On May 22, 2003, a 16-year-old female junior fire fighter died after the tanker truck she was riding in overturned while responding to a brush fire. The tanker truck drifted off the roadway causing the driver to lose control of the truck and to overturn. The driver crawled out a window. The victim was ejected and trapped beneath the front passenger door. She was extricated by emergency personnel and transported to a county hospital where she was pronounced dead upon arrival. NIOSH investigators concluded that, in order to minimize the risk of similar occurrences, fire departments should: 1. adopt the International Association of Fire Chief's Zero-Tolerance Policy for Alcohol and Drinking to prohibit the use of alcohol by members of any fire or emergency services agency/organization at any time when they may be called upon to act or respond as a member of those departments. Departments should develop written policies and have procedures in place to enforce this policy; 2. develop and enforce standard operating procedures (SOPs) that require mandatory use of seatbelts in all vehicles; 3. develop or revise existing SOPs to specify permissible and non-permissible tasks and activities for youth members participating in junior fire service programs; 4. 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); 5. select and utilize only the safest drivers to operate emergency vehicles; and, 6. use caution when retrofitting non-fire service apparatus to serve as tankers, and, when this a necessity, ensure that the vehicle does not exceed its load-carrying capacity and meets the requirements of NFPA 1901 Standard for Automotive Fire Apparatus.