This report summarises the findings of an ITF Roundtable on Cycling Safety held in April 2018 with 33 researchers and practitioners from 16 countries. Cycling has a net positive effect on public health, despite the risk of injury it is often associated with. Policy makers are nonetheless concerned that increasing numbers of cyclists carries a risk of more traffic injuries and fatalities. Uncertainties also exist regarding the safety record of e-bikes and bike share systems.