PURPOSES : This study empirically examines the determinants of traffic accidents by focusing on the transport culture index. METHODS : Two-stage least-squares estimation using an instrumental variable is used as the identification strategy. As the instrumental variable of the transport culture index, its past values, particularly before the outbreak of COVID-19 in 2018 are used. RESULTS : The empirical results, considering the potential endogeneity of the transport culture index, show that areas with higher values of the index are likely to have fewer traffic accident casualties. Local governments of regions with relatively frequent traffic accidents can run campaigns for residents to fasten their seatbelts, causing reverse causation. Ignoring this type of endogeneity underestimates the importance of the index as a key determinant of traffic accidents. CONCLUSIONS : Several traffic accidents occur in Korea, e.g., 203,130 accidents with 291,608 injuries and 5,392 deaths. As traffic accidents cause social costs, such as delays in traffic flow and damage to traffic facilities, public interventions are required to reduce them. However, the first step in public intervention is to accurately understand the relationship between the degree of damage in traffic accidents and the transport-related attributes of the areas where the accidents occurred. Although the transport culture index appears to be an appropriate indicator for predicting local traffic accidents, its limitations as a comprehensive index need to be addressed in the future.