In India, the number of old persons is expected to more than double from 84 million people in 2013 to more than 2 million in 2050. There is an abundance of research into falls in the elderly population. The estimated 1% of fallers who sustain a hip fracture have a 20% to 30% mortality within 1 year of the fracture. The propensity for fall related injury in elderly persons is due to a high prevalence of clinical diseases (eg. Osteoporosis) and age related physiologic changes (eg. Slowed protective reflexes) that make even a mild fall particularly dangerous. A cross sectional research was conducted in an old age home on Puducherry among 100 elders. The fall risk was assessed by TINETTI questionnaire. The study concludes that the risk of fall is higher in the age of 71 – 80 years with 43% who lacks balance and gait, the age group between 60 – 70 years moderate with 37% as they are able to maintain their balance and gait, the risk of fall is low in the age of 81-90 years with 20% whom mobility level is very decreased. The present study recommended various preventive strategies could be followed to minimize the accidents.