Skin diseases are the second most common work-related health problem in Europe. They represent more than 7% of all occupational illnesses and are one of the most important emerging risks related to the exposure to chemical, physical and biological risk factors. The fact that there is no scientific method to measure the level of the body’s exposures to risks via dermal contact and their physiological consequences, increases the importance of recognising risk factors and developing methods of assessing the level of exposure and controlling it. This report presents an overview of dermal exposures and occupational skin diseases. It also presents the principal policies relating to the recognition and recording of skin diseases, as well as the recognition, assessment and control of dermal exposure to chemical, biological and physical risk factors in the Member States of the European Union.