Form preview

Get the free Report of Potential Defect per 10-CFR Part 21 - nrc

Get Form
This document notifies the U.S. Nuclear Regulatory Commission of a potential defect concerning the Class 1E type TD-5 relay and details the actions taken to address the issue.
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign report of potential defect

Edit
Edit your report of potential defect form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your report of potential defect form via URL. You can also download, print, or export forms to your preferred cloud storage service.

How to edit report of potential defect online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
To use our professional PDF editor, follow these steps:
1
Check your account. If you don't have a profile yet, click Start Free Trial and sign up for one.
2
Prepare a file. Use the Add New button. Then upload your file to the system from your device, importing it from internal mail, the cloud, or by adding its URL.
3
Edit report of potential defect. Rearrange and rotate pages, insert new and alter existing texts, add new objects, and take advantage of other helpful tools. Click Done to apply changes and return to your Dashboard. Go to the Documents tab to access merging, splitting, locking, or unlocking functions.
4
Save your file. Select it in the list of your records. Then, move the cursor to the right toolbar and choose one of the available exporting methods: save it in multiple formats, download it as a PDF, send it by email, or store it in the cloud.
With pdfFiller, it's always easy to work with documents. Try it out!

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out report of potential defect

Illustration

How to fill out Report of Potential Defect per 10-CFR Part 21

01
Identify the potential defect: Review the product and determine if there is a defect that could impact safety or compliance.
02
Gather supporting documentation: Collect all relevant information, including test results, design documents, and maintenance records.
03
Complete the form: Fill out the Report of Potential Defect form accurately, ensuring all fields are completed.
04
Include details: Clearly describe the nature of the defect, its potential impact, and any corrective actions taken.
05
Review the report: Ensure that the information is complete and accurate before submission.
06
Submit the report: Send the completed report to the appropriate regulatory agency as required by 10-CFR Part 21.

Who needs Report of Potential Defect per 10-CFR Part 21?

01
Manufacturers of nuclear products and services who have identified a potential defect.
02
Licensees of nuclear facilities who need to report discrepancies in products they use.
03
Regulatory bodies who require documentation for compliance with safety standards.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.0
Satisfied
48 Votes

People Also Ask about

This regulation specifies the conditions under which information must be submitted when a licensed facility, activity, or basic component fails to comply with the Atomic Energy Act of 1954, as amended, or other NRC regulations.
(a) The regulations in this part set forth the criteria under which the agency considers electronic records, electronic signatures, and handwritten signatures executed to electronic records to be trustworthy, reliable, and generally equivalent to paper records and handwritten signatures executed on paper.
(4) In all cases, basic component includes safety-related design, analysis, inspection, testing, fabrication, replacement of parts, or consulting services that are associated with the component hardware, design certification, design approval, or information in support of an early site permit application under part 52
The Code of Federal Regulations (CFR) is a codification of the general and permanent rules published in the Federal Register by the Executive departments and agencies of the Federal Government.. Title 21 of the CFR is reserved for rules of the Food and Drug Administration.
(a) Part 10 governs practices and procedures for petitions, hearings, and other administrative proceedings and activities conducted by the Food and Drug Administration under the Federal Food, Drug, and Cosmetic Act, the Public Health Service Act, and other laws which the Commissioner of Food and Drugs administers.
10 CFR Part 21 - REPORTING OF DEFECTS AND NONCOMPLIANCE | Electronic Code of Federal Regulations (e-CFR) | US Law | LII / Legal Information Institute. Title 10—Energy. CHAPTER I—NUCLEAR REGULATORY COMMISSION. PART 21—REPORTING OF DEFECTS AND NONCOMPLIANCE.

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

The Report of Potential Defect per 10-CFR Part 21 is a regulatory requirement for licensees and certain manufacturers to report any defect or noncompliance related to safety that may affect the health and safety of the public.
Licensees, manufacturers, and certain individuals or organizations involved in the design, construction, and operation of nuclear facilities are required to file a Report of Potential Defect under 10-CFR Part 21.
To fill out the Report of Potential Defect per 10-CFR Part 21, one must provide a detailed description of the defect, its potential implications on safety, and any actions taken or proposed to mitigate the defect.
The purpose of the Report of Potential Defect per 10-CFR Part 21 is to ensure that potential defects are identified, reported, and mitigated in order to maintain safety standards and protect public health.
The report must include information such as the nature of the defect, the product or component affected, the implications for safety, and details on how to address or correct the defect, along with relevant timelines.
Fill out your report of potential defect online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.