First aid is critical for preserving life, preventing further injury, and alleviating suffering until medical assistance is available. Road traffic accidents, a prevalent cause of injuries and fatalities, underscore the need for immediate first aid. This study assesses first aid knowledge among 200 commercial drivers in Chamba district, Himachal Pradesh. Using a structured questionnaire, socio-demographic data and first aid knowledge were collected and analyzed with SPSS-16. Results indicate 99% awareness of first aid, but only 30% had formal training. Key skills like controlling severe bleeding (73%) and splinting fractures (76.5%) were well-known, yet knowledge on airway management (36%) and correct patient positioning (25%) was lacking. Despite 56% recognizing chest compressions as a priority, only 20% emphasized breathing maintenance. The study highlights the necessity for comprehensive first aid training programs tailored for commercial drivers, who are frequently first responders to accidents. Enhanced training can improve emergency response, reduce economic and social impacts of traffic injuries, and promote better public health and safety outcomes. The findings stress the need for structured, recurring training sessions to bridge knowledge gaps and equip drivers with essential life-saving skills.