On November 22, 2005, a 28-year-old male volunteer fire fighter (the victim) died while responding to a mutual-aid call for a major grass fire. The victim was driving the department's tractor trailer (tanker) on a two-lane state highway. The tanker went off the road, overturned, and came to rest in a field. The victim was ejected and found lying unresponsive on the roadway. He was pronounced dead at the scene by the Justice of the Peace. NIOSH investigators concluded that, to minimize the risk of similar occurrences, fire departments should: 1. Ensure that water tankers are operated within safe weight restrictions that comply with the specific vehicle characteristics. 2. Ensure that all fire apparatus meet the requirements of NFPA 1901 Standard for Automotive Fire Apparatus. 3. Ensure that drivers of fire department vehicles receive training at least twice a year on each vehicle that they may be called upon to operate. 4. Develop and enforce standard operating procedures (SOPs) that require mandatory use of seat belts in all vehicles. 5. Develop a comprehensive apparatus maintenance program that includes regularly scheduled inspections, documentation, and procedures for removing apparatus from service when required. Additionally, states should: 6. Consider developing a vehicle inspection and repair program prior to distributing surplus military vehicles to the fire service.