Countries of the developing world are characterized by rapid urbanization, high growth rates of traffic and congestion, and decreasing regulation of public transport. Because the majority of the developing world’s inhabitants depend on public transport services for their mobility needs, safe, effective, and efficient public transport is essential to ensure adequate and affordable accessibility and the sustainable development of livelihoods in the rural and urban sectors. The operational environment of the public transport sector in Nepal, India, Tanzania, and Zimbabwe is examined, as well as the extent of accidents involving public transport vehicles and the likely causes. Finally, recommendations are made to reduce both the severity and the number of public transport accidents.