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 & 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 & types for accidents, drivers influence of alcohol, without license & 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 & discharged. 23.5% had disability at the time of discharge. Unfortunately 5.60% could not survive.