The Center monitors blood lead levels for a number of painters and ironworkers who work on local bridge rehabilitation projects. On one bridge project, our physician noticed an increase in the painters' blood lead levels. To follow up, our physician, clinical nurse and industrial hygienist visited the worksite and found neither hand-washing provisions nor an area for eating that was separated from the work area. The Center staff recommended waterless hand cleaners and several other controls and conducted an education session for the workers. As a result of this intervention, subsequent tests showed that the painters' blood lead levels were reduced.