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This version of the form is not currently in use and is provided for reference only. Download this version of
NRC Form 4
for the current year.
NRC Form 4 Cumulative Occupational Dose History
What Is NRC Form 4?
This is a legal form that was released by the U.S. Nuclear Regulatory Commission on October 1, 2017 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is NRC Form 4?
A: NRC Form 4 is a form used to document and report cumulative occupational dose history of radiation workers.
Q: Who uses NRC Form 4?
A: NRC Form 4 is used by radiation workers and their employers.
Q: What is cumulative occupational dose?
A: Cumulative occupational dose refers to the total amount of radiation dose a worker has received over their career.
Q: Why is it important to document cumulative occupational dose?
A: Documenting cumulative occupational dose is important for monitoring radiation exposure and ensuring worker safety.
Q: What information is included in NRC Form 4?
A: NRC Form 4 includes information such as worker's name, job title, dose history, and radiation monitoring records.
Q: How often is NRC Form 4 updated?
A: NRC Form 4 should be updated annually or whenever there is a significant change in the worker's dose history or job duties.
Q: Is NRC Form 4 required by law?
A: Yes, NRC Form 4 is required by law for radiation workers in order to comply with federal regulations.
Form Details:
- Released on October 1, 2017;
- The latest available edition released by the U.S. Nuclear Regulatory Commission;
- Easy to use and ready to print;
- Yours to fill out and keep for your records;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of NRC Form 4 by clicking the link below or browse more documents and templates provided by the U.S. Nuclear Regulatory Commission.
Download NRC Form 4 Cumulative Occupational Dose History
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