An object is to reduce a burden in work of placing an autonomous travel work vehicle at a work start position to thereby enhance work efficiency. An autonomous travel work vehicle 1 includes: a body part 2; a work machine 24 that is attached to the body part 2; a moving GPS antenna 34 configured to detect positional information on the body part 2; a memory 309 configured to store a field H where the body part 2 travels; a control section 30 configured to control travel of the body part 2 and work by the work machine 24 in the field H; and a remote control device 112 that generates a route R of the body part 2 in the field H. The field H includes a work region HA including a work route Ra on which work is performed with the work machine 24 and a headland HB set around the work region HA. The control section 30 is configured to cause the body part 2 to travel from a current position Z to a work start point Sw and then start work with the work machine 24 in a case where an instruction of starting work with the work machine 24 is issued in the headland HB.