While in the army, he served as commanding officer of the Airborne Training School at Tamale and later the 6th Battalion of Infantry of the Ghana Army between 1969 and 1970. He rose to become the 2nd Brigade Commander. He supervised the change over of traffic flow in Ghana from driving on the left to driving on the right as part of 'Operation Keep Right' which was effected on 4 August 1974. This changeover was successful and largely accident free. He rose to become the Army Commander in April 1974 and Chief of the Defence Staff in April 1976.
Politics
On 9 October 1975 Fred Akuffo was appointed a member of the ruling Supreme Military Council government due to his position as Ghana's army commander. On 5 July 1978, he led a palace coup to overthrow the head of state, General Ignatius Acheampong.[4] He continued with the ongoing preparations to return Ghana to constitutional rule but his government was also cut short on 4 June 1979 by a military uprising by the junior ranks of the Ghana military led by Flight LieutenantJerry John Rawlings and the Armed Forces Revolutionary Council (AFRC).[citation needed]
Execution
He was executed along with other senior military officers on 26 June 1979 at the Teshie Military Range, Ghana.[5]