Waste picking is a pivotal in achieving sustainable waste management, environment health and economic development in the era of sustainable development. The study assessed the practices, knowledge, perception and health risk protection behaviours of waste scavengers in the Gbalahi landfill site. A total of 60 scavengers were conveniently sampled and interviewed. The study revealed that 93% of the waste scavengers sort waste using hooks and their bare hands. The study also showed 62% of the respondents have ever been physically abused by other scavengers. A good number of scavengers believed they have been fortified against "dirt diseases" during their childhood and have developed natural immunity against diseases. The knowledge of scavengers was skewed towards economic benefits as they viewed waste picking as a survival strategy. Discrimination and physical abuse posed a seemingly significant psychological health risk to majority of them. Safety and protection practices are limited to the use of pieces of clothes to cover the nose, wearing of multiple clothes and worn-out boots recovered from the landfill. Most of the respondents risk being exposed to the virus and pathogens. It is recommended that education and increased sensitisation should be encouraged and implemented by the Environmental Protection Agency (EPA), Ghana Health Service and other allied institutions in order to regularise and ensure the health and safety of waste scavengers.