Road traffic injuries are a major but neglected global public health problem, requiring concerted efforts for effective and sustainable prevention. Of all the systems that people have to deal with on a daily basis, road transport is the most complex and the most dangerous. A cross sectional study was conducted to find out environmental factors influencing RTA victims admitted in district hospital, Karimnagar. A total of 370 road traffic accident victims were interviewed by the end of study period. In this study rainy weather recorded more (60.7 per cent) accidents, and bright light favored for 78.1 per cent of accidents and this could be because of spoiling of roads due to rains and density of traffic in day light respectively.