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Health Services

The employer provides health services designated as occupational preventive care through professionally qualified providers (entities).

Valid statutory provisions

According to the provisions of Section 40 of Act No. 20/66 Coll., as amended, every physical person who operates a business activity and every legal person is required to provide occupational preventive care for his/her/its employees under Decree No.145/88 Coll., on the Convention Concerning Occupational Health Services (No. 161).

According to the provisions of Section 18 a) of this law, occupational preventive care covers, in cooperation with the employer, prevention including protection of employee health prior to diagnosis of occupational illnesses and other occupational health impairments and prevention of injuries.According to the provisions of Section 35 a), occupational preventive care facilities perform expert consulting activity on issues of protecting and supporting the health and social well-being of employees, regularly inspect employer workplaces, determine the influences of work and working conditions on the individual while working, perform preventive medical examinations of employees (entry, periodic, exit, extraordinary), secure provision of first aid to employees, cooperate with the relevant sanitation service and participate in training and education in protecting and supporting health.

Contractual provider

The contractual provider of occupational preventive care to ČD employees is Dopravní zdravotnictví a.s. (until 31 December 2007, the branch establishment Železniční zdravotnictví Českých drah, a.s.).

As is the case for other European railway companies, ČD has created a specialist department for communication and cooperation with the external supplier of health services – the Department of Health Services (OZS).

OZS has the necessary competences to require provision of health services at a level of quality that will not be considered by inspecting authorities to constitute a violation of the valid provision of national law on the part of the employer. The ordering party has the right to require delivery of health services in an extent and quality which guarantees the safety of railway transport,, and possibly interoperability. As the ordering party, the employer is responsible for securing provision of the services.


The competencies of the Department of Health Services for preserving an expedient ratio between the costs incurred for the external health services ordered and their usefulness for the ordering party are, among others, the following:

  • inspection and evaluation of external health services according to the contractual arrangement between the service provider and the ordering party (ČD);
  • formulation of specific requirements by the ordering party for the provider of occupational health care services in respect of these services;
  • procurement of materials required of the employer by law for categorising work (in particular comprehensive procurement of all necessary measurements and objective determinations of the burdens created by factors in the work environment, including ordering these measurements from an authorised or accredited laboratory);
  • responsibility for updating the codebooks of health care facilities, wards and physicians;
  • communication with the Register of Work Categorisation (KAPR) and the Register of Occupational Illnesses maintained by the National Institute of Public Health (NIPH) in Prague;
  • recording and tracking of the causes of occupational illnesses which have arisen or are impending;
  • cooperation with the Rail Authority in formulating health requirements for the European Train Driver’s Licence;
  • provision of expert consultation for all ČD’s organisational components on the issue of work sanitation and occupational illnesses (including requirements for measurements, other objective determinations, and categorisation of work), on the use of alcohol and other addictive substances, and on necessary amendments to company-internal legal regulations;
  • cooperation on specialist issues of crisis management (pandemic plan, measures to combat terrorist use of biological agents, chemical materials and other expositions);
  • collaboration on research projects;
  • representation of ČD at the International Union of Railway Medical Services (UIMC) and in the medical working group of the Community of European Railway and Infrastructure Companies (CER).

Related Information

Dopravní zdravotnictví, a s.


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