Road Traffic Accidents (RTAs) are important causes of mortality and morbidity. India has a wide road network and a greater number of RTAs compared to other countries. The objectives of this study were to determine the demographic distribution of cases of pedestrian accidents that are presented for autopsy at King George Hospital Mortuary. The study period is from 1st January 2016 to 31th December 2016. A total of 1782 medico legal autopsies were conducted during the study period (2016). Road traffic fatalities alone accounted for 36.81% (n=656) of all autopsied cases. Among them 147 cases 8.5% are pedestrians, male female ratio is 3:1 highest number of deaths 78 (53.06 %) between 41-60 years, rainy season accounting for 34%, accidents are from 6PM to 12 Mid night amounting to 48% (n=71cases). Brought to hospital 71%, died during transport to hospital 15% of cases and 13% died at the spot of accident. Victims sustained trauma on high ways which is 44 % (n=65cases).Two-wheeler vehicles involvement by 58% (n= 35) and heavy motor vehicles by 42% (n=17). All cases showed primary impact injuries. Secondary impact injuries were found in 47.61% (n=70 cases) and secondary injuries in 97.27 % (n=143 cases).