On November 17, 2003, a 53-year-old male career Captain (the victim) died when the department car he was driving was involved in a single-vehicle crash. The victim was responding to a reported commercial structure fire when his car left the roadway, hit a tree stump, overturned, and slid into a utility pole pinning him in the vehicle. He was extricated from the vehicle and transported to a local medical center where he was pronounced dead upon arrival. Although the exact cause of the incident could not be substantiated, the following recommendations are being provided as an example of good safety practice. NIOSH investigators concluded that, in accordance with prudent safety operations, fire departments should: 1. provide defensive driver training to all emergency vehicle operators; 2. ensure that all drivers are trained and certified in emergency vehicle operations; 3. develop and implement standard operating guidelines for the safe operation of emergency vehicles; and, 4. develop and document an inspection, maintenance, and repair schedule that includes verification of appropriate action on all pertinent vehicle safety notifications. Additionally, vehicle manufacturers should ensure that the distribution of safety recall notifications is not limited in scope, and is inclusive of all affected vehicle owner/users.