Introduction: In India, Traumatic brain injuries (TBI) due to road traffic accidents (RTA) are most common. Most of deaths take place within 24 hours of injury, before reaching the tertiary hospital in most of the times. Clinical and radiological examination may not reveal full extent of injuries; Autopsy is the final opportunity to find the exact cause of death. The aim of the present study is to find the most common autopsy findings among RTA cases in head injuries and correlation of findings with time of survival. Materials and Methods: A Proforma with parameters of study like age, sex, cause of head injury, time of accident and period of survival, type of head injury, type of skull fracture, site of fracture, intracranial haemorrhage and injuries to brain and injuries other than head injuries was designed and used for collecting study material. Results: Male predominance of 83.3% is observed. Most of the deaths due to RTA observed in the age group of 21–50 years; accounting for 75%. 34 out of 60 (56.6%) of deaths occurred within 24 hours; 38.3% of deaths occurred within 6 hours. Highest number of deaths occurred in 3–6 hours, 20 (33.3%) out of 60 RTA deaths. Linear fractures were predominantly observed. 90%, 66.6%, 25%, 8.33% of RTA cases found with SDH, SAH, ICH and EDH respectively. Conclusion: In India, especially in rural areas public health authorities should focus on provision of first aid, transportation, triage facilities; to focus more on increasing survival chances in golden hours.