Health management

All employees are united in engaging in health management in the following ways to ensure transport safety and achieve our safety targets, based on Transport Safety Management.
Medical examinations under the Industrial Health and Safety Act
Pursuant to the Industrial Health and Safety Act, medical examinations are held from the perspective of workplace health and safety. Article 66 (1) of the Act provides that ‘The employer shall, as provided for by the Ordinance of the Ministry of Health, Labor and Welfare, have medical examinations of workers conducted by a physician.’ These general medical examinations must be conducted when an employee first joins the company and once a year thereafter.
Further, Article 45 of the Ordinance, states, ‘The employer shall provide the worker engaging regularly in [specific] works (midnight work, etc.) with a medical examination by a physician covering [general check items], at the time when the said worker is assigned to the said work and periodically once every period within six months.’ Pursuant to these provisions, Sakura Kotsu provides medical examinations under the Industrial Health and Safety Act for all employees.

Ministry of Health, Labor and Welfare
Sleep Apnea Syndrome (SAS) screening tests
In recent years, there have been numerous reports of traffic accidents being caused by professional drivers suffering from Sleep Apnea Syndrome (SAS). SAS not only significantly degrades the quality of sleep, but also causes drowsiness and reduced concentration during the day. Sakura Kotsu has responded to this problem by conducting annual SAS screening tests and encouraging employees diagnosed with SAS of medium or higher severity to undergo proper treatment. The aim of this initiative is to ensure quality, comfortable sleeping time, for the prevention of industrial accidents and the improvement of health and safety.

Drug abuse screening tests
Unfortunately, there are regular reports of people working in our industry being arrested for using drugs such as stimulants and marijuana. In the event of an accident caused by such drug abuse, the responsibility of the employing company may also be called into question. A recent study of the number of arrests of professional drivers for stimulant use in recent years found that, in FY2012, there were 43 cases involving limousine hire and taxi drivers, 167 cases involving truck drivers, and six cases involving bus drivers. These figures show that the problem of the use of controlled substances is becoming widespread throughout the entire transport industry.
For the development of further safety management systems, all employees are tested for controlled substances every year, based on the following principles.
1. Contribute to the sound development of the industry by spreading drug testing throughout the industry.
2. To achieve this, conduct testing every year to gain trust in the industry and the company.
Sakura Kotsu has a responsibility as part of public transportation, and as such has a major social responsibility. To ensure transport safety and to gain the ongoing trust of our customers through the complete elimination of operations under the influence of drugs, we will conduct management against the risk of operations by users of controlled substances.

LSI Medience Corporation
Driver Brain MRI Scans
It is estimated that more than 200,000 people in Japan are treated for stroke every year. In a comparison of inpatient treatment rates, this is 1.5 times more than the number of patients being treated for cancer, and 3.5 times more than for heart disease patients. It has reached the stage where stroke could be described as a national disease.
It goes without saying that impaired consciousness caused by stroke while driving carries an extremely high risk of leading directly to accidents. The type of stroke considered to be particularly dangerous is “subarachnoid hemorrhage.” Unlike other types of stroke, subarachnoid hemorrhage occurs suddenly without warning and causes loss of consciousness. In 86% of cases, subarachnoid hemorrhage is caused by a burst cerebral aneurysm. Therefore, it is important to detect cerebral aneurysms before they burst and, in dangerous cases, to take the necessary measures. With advances in MRI technology, cerebral aneurysms can now be detected without stress using magnetic resonance angiography (MRA). At Sakura Kotsu, all of our drivers undergo MRA testing once every three years.

Driver’s Brain Scan Center
BNP testing (blood test for heart failure)
BNP is a hormone secreted by the heart (mainly the ventricles). It works to protect the heart muscle, through such effects as diuresis, vasodilation, sympathoinhibitory action, and cardiomegaly inhibition. When there is increased burden on the heart or cardiomegaly occurs, BNP secretion is increased, so the condition of the heart can be checked by testing for BNP levels in the blood.
BNP testing was originally used to test the extent of heart failure, but it has now been permitted for use in the diagnosis of heart failure. It has been proven that BNP concentration in the blood increases before any subjective symptoms appear, making it useful in the early detection of reduced heart function. For this reason, Sakura Kotsu includes BNP testing for all employees in its medical examinations under the Industrial Health and Safety Act.