introduction: Background: Audited information on the causes of death is one of the basic components of a country’s health information system. Data are usually derived from death certificates. A critical analysis of Ras-Al-Kheimah (RAK) hospitals’ death certification was done establish the quality of care. Such an audit is simple, cheap, and useful for monitoring the quality of services. Objective: To determine the accuracy of death certification by doctors in the RAK Hospital. Method: Second year medical students were assigned to collect copies of death certificates as a part of their assignment from a prominent RAK hospital. They were divided into two groups. A lecture on death certification was delivered prior to the students going to the hospital. Students examined the certificates, and the results were displayed. Results: Fifty-one death certificates were collected from the RAK hospital. A majority 36 (70.58%) of them were for males, and their mean age was 42 years. There were 14 females (29.41%) in this study. About half (49%) of them were foreigners from 14 different countries. Cardiac failure was the commonest (70.58%) cause of death, followed by respiratory failure (11.76%). Conclusion: Cardio-respiratory failure as a cause of death was found in the majority (82.34%) of cases as per the death certificates from the RAK hospital.