Health Checkups in Japan: A Simple Guide for Workers

Health Insurance

Companies are legally required to provide health checkups for their employees. There are different types of checkups, and companies must conduct them at the right time and with the correct procedures.

Companies Must Provide Health Checkups

The law states that employers must arrange health checkups for their workers. This applies not only to full-time employees but also to contract workers, part-timers, and temporary staff who meet certain working hours or contract conditions.

Types of Health Checkups

  • Pre-Employment Checkup: Conducted before or soon after joining a company. Some companies may allow it before the official start date.
  • Annual Checkup: Required at least once a year for all employees.
  • Special Health Checkups: Required for those working in hazardous environments.

Checkup Items

A standard health checkup includes:

  1. Medical and work history review
  2. Check for any symptoms or health concerns
  3. Measurement of height, weight, vision, waist circumference, and hearing (1,000Hz & 4,000Hz)
  4. Chest X-ray and sputum test
  5. Blood pressure check
  6. Anemia test (Hb, RBC)
  7. Liver function test (GOT, GPT, γ-GPT)
  8. Blood lipid test (TG, HDL, LDL)
  9. Blood sugar test
  10. Urine test (sugar, protein)
  11. Resting electrocardiogram (ECG)

Health Checkup Costs

Under Japan’s labor laws, companies must cover the full cost of mandatory health checkups.

Although employers are not required to pay wages for the time spent on the checkup, it is generally recommended that they do.

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