Road Traffic Accident (RTA) is a severely rising problem in the growth of the transport system due to industrialization and urbanization in India. This study attempted to ascertain the pattern and severity of injuries sustained by victims of road traffic accidents and to establish the association between severity of injuries with various factors responsible for road traffic accidents. This hospital based retrospective analysis included 1228 victims of Road Traffic accident reporting to emergency department of a Tertiary care hospital using medicolegal records for data collection. Factors such as age below 30years, male gender, accidents occurring on National highways and two–wheeler accidents were found to have statistically significant (p<0.05) association with severity of injuries in various sites of body using chi–square test. Regulating speed, wearing seat belts and helmets, good lighting on roads and increasing traffic patrols at night time by prescribed and firm traffic rules is vital.