This study evaluated the potential toxicological risk posed to human health due to the exposure to heavy metals by water ingestion in an area affected by tanneries - the Cadeia-Feitoria hydrographic basin (Brazil). River water was collected at 10 sites, every 3 months, from July 1999 to April 2000. After acid digestion, total metal concentration was determined by inductively coupled plasma optical emission spectrometry (Cd, Cu, Cr, Ni, Zn), flame atomic absorption (Al, Fe, Pb, Mn), or cold vapor atomic absorption spectrometry (Hg). Cr(VI) was complexed with diphenyl-carbazide and detected by UV-vis spectrometry. In order to quantify the risk of exposure, the risk assessment methodology employed by the Environmental Protection Agency of the United States was applied at a screening level. The assumed scenarios included extreme exposure patterns (ingestion of untreated water, conversion of Cr(III) to Cr(VI), temporal peaks of pollution). Fe, Al, Cd, Hg, and Pb were not included in the risk analysis, since they showed a low toxicity potential or were undetected in the samples. The selected metals presented Hazard Quotients < 1, in the following order of increasing risk: Cu < Cr(III) < Zn < Ni < Mn < Cr(VI). Hazard indexes, representing the additive effect of contaminants, were also low in the basin (< 1), but comparatively increased in the lower reach of Feitoria and Cadeia Rivers. Although noncarcinogenic risk levels did not suggest possible adverse toxicological effects to the human population, a considerable deviation from background conditions was observed downstream the area where tanneries are mainly located.