Introduction: Road Traffic Accidents (RTA) in developing countries is now becoming a burden on health system and society itself. World Road Statistics estimates India to have the second highest number of road accidents in a year. RTAs are mainly due to carelessness, addiction, overconfidence and changing life styles. Objectives: To study the epidemiological factors for causation of RTAs and To determine the distribution of RTAs with respect to time, type and site of accident. Study design: Cross sectional hospital based study Participants: 232 RTA cases reported to emergency room during six months from January to June 2009 was undertaken Main outcome measures: These are percentage of males involved, reason and types for accidents, drivers influence of alcohol, without license and protective equipments, number of disabilities. Result: 60-80% of total cases were males and in the age group of 20-40 years. 61.3% cases were due to vehicle to vehicle type of accidents, which mostly occurred at night and due to high vehicular speed mainly at night, due to high speed on highways. 44.7% had minor injuries, 23.4% had fractures whereas 12.8% had multiple injuries. 9.2% were transferred to another hospital for treatment. 61.7% of all RTAs cases were treated, cured and discharged. 23.5% had disability at the time of discharge. Unfortunately 5.60% could not survive. Conclusion: There is definite need of road safety education, enforcement of traffic safety regulations and strengthening of health care facilities with more emphasis on trauma care units to prevent RTAs in near future.