Health Management

Health Management

Basic Approach to Health Management

The CITIZEN Group promotes "health management," in which the management of employee health is considered and practiced from the perspective of corporate management. In recognition of our diverse employees as the source of our organizational competitiveness, we will create an organization where every one of them can fully demonstrate their abilities and continue to work for many years while staying healthy both physically and mentally, with the aim of achieving both the well-being of employees and sustainable corporate growth.

Health Statement (Made September 1, 2018)

CITIZEN To contribute broadly to people's lives around the world based on our corporate philosophy of "Loved by citizens, working for citizens." Citizen Watch Co., Ltd. has established a code of conduct that calls for respect for human rights and diversity as well as creating a safe and pleasant working environment.

Based on this code of conduct, we have established the following basic policies and are working to realize health and productivity management.

Our organizational structure for health management is headed by the Citizen Watch Co., Ltd. President with the highest level of responsibility, with the director in charge of human resources assigned as promotional operation supervisor. The Health Promotion Team conducts practical operations, promotes relevant projects, and serves as the secretariat through cooperation between the Human Resources Department staff in charge, the Health Management Office, and the Health Insurance Association. The Health and Safety Committee is also involved in the promotion of health management by sharing its views at the Health Promotion Team’s request, promoting health management initiatives throughout the Group, and providing cooperation to the team.

• * Citizen Watch Co., Ltd. created a strategic map in FY2023.

Target Indicators

Formulation of Health Management Roadmap

The CITIZEN Group promotes the mental and physical health of each employee and the creation of workplaces from the perspectives of mental health care, revitalization of organizations, provision of opportunities to solve women's specific health issues, regular health checkups, improvement of smoking rates, promotion of exercise, and improvement of sleep.

Investments in Health Management

Recognized as One of the Outstanding Organizations of KENKO Investment for Health (White 500) for the Third Consecutive Year

On March 10, 2026, Citizen Watch Co., Ltd. was recognized as one of the "White 500" companies (outstanding large companies) in the 2026 KENKO Investment for Health program implemented by METI and the Nippon Kenko Kaigi. The company has been selected as such for three consecutive years.

The Outstanding Organizations of KENKO Investment for Health program recognizes companies and corporations that practice particularly excellent health management based on their efforts to address local health issues and the health promotion initiatives promoted by the Nippon Kenko Kaigi. "White 500" is a title given to the top 500 companies in the large corporation category among those that have been commended in this program.

Since FY2023, we have continued to implement a variety of measures to promote the health of our employees. As one of those measures, we have revised our support programs for employees working while engaging in various health improvement activities, including medical treatment. We have also added several items to our regular health checkups to make the checkups closer to comprehensive medical examinations. Those new items include tumor marker and Helicobacter pylori antibody tests as options available by application and abdominal ultrasound examinations and breast cancer screening, which had been conducted separately. We have continued to implement our priority measures, including making breast cancer screening free and thus more accessible, adding a bone density test to women’s health checkups to raise awareness of osteoporosis prevention, and promoting the Exercises for Health and Vigor to help employees establish regular exercise habits.

Main Initiatives for FY2025

• Adopting measures to support employees engaging in childcare or nursing care, conducting questionnaire surveys, and providing consultation services in response to the revision of the Childcare Leave and Caregiver Leave Act
• Setting specific targets for encouragement of the use of paternity leave
• Allowing employees suffering from cancer, legally specified diseases, etc. to make expanded use of telework
• Holding a seminar on women’s health, "Cancer Prevention and Menopausal Disorders," given by an industrial physician
• Replacing the term "menstrual leave" with "equity leave"
• Enhancing regular health checkup follow-up measures
• Giving employees specific health guidance on the day of the regular health checkup
• Creating a system that allows employees to view their health checkup results on their smartphones
• Enhancing the management of long overtime work and follow-up measures therefor
• Conducting healthcare checks
• Obtaining certification as a "Sports Yell Company"^*
• Conducting drills in emergency transportation by stretcher and wheelchair
• Establishing rules to restrict elevator use after smoking
• Giving necessary pre-departure vaccinations to employees scheduled to make overseas business trips or assigned to overseas sites; also providing those assigned to overseas sites with training on infectious disease prevention and other matters, as well as consultations with occupational health staff
• Holding various events to invigorate the workplace, including lunch get-togethers in the CITIZEN Forest, company-wide in-house networking meetings planned and operated by young employees, and in-house sports get-togethers (table tennis matches)

• * The "Sports Yell Company" program is a Japan Sports Agency initiative, in which the agency certifies companies actively committed to promoting sports activities at the workplace for employee health enhancement as "Sports Yell Companies."

We believe that these highly effective measures have led to improvements in stress check and engagement survey results, which in turn has enabled us to be recognized as one of the "White 500" companies.
Furthermore, the same program has recognized four other companies in The CITIZEN Group—CITIZEN SYSTEMS JAPAN CO., LTD., CITIZEN WATCH MANUFACTURING CO., LTD., CITIZEN T.I.C. CO., LTD., and CITIZEN ELECTRONICS CO., LTD.— as outstanding companies in the SME category.

Scenes from a lunch get-together

The company cafeterias at two business sites in Nishitokyo City, Tokyo, and Tokorozawa City, Saitama, offer healthy dishes supervised by full-time dietitians, including a wide variety of small vegetable side dishes, to raise employees’ health awareness through food. In addition, there is an event at the Tokyo Works called "Forest Lunch," in which employees can enjoy lunch in the open air. Our company cafeterias are open to use by not only the employees of The CITIZEN Group companies but also business partners accompanied by Group employees.

The CITIZEN Group will continue to promote employee health and create a safe and pleasant working environment so that each employee can maximize their performance in good physical and mental health.

Activities at Overseas Sites

At our overseas sites as well, various health promotion measures are implemented in consideration of the specific circumstances of each country and region.

We constantly and proactively provide those sites with support and cooperation from Japan while monitoring their circumstances to further globalize our health management. We also assist each overseas site in its efforts to actively promote its own unique measures.

[Specific activities]
China: Providing employees with corporate financial aid for vaccinations; organizing sports events and company trips
Hong Kong: Conducting employee recreational activities; holding BBQ and other parties
Thailand: Organizing company trips and parties; preparing rapid testing kits in response to the COVID-19 pandemic
Australia: Providing online training on mental health and workplace bullying
Germany: Installing sports equipment (table tennis tables)

Participation in the Health Management Alliance

Citizen Watch Co., Ltd. has joined the Health Management Alliance, established in June 2023. The Alliance is an organization of 222 companies and organizations (as of the end of August of the same year) that share the vision of "revitalizing Japanese companies through employee health and realizing the sustainability of health insurance." Through our participation, we aim to realize a prosperous future for each and every employee and the growth of employees and the company by practicing health management at a higher level.

Initiatives for Health Maintenance and Promotion

The CITIZEN Health Insurance Association operates with the aim of maintaining and promoting the health of the insured and their families. In addition, this Association is also a joint participant in the "Health Management Alliance," in which Citizen Watch Co., Ltd. has participated. It promotes synergies between employers’ health management and the Health Insurance Association’s business operations.

Pep Up Health Information Site

The CITIZEN Health Insurance Association operates the Pep Up health information website for its members. This site’s features include "My Health Status," which is based on individual health examination results, the individual’s health age as calculated from those results, health-related articles reflecting members’ individual health issues, and information about such subjects as healthcare costs incurred at hospitals and generic drugs.

The site also offers a variety of services that help promote the health of health insurance association members, such as holding "walking rallies" and a points program in which points can be accumulated by undergoing health checkups and participating in healthcare activities and then exchanged for healthcare-related products.

The registration rate for Pep Up was 71.3% as of the end of FY2025.

Specific Health Guidance and Implementation of Specific Health Checkups

Specific health guidance is a health guidance system to improve the health of members aged 40 and over who meet metabolic syndrome criteria as a result of health checkups and are at high risk of lifestyle-related diseases. In order to improve their lifestyle habits, employees meet with a public health nurse, a nurse, and a nutritionist and set their own behavioral goals to improve their health and their awareness of it. Health insurance societies are required by the government to provide specific health guidance. The implementation rate at our Health Insurance Association was 72.9% in FY2024 and is expected to be around 70% in FY2025. For FY2026 as well, our target is 70%, with plans to conduct health guidance in both web-based and face-to-face formats. We aim to run an effective health program that will change members from those who receive active support to those who receive motivational support, and then from those who receive motivational support to those who no longer require specific health guidance.

Data Health Plan and Specific Health Checkup Implementation Plan

The Japan Revitalization Strategy of June 2013 called for insurers to create and publish "data health plans" based on data such as medical receipts to maintain and improve the health of insured persons in order to extend the healthy life expectancy of the people of Japan, as well as to implement and evaluate these plans. In response, we have also formulated a data health plan and are developing health programs to prevent lifestyle-related diseases, detect them early, and prevent them from becoming severe.

In April 2008, the Act on Assurance of Medical Care for Elderly People came into effect, requiring each insurer to conduct specific health checkups and specific health guidance for insured persons between the ages of 40 and 75, and the Health Insurance Association has also implemented a Specific Health Checkup Implementation Plan.

With the start of the 6-year 3rd Data Health Plan and 4th Specific Health Examination Implementation Plan in FY2024, new health project guidelines, analysis, evaluation, problem identification, and countermeasure initiatives are required. A wide range of revisions are being made, including reductions of 2 cm in ventral girth and 2 kg in weight for specific health checkups and specific health guidance, as well as the introduction of outcome assessment. While cooperation between the corporate health insurance society and employers and efforts to increase awareness of the program among insured persons are important in its operation, the implementation rate of specific health guidance could be improved by implementing specific health guidance during working hours and encouraging those subject to guidance to participate. Further efforts are underway in this regard.

Starting from FY2024, reports and other information using data analysis tools will be provided to share awareness of the issues and to collaborate in efforts to resolve them.

Initiatives to Prevent Infection for Employees on Overseas Business Trips and Those Stationed Overseas

As a company with business sites around the world, Citizen Watch Co., Ltd. recognizes the importance of responding to global health issues, such as the world’s three major infectious diseases (tuberculosis, malaria, and HIV/AIDS). For employees on overseas business trips, regardless of the length of the trip, the company provides training on infectious disease prevention before traveling and recommends that they undergo vaccinations appropriate for their destination. In addition, employees who are stationed overseas on a long-term basis as expatriates are required to receive vaccinations recommended by the Ministry of Health, Labour and Welfare and vaccinations appropriate to the region they will be stationed, at the company’s expense, not only for themselves but also for their accompanying family members.

Ensuring Occupational Safety

Basic Approach to Occupational Safety

As Article 4 of The CITIZEN Group Code of Conduct stipulates, "Respect human rights and diversity, and provide a safe and pleasant working environment," The CITIZEN Group places great importance on health and safety in the workplace environment. In June 2022, we revised The CITIZEN Group’s Basic Health and Safety Policy to ensure that all employees are aware of and comply with the policy. Under the revised policy, we have expanded the scope of its application, which was limited to Group employees, to encompass suppliers and other business partners. We therefore promote further improvements in health and safety throughout the supply chain.

The CITIZEN Group Basic Health and Safety Policy (Revised June 1, 2022)

Efforts to Improve Occupational Health and Safety

In FY2025, we focused on ensuring an appropriate response to and thorough compliance with labor-related laws and regulations and further permeation of the Basic Health and Safety Policy throughout the Group. We also promoted newly launched occupational disaster elimination activities aimed at directly contributing to reducing occupational accidents. To ensure the continuity of these activities while enhancing them from a medium- to long-term perspective, we have formulated an occupational safety roadmap.
In FY2026 as well, we will follow this roadmap to ensure compliance with labor-related laws and regulations, foster awareness of the Basic Policy, and continue and enhance occupational disaster elimination activities, thereby establishing a safety culture firmly rooted throughout The CITIZEN Group.

Health and Safety Management System

Each of the six major CITIZEN Group companies has established a Health and Safety Committee as mandated by law, while some operating companies promote safety management through close cooperation between management and labor under an organizational structure in which directors take part.
The Group Health and Safety Liaison Committee meets twice a year to strengthen Group-wide governance. The Liaison Committee provides its members with information about the activities of each company’s Health and Safety Committee, as well as actual occupational accidents, and shares accident investigation reports and recurrence prevention measures to be spread throughout the Group, with the aim of improving the overall health and safety environment. In addition, we have established a system whereby, in the event of an incident leading to a serious accident (crisis), information about the incident will be immediately shared among the Group companies to completely prevent serious accidents. Furthermore, one of our overseas sites has been certified to comply with ISO 45001 for occupational health and safety management systems.

Response to an Actual Accident

In the event of an occupational accident, we will place the highest priority on relief of those affected while analyzing the factors behind the accident from various perspectives and promptly adopting countermeasures. Moreover, actual accidents, their causes, and recurrence prevention measures taken are reported for examination at monthly meetings of the Health and Safety Committee to completely prevent similar accidents. We therefore devote Group-wide efforts to achieving zero occupational accidents.

Efforts to Improve Occupational Health and Safety

Citizen Watch Co., Ltd. conducts practical occupational health and safety activities in order to promote the creation of a workplace where each and every employee can continue to demonstrate their capabilities in good physical and mental health. In recognition of the appropriate management of employees’ health as a significant issue, the company works to enhance regular health checkup follow-up measures and countermeasures against overwork while devoting efforts to building a mental health care system as well. Specifically, the company not only encourages self-care by having all employees undergo stress checks but has also established a "line care" system within each workplace, as well as a system for providing consultations with industrial health staff, thereby promoting mental health care from various perspectives.
Furthermore, in accordance with the revised Ordinance on Industrial Safety and Health, which came into effect in June 2025, the company has further strengthened its preventive measures against workplace heatstroke. As one of those measures, an air conditioning management system has been introduced for centralized air control within each business site. The system manages the temperatures of both production facilities, where a high level of physical activity is required, and back offices, where people mainly do desk work, according to the characteristics of each kind of workplace, thereby minimizing heatstroke risks.

Occupational Health and Safety Risk Assessment and Promotion of Health and Safety Education

The six major CITIZEN Group companies conduct thorough occupational health and safety risk assessments and safety education to prevent occupational accidents. Specifically, when new equipment is introduced, the Equipment Safety Review Board conducts a safety assessment from various perspectives to prevent accidents and occupational injuries. Citizen Watch Co., Ltd. has established a system whereby every chemical substance to be newly introduced undergoes a risk assessment, including a review by the New Chemical Substances Screening Committee led by the Environmental Department and verification by the Health and Safety Committee, before it is put into use. In addition, the company conducts statutory and voluntary inspections of existing facilities, the work environment, the chemical substances the company uses, etc. to ensure thorough safety management.

• Risk assessment: Specialized examination for chemical substances, specialized examination for equipment safety (including new projects, etc.)
• Statutory inspections: Disaster prevention management inspections, working environment measurements, periodic self-inspections of machinery and equipment, etc.

In FY2025, Citizen Watch Co., Ltd. continued to provide automated external defibrillator (AED) training and to hold traffic safety training sessions for car and bicycle commuters and registrants in cooperation with the police. The company also held seminars taught by external lecturers for those in charge of handling and managing high-pressure gases, liquid nitrogen, etc. These seminars allowed attendees to raise their own awareness of and confirm the basics of those substances, including how to handle them safely, related laws and regulations, and accident trends. Furthermore, just as in the previous year, a strict workplace survey was conducted based on the list of chemical substances containing "substances with specific concentration limits" in accordance with the 2022 revision to the Industrial Safety and Health Act. The survey has confirmed that the level of exposure of workers to those substances is below the concentration limits set by the Ministry of Health, Labour and Welfare. Citizen Watch Co., Ltd. will continue to conduct regular monitoring and improve the work environment to maintain the safety of the work environment.

[Case Study] Occupational Disaster Prevention Activities (Strengthening the Occupational Disaster Prevention and Mitigation System and Promoting Digital Transformation)

Tokyo Works

Citizen Watch Co., Ltd.’s Tokyo Works and Tokorozawa Works each have in place a robust works management system in preparation for major occupational disasters. The system is based on two pillars: organized training and centralized works management through digital transformation. In FY2025, just as in the previous year, a joint disaster drill was conducted under the leadership of the Disaster Prevention Committee in collaboration with the Nishitokyo Fire Department, the 8th District Firefighting Headquarters’ Fire and Rescue Task Force (Hyper Rescue), and Sumitomo Heavy Industries. This drill is held annually with the aim of confirming the system for mutual support between the neighboring companies in the case of an emergency and enhancing regional disaster prevention. In the FY2025 drill, a total of 70 people participated, and a practical program requiring advanced skills was implemented, including firefighting training with one of the Tokyo Fire Department’s only five large truck-mounted articulating water towers and rescue training from the rooftop. To foster disaster prevention awareness in the next generation, the works invited 278 children from nearby educational institutions (kindergartens, nursing schools, and elementary schools) to the drill to observe the training activities and receive explanations about fire engines, with the ultimate aim of permeating disaster prevention awareness throughout the local community.
In terms of management, efforts made at the Tokyo Works and Tokorozawa Works to promote digital transformation in disaster prevention and equipment management have enabled centralized comprehensive management of the two works. Their use of the latest digital infrastructure has allowed them to establish a highly effective business continuity planning (BCP) system that enables early detection and real-time monitoring of anomalies and minimizes damage from any disaster through rapid decision-making. The works have also adopted thorough intangible measures to protect the lives of employees in the event of an emergency, including establishing methods for confirming their safety, optimizing emergency stockpiles, and encouraging employees to become better disaster-prepared through disaster drills. Both works will continue to update their tangible and intangible systems for disaster prevention and mitigation toward works management that makes them safer and more secure.

Scenes from the comprehensive disaster drill

[Case Study] CITIZEN Forest and Commendation Given by the Mitaka Labor Standards Inspection Office Director

Tokyo Works

As part of the 100th anniversary celebrations of Citizen Watch Co., Ltd. in 2019, a dilapidated factory building was demolished on the grounds of the Tokyo Works to create a green space called "CITIZEN Forest." With this green space at its core, we are providing a space where not only the building but also the landscape can be used as an office space with a view to improving employee wellness. Considering its location in the center of the Musashino Plateau and the context of the land, the planting plan combines miscellaneous trees from Musashino to create a seasonal landscape and provide soft shade. The green space not only serves as a workplace for employees but also as a habitat for a diverse range of living creatures and a place for local community interaction. Currently, we are continuously managing trees based on long-term, medium-term, and short-term plans, monitoring living things, and providing environmental education to employees. In recognition of the above, this initiative by the Tokyo Works was recognized under the Evaluation and Certification System to Secure Urban Nature and Green Space, which was established by the Ministry of Land, Infrastructure, Transport and Tourism as part of its Urban Development GX initiative to evaluate and certify initiatives by private businesses and others to preserve high-quality green spaces that contribute to (1) responding to climate change, (2) preserving biodiversity, and (3) improving well-being. Among the first batch of certified companies, Citizen Watch Co., Ltd. alone was certified for its manufacturing facility.
Furthermore, in recognition of its achievements in health and safety management, the Tokyo Works were commended by the Director of the Mitaka Labor Standards Inspection Office in December 2025. The commendation came from a high rating given to the Tokyo Works’ efforts to establish specialized groups, such as the Equipment Safety Expert Committee and the New Chemical Substances Screening Committee, and ensure the thoroughness of risk assessments conducted by each of those groups, thereby reducing workplace risks, as well as its proactive initiatives to ensure the physical and mental health of employees by creating and enhancing the CITIZEN Forest and the company cafeteria. Another factor behind the commendation was workplace patrols conducted by members of the Health and Safety Committee, including industrial physicians, which had made a significant contribution to creating a comfortable workplace environment and raising employees’ awareness of health and safety.