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

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This document serves as a notice regarding the U.S. Nuclear Regulatory Commission's (NRC) intent to submit an information collection request related to the medical examination certification for licensing
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How to fill out nrc form 396 certification

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

01
Obtain NRC Form 396 from the NRC website or your facility.
02
Complete the identifying information section, including personal details such as name, address, and date of birth.
03
Ensure you have the correct facility information filled out accurately.
04
Complete the medical history section, disclosing any relevant health conditions or treatments.
05
Schedule a medical examination with a qualified medical examiner approved by the facility.
06
During the examination, allow the examiner to evaluate your health based on the provided medical history.
07
The examiner will complete the examination section of the form, documenting findings and any recommendations.
08
Review the completed form for accuracy and ensure all required signatures are provided.
09
Submit the filled-out NRC Form 396 to your Facility Licensee as per their instructions.

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

01
Individuals seeking to work in positions requiring access to special nuclear material or certain radiation-related roles.
02
Employees or contractors at nuclear facilities who must demonstrate they meet health and safety standards.
03
Operators of nuclear materials that require compliance with NRC regulations.
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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.
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NRC Form 396 is a document used by the Nuclear Regulatory Commission (NRC) to certify that an individual has undergone a medical examination by a licensed facility to determine their physical and mental fitness for duty in positions that require access to radioactive materials or nuclear facilities.
NRC Form 396 must be filed by individuals who are required to obtain a medical examination to work in positions related to nuclear facilities or radioactive materials, specifically those that involve high-risk activities or access to sensitive areas.
To fill out NRC Form 396, the facility licensee must provide information including the individual's personal details, the results of the medical examination, the qualifications of the examining physician, and a statement certifying that the examination has been completed in accordance with NRC guidelines.
The purpose of NRC Form 396 is to ensure that individuals working in nuclear facilities meet the necessary medical and psychological standards to perform their duties safely and effectively, thereby maintaining high safety and security levels.
The information that must be reported on NRC Form 396 includes the individual's name, Social Security number, facility licensee information, medical examination results, the name and qualifications of the examining physician, and any limitations or conditions related to the individual's ability to perform their job.
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