All Terr. Veh. (more Than 4 Wheels; Exclusively Off-rd.
Twenty years of CPSC NEISS emergency-room records for this consumer product category, combined with demographic breakdowns, multi-year injury trends, and matching recall notices.
Sports Protective Equipment & Gear · CPSC Code 3296
Down 53% over 5 years
The verdict
All Terr. Veh. (more Than 4 Wheels; Exclusively Off-rd. carry a danger score of 32/100 (low risk), driven by roughly 272 ER-treated injuries a year that are declining by about 53% over the last five years.
- 32/100
- danger score (low risk)
- 272
- ER visits per year (avg)
- 16.6%
- end in hospital admission
- 15-24
- most-injured age group
Every figure is rendered from the CPSC NEISS record for product code 3296 - last data year 2024.
PlainSafety danger score
How this 32/100 score is built
The score is computed from four CPSC-derived factors for all terr. veh. (more than 4 wheels; exclusively off-rd. - no opinion, no editorializing:
- Injury volume272 ER visits/yr
- Severity (hospitalization rate)16.6%
- Fatality rate0.00%
- 5-year trend-53%
See the full methodology for the exact weighting of each factor.
What the CPSC Data Shows
All Terr. Veh. (more Than 4 Wheels; Exclusively Off-rd. (CPSC product code 3296, in the Sports Protective Equipment & Gear category) generate an estimated 272 emergency-room visits every year in the United States, adding up to roughly 5,446 ER-treated injuries across the 20-year span from 2005 to 2024. PlainSafety derives a danger score of 32/100 for this category (low risk), combining raw injury volume, demographic reach, severity of outcome, and multi-year trend. The five-year trajectory shows that injury counts are declining by about 53% over the last five years, with the busiest year on record being 2017 (556 estimated ER visits) and the quietest 2014 (6 estimated visits).
The single most common ER diagnosis for all terr. veh. (more than 4 wheels; exclusively off-rd. is internal injury to the head, accounting for approximately 553 visits across the 20-year NEISS window, followed by fracture to the upper trunk (345 cases). The 15-24 age group absorbs the largest share of injuries, about 1,154 cases over the NEISS window, and males appear slightly more often than the opposite sex in that cohort. Severity outcomes from the NEISS disposition field show that 16.6% of ER visits involving this product end in hospital admission or transfer.
Beyond the hospital-sampled NEISS projections, this page also aggregates 5 consumer incident reports filed directly on SaferProducts.gov, plus 20 anonymized ER narratives - together forming a layered picture of how all terr. veh. (more than 4 wheels; exclusively off-rd. fail in real households. Every figure on this page comes from CPSC-published data: NEISS projects national estimates from a probability sample of about 100 U.S. hospital emergency departments, while SaferProducts.gov collects voluntary reports from consumers, manufacturers, and clinicians. The danger score, trend indicators, and demographic breakdowns update automatically when CPSC releases a new yearly NEISS file, which is why this page is dated 2024-12-31. For regulatory context, consult CPSC recall notices and the SaferProducts.gov public database linked below.
Annual Injury Estimates (2005–2024)
Source: CPSC NEISS national estimates CPSC NEISS national estimates Injuries represent ER-treated cases only
Who Gets Injured?
| Age Group | Male | Female | Total |
|---|---|---|---|
| 0-4 | 0 | 78 | |
| 5-14 | 632 | 51 | |
| 15-24 | 668 | 486 | |
| 25-34 | 538 | 431 | |
| 35-44 | 643 | 279 | |
| 45-54 | 568 | 279 | |
| 55-64 | 334 | 0 | |
| 65-74 | 242 | 143 | |
| 75+ | 70 | 0 |
Most Common Injuries
| Body Part | Diagnosis | Est. Injuries |
|---|---|---|
| Head | Internal Injury | |
| Upper Trunk | Fracture | |
| Upper Trunk | Contusions, Abr. | |
| Lower Trunk | Fracture | |
| Neck | Strain, Sprain | |
| Upper Trunk | Internal Injury | |
| Ankle | Strain, Sprain | |
| Ankle | Fracture | |
| Head | Laceration | |
| Head | Concussion | |
| Wrist | Fracture | |
| Knee | Strain, Sprain | |
| Lower Arm | Fracture | |
| Finger | Fracture | |
| Upper Arm | Fracture |
Severity Breakdown
ER Visit Narratives
Real anonymized emergency room reports from the CPSC NEISS database.
45YOM-PATIENT PRESENTED TO THE ER FROM HOME AFTER BEING IN AN ATV ACCIDENT LAST NIGHT. HE HAS PAIN IN HIS LEFT WRIST. HE CANNOT MOVE HIS FINGERS ON HIS LEFT HAND DUE TO SWELLING. DX: DISTAL RADIUS FRACTURE, LEFT, TRIQUETRAL FRACTURE
16YOM BIBA FROM HOME, S/P FALL OFF ATV AT LOW SPEED , NO HELMET W/ LAC TO FOREHEADDX FACIAL LAC
53YOM WAS RIDING AN ATV 1 WK AGO WHEN IT ROLLED OVER AND PT WAS THROWN OFF, LANDED ON GROUND, C.O OF BRUISING OVER ABDOMEN, DX MULTIPLE FX TO RIBS, BRUISE FLANK
5YOM, ATV ACCIDENT, RIDING CHILD SIZE 4 WHEELER, NO HELMET, TURNED OVER, C/O NECK & BACK PAIN DX: ATV WRECK, MULTIPLE CONTUSIONS, SCALP ABRASION,
29YOM, WAS RIDING A GO-CART VERSUS OFF ROAD ATV WHICH TIPPED OVER INJURING HAND, TRANSVERSE PALMER LACERATION NOTED ON EXAM, DX: INJURY DUE TO OFF ROAD ATV ACCIDENT; OPEN DISPLACED FRACTURE OF SHAFT OF SECOND METACARPAL BONE OF LEFT HAND; OPEN DISPLACED FRACTURE OF SHAFT OF THIRD METACARPAL BONE OF LEFT HAND
20YOF ATV ROLLOVER. -HELMET. DX FOREHEAD LACERATION
8YOM WAS ON A SIX SEATER ATV THAT FLIPPED OVER ONTO ITS SIDE WAS NOT WEARING A HELMET DX: CLOSED HEAD INJURY; HEMATOMA TO FOREHEAD
21YOM PT WAS DRIVING ATV AT APPROX 15 MPH WHEN HE TURNED AND ROLLED OVER LANDING ON HIS BACK. DX: T4 FRACTURE.
33YOM WAS THE RIDER OF AN ATV WHEN IT ROLLED OVER STRIKING HIS RIGHT KNEE DX: RIGHT KNEE INJURY
14YOM WITH A 4 WHEELER ACCIDENT DX: HEMATOMA TO THIGH
15YOF PRESENTS WITH ANKLE INJURY AFTER ATV ACCIDENT. DX: ANKLE CONTUSION
16YOF PRESNTS AS UNRESTRAINED UNHELMETED PASSENGER IN ATV ROLLOVER ACCIDENT COMPLAINING OF HEADACHE AND ELBOW PAIN. DX: CLOSED HEAD INJURY, ELBOW CONTUSION
Consumer Incident Reports
Reports filed by consumers on SaferProducts.gov.
I have a 2011 Polaris Sportsman 850xp ATV. It is 4 months old with 20 hours of riding time. I have found that with normal riding, oil will be pushed out of the engine into the air box. If not cleaned up it will fill the air box and could end up on the hot engine causing a fire.
I was riding my 2019 CanAm Outlander XT 1000 up in the Fish Lake National Forest Utah .These are ATV trails that run all through that area. It was over a period of several days. Starting on July 14th 2020. After the first few hours I notice extreme heat coming from the left side where the engine cover is. It became so bad that my leg starting getting very red, I had no choice but ride since we were way out in the wilderness from our camp.By the end of the day my leg had small blisters that were very painful. No matter where I put my leg I could not get away from the heat.I took pictures.The second problem I had was the burning and melting of a left rear shock part called a bump stop, this keeps the shock from bottoming out internally so not to damage it. Now that the bump stop is melted there is nothing to keep the shock from damage. This could lead to a shock failure and the possible loss of control. No stock ATV should be melting any part. the exhaust runs way to close to the shock with no type of shielding .I have since done some research on the internet and found that this is a problem on most BRP Can Am ATV's going back years. I have also took pictures of this
I was driving a 1996 Polaris Magnum 6 x 6 ATV making a turn when the throttle cable would not go back into normal operation in throttle mode after pressing the throttle half way open. Basically I released the gas in a turn and the unit did not release back to throttle mode. With both hands locked on the brakes the unit was still moving quickly. I was within 10 feet of going over a 15 - 20 foot embankment into a rocky area at the lake. I reached over, took a chance and turned the key off. The unit stopped. I purchased the unit new in 1997; it has 775 miles on it. I filed a complaint with Polaris in 1998 about a carburetor issue that it would not idle properly; the problem was not corrected. It is interesting after reviewing your site Polaris did a recall in August 2000 about the sticking throttle cable issues on other units. It would be interesting to see if these units they recalled had the same "Polaris Electronic Throttle Control (ETC)" systems as my 1996 unit. My paths crossed with a Polaris employee, as I described what happened to me,the person was not surprised and stated that early year machines were basically a piece of "Junk" until later years in 2000. I was fortunate my teenage son was not on the unit because he would not have known to turn the key off.
I had just bought a 2024 Can-Am defender 6x6 limited on a Tuesday evening, by that Wednesday evening after not even having for 24hours I drove it down to my mail box down a hard packed snow road. Right before I got to my mailbox the battery light came on and the voltage was reading 10.1. When I was backing away from my mailbox the voltage had dropped to 9.4 and the machine cut off. After trying to restart it a couple time and was not getting anything I got out and noticed a fire under the bed on the passenger side right behind the cab. I contacted my dealer and we submitted an investigation to BRP and after 2 weeks they said it is not a manufacture defect. After that I got to doing some searching and have found out that, that is where the voltage regulator is located and there has been quite a few people that have had them start smoking after only driving the machine for a short time. Luckily I was the only one in the machine and did not get injured, but was out of breath after running to a neighbors house to get a fire extinguisher to try and put it out
The consumer says he drove the ATV from the barn area up to his house, which is about 400 feet distance. He turned it off and went into the house. He got in the shower, when his brother told him that the ATV was on fire. He says the unit was on fire ten feet from his house. He said only 10 minutes had passed from him turning it off and the fire occurring. The flames where ten feet high. The consumer says the fire melted some of his windows. he says there was no indication that something was wrong with it. He went online and noticed reports of similar incidences with this brand. The consumer says he is experiencing the same issues as stated in Alert #08-580. The consumer's model is not included in the recall.
Product Recalls
Search for active and past recalls related to all terr. veh. (more than 4 wheels; exclusively off-rd. on the CPSC website.
Frequently Asked Questions
How dangerous are all terr. veh. (more than 4 wheels; exclusively off-rd.?
Based on 20 years of CPSC data, all terr. veh. (more than 4 wheels; exclusively off-rd. have a danger score of 32/100 (low risk). An estimated 272 ER-treated injuries occur annually in the U.S. related to this product category.
What are the most common injuries from all terr. veh. (more than 4 wheels; exclusively off-rd.?
The most common injury is internal injury to the head, accounting for approximately 553 injuries over 20 years.
Are injuries from all terr. veh. (more than 4 wheels; exclusively off-rd. increasing or decreasing?
Down 53% over 5 years.
Who is most at risk for all terr. veh. (more than 4 wheels; exclusively off-rd. injuries?
The 15-24 age group accounts for the most injuries, with approximately 1,154 cases recorded over 20 years. Males are more frequently injured in this age group.
What happens when someone is injured by all terr. veh. (more than 4 wheels; exclusively off-rd.?
Of all ER visits involving all terr. veh. (more than 4 wheels; exclusively off-rd., approximately 16.6% result in hospital admission. The majority of patients (83.4%) are treated and released from the emergency department.
How can I report a safety problem with all terr. veh. (more than 4 wheels; exclusively off-rd.?
You can file a consumer incident report at SaferProducts.gov, the official CPSC reporting portal. Reports help the CPSC identify emerging hazards and trigger investigations or recalls. You can also call the CPSC hotline at 1-800-638-2772.
Related Products in Sports Protective Equipment & Gear
Safety Guides
What this means for you
Treat the 32/100 score as relative risk between products, not your personal odds of injury.
- See where this category ranks against every other tracked product. Full rankings
- Injuries cluster in the 15-24 age group, take extra care if that describes your household.
- Check for active recalls on this product before you assume it is safe. CPSC recalls
NEISS estimates ER-treated injuries from a national probability sample of hospitals; they do not capture injuries treated elsewhere or not treated at all.
Data: CPSC National Electronic Injury Surveillance System (NEISS) 2005–2024 and SaferProducts.gov consumer incident reports. Injury estimates are based on a nationally representative probability sample of U.S. hospital emergency departments. This page is for informational purposes only and is not affiliated with the CPSC.
Read our methodology - how this data is sourced, scored, and verified.