Rollover accidents are responsible for a significant percentage of crash injuries. Increasing seat belt restraint use is the most effective way to reduce rollover injuries. Injuries to restrained occupants are also of interest. It has been suggested that head/neck injuries are caused by roof crush, and that modification to roof structures and seat belt systems would lead to a substantial reduction in severe rollover injuries. Field accident data and rollover testing are used to evaluate the relationship between roof crush, seat belt design, and severe rollover injuries.