BACKGROUND In Ethiopia traumatic injuries are one cause of morbidity and mortality. The largest proportion of serious injuries in Ethiopia comes from road traffic accidents; they have become one of the major national health burdens. According to our observation in Ethiopia most of the trauma victim of motor traffic accident is being handled by taxi driver, however limited first aid knowledge of first aid care have been observed from the taxi driver. Objective: To assess Knowledge, attitude, and practices of first aid service provision associated with road traffic accident among taxi drivers in Addis Ababa, Ethiopia. Methods: - cross-sectional study was carried out among Taxi drivers in Addis Ababa Ethiopia. A Multistage sampling technique was used on 400 taxi drivers The questionnaires were first prepared in English then it was translated to Amharic. To check the validity of the questionnaires, a pilot test was conducted. Data was collected by distributing questionnaires to taxi driver. SPSS version 20 was used for data entry and analysis. RESULT:-All participants were males. 345(86.3%345) were not trained first aid before. 50 %( n=200) u n d er s t ood t h a t, first a i d d u r i n g RTA given by taxi drivers. Participants were asked to prioritize first aid concepts but only 126(31.5%) taxi drivers were correctly reply and seeing that breathing maintenance as first aider. 95.5% (n=382)had interest to train first aid. 22.3% (n=89) were responded as application of alcohol is important to stop severe on-going bleeding. Only 39.5 %( n=158) participants a t t e n d e d to RTA victim. CONCLUSION:-Taxi drivers who participated in this study had considerable knowledge, attitude and skill gaps. This had serious implication in increasing preventable mortalities and disabilities caused by road traffic accidents so that first aid training and preparing guidelines that will assist the taxi drivers to perform his immediate lifesaving activities thoroughly and effectively is mandatory