This research paper examines occupational health risks, workplace safety practices, health outcomes, and compensation entitlements among 120 garbage collectors in selected municipalities in Laguna, Philippines. The study employed a descriptive correlational research design using a cross-sectional survey. Analysis revealed that hazards (i.e., physical strain from weather and fatigue, biological threats such as infections and pests leading to skin and stomach problems, and chemical issues from fumes and dust) were at a moderate level; however, protective gear received high marks for working well. Safety practices were mostly moderate to frequent, with strong supervision and hygiene (clean water and handwashing stations everywhere), but lagged in regular training and manageable hours. Health outcomes were not great, given that they were fair for ongoing illnesses and self-reported conditions such as chronic fatigue, back pain, sore throats, and poor for injuries. Compensation felt solid overall, strong on medical aid and hazard pay, but claims processing dragged at a moderate pace. Notably, better safety practices correlated positively with improved health and benefits. These workers face serious risks that need to be addressed, so compensation is a bright spot, even though providing such compensation and incentives requires legal backing and agreement in the local budget planning to make a significant difference for garbage collectors. The connections between strong oversight, hygiene, and better outcomes suggest clear ways for local government to invest in tools like ergonomic lifters and shaded breaks, increase training, add on-site health checks, expedite claims digitally, and collaborate with local agencies for ongoing support.