Occupational Skin Surveillance

Occupational skin disorders are among the most commonly reported work-related health issues in the UK. They typically arise when a worker’s skin comes into contact with hazardous substances in the workplace, leading to irritation, dermatitis, infections, discomfort, and even time off work if left unaddressed. Evidence shows that strategies such as controlling exposure and providing effective training significantly reduce the incidence of skin problems. Occupational skin disorders can also include the worsening of pre-existing conditions such as eczema, particularly where repeated exposure or wet work occurs.

Why do I need skin surveillance?

Skin surveillance helps employers detect early signs of skin damage before it becomes severe. It forms part of a broader health surveillance programme required under UK workplace law (including COSHH and the Health and Safety at Work etc. Act), which supports early detection of adverse health effects and evaluation of existing control measures.

Surveillance may be appropriate when there is a reasonable likelihood that a disease or adverse effect could occur under particular working conditions, and there are valid techniques to detect it. Common instances include work involving irritants, sensitisers, solvents, or frequent hand washing, where skin conditions like dermatitis or allergic reactions could develop.

How Global OHS helps safeguard skin health

We provide focused skin surveillance assessments to help you identify early signs of occupational skin conditions and put in place practical advice to protect your employees. These assessments are designed to:

• detect early symptoms of dermatitis, eczema and other conditions

• advise on control measures and protective equipment

• review risk assessment effectiveness in the workplace

• support employee wellbeing and reduce sickness absence

If surveillance identifies concerns, we can recommend follow-up advice such as referral to occupational health physicians, dermatologists, or GP services for further evaluation.

Sussex clinical links that support this

To help both employers and employees access reputable clinical guidance and local care pathways in Sussex, here are three local sources you can trust:

1. Sussex Community Dermatology Service – an NHS service covering Worthing and surrounding areas, offering specialist dermatology assessment and treatment for patients with skin complaints.

2. Sussex Community NHS Foundation Trust – the main NHS community health provider across West Sussex, Brighton & Hove, and surrounding areas. You can access information and links to community health services which include dermatology and related skin clinics.

3. East Sussex Healthcare NHS Trust – Dermatology – local dermatology clinics treating eczema and other skin conditions at Conquest Hospital, Eastbourne District General Hospital and Bexhill.

These clinical services can provide specialist assessment, diagnosis and treatment where occupational health surveillance flags a concern that requires medical follow-up.

What happens during a skin surveillance assessment?

A typical skin surveillance programme starts with a baseline skin check before potential exposure begins. Periodic inspections focus on areas such as hands and forearms, especially where contact with irritants or wet environments is frequent. Employers or appointed responsible persons visually inspect skin, and trained occupational health professionals can follow up with clinical assessment when necessary.

Taking action to protect skin health

Preventive strategies work best when combined with good workplace hygiene, appropriate control measures, and effective training. Ensure that:

• hazards are identified in the risk assessment

• control measures reduce exposure to irritants

• PPE, including suitable gloves, fits employees properly and is not the primary control measure

• employees know how to recognise early symptoms and report them promptly

By detecting problems early and taking action, you can reduce the likelihood of skin conditions becoming chronic or leading to absence.