Emergency Medical Services

Ambulance Crash Testing

Key points

  • Crash testing measures a vehicles' ability to withstand impact during an actual crash.
  • Ambulance crash testing aims to improve the safety of the patient compartment.
  • NIOSH partnered with the Department of Homeland Security's Science and Technology Directorate and others to conduct ambulance crash tests.
A blue crash vehicle is wrecked into the back of an ambulance.

Why it's important

Crash testing is a controlled way of crashing a vehicle to measure its ability to withstand impact during an actual crash.

Ambulance crash testing aims to protect Emergency Medical Services (EMS) clinicians and their patients during transport by improving ambulance safety.

Did you know?‎

The same crash test methods used to test the safety of cars were used to test the safety of ambulances.

Crash test methods

The Society of Automotive Engineers (SAE) published 10 test methods. These methods are identified below. They cover everything from seat belts to the patient compartment structure.

  1. SAE J2917: Crash pulse from frontal impact
  2. SAE J2956: Crash pulse from side impact
  3. SAE J3026: EMS worker seating and restraints integrity
  4. SAE J3027: Patient cot, floor mount, and restraint system
  5. SAE J3043: Ambulance equipment mount devices and systems
  6. SAE J3044: Crash pulse from rear impact
  7. SAE J3057: Modular body (or box style) integrity
  8. SAE J3058: Storage compartment integrity
  9. SAE J3059: Measurement of EMS worker head movement during a crash event
  10. SAE J3102: Floor integrity test to support the patient cot

Ambulance crash test methods infographic‎‎

This infographic provides an overview of how dynamic crash tests contributed to the development of 10 test methods published by the SAE.

Crash test impacts

Changes to ambulance design, testing, and manufacturing impact the:

  • Layout of the ambulance patient compartment
  • Contents in the ambulance patient compartment (e.g. seats)
  • Outside or body of the ambulance

Data from crash testing allows engineers to better understand how the structure reacts during a crash. These data also allow engineers to design safer structures and equipment.

Using crash test data

Ambulance builders and major component suppliers can design and test their vehicles, seats and cots, and other devices to improve occupant safety during a crash.

Those responsible for designing or purchasing ambulances for a service should familiarize themselves with crash test methods and Ambulance Patient Compartment Human Factors Design Guidebook.1

These resources can help design a compartment that meets the needs of a particular service while improving worker safety and patient care.

Crash test video series

NIOSH and the Department of Homeland Security's Science and Technology Directorate produced a 7-part video series. The series provides test methods and considerations when purchasing or building an ambulance, new crash test methods to improve worker and patient safety in an ambulance patient compartment, and an overview of the changes impacting ambulance design, testing, and manufacturing.

Improving EMS safety through ambulance design & testing‎‎

Ambulance builders, major ambulance component suppliers, and those responsible for designing and purchasing ambulances should watch the video series. The series aims to keep EMS clinicians and their patients safe during ambulance transport.