Employee healthcare

GRI 403–10

To implement a comprehensive approach to ensuring industrial and occupational safety and to extend employees’ career longevity, we have 223 medical assessment boards and subboards, 1,480 pre‑trip medical check‑up offices, 234 psychophysiological units, and 35 occupational pathology and occupational suitability centres at the Russian Railways Group’s healthcare facilities for all kinds of mandatory medical examinations. Our existing three‑level system of occupational suitability expertise enables employees to keep working even when there are medical alerts, through an individual approach and diagnostic and treatment capacities at our healthcare facilities.

In 2024, the Russian Railways Group’s healthcare facilities implemented comprehensive initiatives to prevent diseases, diagnose them early, and treat them.

In 2024, this helped us maintain zero accidents caused by employees’ poor health.

Our medical assessment boards ran 1.79 million mandatory medical examinations, while our pre‑trip medical check‑up offices performed 28.9 million mandatory pre‑trip (pre‑shift) check‑ups, with over 90% conducted in an automated mode.

Additionally, in 2024 there were more than 30 million visits to outpatient healthcare facilities, with 579,000 people receiving treatment, including 27,100 people who received using high‑tech medical aid.

Our annual check‑up embraced 99.2% of the employees, with 64.4% of them classified in health groups 1 and 2. The cardiovascular incidence rate, with first‑ever diagnoses (for 1,000 people), stands at 23.8. 89.5% of our employees with identified diseases undergo dispensary monitoring. The disability rate from cardiovascular diseases (for 1,000 people) is 0.02. The percentage of our patients with first‑ever diagnosed malignant tumours at an early stage (I‑II) (histologically verified) reached 80.3%.

To ensure that qualified employees continue working and to support Russian Railways’ staffing with key talent, in 2024 the Company approvedOrder No. 226n of the Russian Ministry of Health dated 6 May 2024. the list of medical contraindications for jobs directly associated with traffic control and shunting operations. The document updates medical requirements for the health status of employees and candidates responsible for railway traffic safety, taking into account today’s high‑tech healthcare solutions and new treatment approaches. Thanks to the document, candidates who were previously deemed unfit can now be employed, and employees who have undergone treatment, such as laser eye surgery, malignant tumour treatment, treatment of injuries and other external impacts, with medical hardware, or full or partial limb amputation can continue working.

Health resort treatment

Health resort treatment, recreation and leisure activities are available at 57 corporate health resorts, holiday hotels, recreational centres and camps across Russia (from Kaliningrad to the Russian Far East).

In 2024, 66,800 employees, their family members, and non‑working retirees received recreational services. When distributing and subsidising health resort treatment stays, the Company places a special focus on employees directly responsible for railway traffic safety. For most employee categories, the proportion of health resort stay costs offset depends on the Company’s facility Company, their position, and dates – 10–40% for employees and 20–60% for their family members.

The combination of traditional health resort programmes with new offers (such as detoxing, anti‑stress and yoga tours) is becoming increasingly popular. This enables us to develop affordable, diverse, and high‑quality recreation solutions.

Children’s recreational facilities

In 2024, Russian Railways organised children’s recreational activities at 59 corporate children’s camps, 11 third‑party children’s camps, including two on the Black Sea coast, and 14 corporate schools and children’s railways. A total of 49,300 children took part in the children’s summer recreational campaign.