Ethiopia has a high road crash rate in the world. Among the crashes, more than 60% occur in the capital city, Addis Ababa. The main aim of this research was to inform policymakers and researchers about the current situations of road crashes in the city to tackle the current unacceptable costs of the road crashes. We analyzed road crash data between the years 2010 and 2014. The results showed 14,263 persons sustained different levels of injuries in which 1,911 were fatal whereas the rest were serious and minor injuries. Majority of the fatal (79%) and serious (76%) injuries were males, and pedestrians (87%). Most of these crashes were due to the drivers’ not yielding right of way to pedestrians. On the other hand, an estimated 19 million US dollars cost of property damage was due to the drivers not yielding right of way to other vehicles. Generally, among other risk factors we assessed including road conditions and asphalt pavement, drivers’ not yielding right of way to pedestrians and not yielding right of way to other vehicles were the leading risk factors for road crashes in the city.