Introduction: Accidents are one of public health challenges and the most important causes of children mortality in the world and Iran. Considering the vulnerability of children, cognition of accident patterns can provide appropriate strategies to prevent accidents. The present study aimed to epidemiologically investigate accidents in children under six years of age.

Methods: This descriptive-analytical study was of cross-sectional studies. The information of 300 children under six years of age was collected by the Quota sampling from mothers reoffering to the health centers of Azadshahr in fall 2011 with a check list through interviews. The data were analyzed with the Chi-square test (SPSS version 21) after encoding.

Results: The mean age of the studied children and mothers were 5.30 and 26 years, respectively. The results showed that 78.4% of the children have had an accident. Physical injury (50.7%), burn (15.3%), fall (12%), poisoning (11%), traffic accident (10.3%) and drowning (0.7%) were the reasons for children accidents. The children of employed fathers and parents, who had higher education, had fewer accident and this difference was statistically significant (P<0.001).

Conclusion: The rate of accidents in Azadshahr is a higher figure in comparison with that of relevant studies. Therefore, it is suggested that preventive measures like parent training can be applied to reduce accident rates in children.