The Northwest Pakistan and Afghanistan frontier is located one of the most remote, inaccessible, and inhospitable part of the Himalayan orogenic belt. In this region, two of the world's largest and most distinct mountain belts intersect; the Karakoram Himalaya (mainly in Pakistan) and the Hindu Kush (mainly in Afghanistan). Located at high altitude, in a remote part of Northwest Pakistan, close to the border with Afghanistan, tribal villagers began excavating a series of adits into the steep mountain slopes, beneath glaciers, to extract valuable coal and carbonaceous shale resources. These were discovered in 1996, by the villagers, whilst hunting, and may represent some of the highest mine workings in the world. Small-scale mining operations subsequently developed using rudimentary mining methods and the mine became known as the Reshit or Pamir Coal Mine. The coal deposits are sedimentary, highly disturbed and tectonised, having been subjected to multiple phases of orogenic crustal deformation. The coal occurs as discrete lenses, several tens of metres in their lateral dimension, between steeply dipping, overturned and thrusted limestone beds of Jurassic age. The coal provided a vital, alternative source of fuel for the villagers since the local, traditional fuel supply was wood, which had become severely depleted, and imports of kerosene from neighbouring China and Afghanistan were too expensive. The mining operations experienced severe problems. These included several collapses of mine entrances, the failure of the adits to intersect the coal-bearing zones, the potential threat of geological hazards, mining-induced hazards and harsh high-altitude operating conditions, particularly during the winter months. International aid was provided to assist the villagers and a geological investigation was commissioned to investigate the problems at the mine. The geology of Karakoram Himalaya is relatively poorly understood. Until recently the region was restricted to foreign visitors and large areas of this mountain belt are virtually unmapped. Existing geological and topographic maps are difficult to obtain or are unavailable due to the close proximity of political frontiers, national borders and security reasons. The mineral resource potential of this region is virtually unknown. Few western geologists have visited this area due to its inaccessibility and political constraints, being situated close the frontiers with China, Afghanistan, and the disputed Pakistan and India territory of Kashmir. The Pakistan and Afghanistan border, is once again, now closed to foreign visitors. The objectives of this paper are to document the occurrence of coal and carbonaceous shale, at high altitude, in the Karakoram Himalaya and to provide details on the geology, geological hazards, reserves and labour-intensive mining operations. These observations and information may provide the basis for future mineral exploration, mining-geology, mining-engineering, feasibility studies and engineering geological investigation in the Karakoram Himalaya.