This study aimed to understand the prevalence of road traffic accident (RTA)-related death in the northern province of Sri Lanka, exploring the demography, vehicle involved, and hospital admission.A Hospital-based cross-sectional descriptive study done and data were collected retrospectively from 210 autopsies and case notes at Teaching hospital Jaffna.Motorbike riders were more vulnerable, with an incidence of 55.2%. Age above 61 years contributed significantly to death after hospitalization with a P-value of < 0.005. The influence of alcohol at the time of the incident markedly contributed to the loss of life before hospital admission.In conclusion the motorcycles were deemed to contribute to the mortality and alcohol influence and age contributing to the pre-and post-hospitalization deaths, respectively.