On April 3, 2003, a 56-year-old male volunteer fire fighter (the victim) was fatally injured after the pumper/tanker he was driving to a brush fire overturned. The vehicle was heading east on a two-lane county road and had just rounded a left-hand curve when it drifted off the right side of the pavement. The vehicle then re-entered the road and crossed to the opposite side where it went off the road and overturned, trapping the victim. The victim initially was conscious and able to call in the crash, but died approximately 6 minutes later, before the arrival of the rescue squad. NIOSH investigators concluded that, in order to minimize the risk of similar occurrences, fire departments should: 1) provide training to driver/operators as often as necessary to meet the requirements of NFPA 1451, and incorporate specifics on rollover prevention in standard operating procedures (SOPs); 2) develop and enforce SOPs on the mandatory use of seat belts in all emergency vehicles.