Document Type


Publication Date

Fall 10-2018


The purpose of this article was to provide a review of the published literature pertaining to agricultural All-Terrain Vehicle (ATV) use and injury, fatality, exposure assessment, risk estimation and interventions. The Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) technique was used to identify high quality relevant articles pertaining to ATV-related injury, fatality, exposure assessment, risk estimation, and interventions in an agricultural setting. Inclusion criteria for articles included publications from January 1, 2000 through August 31, 2016, use of injury epidemiology assessment tools, NIOSH hierarchy of controls and the W.K. Kellogg Foundation Logic Model Development Guide. Thirty-four articles met the full inclusion criteria. There have been more than 14,000 ATV-related fatalities since 1982 and a 90% increase in related hospitalizations between the years 2000 to 2005. Occupational ATV-related fatality rates have increased by 300% between 1992 and 2007; with the greatest burden seen in the agricultural sector. Risk factors for ATV-related injury and fatality include riding with passengers, riding on public roadways, riding adult-sized ATVs as a child, lack of formal training, lack of crush protection devices, riding at high speeds, driving up or down hills, traversing hills and modifying ATVs. There are five general types of interventions used to increase ATV safety behaviors and decrease injuries: engineering controls, computer simulations, laws, training and education. The United States lacks consistency in regulations and laws, while Australia is implementing rollover protection for existing ATVs and the Star Rating method, ‘fit for use’ classification system, to help inform consumers about making the best choices for safer and appropriate use.