BACK GROUND:- Fall down accident is a major public health problem worldwide. It is thernsecond leading cause of unintentional injury death, after road traffic injuries with annualrnestimation of 424 000 fatal falls. Over 80% of fall-related fatalities occur in low- and middle-rnincome countries accounting over two third of these deaths. Though not fatal, approximatelyrn37.3 million falls are severe enough to require medical attention occur each year. These falls arernaccounted for over 17 million disability-adjusted life years (DALYs) lost. (2)rnStatement of problems:. According to the World Health Organization, over 91% ofrnunintentional injury deaths and 94% of DALYs lost in LMIC in 2004. The highest injury burdenrnoften occurs in those countries with the weakest evidence to guide intervention strategies, thernfewest resources, and the least developed infrastructure to effect change. Rapid urbanization andrnindustrialization and also co morbidities are major risk factors. Fall down accident stastics inrnEthiopia provides little knowledge about its magnitude and related information needed forrnprevention.rnSignificance of the study:- This study will help to gain information about the fall downrnaccident characteristics and its burden related with major factors in the area of study and therncountry at large. It could help to develop countermeasures that could reduce the number andrnseverity of accidents. In addition, the study may provide base line information to carry outrnfurther research.rnObjective: To assess injury characteristics and outcome of fall down accidents among traumarnpatients at adult emergency department of Tikur Anbesa Specialized Hospital Addis Ababa,rnEthiopia from Jan-Mar, 2015..rnMethodology:rnA prospective hospital based descriptive quantitative study was undertaken. A total of 233 fallrndown accident victims who visited the hospital between January and March 2015 were studied.rnA structured pre-tested interview questionnaire format was applied. The collected data werernanalyzed using SPSS version 20.0