Occupational lead and cadmium exposure are important health issues in developing countries. This study aimed to detect toxic metal contents in raw materials used to make tiles and to assess exposure health impacts on workers. The study sample consisted of 74 tile workers, having a mean age of 35.2 years, in the Industrial City of Arab El Awamer, Assiut (Egypt). Elemental analysis of the raw materials was performed by using scanning electron microscopy. The data collection questionnaire was divided into two parts; the first included demographic data, symptoms attributed to toxic elements and possible sources of exposure to metals. The second part was designated to assess heavy metal exposure health impacts through clinical examination and biological