This study represents a crucial first step in developing a profound understanding of the existence and nature of ambient air quality in auto-repair garages (ARGs). In this study, comprehensive monitoring of PM10, PM2.5, NOX, and SO2 levels was performed in ARG. To gain comprehensive insights into their elemental composition, inductively coupled plasma-mass spectroscopy was performed on PM10 and PM2.5 filters and 20 elements were identified (transition metals: Ag, Cd, Cr, Cr-VI, Cu, Fe, Mo, Mn, Ni; post-transition metals: Al, Hg, Pb, Sn, Zn; metalloids: As, B, Sb; alkaline earth metals: Ba and Na; reactive non-metal: Se) in ARG. The maximum measured concentration for PM10 was 235.42 µg m−3, while for PM2.5, it peaked at 80.42 µg m−3, underscoring the severity of PM exposure from ARG workers. Elemental analysis revealed that elements bound to PM10 and PM2.5 contain significant proportions of Al (15–17%), B (24–28%), Ba (32%), Fe (2–4%), and Zn (23%). However, the transition metals exhibited higher concentration compared to post-transition metals, alkaline earth metals, reactive non-metals and metalloids. An integrated risk assessment was carried out to assess the potential risks of exposure to these pollutants. The combined carcinogenic risks (ECRs) for As, Cd, Cr (VI), Ni, and Pb in PM10 and PM2.5-bound heavy metals were 2.99 × 10–4 and 6.94 × 10–4, respectively, suggesting potential cancer incidence of 3–7 cases per 10,000 people due to exposure to toxic heavy metals in ARG's PM-bound elements indicating significant concerns to ARG workers.