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Three years of data from the Large Truck Crash Causation Study (LTCCS) were analyzed to identify accidents involving heavy trucks (GVWR >10,000 lbs.). Risk of rollover and ejection was determined as well as belt usage rates. Risk of ejection was also analyzed based on rollover status and belt use. The Abbreviated Injury Scale (AIS) was used as an injury rating system for the involved vehicle occupants. These data were further analyzed to determine injury distribution based on factors such as crash type, ejection, and restraint system use. The maximum AIS score (MAIS) was analyzed and each body region (head, face, spine, thorax, abdomen, upper extremity, and lower extremity) was considered for an AIS score of three or greater (AIS 3+). The majority of heavy truck occupants in this study were belted (71%), only 2.5% of occupants were completely or partially ejected, and 28% experienced a rollover event.