In coal mining industry occupational health and hygiene are critical concerns due to the high risk of exposure to hazardous working conditions. This present study evaluates the health and hygiene practices among coal mine workers at the Lakhra Coal Field (LCF) in Pakistan through a structured questionnaire-based cross-sectional survey. A total of 65 questionnaire surveys were distributed among the respondents and 62 were received back. The questionnaire was translated into the local language and distributed among the respondents. Reliability of the questionnaire was assessed using Cronbach Alpha. Demographic analysis revealed that majority of employees were middle-class except managers. Results of the study revealed that a significant proportion (96.77%) of miners were aware of the major health risks associated with mining activities. Moreover, another important finding was noticed that at LCF approximately 97% of respondents answered in the favor that companies were providing them with the routine health checkup facilities. Miners were using personal protective equipment (PPEs) and drinking water with poor quality was available. The study highlights critical gaps in hygiene and health practices in underground mines. These important findings further provide a foundation for policy frameworks aimed at enhancing the standards of occupational health, safety and hygiene of coal workers. Therefore, further studies must be conducted to overcome the issues of health, safety and hygiene in the life of miners.