1、ANSI/ANS-3.4-2013medical certification and monitoringof personnel requiring operator licensesfor nuclear power plantsANSI/ANS-3.4-2013ANSI/ANS-3.4-2013American National StandardMedical Certification and Monitoringof Personnel Requiring OperatorLicenses for Nuclear Power PlantsSecretariatAmerican Nuc
2、lear SocietyPrepared by theAmerican Nuclear SocietyStandards CommitteeWorking Group ANS-3.4Published by theAmerican Nuclear Society555 North Kensington AvenueLa Grange Park, Illinois 60526 USAApproved April 29, 2013by theAmerican National Standards Institute, Inc.AmericanNationalStandardDesignation
3、of this document as an American National Standard attests thatthe principles of openness and due process have been followed in the approvalprocedure and that a consensus of those directly and materially affected bythe standard has been achieved.This standard was developed under the procedures of the
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5、 varied interestshave had an opportunity to participate.An American National Standard is intended to aid industry, consumers, gov-ernmental agencies, and general interest groups. Its use is entirely voluntary.The existence of an American National Standard, in and of itself, does notpreclude anyone f
6、rom manufacturing, marketing, purchasing, or using prod-ucts, processes, or procedures not conforming to the standard.By publication of this standard, the American Nuclear Society does not insureanyone utilizing the standard against liability allegedly arising from or afterits use. The content of th
7、is standard reflects acceptable practice at the time ofits approval and publication. Changes, if any, occurring through developmentsin the state of the art, may be considered at the time that the standard issubjected to periodic review. It may be reaffirmed, revised, or withdrawn atany time in accor
8、dance with established procedures. Users of this standardare cautioned to determine the validity of copies in their possession and toestablish that they are of the latest issue.The American Nuclear Society accepts no responsibility for interpretations ofthis standard made by any individual or by any
9、 ad hoc group of individuals.Responses to inquiries about requirements, recommendations, and0or permis-sive statements i.e., “shall,” “should,” and “may,” respectively! should be sentto the Standards Department at Society Headquarters. Action will be taken toprovide appropriate response in accordanc
10、e with established procedures thatensure consensus.Comments on this standard are encouraged and should be sent to SocietyHeadquarters.Published byAmerican Nuclear Society555 North Kensington AvenueLa Grange Park, Illinois 60526 USAThis document is copyright protected.Copyright 2013 by American Nucle
11、ar Society. All rights reserved.Any part of this standard may be quoted. Credit lines should read “Extractedfrom American National Standard ANSI0ANS-3.4-2013 with permission of thepublisher, theAmerican Nuclear Society.” Reproduction prohibited under copy-right convention unless written permission i
12、s granted by the American Nu-clear Society.Printed in the United States of AmericaInquiryRequestsThe American Nuclear Society ANS! Standards Committee will provide re-sponses to inquiries about requirements, recommendations, and0or permissivestatementsi.e., “shall,” “should,” and “may,” respectively
13、!in American NationalStandards that are developed and approved by ANS. Responses to inquiries willbe provided according to the Policy Manual for the ANS Standards Committee.Nonrelevant inquiries or those concerning unrelated subjects will be returnedwith appropriate explanation. ANS does not develop
14、 case interpretations ofrequirements in a standard that are applicable to only a specific design, oper-ation, facility, or other unique situation and therefore is not intended for genericapplication.Responses to inquiries on standards are published in ANSs magazine, NuclearNews, and are available pu
15、blicly on the ANS Web site or by contacting the ANSstandards administrator.InquiryFormatInquiry requests must include the following:1! the name, company name if applicable, mailing address, and telephonenumber of the inquirer;2! reference to the applicable standard edition, section, paragraph, figur
16、e,and0or table;3! the purposes of the inquiry;4! the inquiry stated in a clear, concise manner;5! a proposed reply, if the inquirer is in a position to offer one.Inquiries should be addressed toAmerican Nuclear SocietyATTN: Standards Administrator555 N. Kensington AvenueLa Grange Park, IL 60526or st
17、andardsans.orgForewordThis Foreword is not a part of American National Standard “Medical Certification andMonitoring of Personnel Requiring Operator Licenses for Nuclear Power Plants,”ANSI0ANS-3.4-2013.!The organization that operates a nuclear power plant has responsibility for safeand reliable oper
18、ation of the plant. Inherent in this overall function is theresponsibility to select and retain operators and senior operators who are phys-ically and mentally capable of such operations. The qualification of operators andsenior operators is of great importance because they perform and direct manip-
19、ulations of mechanisms and controls that affect the safe operation of a nuclearreactor. This standard defines and updates medical, mental health, and physicalrequirements for licensing of nuclear power plant reactor operators and senioroperators. It also addresses the content, extent, methods of exa
20、mination, andcontinual monitoring of licensed operators medical health.This standard reflects available medical clinical knowledge with respect to cer-tification and monitoring of personnel licensed to operate nuclear power plants.In addition, this revision provides clarification and comprehensive m
21、edical guid-ance to improve industrys consistent implementation of the standard. This re-vision is a major rewrite. The major changes made as a result of the revisioninclude the following:Specific minimum requirements, disqualifying conditions, conditional restric-tions, examination methods, and mon
22、itoring methods are provided for eachmedical area;Nuclear industry operating experience and consideration of other industrymedical standards are incorporated, including those of the U.S. Departmentof Transportation and Federal Aviation Administration;The medical criteria reflect progressions in medi
23、cal science that includeupdated terminology, current medical practices, criteria for normality, andrisk assessments.This revision references documents and other standards that may have beensuperseded or withdrawn at the time this standard is applied. A statement hasbeen included in the references se
24、ction that provides guidance on the use ofreferences.This standard does not incorporate the concepts of generating risk-informedinsights, performance-based requirements, or a graded approach to quality as-surance. The user is advised that one or more of these techniques could enhancethe application
25、of this standard.This revised standard was prepared by the ANS-3.4 Working Group and re-viewed by Subcommittee ANS-21 and the American Nuclear Society NuclearFacility Standards Committee NFSC!. At the time of the revision, the member-ship of the ANS-3.4 Working Group was the following:B. Stevens Cha
26、ir!, Exelon CorporationG. RomboldVice Chair!, Scientech, a business unit of Curtiss-Wright Flow Control CompanyM. Ardaiz, U.S. Department of EnergyS. Hansell, U.S. Nuclear Regulatory CommissionT. Jetzer, Occupational Medicine ConsultantsL. Kubec, NextEra Energy CorporationH. Peterson, U.S. Nuclear R
27、egulatory CommissionJ. Peterson, Xcel EnergyW. Pilkey, Exelon CorporationC. Revelle, U.S. Nuclear Regulatory CommissionJ. Shaver, Southern California EdisonM. Zaruba, Auburn Family Health CenteriSubcommittee ANS-21, Maintenance, Operations, and Testing, had the followingmembership at the time of its
28、 approval of this standard:C. E. Carpenter Chair!, U.S. Nuclear Regulatory CommissionS. A. Lott Vice Chair!, Los Alamos National LaboratoryG. Carpenter, U.S. Nuclear Regulatory CommissionD. R. Eggett, Automated Engineering Services CorporationJ. B. Florence, Nebraska Public Power District, CooperJ.
29、Glover, Graftel, Inc.R. Kassawara, Electric Power Research InstituteJ. D. Koutouzis, Institute for Nuclear Power OperationsE. M. Lloyd, Exitech CorporationC. A. Mazzola, Shaw Environmental the word “should” denotesa recommendation; and the word “may” de-notes permission, neither a requirement nor ar
30、ecommendation.sudden incapacitation: Abrupt onset of lossof control of physical or mental function orfunctions! that results in a loss or impairmentof consciousness, control, or performance.temporary medical condition: When an op-erator does not meet the specific minimum re-quirements in this standa
31、rd but is expected tomeet those requirements without exception!again in the future, the operators condition0disability is considered temporary and doesnot need to be reported to the NRC. The facil-ity licensee is expected to administratively re-strict the operators activities, as appropriate,during
32、the term of the condition0disability. It isup to the licensees examining physician to eval-uate each operators situation and assesswhether the operator will be capable of meet-ing the requirements within 90 days.3 Health evaluationresponsibility3.1 Facility licenseeThe primary responsibility for ens
33、uring thatapplicants and operators are physically and men-tally capable of fulfilling their licensed dutiesrests with the facility licensee. The facility li-censee shall evaluate the potential applicabil-ity of medical and mental health conditionsidentified for licensed operators under 10 CFR26 4# a
34、nd 10 CFR 55 within the requirementsof this standard. The requirements in this stan-dard are those necessary to determine that themedical and mental conditions and generalhealth of the individual would not be expectedto be contributing factors to operational errorsor sudden incapacitation.The facili
35、ty licensee shall report a permanentphysical or mental condition to the NRC within30 days of learning of the diagnosis in accor-dance with 10 CFR 55.25 5# and 10 CFR55.33a!1!6#. If it is determined by the exam-ining physician that a temporary condition hasevolved into a permanent medical condition,t
36、he facility licensee representative shall report1!Numbers in brackets refer to corresponding numbers in Sec. 7, “References.”American National Standard ANSI0ANS-3.4-20132the condition to the NRC within 30 days ofdetermination of permanence per 10 CFR 55.25and 10 CFR 55.33a!1!. If, during the term of
37、the license, an operators ability to meet theserequirements is indeterminate based on a healthstatus change or as the result of a temporarymedical conditionand upon review by the ex-amining physicianthe facility licensee mayimpose administrative controls to appropri-ately accommodate the operators m
38、edicalcondition.3.2 Examining physicianThe licensed physician is responsible for eval-uating applicants and operators and has theultimate responsibility for certifying that themedical examination was conducted in accor-dance with this standard and that the individ-ual meets the physical and mental h
39、ealthrequirements of this standard. The examiningphysician may delegate components of the phys-ical examination to a licensed nurse practi-tioner or a licensed physician assistant.However, the examining physician shall be re-sponsible for evaluation of the examinationresults. Testing components of t
40、he examina-tions may be performed by nursing profession-als or other medical technicians. All healthcare personnel significantly involved in theexamination i.e., not laboratory technicians!shall be conversant with this standard andhave a general understanding of routine andemergency activities requi
41、red of nuclear powerplant operators.3.3 Operators (including applicants)In addition to the requirements under 10 CFR26 and 10 CFR 55, the operators or applicantsshall notify the facility licensee of any changein their physical or mental health, fitness-for-duty issues, new medications, or change in
42、med-ications or treatment regimen. The operator orapplicant shall provide medical records thatthe examining physician requires to determinethat the operator or applicant meets the med-ical requirements of this standard.3.4 Facility Operator ReportThe facility licensee shall forward to the exam-ining
43、 physician a Facility Operator ReportFOR!on each operator referred for an examination.This FOR shall address work performance, at-tendance unusual absence or tardiness!, be-havioral changes, incidents of ineptness or poorjudgment, lack of physical or emotional stam-ina, and accident experience. This
44、 FOR shallbe reviewed as part of the examination. Poten-tial physical or mental problems that could im-pair an individuals judgment or ability toperform assignments are more likely to be iden-tified by the examining physician when thisinformation is provided.4 Medical examination frequencyOperators
45、shall be examined every 2 years forcontinued medical qualification.If, during the term of the license, the individ-ual develops a physical or mental health con-dition that causes the individual to fail to meetthe requirements of this standard, a partial orfull examination may be conducted at the dis
46、-cretion of the examining physician.5 Health requirements anddisqualifying conditionsBasis of requirementsThe operator shall be capable of performinglicensed duties. Consequently, any physical ormental health condition or corrective device thatrestricts the mobility of an individual, or pre-cludes t
47、he wearing of protective clothing andequipment, could be a liability to safe opera-tion. Any condition or medical treatment thatcan cause sudden incapacitation, such as butnot limited to epilepsy, mental disorder, diabe-tes, hypertension, cardiovascular disease, se-vere allergic reactions, or fainti
48、ng spells, couldalso be a liability to safe operation. Impairedhearing or vision could also interfere with safeoperation of the plant. Many of the conditionsindicated above may be accommodated by im-posing a license condition.5.1 General requirements5.1.1 Minimum requirementsThe individual shall hav
49、e the following:1! acuity of senses and ability of expressionto allow rapid, accurate communication byspoken, written, and other audible or visualsignals;American National Standard ANSI0ANS-3.4-201332! lack of significant physical or mental im-pairments that could interfere with the safeoperation of the facility;3! lack of any condition, medical treatment,habit, or practice that might reasonably re-sult in sudden or unexpected incapacitation.The examining physician shall make the finaldetermination that the applicant or licenseemeets the 10 CFR 55
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