Background: Deaths from injuries from motorcycle accidents have over the years remained a significant public health concern in India. Aims: Our aim is to determine the distribution of the victims' age and gender and to classify the cause of death and the anatomical pattern of injuries observed. Materials and methods: It is a 2-year autopsy based analysis of all fatalities from motorcycle accidents seen from our Teaching Hospital experience. The data were extracted from autopsy records, from police journal excerpts from hospital case notes and analyzed using SPSS version 20. Results: For Male there were 30 (85.7 percent) males and 5 (14.3 percent) females: 6:1 female ratio. The highest age group was 31-40 years . Majority of the victims 18 (51%) were Motorcycle riders, followed by passengers on back seat who accounted for 10 (29%), while the remaining 7 (20%) of the victims were pedestrians. Commonest injury in the cases are head injuries constituting 77% followed by thorax 57% and abdominal injuries 42.8%.Causes of death in study are mostly due to crainiocerebralinjuires 51.4% followed by multiple injuires in 40% and sever hemmorage 5.7% and septicaemia 2.8%.Conclusion: This study found that males are the main victims of death from motorcycle accidents during the fourth decade of life. Most of the victims were a motorcycle driver. Many died from craniocerebral damage.