Bidi rolling is a popular home based work at Purulia. It provides employment for more than two lakhs bidi workers, particularly in the Purulia west region. Purulia comes under extended part of Chhotonagpur Platue, where agriculture is not prosperous. Industry is not developed either. Large number of population is dependent on nonagricultural activities for their survival. Household industries are important employment providers. A descriptive cross-sectional study has been used to assess the impact of access to sanitation facilities and to safe usable water on the health expenditure of bidi workers. A total of 124 household containing 663 people were selected from five villages with highest concentration of Bidi workers of Jhalda II Block. We have used a predesigned, pretested questionnaire for collection of data to be analysed by appropriate statistical method. Most of the bidi workers were living in poor environmental and housing conditions. Around 80% of these workers are suffering from water crisis for domestic use and/or drinking purposes. It was observed that almost 70% of the workers developed occupational health problems as reported by the male and female bidi workers. Our empirical study shows that occupational health hazards are lessened by the access to sanitation facilities and to safe usable water among bidi workers.