BACKGROUND: Documentation and analysis of aviation accidents is very important to improve aviation safety and post-accident survival. In this study we aimed to evaluate the civilian aviation accidents between 1955 and 2003 in Turkey to identify the risk factors for fatal and non-fatal injuries. METHODS: Records of Civilian Aviation Office of The Turkish Ministry of Transportation were retrospectively analyzed. RESULTS: A total of 562 aviation accidents occurred within the boundaries of Turkey in the 48-year study period. There was at least one casualty in 237 of these accidents. There were 27 major accidents with more than 5 casualties. There were more major accidents with survivors than without survivors. Major accidents occurred more frequently within the near vicinity of an airport. There are significantly more accidents with survivors in the accidents occurring near the airports. The mean number of accidents with more than 50 casualties is 0.167 (8/48) per year. CONCLUSION: Accidents occurring near the airports have a more chance of having survivors. Emergency disaster preparedness plans should be on hand and drills with no more than 50 injured should be regularly exercised in all airports.