Risk-led workplace health surveillance Employee guidance

Skin irritants, sensitisers and wet work

Practical skin surveillance for relevant workplace exposure groups.

Skin surveillanceRisk-led pathway

Regular skin checks may be appropriate where employees remain exposed to substances or work patterns associated with occupational dermatitis.

Regular skin checks may be appropriate where employees remain exposed to substances or work patterns associated with occupational dermatitis.

Skin surveillance can range from trained visual checks to assessment by an occupational-health professional. The level should reflect the hazard, exposure and complexity of the programme.

Surveillance supports early identification, but employers must still prevent or adequately control exposure through substitution, work methods, protective equipment and skin-care arrangements.

Who may need this surveillance?

  • Employees working with known skin irritants or sensitisers
  • Workers undertaking frequent wet work or repeated hand washing
  • Groups identified through the COSHH assessment as needing surveillance
Important: inclusion should be based on the risk assessment and exposure, not job title alone.

What to expect

A suitable assessment, interpreted in context.

The exact process is confirmed when the risk, exposure group and programme stage are understood.

01

Relevant symptom and exposure questions

02

Visual skin checks by an appropriately trained person

03

Escalation for clinical assessment where findings require it

04

Advice on prompt reporting and skin-care controls

Employer receives

Work-relevant information

A proportionate outcome indicating whether workplace action or further assessment is recommended. Detailed clinical findings remain confidential medical information.

Programme frequency

No universal interval

The schedule should reflect the hazard, work pattern and programme findings. High-risk tasks may need checks at different intervals from lower-risk work.

If a concern is found

A defined next step

A concern may lead to clinical review and a reassessment of substances, gloves, washing arrangements, work practices and exposure for similar workers.

Authoritative sources

Check the official guidance.

Regulatory and clinical claims on this page are grounded in the following sources. Content should still be clinically reviewed before launch.

Questions

Skin surveillance FAQs

These answers are general. A specific workplace decision needs the risk assessment and competent advice.

Can a manager carry out skin checks?

A responsible person may undertake simple checks if they are suitably trained and there is a clear referral pathway. More complex cases require occupational-health input.

Is skin surveillance only for chemical work?

No. Frequent wet work and repeated contact with soaps, cleaning products or gloves can also be relevant.

Should employees report symptoms between checks?

Yes. Early reporting helps concerns to be reviewed before they worsen and should be built into the programme.

Related pathways

Explore connected services.

Noise

Audiometry

Hearing surveillance can help identify early signs of noise-related hearing damage where a workplace noise risk assessment indicates a risk to health.

Explore audiometry

Dust, fumes and respiratory sensitisers

Spirometry

Spirometry measures lung function and may form part of surveillance for employees exposed to respiratory hazards where the risk-led criteria are met.

Explore spirometry

Hand-arm vibration

HAVS surveillance

Health surveillance may be required where the vibration risk assessment shows a risk to health, including employees exposed at or above the exposure action value or otherwise considered at risk.

Explore havs surveillance

Scope the programme

Tell us about the risk, people and sites.

We will use the information to plan a conversation, not to make an automated clinical or legal determination.

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