Get the free NRC Form 396, Certification of Medical Examination by Facility Licensee - gpo

This document serves to certify the medical fitness of applicants for operator licenses in the context of nuclear facility compliance with health and safety regulations.

How to fill out nrc form 396 certification

How to fill out NRC Form 396, Certification of Medical Examination by Facility Licensee

1. Obtain NRC Form 396 from the NRC website or your facility's regulatory office.
2. Fill in the name and address of the licensee at the top of the form.
3. Enter the name of the individual being examined in the designated section.
4. Complete the information regarding the medical facility performing the examination.
5. Include the date of the examination in the appropriate field.
6. The examining physician should complete the medical history section, including any relevant health information.
7. The physician must perform a physical examination of the individual and document their findings.
8. Sign and date the form in the designated physician signature section.
9. Submit the completed form to the appropriate regulatory body or retain it according to facility protocols.

Who needs NRC Form 396, Certification of Medical Examination by Facility Licensee?

1. Individuals who are employed or seeking employment in roles that require a medical examination as part of the licensing requirements for radioactive materials.
2. Employers or licensees in the nuclear industry who need to certify that their employees meet medical standards for safety and health.

People Also Ask about

How long does nuclear licensing take?

The licensing process – something that can take more than a decade to complete – consists of a series of approvals by the NRC, including issuance of design certification, early site permits, limited work authorizations, construction permits, operating licenses and combined licenses for new nuclear power facilities.

What is a NRC specific license?

Exports or imports of nuclear commodities under the NRC licensing authority, which are not explicitly authorized under one of the aforementioned general export or general import license provisions, must first be approved by the NRC through the issuance of a specific license.

How hard is it to be a nuclear power plant operator?

It's not that hard but requires a lot of time and work to get the experience to be able to succeed. Doing an instant Senior Reactor Operator (a supervisor) track as some are suggesting is harder mostly because you would lack experience and be responsible for more information.

Does NRC cost money?

The U.S. Nuclear Regulatory Commission (NRC) is statutorily required to recover most of its budget authority through fees assessed to applicants for an NRC license and to holders of NRC licenses.

How do I get my NRC license?

To obtain an NRC operating license, candidate must successfully complete a comprehensive training program at a nuclear site and pass a comprehensive examination administered by the Nuclear Regulatory Commission.

How to get an NRC license?

To obtain an NRC operating license, candidate must successfully complete a comprehensive training program at a nuclear site and pass a comprehensive examination administered by the Nuclear Regulatory Commission.

For pdfFiller’s FAQs

What is NRC Form 396, Certification of Medical Examination by Facility Licensee?

NRC Form 396 is a form used to certify that an individual has undergone a medical examination and is deemed medically fit to perform duties that may affect the safety and health of individuals or operations in facilities regulated by the Nuclear Regulatory Commission (NRC).

Who is required to file NRC Form 396, Certification of Medical Examination by Facility Licensee?

Individuals who require access to controlled areas or who are authorized to perform certain tasks in NRC-licensed facilities are required to file NRC Form 396. This includes personnel who are designated as key safety personnel or who perform safety-related functions.

How to fill out NRC Form 396, Certification of Medical Examination by Facility Licensee?

To fill out NRC Form 396, the licensee must provide information regarding the individual’s identity, the details of the medical examination, and a certification statement signed by the facility licensee verifying that the medical examination has been performed, along with the results that support the individual's medical fitness.

What is the purpose of NRC Form 396, Certification of Medical Examination by Facility Licensee?

The purpose of NRC Form 396 is to ensure that individuals who are involved in safety-sensitive positions within NRC-regulated facilities are medically fit to perform their duties, thereby supporting the safety of operations and compliance with regulatory requirements.

What information must be reported on NRC Form 396, Certification of Medical Examination by Facility Licensee?

NRC Form 396 requires reporting information such as the individual's name, social security number, date of examination, results of the examination, and a statement from the facility licensee certifying the individual's medical capabilities and any restrictions on their activities.