Health and Productivity Management

Health Management Strategy Map

Health action 5

Health action 5

In order to maintain and improve mental and physical health, it is important for each employee to be aware of and acquire healthy lifestyle habits.
For this reason, by focusing on the "5 items of lifestyle habits" and regularly checking them, they should be interested in their own health, and they should "quantify" the health level of the organization and work on it as a priority. We will try to understand the issues.

	Targets	Questions	Choices	FY2023 Results
Rest	No sleepiness or fatigue throughout the week	Do you feel sleepy or fatigued during the day (including night shifts)?	No sleepiness or fatigue throughout the week
			Feel sleepy and lethargic 1-2 days a week
			Feel sleepy and lethargic 3-4 days a week
			Feel sleepy and lethargic 5-6 days a week
			Feel sleepy and lethargic everyday
Nutrition	Have breakfast every day	Do you eat breakfast?	Eat every day
			Eat 5-6 days a week
			Eat 3-4 days a week
			Eat 1-2 days a week
			Do not eat
Exercise	Exercise for more than 30 minutes twice a week for over a year	Do you exercise for at least 30 minutes at a time, to the point of sweating?	Exercise at least twice a week /for 1 year
			Exercise at least once a week /for 1 year
			Exercise at least once a week /for 6 months
			Exercise at least once a week /for 3 months
			Do not exercise
Smoking	Don't smoke, or cut down	Do you smoke (including heated and electronic types)?	Do not smoke
			Don't have a habit, but I smoke occasionally
			Smoke 1-10 cigarettes/day
			Smoke 11-20 cigarettes/day
			Smoke more than 21 cigarettes/day
Alcohol	Don't drink, or reduce	Is your alcohol consumption moderate? (20g of pure alcohol per day)	Do not drink, or drink less than a moderate amount
			Exceed the appropriate amount 1-2 days a week
			3-4 days a week, exceeding the appropriate amount
			5-6 days a week, exceeding the appropriate amount
			Exceed the proper amount every day

Survey results and goals

Initiatives		FY2022	FY2023	FY2024
Overall Evaluation Index		3.68pt	3.69pt	3.71pt
Rest	Adequate sleep habits	21.0%	19.2%	20.6%
Nutrition	Breakfast eating habits	67.6%	68.1%	70.0%
Exercise	Moderate exercise habits	39.5%	41.5%	43.0%
Smoking	non-smoking	65.6%	66.3%	66.6%
Alcohol	Moderate(20g≧day) drinking habits	58.7%	59.9%	59.0%

FY2028Target Value
3.93pt
20.2%
71.5%
43.6%
69.6%
62.9%

Absenteeism

Annual number of absenteeism/leave days due to injury or illness

Initiatives	FY2020	FY2021	FY2022	FY2023	FY2024
Number of days absent from work per employee/year	2.08days	2.35days	2.58days	2.29days	2.18days
Total number of days absent due to injury or illness	3751days	4101days	4742days	4134days	3826days
Average enrollment	1804	1747	1835	1804	1756

FY2028 Target Value
Less than 2.58days
ー
ー

Performance

Presenteeism：Percentage decline in labor productivity (Single-Item Presenteeism Question (SPQ) developed by the University of Tokyo)

Initiatives	FY2020	FY2021	FY2022	FY2023	FY2024
Performance (％)	ー	ー	ー	79.7%	78.6%
Number of respondents	ー	ー	ー	1769	1674
Response rate (%)	ー	ー	ー	100%	94.8%

FY2028 Target Value
82.5%
ー
ー

「Performance」＝100％－Presenteeism (rate of lost productivity)

Work Engagement（From the Work Engagement Survey Results）

Individual activity rate（Measured by the New Brief Job Stress Questionnaire(80 questions))

Initiatives	FY2020	FY2021	FY2022	FY2023	FY2024
Work engagement （max=4.0）	2.23	2.25	2.26	2.25	2.33
Number of respondents	ー	ー	ー	1717	1785
Response rate (%)	ー	ー	ー	100%	98.7%

FY2028 Target Value
2.3 or more
ー
ー

～The Relationship Between Employees' Lifestyles and Work Productivity～

We divided the average scores of the five items of Health Action 5 into five levels from 1 to 5 and analyzed the performance levels of each group. The results showed that people with higher average scores on Health Action 5 reported higher performance levels. From this, it can be expected that working on improving lifestyle habits may lead to enhanced work performance.

Our company has established “improved performance levels (reduction in presenteeism)” and “reduction in absenteeism”—both indicators of labor productivity—as our ultimate health-related target metrics. Furthermore, we believe that “enhancing work engagement” improves employees' health management awareness and contributes to sustaining high performance over the long term. We will regularly measure and evaluate these as health target metrics and use the results to implement necessary measures.

Main initiatives

Cultivating Good Physical Health

１．Health Checkups

In addition to the legally mandated medical checkup items, we provide a wide range of health checkups for our employees, including cancer screening. In addition to regular subsidies for physical examinations, the health insurance association also provides an opportunity for "milestone checkups" for 40 - and 55-year-olds and their spouses , who wish to undergo physical examinations, all costs subsidized, encourage them to take the examinations. After the checkups are conducted, those with findings or those who require close examination are followed up at the company's clinic. Follow-up is provided for those who are found to be in need of medical checkups and those who are in need of close examination.

Rate of regular medical checkups

Initiatives	FY2020	FY2021	FY2022	FY2023	FY2024
Rate of regular medical checkups	95.3%	100%	100%	100%	99.9%

FY2028 Target Value
100%

Percentage of abnormal findings in regular medical checkups

Initiatives	FY2020	FY2021	FY2022	FY2023	FY2024
Rate of findings	59.0%	51.9%	53.1%	52.9%	53.0%

Rate of detailed examination based on the results of regular medical checkups

Initiatives	FY2020	FY2021	FY2022	FY2023	FY2024
Rate of detailed examination based on the results of regular medical checkups	ー	61.4%	67.7%	73.4%	72.4%

FY2028 Target Value
80.0%

Health status of employees (percentage of non-risk personnel)

Eligibility : 30 years old and over

Initiatives	FY2020	FY2021	FY2022	FY2023	FY2024
Appropriate weight (18.5≦BMI＜25)	66.8%	65.7%	64.6%	64.5%	62.6%
Blood pressure (normal)	70.4%	82.7%	78.9%	79.4%	79.9%
Lipids (normal)	59.0%	60.5%	63.1%	67.5%	64.6%
Blood sugar (normal)	79.3%	87.2%	87.2%	85.9%	86.1%
All the three items(normal) (three items：BP, Lipid and BS)	40.1%	46.4%	46.3%	48.8%	46.6%

Specific health guidance

We conduct specific health guidance primarily at our in-house clinics under commission from the health insurance association. We also place emphasis on implementing “preemptive specific health guidance” for individuals under 40 who may become future guidance targets.

Initiatives	FY2020	FY2021	FY2022	FY2023	FY2024
Rate of specific health guidance implemented※	ー	66.1%	76.8%	59.5%	ー

FY2028 Target Value
80%

Rate of specific health guidance implemented：Percentage of final interview completers

２．Sleep Improvement

Analysis of the relationship between each item in Health Action 5 and performance levels revealed a strong correlation between “Rest (Sleep)” and work performance. Consequently, we implemented e-learning on sleep for all employees. Additionally, for employees facing particular sleep challenges, we conducted individual sleep status checks and provided reports detailing their results and personalized advice. (98 employees targeted; 68 responded) Furthermore, to deepen understanding of the report content and drive behavioral change, individual counseling sessions conducted by occupational health staff are being implemented to motivate employees toward securing quality sleep.

Personal Sleep Report MySleep
(Neurospace Inc.)

Conduct individual counseling sessions by occupational health staff

３．Motor function measurement for middle-aged and elderly employees

Three types of motor function measurements (Stride length test, standing up on one leg, standing on one leg with eyes closed) are carried out for middle-aged and older employees.
By recognizing the gap between the image of one's own motor function and the actual motor function, it promotes awareness of exercise habits, which leads to improvement of healthy age and prevention of occupational accidents due to falls.
※1.The proportion of those whose results were above average in all three test items.
※2.The number of people who responded “already working on it” or “want to improve exercise habits” in the survey.

Initiatives	FY2020	FY2021	FY2022	FY2023	FY2024
Number	ー	ー	223 Persons	192 Persons	186 Persons
participation rate	ー	ー	81.2%	76.0%	86.5%
Average or above average※1	ー	ー	32.6%	42.5%	40.3%
The proportion of people with an improvement mindset※2	ー	ー	63.7%	62.0%	61.9%

４．Smoking Measures

The smoking rate among employees has been gradually declining each year, yet it remains significantly higher than the national average of 15.7% (*).　To reduce health risks and strengthen measures against secondhand smoke, we have created a roadmap for implementing a company-wide smoking ban starting April 2028. In April 2025, the President issued a “Company-Wide Smoking Ban Declaration” to kick off the initiative. We are advancing activities based on four pillars: awareness raising, environmental improvements, smoking cessation support, and enhancing smoking literacy.
※ National Health and Nutrition Survey, 2023

Cultivating Good Mental Health

１．Stress check

We conduct Stress Check once a year, using "The New Brief Job Stress Questionnaire(80 questions)". Not only domestic employees, but also employees seconded to overseas affiliated companies are included. For those who are determined to have high levels of stress, a meeting with a counselor is set up to provide individual aftercare, and based on the results of group analysis, a meeting with the head of the department is also held.

Rate of stress check attendance

Initiatives	FY2020	FY2021	FY2022	FY2023	FY2024
Rate of stress check attendance※	99.1%	99.7%	99.5%	99.4%	99.9%

FY2028 Target Value
99.5% or more

Examination rate：Response rate

Percentage of people with high stress

Initiatives	FY2020	FY2021	FY2022	FY2023	FY2024
Percentage of company members with high stress	12.3%	14.4%	13.3%	13.8%	14.0%

FY2028 Target Value
12.4%

Workplace health risk situation

※1.The overall health risk exceeds 120

Groups with fewer than 5 valid responses are excluded from evaluation.

Criteria for setting group analysis targets to be changed from fiscal year 2023

1. Stress Check Implementation

We conduct annual stress checks using "The New Occupational Stress Simplified Questionnaire (80 questions)". This includes not only domestic employees but also those on assignment at overseas affiliated companies.
For those assessed as having high stress levels, counseling sessions are provided. Medical consultations are arranged for those who request them.
Furthermore, based on group analysis results, opportunities for discussions with counselors are arranged primarily for managers of workplaces identified as having high health risks. This supports deeper understanding of the results and provides advice to improve workplace conditions.

2. Harassment Prevention

To prevent power harassment in the workplace, we implemented e-learning training for all employees. Participants viewed multiple case studies, including instances of harassment not only from superiors but also from subordinates, to foster a shared understanding.

1．Status of Internal Training

As part of National Occupational Health Week and Preparation Month activities, we hold health-related training sessions annually with a changing theme. In fiscal year 2024, we conducted a “Training on Interpreting and Utilizing Stress Check Results” for managerial and supervisory staff, with 152 participants. (total eligible participants: 156, including recorded viewers) Additionally, we conduct training to improve health literacy through opportunities such as new employee orientation, promotion training, and tiered education programs.

2．For women's health issues

Implementation of Gynecological Screenings
In collaboration with the health insurance association, mobile gynecological screenings (for breast cancer and cervical cancer) are conducted at some workplaces. For workplaces where mobile screenings are difficult to arrange, or for individuals preferring to receive care at medical institutions, opportunities are provided through comprehensive health checkups or optional gynecological screenings.

Promoting Understanding of Women's Health Issues
We conducted e-learning training for managers to deepen their understanding of women's health issues. Additionally, we held training sessions for female employees to enhance their knowledge of gynecological diseases and recognize the value of screenings.
This was our first training session exclusively for female employees. 145 female employees participated (92% participation rate), indicating high interest.　Participants provided many positive responses, such as “I understood the importance of medical examinations and tests” and “My concerns about the HPV vaccine were alleviated.”