RG1.134 核电厂内持照人员医疗评价 1998

VU.S.NUCLEARREGULATORYCOMMISSIONRevision3March1998REGULATORYGUIDEOFFICEOFNUCLEARREGULATORYRESEARCHREGULATORYGUIDE1.134(DraftissuedasDG-1068)MEDICALEVALUATIONOFLICENSEDPERSONNELATNUCLEARPOWERPLANTSA.INTRODUCTIONIn10CFRPart55,Operators'Licenses,Sections55.31,HowToApply,and55.57,RenewalofLicenses,requirethateachinitialorrenewalapplicationforanoperatororsenioroperatorlicensecontainacertificationofmedicalconditionandgeneralhealthasspecifiedinSubpartC,MedicalRequirements,of10CFRPart55.Sections55.33,DispositionofanInitialApplication,and55.57statethattheinitialorrenewalapplicationsfortheselicenseswillbeapprovedif,amongotherthings,theapplicant'smedicalconditionandgeneralhealthwillnotcauseoperationalerrorsthatendangerpublichealthandsafety.In10CFR55.53,ConditionsofLicenses,Paragraph(i)requiresthelicenseetohaveamedicalexaminationbiennially(i.e.,every2years).Section55.25,IncapacitationBecauseofDisabilityorIllness,isconcernedwithanoperatororsenioroperatorwhobecomesincapacitatedbecauseofamentalorphysicalconditionthatmightcauseimpairedjudgmentormotorcoordination.Section55.27,Documentation,requiresthatthefacilitylicenseedocumentandmaintainmedicalqualificationsdata,testresults,andeachoperator'smedicalhistoryforthecurrentlicenseperiodandprovidethisdocumentationtotheNRCuponitsrequest.Thefacilitylicenseemustretainthisdocumentationaslongastheindividualfunctionsasanoperatororsenioroperator.ThisguidedescribesamethodacceptabletotheNRCstaffforprovidingtheinformationneededbythestaffforitsevaluationofthemedicalqualificationsofapplicantsforinitialorrenewaloperatororsenioroperatorlicensesfornuclearpowerplantsandforprovidingnotificationtotheNRCofanincapacitatingdisabilityorillness.Theinformationcollectionscontainedinthisregulatoryguidearecoveredbytherequirementsof10CFRPart55,whichwereapprovedbytheOfficeofManagementandBudget,approvalnumber3150-0018.TheNRCmaynotconductorsponsor,andapersonisnotrequiredtorespondto,acollectionofinformationunlessitdisplaysacurrentlyvalidOMBcontrolnumber.B.DISCUSSIONInSubpartC,MedicalRequirements,of10CFRPart55,Section55.23,Certification,requirescertificationthataphysicianhasexaminedtheapplicantinaccordancewithNRC'sregulatoryguidance.FormNRC-396,CertificationofMedicalExaminationbyFacilityLicensee,mustbecompletedbyanUSNRCREGULATORYGUIDESTheguidesareissuedinthefollowingtenbroaddivisions:RegulatoryGuidesareissuedtodescribeandmakeavailabletothepublicsuchinformationasmethodsacceptabletotheNRCstaffforimplementingspecificpartsoftheCom-1.PowerReactors6.Productsmission'sregulations,techniquesusedbythestaffinevaluatingspecifioproblemsorpos2.ResearchandTestReactors7.Transportationtulatedaccidents,anddataneededbytheNRCstaffinitsreviewofapplicationsforper-3.FuelsandMaterialsFacilities8.OccupationalHealthmitsandlicenses.Regulatoryguidesarenotsubstitutesforregulations,andcompliance'4.EnvironmentalandSiting9.AntitrustandFinancialReviewwiththemisnotrequired.Methodsandsolutionsdifferentfromthosesetoutintheguides5.MaterialsandPlantProtection10.GeneralwillbeacceptableiftheyprovideabasisforthefindingsrequisitetotheissuanceorcontinuanceofapermitorlicensebytheCommission.SinglecopiesofregulatoryguidesmaybeobtainedfreeofchargebywritingthePrinting,Thisguidewasissuedafterconsiderationofcommentsreceivedfromthepublic.Com-GraphicsandDistributionBranch,OfficeofAdministration,U.S.NuclearRegulatoryCommentsandsuggestionsforimprovementsintheseguidesareencouragedatalltimes,andmission,Washington,DC20555-0001;orbyfaxat(301)415-5272.guideswillberevised,asappropriate,toaccommodatecommentsandtoreflectnewinformationorexperience..IssuedguidesmayalsobepurchasedfromtheNationalTechnicalInformationServiceonWrittencommentsmaybesubmittedtotheRulesReviewandDirectivesBranch,DFIPS,astandingorderbasis.DetailsonthisservicemaybeobtainedbywritingNTIS,5285PortADM,U.S.NuclearRegulatoryCommission,Washington,DC20555-0001.RoyalRoad,Springfield,VA22161.authorizedrepresentativeofthefacilitylicenseeandmustcertifythataphysicianhasconductedthemedicalexaminationoftheapplicantasrequiredby10CFR55.21.Thephysicianshouldhavedeterminedthattheexaminee'smedicalconditionandgeneralhealthwillnotadverselyaffecttheperformanceofassignedoperatorjobdutiesorcauseoperationalerrorsendangeringpublichealthandsafety.Theintentoftheserequirementsistohavethefacilitylicenseecertifythehealthofitsoperators.ThefacilitylicenseeisexpectedtomaintaintherecordsonoperatorsorsenioroperatorsthatmayberequestedandreviewedbytheNRC.Therefore,10CFR55.27requiresthefacilitylicenseetodocumentandmaintainthemedicalqualificationsdata,testresults,andeachoperator'smedicalhistory.Inaddition,10CFR55.27requiresthefacilitylicenseetoretaineachoperator'smedicalhistoryforthecurrentlicenseperiodandprovidethatinformationtotheNRConrequest.TherearetwoinstancesinwhichmedicalinformationmustbesenttotheNRC.Oneiswhenaconditionallicensebasedonmedicalevidenceisrequestedundertheprovisionsof10CFR55.23(b)and55.33(b).Thesecondinstanceiswhenalicensedindividualhasbecomementallyorphysicallyunabletoperformjobduties.Inthiscase,thefacilitylicenseemustnot