On April 29, 2000, a 43-year-old male career Lieutenant died as the result of injuries he received when the truck he was responding in was struck by a pickup truck. At approximately 1150 hours, Central Dispatch notified a career fire department of an automatic alarm at a residential structure. Truck 24 (Hook and Ladder) and Engine 121 immediately responded. Truck 24 traveled approximately 7 blocks and approached a four-way-stop intersection. The driver of Truck 24 approached the intersection and made a rolling stop. As the driver proceeded through the intersection, a civilian pickup truck (a Ford F-150) ran the stop sign and collided with the apparatus. The victim was ejected from the passenger-side door of the truck and received massive head injuries. He was transported to a local hospital where he was pronounced dead. The other three fire fighters and the driver of the truck received medical attention for their injuries and were released. The NIOSH investigators concluded that, to minimize the risk of similar occurrences, fire departments should: 1) ensure that all fire fighters riding in emergency fire apparatus are wearing and are properly belted and secured by seat belts; 2) ensure all apparatus are taken out of service when defects are identified and are repaired before they are placed in service; 3) ensure driver/operators of emergency vehicles follow written standard operating procedures by making a complete stop at all intersections; 4) consider utilizing quiet dispatch until it is determined that life is in danger, persons are injured, or there is a working fire. Additionally, municipalities should consider; 5) adopting public service announcements/training for driver safety (i.e., "Stop Red Light Running") to promote safe driving by the public.