The main purpose of the thesis is to discuss the accident models which underlie accident prevention in general and road safety in particular, and the consequences of relying on a particular model have for actual preventive work. The discussion centres on two main topics. The first topic is whether the underlying accident model, or paradigm, of traditional road safety should be exchanged for a more complex accident model, and if so, which model(s) are appropriate. From a discussion of current developments in modern road traffic, it is concluded that the traditional accident model of road safety needs replacing. An analysis of three general accident model types shows that the work of traditional road safety is based on a sequential accident model. Since research in industrial safety has shown that such model are unsuitable for complex systems, it needs to be replaced by a systemic model, which better handles the complex interactions and dependencies of modern road traffic.