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This project assessed current or proposed protocols for improving the usability of LATCH (Lower Anchors and Tethers for Children). LATCH hardware in the left second-row position of 98 2011 or 2010 model-year vehicles was evaluated using ISO and SAE LATCH usability rating guidelines. Child restraint/vehicle interaction was assessed using ISO and NHTSA proposed procedures. ISO ratings of vehicle LATCH usability ranged from 41% to 78%, while vehicles assessed using the SAE draft recommended practice met between 2 and all 10 of the recommendations that apply to all vehicles. There was a weak relationship between vehicle ISO usability ratings and the number of SAE recommended practices met by a vehicle. Twenty vehicles with a range of vehicle features were assessed using the ISO vehicle-child restraint form and 7 child restraints; ISO vehicle-child restraint interaction scores ranged from 14% to 86%.

The Insurance Institute for Highway Safety installed a variety of infant, toddler, and booster restraints in vehicles subjected to high-speed frontal offset crash tests to assess the effects of severe crashes on the structural integrity of the restraints and their associated hardware (harnesses, buckles, clips, etc.). The child restraints were inspected before and after each test, and all damage was recorded. In some of the tests, forces and accelerations were recorded on the appropriate size child dummy properly secured in the child restraint. After a single severe crash, most restraints had sustained some damage, albeit minimal. Repeated tests indicated that these child restraints could withstand the forces of an additional crash with only minor additional damage. Dummy injury results suggest that current injury risk curves overstate the risk of neck injury to most properly restrained children.

Using 1988-95 data from the Fatality Analysis Reporting System, risk of death was compared among front- and rear-seated passengers ages 12 and younger involved in fatal crashes, controlling for restraint use, passenger airbags, and other variables. Among children sitting in the rear, risk of death was reduced about 35 percent in vehicles without passenger airbags and about 50 percent in vehicles with passenger airbags (difference was not statistically significant). Rear seats were protective for both restrained and unrestrained children. Children were about 10-20 percent less likely to die in rear center than in rear outboard positions.