Asbestos dust exposure remains a significant public health concern, particularly in areas with unrehabilitated asbestos mines. This study aims to evaluate the spatial distribution of asbestos and community awareness and perceptions of the risk of asbestosis in Ga-Mathabatha, a rural settlement in Limpopo Province, South Africa. Using Advanced Spaceborne Thermal Emission and Reflection Radiometer (ASTER) satellite imagery, remote sensing techniques, and GIS mapping, we predicted areas containing different types of minerals associated with asbestos, validated by field observations at Makapeng, Moleke, Maseleseleng, Success, Masioneng, Olifants River, Mphogodima River, and Tongwane River sites. A mixed-methods research approach, including 18 in-depth interviews and 250 survey questionnaires, assessed community awareness and perceptions of potential asbestosis risk. Remote sensing analysis results indicated high concentrations of chrysotile asbestos in the eastern part of the study area, tremolite asbestos in the southern part, and minor serpentine deposits in the east. Field observations confirmed asbestos deposits along riverbanks and in the surrounding villages. Survey results revealed that 45.6% of participants were not aware of areas of high asbestos concentration in Ga-Mathabatha, while 28% (15% + 13%) did not perceive passing near asbestos dumps with or without herds as another source of exposure. These findings underscore the need for targeted education and awareness programs for communities living near asbestos deposits and those whose day-to-day activities increase their risk of exposure.