All Terrain Vehicles (four Wheels/off Road Only)
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 3286
Down 22% over 5 years
The verdict
All Terrain Vehicles (four Wheels/off Road Only) carry a danger score of 46/100 (moderate risk), driven by roughly 86,228 ER-treated injuries a year that are declining by about 22% over the last five years.
- 46/100
- danger score (moderate risk)
- 86,228
- ER visits per year (avg)
- 11.3%
- end in hospital admission
- 15-24
- most-injured age group
Every figure is rendered from the CPSC NEISS record for product code 3286 - last data year 2024.
PlainSafety danger score
How this 46/100 score is built
The score is computed from four CPSC-derived factors for all terrain vehicles (four wheels/off road only) - no opinion, no editorializing:
- Injury volume86,228 ER visits/yr
- Severity (hospitalization rate)11.3%
- Fatality rate0.12%
- 5-year trend-22%
See the full methodology for the exact weighting of each factor.
What the CPSC Data Shows
All Terrain Vehicles (four Wheels/off Road Only) (CPSC product code 3286, in the Sports Protective Equipment & Gear category) generate an estimated 86,228 emergency-room visits every year in the United States, adding up to roughly 1.7M ER-treated injuries across the 20-year span from 2005 to 2024. PlainSafety derives a danger score of 46/100 for this category (moderate 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 22% over the last five years, with the busiest year on record being 2007 (134,069 estimated ER visits) and the quietest 2022 (47,516 estimated visits).
The single most common ER diagnosis for all terrain vehicles (four wheels/off road only) is internal injury to the head, accounting for approximately 102,677 visits across the 20-year NEISS window, followed by contusions, abr. to the upper trunk (77,609 cases). The 15-24 age group absorbs the largest share of injuries, about 501,219 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 11.3% of ER visits involving this product end in hospital admission or transfer, and a small fraction (0.12%) result in fatality.
Beyond the hospital-sampled NEISS projections, this page also aggregates 145 consumer incident reports filed directly on SaferProducts.gov, plus 20 anonymized ER narratives - together forming a layered picture of how all terrain vehicles (four wheels/off road only) 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 | 31,273 | 12,505 | |
| 5-14 | 238,938 | 135,748 | |
| 15-24 | 348,376 | 152,827 | |
| 25-34 | 252,012 | 100,411 | |
| 35-44 | 157,580 | 58,506 | |
| 45-54 | 94,745 | 31,713 | |
| 55-64 | 46,857 | 14,478 | |
| 65-74 | 26,142 | 5,632 | |
| 75+ | 13,721 | 2,966 |
Most Common Injuries
| Body Part | Diagnosis | Est. Injuries |
|---|---|---|
| Head | Internal Injury | |
| Upper Trunk | Contusions, Abr. | |
| Shoulder | Fracture | |
| Head | Concussion | |
| Lower Trunk | Contusions, Abr. | |
| Upper Trunk | Fracture | |
| Face | Laceration | |
| Wrist | Fracture | |
| Lower Arm | Fracture | |
| Ankle | Strain, Sprain | |
| Lower Trunk | Strain, Sprain | |
| Shoulder | Strain, Sprain | |
| Neck | Strain, Sprain | |
| Shoulder | Contusions, Abr. | |
| Lower Leg | Fracture |
Severity Breakdown
ER Visit Narratives
Real anonymized emergency room reports from the CPSC NEISS database.
54YOM C/O INJURY TO LEFT ARM AND WRIST , WAS INVOLVED IN IN AN ATV ACCIDENT . DX: FOREARM FRACTURE
12YOM IN 4 WHEELER ACCIDENT WAS REPORTEDLY RIDING ON THE BACK AND HIT A BUMP GOING APPROX 45 MILES AN HOUR AND FELL OF STRIKING HIS HEADL. ABRASION TO CHIN. DX: CLOSED HEAD INJURY, CHIN ABRASION
50YOM PT STATES ATV WRECK AT HOME HAS INJURY TO THE HEAD. DX: CONTUSION OF ABDOMINAL WALL, CONTUSION OF THORAX, MUSCLE SPASM OF BACK. DRIVER OF 3-4 WHEELED ATV.
26YOM REPORTS DRIVING HIS 4-WHEELER EARLIER TODAY AND HAD MVC AROUND 4:00 PM THIS AFTERNOON, REPORTS LOC, PATIENT C/O HA, SIGNIFICANT LEFT SHOULDER PAIN, LEFT CHEST WALL PAIN WITH ASSOCIATED PAIN WITH DEEP BREATHS, AND PAIN AROUND HIS LEFT EYE; METHAMPHETAMINES AND THC ON UDS. DX: MOTOR VEHICLE ACCIDENT, CONTUSION OF CHEST WALL, CONTUSION OF FACE, SPRAIN OF LEFT SHOULDER
49 YOM C/O INJ TO LOWER LEG/HEAD AFTER 4 WHEELER ACCIDENT, HE WAS THROWN OFF AND WOKE UP ON THE GROUND ON TRAIL DX HEMATOMA LOWER LEG, CONCUSSION
15 YOF INJURED FOOT WHILE RIDING A 4 WHEELER DX LACERATION AND DISLOCATION FOOT
13YOM C/O LEFT KNEE PAIN SECONDARY TO ATV EVENT. STATES HE HIT A HOLE AND FELL OF 4 WHEELER. 4 WHEELER RAN OVER KNEE. TENDERENESS TO LEFT LEG AND KNEE. SMALL AREA OF REDNESS JUST DISTAL TO LEFT KNEE. RADIOGRAPHS NEGATIVE FOR FRACTURE. DX: CONTUSION OF LEG
40 YOM WITH RIGHT THUMB PAIN FOR ONE WEEK. PT INJURED IT RIDING A 4 WHEELER IN THE WOODS ONE WEEK AGO. IT IS STILL SWOLLEN AND PAINFUL. FINGER WAS JAMMED OR STRETCHED TO FAR ON THE HANDLE BAR. DX SPRAIN METACARPOPHALANGEAL JOINT RIGHT THUMB
31YOF WAS A PASSENGER ON AN ATV ROLLED OVER AND BOYFRIEND FELL ON TOP OF HER DX: DISLOCATION OF RIGHT ELBOW, FACIAL ABRASION
34YOM, ATV RAZO ACCIDENT, SWELLING & PAIN RIGHT LOWER ARM, HIT HEAD ON GROUND, PASSENGER DX: RIGHT FOREARM & HAND CONTUSION
20 YOM ATV 4 WHEELER ACCIDENT NO HELMET DX SCALP LACERATION, CONCUSSION
7YOM PT'S MOM WAS DRIVING A 4-WHEELER THRU SNOW WHILE TOWING HER KIDS, INCLUDING THE PT, THRU THE SNOW ON BLOW UP TUBES WHEN PT HIT HEAD ON METAL BAR, PROGRESSIVELY GOT MORE SLEEPY AFTERWARDS DX; CONCUSSION, HEAD INJURY
Consumer Incident Reports
Reports filed by consumers on SaferProducts.gov.
The gas tank filler tube has cracked just below the fuel cap leaking fuel and caused a fire. Very dangerous and could cause sever burns to leg and waist and chest area ans well as surrounding grass & forest areas.
On Monday, August 29, 2011, at approximately 2214 hours, Death Investigation Specialist [REDACTED] (License No. [REDACTED]) was contacted by Coroner [REDACTED] of the Carroll County Coroner's Office [REDACTED] regarding the death of [REDACTED]. [REDACTED] is described as a 32 year old white male. Coroner [REDACTED] provided the following information surrounding the death: On today's date, the decedent was the passenger on a four wheeler with his fiancé and 13 year old son. The 13 year old individual was the driver of the vehicle. For an unknown reason, the driver lost control and ran off the roadway and landed in a ditch. The decedent was ejected from the vehicle. 9-1-1 was contacted and upon EMS arrival, resuscitative measures were performed. The decedent was transported to Tanner Medical center; however, was DOA. The decedent was pronounced on 8/29/11 at 2047 by [REDACTED]. The decedent was clothed in a blue/black/white shirt and shorts. The decedent was found lying in a supine position. The decedent sustained multiple blunt force injuries. All injuries were documented at the hospital. According to the coroner, the decedent was estimated to have stood 5'8" in height and weighed 175lbs. The weather conditions were hot and dry. Visibility was clear. The speed limit posted and the speed of the vehicle was unknown at this time of the report. The decedent was wearing a helmet. At this time of the report, alcohol and illicit drugs were not suspected. The coroner did not have information regarding the investigating officer's name or case number; he was instructed to contact this office when that information became available. [REDACTED] was consulted and deemed a postmortem examination by this office was not warranted.
My wife and I were out traveling on dirt roads through the Eldorado National Forest on Aug. 17 2013 when I started to here a clunking sound from the front end of the Polaris 550 . { We had just purchased the quad a few weeks before and already have had the quad out on a previous trip a week before without any problems. When I bought the quad I noticed that the quad had a few A arm bushings that were [worn] and needed to be replaced but were not bad enough to be replaced as of yet.) When I heard the sound I thought that maybe it was a bushing starting to make noise. Is we got closer to our staging point back at the truck when the noise started getting louder and louder. We made it to the truck OK and loaded the quads on the trailer. The first chance I got I inspected the front end for a bad bushing but found out instead that it was the front left hand Ball joint had completely come loose from the steering knuckle and almost came apart which if it would have happened on the trail would have left me injured, stranded or dead. I found out about the Recall {alert #1 Q-713) and contacted the Polaris dealer they did research and found that the recall had already been done to this quad. I took the quad to the Polaris dealer and they contacted Polaris to see if they would replace it again and the said NO. This is a part that should NEVER come apart period. End of Story It looks like there fix was not a fix but a Band-Aid and someone is going to get injured, stranded or killed if this part isn't made so it will never come apart. Lucky I did not crash. We purchased a Polaris Sportsman XP 550 quad from a private party with 1100 miles on it several weeks ago. When we bought the quad I noticed that it had a few A arm bushings that were [worn] but not bad enough to be replaced as of yet. Also, the clutch wouldnt kick in until 2500 rpm which would make the quad lunge on takeoff. On our first trip we had no problems with the steering or the front end. To learn more about the
I own a 2012 Can Am 800 Xmr mud. I recently discovered a crack in the frame under the seat. I haven't crashed it or ridden it unduely hard so believe it's a manufacturing flaw. What recourse do I have? Who should I contact about this? Have you heard of this being a problem with other Can Am ATV's? Otherwise it's a great machine and am very happy with it.
2019 Polaris Scrambler 850 catches fire
The purpose of my letter is to bring to your attention a life-threatening issue involving the 2008 Honda 250TRX EX Quad (four-wheeled), off-road all-terrain vehicle (ATV). I am currently serving as an expert witness for[REDACTED] in her design defect law suit against Honda, the result of a tragic accident on February 29, 2016, that was easily preventable. [REDACTED], a twenty-four year old female and her boyfriend, [REDACTED], had recently discovered that she was pregnant with his baby and planned a weekend away to discuss future plans for marriage and their new life together. Upon arrival in Julian, California they decided to purchase Groupon tickets for a day of riding all terrain off-road vehicles. The salesperson at San Diego Motorsports suggested that [REDACTED] rent the 250TRX EX which is equipped with a sport clutch, which is essentially an automatic clutch, although it still requires left foot shiftting of the gear by lifting your left toe, pivoting at the arch for higher gears and stepping down on the foot activated shift lever for lower gears. On their rented ATV's the two rode out into the desert from San Diego Motorsports, enjoying their day, when the right rear wheel of her vehicle went down into a divot, or small hole in the dirt, her right foot bounced off the foot peg and was immediately sucked into, and under, the right rear tire and wheel of the ATV. Given the speed she was travelling, 5 to 10 miles per hour, it is estimated that it took 1/10th of a second to pull her foot into the right rear tire. Her right shoe was literally torn off her foot, thrown 30 feet from the ATV, she was catapulted over the handle bars, her head hit an embankment and she landed on her back, forever paralyzed from the neck down. Today, [REDACTED] is twenty-six years old, living with her mother and her two year old son. She never realized her dream of being married and having a family and living a "normal" life. The Honda
Vehicle: 2006 Polaris Sportsman 500 ATV Incident: When using the ATV at low speeds for an extended amount of time, the exhaust pipe/muffler got so hot that it melted the plastic body molding and seat near the pipe.
DRIVING ALONG 25 MPH ON MY 2023 (manufactured 5-2022) ARGO XRT 570 and it just stops running, motor dies like you turn the key switch off or depress the kill switch. Has happen going slow through the woods also. Has also went back to dealer for gas line recall in which the stall factor was supposed to be fixed beforehand. VERY dangerous to have this happen while riding. I know.
Showing 8 of 145 reports.
Product Recalls
Search for active and past recalls related to all terrain vehicles (four wheels/off road only) on the CPSC website.
Frequently Asked Questions
How dangerous are all terrain vehicles (four wheels/off road only)?
Based on 20 years of CPSC data, all terrain vehicles (four wheels/off road only) have a danger score of 46/100 (moderate risk). An estimated 86,228 ER-treated injuries occur annually in the U.S. related to this product category.
What are the most common injuries from all terrain vehicles (four wheels/off road only)?
The most common injury is internal injury to the head, accounting for approximately 102,677 injuries over 20 years.
Are injuries from all terrain vehicles (four wheels/off road only) increasing or decreasing?
Down 22% over 5 years.
Who is most at risk for all terrain vehicles (four wheels/off road only) injuries?
The 15-24 age group accounts for the most injuries, with approximately 501,219 cases recorded over 20 years. Males are more frequently injured in this age group.
What happens when someone is injured by all terrain vehicles (four wheels/off road only)?
Of all ER visits involving all terrain vehicles (four wheels/off road only), approximately 11.3% result in hospital admission. The majority of patients (88.8%) are treated and released from the emergency department.
How can I report a safety problem with all terrain vehicles (four wheels/off road only)?
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 46/100 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.