Women agricultural workers conduct intensive work on the farms and shoulder an unshared burden of household labour, but the role of these women has not been sufficiently explored in the framework of their health issues in the context of western Himalayan setting. This article discusses the issues of occupational exposure, working hours, sanitation and household duties of 500 female agricultural workers from Kangra and Una districts of Himachal Pradesh in 2022-23. Participants were divided according to land access status: 335 landless workers, 92 women cultivating small plots (1-30 units) and 73 cultivating medium-sized plots (31-50 units). The descriptive statistics were obtained from the results of the thesis cross-tabulations, and the Pearson chi-square tests were recalculated. Sowing (91.0%), transplanting (78.0%) and weeding (75.0%) were the common operations and 61.2 of the canners expended 6 to 8 hours daily while 15.8 worked for more than eight hours daily. This was followed by invisibles of overtime: 78.6% said that they worked without support from men at home. 76.4% reported to have presented pesticide related health hazards, 73.6% had back or joint pain and 21.8% had physical weakness. Over half of these (52.6%) used open ground toilets. Exposure to working hours and sanitation varied markedly between land access groups with some disadvantages toward some access, but some towards others; and small parcels of modest land holdings did not remove exposure from the equation. The results indicate that the issue of occupational health cannot be divorced from the issue of time poverty, household material infrastructure, gender allocation of household work. Responses need to be multi-faceted and include measures such as use of a pesticide-safe tool, fitting labourers with protective clothing, provision of on-site health services, improving sanitation and coordinative re-distribution of unpaid labour.