Dermatitis Prevention

Toolbox Talk Record

Ref: TBT-OCC-005  |  Issue: 1  |  Date: March 2026
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What?

Why?

Career-ending conditionAllergic dermatitis from chrome VI in cement is permanent — once sensitised, you can never work with cement again.
Early detectionDermatitis starts with mild symptoms that are easily dismissed — catching it early prevents the irreversible allergic stage.
Simple preventionThe APC regime — Apply, Protect, Clean — is free, takes seconds, and prevents a condition that ends construction careers.
Do Don't
  • Apply barrier cream to your hands before starting any work with irritant substances.
  • Wear waterproof gloves when handling cement, concrete, adhesives, or solvents.
  • Wash hands gently with mild soap and warm water — not solvents or abrasive cleaners.
  • Apply moisturiser after washing to restore the skin's natural protective barrier.
  • Attend skin check health surveillance appointments to detect early signs of dermatitis.
  • Report any redness, itching, cracking, or dryness on your hands to your supervisor.
  • Change gloves regularly and when they become contaminated inside or damaged.
  • Dry your hands thoroughly after washing — damp skin is more vulnerable to irritants.
  • Check the COSHH assessment for the skin protection required for each substance.
  • Use low-chrome cement where available to reduce the risk of allergic sensitisation.
  • DON'T handle cement, solvents, or adhesives with bare hands under any circumstances.
  • DON'T skip barrier cream because you are wearing gloves — use both together.
  • DON'T wash your hands with white spirit, thinners, or abrasive hand cleaners.
  • DON'T ignore dry, cracked, or itchy skin — it is the first warning of dermatitis.
  • DON'T skip health surveillance skin checks — early detection prevents permanent damage.
  • DON'T dismiss mild symptoms as just dry skin — report them before they worsen.
  • DON'T reuse gloves that are torn, contaminated inside, or no longer waterproof.
  • DON'T leave hands damp after washing — dry thoroughly with a clean towel.
  • DON'T use substances without checking what skin protection the COSHH assessment requires.
  • DON'T assume you are not at risk — dermatitis develops gradually with repeated exposure.

See also: COSHH Awareness | Cement and Concrete Burns