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Traffic accidents are one of the public health problems that frequently occur in the level of global, regional, and national. It is expected to increase every year and become the fifth leading cause of death in 2030, including in Matakali District with 862 cases from 2016 to 2019. The aims of this study is to identify the basic causes of traffic accidents and develop strategies to prevent them in the future. This research was a qualitative study with explanatory research. The subject of this study was collected using reports on the results of road traffic
accident investigations. Data were collected using in-depth interviews, documentation, and observations. Data analysis was applying the editing analysis model by human factors, environment, policies, and facilities and infrastructure. The results showed that the basic causes of traffic accidents for each aspect were the lack of awareness the driver safety requirements
and procedures, no lighting for the drivers at nighttime, the lack of supervision from the police for violations of driver procedure, and the condition of the driver's vehicle. It is recommended to the government, in this case, the Polewali Mandar Police, to form a Behavior Based Safety/ Safety Culture for the community as an effort to prevent the risk of traffic accidents