The purpose of this study was to investigate safety awareness and accidents in elders. Method: A descriptive survey was done to determine the incidence of accidents and level of safety awareness. The participants were 300 elders 65 or over living in Seoul. Data were collected from May 1 to July 31, 2007 through personal interview using a structured questionnaire. Descriptive statistics, t-test, ANOVA, and logistic regression were used to analyze the data. Results: The results are as follows. 1. The average safety awareness score was 44.57 of a maximum of 54. 2. Most of accidents were caused by falls (25.7%), followed by bumping into something (11.0%), and traffic accidents (3.6%). 3. There was no statistically significant difference between accidents and safety awareness level. 4. There were significant correlations between incidence of burns and health status (p<.05), and incidence of bumps and age (p<.01) and incidence of arthritis (p<.05). 5. There were significant correlations among safety awareness level and age (p<.05), health status (p<.01), and incidence of hypertension (p<.01). Conclusion: These results suggest that safety education programs are necessary to achieve safety for elders and to prevent accidents.