed by the licensee and the nun'berldentilcation number). The socle securilynumberisusedtoassure the ISted dose dela are preliminary and wilt be employer chooses to maintain exposure records for Its that NRC has en accureae identifer not subject to the colncidence of similar superseded by a flinal determination resulting in a employees. names or birth dates among the large number of persons on whom data is subsequent report. An example of such an instance maintained and to assure that there are no missed doses or monioring would be dose data based on self-reading dosimeter 22. (OPTiONAL] Signature of the person designated to periods and an individual gets a complete dose history when requested. The results and the licensee Intends to assign the record represent the licensee or employer entered In rem 21. licensee must complete NRC Form 5 on each Individual for whom personnel dose on the basis of TILD results that are not yet The licensee or employer who chooses to countersign monitoring is required under 10 CFR 20.2106. Failure to do so may subect available. the form should have on file documentation of al the the Icensee to enforcement action In accordance with 10 CFR 20.240t.

Information on the NRC Form 4 being signed.

10. Place an lX" In either Routine or PSE. Choose 5. SYSTEM MANAGER(S) AND ADDRESS: REIRS Project Manager.

"Routine Iflthe dala represent the resuls ot montorng 23. (OPTIONAL) Enter the date this form was signed by Radiation Protection and Heaith Effects Branch, Division of Regulatory forroutineexposures. Choose "PSE" Ifthellstedcdose the designated representative. Applications. Office of Nuclear Regulatory Research. U.S. Nuclear data reresents the results of monitoring ot planned Regulatory CommissIon. Washington, DC 20555-0001 special exposures received during the monitoring period.

APPENDIX B NRC FORM 5, "OCCUPATIONAL DOSE RECORD FOR A MONITORING PERIOD" Thisform is reissued every 3years. The attachedform isfor illustrationonly.

The currentform can befound on the NRCs public Web site at hrn.:// swvwnrciovlreadin2-rn4doc-collections/fotms/nrc.pde .

Appendix B to RG 8.7. Rev. 2. Page B-I

PAGE CF NRC FORM 5 U.S. NUCLEAR REGULATORY COMMISSION APPROVED BY oMa NO. 3150-0008 EXPIRES: 10t3112004 OCCUPATIONAL DOSE RECORD FOR A MONITORING PERIOD Nsk Oficar FA090LW 3Ilntr EC

,ec. 29W3 ttqm&"Oflt , NEOB- o120 (.A o ymtion a,^d Rnxnatorcy~~oSO~E~-i~l~9~ ' w8sn'j

.~~~~~~~ v (!Wt .Dtff t lrtnbr ther rF~C set nc4:o>2 r f s>.-1:r. reni CPsri'n is net r.,rI4.ned to~rristnd tn. tt

.io n c c iod n

1. NAME "LAST, FIRST, MIDD2LEINITIAL) 2. IDENTIFICATION NUMBER 3. ID TYPE 4. SEX 6. DATE OF BIRTH CMM/DDNYYY)

6. MONITORINt3 PERIOD

. ___._._.___-I- .

jJM;YYY

7. LICENSEE NAME

., _i S. LICENSE NUMBER(S)

MALE n:FEMALE 9A 9

OREORD ROUTINE ESTIMATE PSE

________INTAKES _______DOSES (in rem) 10A RADIONUCLIDE 108. CLASS 10C. MODE 100. INTAKE IN ftCI l_DOSES_(in_____

DEEP DOSE EQUIVALENT (DOE)

LENS (EYE) DOSE EQUIVALENT (LDE) 12.

SHALLOW DOSE EQUIVALENT. WHOLE BODY (SDEWB) 13.

SHALLOW DOSE EQUIVALENT. MAX EXTREMITY (SDE.ME) 14.

COMMITTED EFFECTIVE DOSE EQUIVALENT (CEDE)

COMMITTED DOSE EQUIVALENT. 16.

MAXIMALLY EXPOSED ORGAN (COE)

TOTAL EFFECTIVE DOSE EOUIVALENT 17.

(ADD BLOCKS 11 AND 15) (TEDE)

TOTAL ORGAN DOSE EQUIVALENT, 18.

MAX ORGAN (ADD BLOCKS 11 AND 16) (TODE)

19. COMMENTS

20. SIGNATURE-- LICENSEE 21. DATE PREPARED NRCFC4)M' (HO-20C1I

INSTRUC7lONS AND ADDITIONAL INFORMATIoN PERTINENT TO THE COMPLET)ONOF NRC FORM 5I PRIVACY ACT STATEMENT (Aff doses should be stated tn res)

1. Type or print the fA name of the monitored If more than one PSE was received In a single year. Pursuant to 5 U.S.C. 552a(eX3), enacted into law by Section 3 of the Privacy Act of indvdual In the order of last name (Include 'Jr.' the licensee should sum them and report the total of 1974 (Public Law 93-579). the following statement is furnished to tndiduals who

'Sr,' 111."etc.), first name, middle Initial (if all PSEs. supply Information tothe U.S. Nuclear RegulatoryComnisslon (NRC) on NRC Form applicable). 5. This Information Ismaintained Ina system of records designated as NRC-27 and 10A Enter the synbol for each radtonudlide that resulted in described at 65 Federal Register 56434 (September 1B. 2000). or the most recent

2. Enter the Individual's IdentIfication number. an Internal exposure recorded for the Individual. using Federal Register publication of the NRC's 'Repubication of Systems of Records Including punctuation. This number should be theformat"Xx4#x ,for Instance. Cs-137 or Tc-99m. Notices" that Is available at the NRC Public Document Room. 11555 Rockdfle Pkea.

the 9-dgit social security number It at al Rocloole. Maryland or located In NRCs Agencywide Documents Access and possible. I the Individual has no soclal security 10B. Enter the lung clearance class as listed in Appendix Management System (ADAMS).

number. enter the number fcrn another officlal B to 10 CFR Part 20.1001-2401 (D W. Y, V or O for Identlifcatton such as a passport or work permit. other) for all Intakes by nhalatlon. 1. AUTHORITY: 42U.S.C.2073.2093,2095.2111.2133,2134, and2201(o)

(199O 10 CFR 20.2106, 20.2201-20.2204, end 20.2206 (2000) Executive

3. Enter the code for the pe of Idenrllicalion used 1OC. Erner tle mode of intake. For inhalation. enter I-1." Order 9397. Novearmr22, 1943.

as shown below. For absorption through the skin. enter "B." For oral Ingestion, enter 'a' For injection. enter 'J.' 2. PRINCIPAL PURPOSE(S): The Information Is used by the NRC In Its CODE ID TYPE evaluation of the risk of radiation exposure associated with the licensed ectbty SSN U.S. Social Scurily Number 10D. Enter the Intake of each radlonuckde InpCI. and in exercising Its statutory responsiblity to monaor and regulate the safety PPN Passpor Number and health practIces of Itslicensees. The data pen-its a meaningful CSI Canedtin Social Insurance Number 1t. Enter the deep dose equivalent (DDE) to the whole ccmparlson of both current and long-term exposure experience among types WPN Work Permit Number body. of licensees and among licensees within each type. Data on your exposure PADS PADS Identification Number to radiation Isavaltabie to you upon your request.

OTH Other 12. Enter the eye dose equlvalent (LDE) recorded for the lens of the eye. 3. ROUTINE USE(S): The Information may be used to proade data to other

4. Check the box that denotes the sex of the Federal anrd State agencies involved In monitorhngandler evaluating radiation Indivdual being monitored. 13. Enter the shallow dose equivalent recorded for the exposure received by Individuals monilored for radiation exposure whIle skin of the whole body (SDEWS). enployed by or visiting or temporarby assigned to certain NRC licensed

5. Enter the date ol birth of- the hIdMdual being facIlItfes: to return data prorided by licensee upon request. The Infrmation monitored Inthe format MMODNYYY. 14. Enter the shallow dose equivalent recorded for the may also be disclosed to an apprepriate Federal, State; local or Foreign skin of the extremity receiving the maximum dose agency In the event the informatien Indicates a violation or potential violation

6. Enter the monitoring period for which this report (SDE.ME). of law and inthe course of an adminrstrallve or Judicial proceeding. In addition, Is filed. The format should be MhVDD/YYYY - this Information may be transferred to an appropriate Federal. State. local end MMIDDIYYYY. 15. Enter the committed effective dose equivalent ForeIgn agency to the extent relevant and necessary for an NRC decision (CEDE). about you or to the extend retevant and necessary for that agencys decision

7. Enter the name of the Icensee. about you. Information from this form may also be disclosed. in the course of

16. Enter the committed dose equivalent (CDE) recorded discovery and In presenting evidence. to a Congressional office to respond to

8. Enter the NRC ttcense number or nurnbers. for the maximally exposed organ. ther Inquiry made at your request or to NRC-pald experts, consultants. and others under contract with the NRC. on a need-to-know basis.

9A Ptace an X In Record. Estimate, or No Record. 17. Enter the total effective dose equivalent (TEDE). The Choose 'Record' if the dose date lIsted TEDE Is the sum of items II and 15. 4. WHETHER DISCLOSURE IS MANDATORY OR VOLUNTARY AND represent a final determ~natlon of the dose EFFECT ON INDMDUAt. OF NOT PROVIDING INFORMATION: It Is received to the best odthe bcensee's knowledge. 18. Enter the total organ dose equivalent (TODE) for the voluntarythat you furnish the requested Informatlon. Including social security Choose 'Estimate only l the Isted dose data naxImally exposed organ. The TODE Isthe sun of number (identification number): however, the licensee must complete NRC are preliminary and wfil be superseded by a final Items 11 and 16. Forrn 5 on each Individual for whom personnel monitoring Is required under 10 determinatton resulting In a subsequent report. CFR 20.2106. Fallure to do sonmay sutbec the icensee to enforcement acton An example of such an Instance would be dose 19. COMMENTS. In accordance with 10 CFR 20.2401. The social security number (Identitication data based on selfreading dosimeter results and In the space provided, enter additional Information nuntber) Is used to assure that NRC has an accurate identiller not subject to the licensee intends to assign the record dose that might be needed to determine compliance with the coincidence of similar names or birth dates among the large number of on the basis of TLD results that are not yet lmits. An exerrple might be to enter the note that the persons on who data Ismaintained.

available. SDE.ME was the result of exposure from a discrete hot partIcle. Another possibility would be to Indicate 5. SYSTEM MANAGER(S) AND ADDRESS:

98. Place an Xr in either RoutIne or PSE. Choose that an overexposed report has been sent to NRC In REIRS Project Manager

'Routine' If the date represent the results of reference to the exposure report. Radiation Protection and Health Effects Branch monitoring for routine exposures. Choose tPSE" DivisIon of Regulatory Applications If the listed dose data represents the results of 20. Signature of the person designated to represent the Office of Nuclear Regulatory Research monitoring of planned special exposures licensee. U.S. Nuclear Regulatory Commission received during the monitoring period. Washington, DC 20555-0001

21. Enter the date this form was prepared.

APPENDIX C FORMAT FOR ELECTRONIC SUBMITTAL OF DOSE DATA Introduction This appendix outlines a means by which licensees may satisfy the requirements of 10 CFR 20.2206, "Reports of Individual Monitoring." Where practicable, the NRC prefers to have licensees submit an electronic file via the Radiation Exposure Information and Reporting System (REIRS) for Radiation Workers (a secure Web site) at htty://www.reirs.com. Regardless of submittal method. licensees who have their exposure records in an electronic format are encouraged to submit electronic files. This is especially important for those licensees who have a large number of monitored individuals, because data entry is inefficient and can introduce an additional source of error.

Media Requirements For electronic data mailed to the REIRS Project Manager (PM), the following data storage media are compatible with REIRS. Other data submission formats may also be acceptable. The NRC will provide additional guidance to licensees upon request to the REIRS Project Manager.

PC Diskettes: 3!'-inch Standard IBM-PC format ASCII character format Compact Disk (CD-ROM): Standard IBM-PC format ASCII character format Transmittal Letters For electronic files that are not submitted through the REIRS Web site, the licensee should also submit a transmittal letter containing information that will minimize processing time and help resolve possible discrepancies. Each letter should contain the following information (as a minimum):

File name Descriptive name of the file(s) contained on the disk Date created Date each filc was created Operating system Operating system and version used to format the disk Contact Name and telephone number of the cognizant point-of-contact Other instructions Comments or explanation regarding the submission, the actual date, the data format, or other important information Signature and date Dated signature of the licensee's authorized representative responsible for the data Appendix C to RG 8.7, Rev. 2, Page C- I

Expected Data Each licensee is expected to submit one routine NRC Form 5 for each monitored individual at the given facility for each monitoring year. Licensees should also submit a separate NRC Form S for each individual for whom planned special exposures were authorized. Because there should be few repetitions, the employee information is included on the Form 5. The primary license number is also included on each Form 5 to ensure that the records are assigned to the proper facility.

File Structure The file structure consists of a header record, which provides information about the source of the data file, followed by Form 5 dose records and supporting Form S intake records. Where applicable, the file imay also include one or more Form 5 comment records to explain special exposure calculations or overexposures. Each record contains only ASCII or EBCDIC printable characters and is terminated with a carriage return (CR) and a fine feed (LF). All empty space in a field is padded with spaces. Text strings are left justified in a field, and numbers are right justified in a field.

HeaderRecord The header record occurs only once at the top of each file to identify the source of the data.

Field Width Start Col. End Col. Description PrimaryLicense 13 1 13 Primary NRC license number Preparation Date 8 15 22 Date the record was written to the data file formatted as "YYYYMMDD" LicenseeName 72 24 95 Name of NRC licensee Contact 72 97 168 Name of person to contact for further information about this data file PhoneNumbcr 14 170 183 Contact's phone number OtherLicense_1 13 185 197 Other related NRC license number OtherLicense_2 13 199 211 Other related NRC license number OtherLicense 3 13 213 225 Other related NRC license number OtherLicense_4 13 227 239 Other related NRC license number Other License 5 13 241 253 Other related NRC license number Other License 6 13 245 267 Other related NRC license number Other License 7 13 269 281 Other related NRC license number OtherLicense_8 13 283 295 Other related NRC license number OtherLicense9 13 29 309 Other related NRC license number Other License-10 13 311 323 Other related NRC license number Appendix C to RG 8.7, Rev. 2. Page C-2

Form 5 Dose Record The data file contains one dose record for each Form 5 being reported. Each dose record may be followed by zero or more Form 5 intake records.

Start End Field Width Col. Col. Description Employee ID 12 1 12 SSN, PPN, CSI, WPN, IND, PAD, or OTH (IDs should have no punctuation.)

ID Type 3 14 16 "SSN," "PPN," "CS!" "WPN," 'IND,"

"PAD," or "OTIH' Primary License 13 18 30 Primary NRC license number PreparationDate 8 32 39 Date the record was written to the data file, formatted as "YYYY4MDD" Record Type 1 41 41 'Ir) = DOSE FirstName 25 43 67 Employee's full first name (no nicknames)

Middle Initial 1 69 69 Employee's middle initial LastName 25 71 95 Employee's last name (Titles such as "Jr" should be separated from the last name by a space, without any punctuation.)

Sex 1 97 97 Employee's sex:

_"M' = Male and "F" Female BirthDate 8 99 106 Employee's date of birth, formatted as "YYYYMN4DD" Monitoring Start 8 108 115 Date monitoring began. formatted as "YYYYMMDD" (This typically is January I of the monitoring year for everyone except new hires.)

MonitoringEnd 8 117 124 Date monitoring ended, formatted as

`YYYYMMDD" (This typically is December 31 of the monitoring year for everyone except ternminations.)

Report Type 1 126 126 "R" = Record, or "E" - Estimate Exposure Type 1 128 128 'R" = Routine. or "P" = PSE DDE 8 130 137 Deep dose equivalent in rems. formatted as

'999.999" LDE 8 139 146 Eye dose equivalent to the lens of the eye in remns, formatted as "999.999" SDEWB 8 148 155 Shallow dose equivalent whole body in reins, formatted as "999.999" Appendix C to RG 8.7. Rev. 2. Page C-3

Start End Field Width Col. Col. Description SDE_ME 8 157 164 Shallow dose equivalent, max extremity in rerns, formatted as "999.999" CEDE 8 166 173 Committed effective dose equivalent in rems, formatted as "999.999" CDE 8 175 182 Committed dose equivalent, formatted as "1999.999" TEDE 8 184 191 Total effective dose equivalent. formatted as "999.999" TODE 8 193 200 Total organ dose equivalent, maximally

._ _ exposed, formatted as "999.999" Form 5 Intake Record The data file should include an intake record for each intake on the Form 5 being reported.

Start End Field Width Col. Col. Description Employee ID 12 l 12 SSN, PPN, CSI, WPN, IND, PAD, or OTH (IDs should have no punctuation.)

ID Type 3 14 16 "SSN," -PPN." "CSI, ".WPN," "IND." "PAD," or Primary License 13 18 30 Primary NRC license number Preparation-Date 8 32 39 This is the date from the parent Form 5 Dose Record, formatted as "YYYYMMDD' RecordType 1 41 41 "I"= Intake Radionuclide 9 43 51 Radionuclide abbreviation with the hyphen.

Class 1 53 53 "D," "Y," "W," "V," or "0" for Other Mode 1 55 55 "H" = Inhalation, "B" = Absorption, r" = Injection, or "G" = Ingestion Intake 10 57 66 The amount of uCi for the radionuclide (This can be expressed in scientific notation using the format "+9.999E+99" or as a decimal number

_ _of less than 9 digits.)

Appendix C to RG 8.7, Rev. 2, Page C-4

Form 5 Comment Record The data file only includes this record type when comments are necessary to explain special exposure calculations or overexposures.

Start End Field Width Col. Col. Description Employee ID 12 1 12 SSN, PPNI, CS]. WPN, IND, PAD, or OTH

(]Ds should have no punctuation.)

ID Type 3 14 16 "SSN," "PPN." "CSL," "WPN,".IND," "PAD," or "OTH" Primary License 13 18 30 Primary NRC license number PreparationDate 8 32 39 This is the date from the parent Form 5 Dose Record. formatted as "YYYYMMDD' Record Type l 41 41 "C"'= Comment

Comment 240 4E 282 Explanatory comment (when needed)

Appendix C to RG 8.7. Rev. 2. Page C-5