Introduction: Road traffic accidents constitute a major public health problem because of death, disability and trauma with medical, surgical, psychological, mental, economic, social and sometimes legal formidable complications resulting from them. Socio-professional reintegration of the survivors of accidents can become complex. This study identifies the main determinants of road security in Goma in the Democratic Republic of Congo and offers prevention strategies adapted to the context. Methodology: The study is descriptive cross and analysis data collected from police oral trials about traffic accidents occurred during 2015. Resultats: The study essentially shows that 36% of the accidents occurred on weekends (Saturday and Sunday); 25.5% of the accidents took place between 18 and 21 hours; the main cause of accidents was the bad driver behavior, including speeding and drunk steering wheel. Serious injuries (24.5%) and death (11.9%) were dreadful consequences. Discussion and conclusion: Accidents can be avoided. The study proposes strategies to reduce road traffic accidents by securing users the road, the vehicle and the road infrastructure. The implementation of these strategies is heavily dependent on the political will of the authorities of the DR Congo.