Background–A Road traffic accident (RTA) is defined as any vehicular accident occurring on a public road or highways and includes vehicular accidents where the place of occurrence is unspecified. RTA is one of the major preventable public health problems. Aim & objective–To study the patterns of injuries due to RTA, causes, mechanism of injury & also CT imaging evaluation whenever it is available. Material & method–Total 57 cases of RTA were selected for retrospective study which had definite history of RTA. The detailed analysis of these cases was based on the inquest report and evaluation of autopsy reports. Result–RTA is more common among 20 to 40 year age group & males are more commonly affected. Two wheeler users and pedestrians have the highest rates of fatal injuries. Peak time of occurrence of RTA is reported at 9; am to 12; 30 pm. National highway (55%) most vulnerable place for RTA. Comminuted fracture (42%)& intracranial hemorrhage SDH type(84%) are most common type.The head injury was responsible for most of the deaths. Conclusion The incidenceis about25.12%.The commonest affected age group is 31–40 yrs &most of victims(82%) were males. Most affected group belongs to urban area, winter & marriage season.The commonest crash pattern was 2WH to LMV. Commonesttypes of skull fracture wascomminuted& intracranial hemorrhage wasSDH type.