On September 23, 2002, a 32-year-old female career fire fighter was fatally injured when the tanker truck she was driving overturned while returning to the fire station. The tanker truck drifted off the roadway onto the shoulder, causing the driver to lose control of the truck after she overcorrected to bring the truck back onto the roadway. The truck skidded across the roadway, entered a ditch, and overturned. The victim was entrapped in the truck and was pronounced dead on the scene. After an investigation of the scene was performed by the State highway patrol, the victim was extricated by emergency medical service personnel and transported to a local hospital. NIOSH investigators concluded that, to minimize the risk of similar incidents, fire departments should: 1. ensure that operators of emergency vehicles understand the vehicle characteristics, capabilities, and limitations to avoid losing control and skidding; and, 2. enforce standard operating procedures (SOPs) on the use of seatbelts in all emergency vehicles.