NephroPlus currently employs about 250 employees across all its operations. Housekeeping and security services are outsourced. The Company has a human resources policy that is consistent with Indian labor laws, and this policy is included in employment contracts, and addresses working conditions, terms of employment, and wages and benefits. This information is also provided in the form of an employee handbook at the time of induction into the company. Subcontractors, including housekeeping staff is required to comply with all NephroPlus labor requirements specified in contractual arrangements. The Company is in compliance with national regulatory requirements, and has not been the subject of any violations of applicable labor laws, or labor strikes or disputes. 

Hiring practices and employment relationships recognize the principals of non-discrimination and equal opportunity, freedom of association and grievance. Employees are aware of their right to freedom of association and have the opportunity to collectively represent to the management any issues or grievances that they may have. Employees have the right to be part of a trade union, and may choose to do so at any time during their employment with NephroPlus. The minimum employment age at NephroPlus is 18 years. NephroPlus ensures that child labor or forced labor is not employed directly or by subcontractors through verification of relevant documents. 

There is a plan for accident prevention and worker safety in compliance with national regulatory requirements, and for international standards for health care facilities. The company has developed SOPs to ensure safe and healthy working conditions for its employees. These include SOPs to handle infection control, fire safety and hazardous waste management, which are consistent with national regulatory requirements and international best practices. There are SOPs for spills of (bio) hazardous materials, though the risk is minimal as only small quantities are stored at facilities in dedicated and secure storage areas.

Occupational health and safety (OHS) is managed by designated health and safety staff at each facility. All employees in the company have to undergo a full training program at induction and subsequently on worker health and safety relevant to their job activity. Human Resources department maintains permanent records of participation to ensure compliance. Facilities are audited annually by regulatory and insurance agencies. No fatalities or serious injuries have been reported at any of NephroPlus facilities. Labor and Working conditions at all NephroPlus facilities are in compliance with IFC Performance Standards and applicable IFC guidelines for the health care sector. Facilities are subject to annual audits by regulatory agencies to monitor compliance with labor regulations. The Company has been in compliance with regulatory requirements for OHS requirements and has recorded no significant lost time incidents or fatalities in its operational history.