Introduction: Occupational health literacy (OHL) is the degree of worker's capacity to obtain, process, and understand occupational safety, health services and information that he needs to work safely and take good decisions to keep himself safe at work. Occupational health literacy is important to the health and safety of workers. Aim of Work: To explore the status of occupational health literacy and the associated risk factors among agricultural workers in Ismailia governorate. Materials and Method: This cross-sectional study was carried out among agricultural workers in Ismailia governorate. A sample size of 500 workers was randomly selected through multi-stage sampling technique. Data collection tool was through a questionnaire made by the researchers after reviewing literature then translated into Arabic. Results: A total 500 agricultural workers with mean age of 49.67 ± 11.37 years. Ninety percent of the participants were males. Low back pain was reported among 46.2%. Mean of OHL score was 58.64 ± 23.48. More than half of the participants (57%) had Low, 13.2% had Enough and 29.8% had Good OHL level. Significant positive correlation was reported between OHL score, age, and experience (r= 0.321, 0.261 respectively, p <0.001). Also, there is statistically significant association between OHL levels, gender, and educational level (p < 0.001). Thirty percent of the participants had occupational injuries/ accidents. Conclusion and Recommendations: The occupational health literacy level of most of the agricultural workers is low. The educational level and experience are associated with increasing the occupational health literacy level. We recommended an occupational health and safety training program that is culturally and educationally appropriate for agricultural workers and their employers.