Agriculture is classified as a hazardous industry worldwide according to NIOSH and ILO. However, farmers are vulnerable compared to people working in fields (such as mining and construction) that have a greater attention on safety and health. One of the hazardous factors in agriculture would be injury mortality related to extreme environmental conditions. Wearable items in agriculture (including clothing) are the nearest environment of the human body; subsequently, to understand the current state can be a way to establish an active prevention strategy against heat stress health risks from summertime agriculture work. This study investigates agricultural work wear and accessories that elderly farmers use. This study enrolled 120farmers (49males and 71 females) working in nine separate sites on different days. The average age of subjects was 61 years-old. Investigators examined the types of working posture, clothing, and items that the farmers used and/or wore. They also interviewed farmers to understand why they used such items when working. Nine surveys were conducted in 6 regions of South Korea from July 2012 to September, 2012. Environmental conditions were measured at 1.2 m heights above the ground at each site. The types of footwear (in order of foot wrapped area and thermal insulation) farmers wore were slippers, rubber shoes, loafers, running shoes, and boots. For example, the smallest area of the foot was wrapped by slippers while boots wrapped the largest area of the foot. This footwear also had different sole thickness. Loafers were used by the largest number of farmers. The second largest number of farmers used rubber shoes and boots. A total of 77.5% of farmers put on socks, and 85.9% of females and 65.3% of males put on socks. The types of hats which farmers wore were a baseball cap, a bucket hat, a sun cap, a hat for farmers, a towel, and a straw hat. The percentage of farmers wearing no hat during work was 39.2%. Baseball caps were worn by large number of male farmers but the largest percentage of female farmers wore ‘hat for farm work’. More than 50% of farmers working in PVC greenhouses did not wear hats and 25.0% of the farmers working in the fields did not wear hats. Accessories consisted of a belt, a scarf/towel, arm sleeves, gloves, a waist bag, a mask, and tools (weed whacker, scissors, hoe, foam seat pad, pick, rice-planting machine, ice-pack, sickle, shovel, lumbar pad, and integrated umbrella chair). Farmers wore lighter footwear as the weather condition was hotter. Footwear showed a difference with facility (ᵪ2=15.117, df=5, p=0.010) and had a relationship with facility. Lighter footwear was used in the PVC greenhouses rather than fields. The large number of the farmers wore loafers or boots in the fields, but the largest number of farmers in PVC greenhouses wore rubber shoes. A hat showed a difference with facility (ᵪ2=8.844, df=1, p=0.003) Hats had a significant relationship with facilities with more used in the fields rather than in PVC greenhouses. Elderly farmers wore a hat with shorter brim in the PVC greenhouse than in the fields. The type of footwear seemed related with facilities as well as weather. Farmers tended to wear lighter footwear when the weather is hotter or they work in PVC greenhouse. The majority of elderly farmers wore loafers and rubber shoes which had indistinguishable thin soles. The type of hats showed a difference between facilities (as well as gender) and only 31.7% of all participants used long brims.