PT - JOURNAL ARTICLE AU - Matt McFalls AU - Corinne Peek-Asa AU - Karisa Harland AU - Motao Zhu AU - Nichole L Morris AU - Marizen Ramirez TI - 220 Farm equipment crashes on public roads: results from a survey of midwest farms AID - 10.1136/injuryprev-2020-savir.135 DP - 2020 May 01 TA - Injury Prevention PG - A53--A53 VI - 26 IP - Suppl 1 4099 - http://injuryprevention.bmj.com/content/26/Suppl_1/A53.1.short 4100 - http://injuryprevention.bmj.com/content/26/Suppl_1/A53.1.full SO - Inj Prev2020 May 01; 26 AB - Statement of Purpose Rural public roads experience higher crash rates than other roadways, with agricultural equipment adding greater risk of injury and fatality. This study investigated farm-level factors and their association with farm equipment crashes on public roads, along with circumstances of these crashes.Methods/Approac A 2014 survey of nine Midwestern states was analyzed, in which farm operators reported history of farm equipment crashes, details of the crash, and past-year driving of equipment. Chi-square tests were used to compare operator, farm, and vehicle characteristics by crash status. Backward stepwise logistic regression was used to identify predictors of a crash.Results Of 1403 farms operating equipment on public roads, a weighted 6.4% reported a crash (n=100). Crops, acreage, vehicle miles, and number of vehicles were initially associated with a crash. Higher odds of crash were observed with second acreage tertile (OR=2.98; 95% CI: 1.37–6.49), third acreage tertile (OR=2.72; 95% CI: 1.22–6.08), and a 10-vehicle increase (OR=1.28; 95% CI: 1.02–1.61). Crashes occurred most often in June-August (44.3%). Driver experience was often fewer than five years (83.1%) and many were paid/unpaid workers (48.0%). Crashes often went unreported to law enforcement (29.0%).Conclusions With higher acreage and number of vehicles driven on public roads, farms were more likely to report history of a crash. Many crash characteristics appear to align with findings from previous studies, although differences were observed in seasonality.Significance and Contributions to Injury and Violence Prevention Science This study suggests further points to explore in the role of large farms and high vehicle usage in farm equipment crashes. These findings provide farm-level context to previous research with motor vehicle crash reports, with the implication that crashes may often go unreported. Limited driver experience may have safety implications for vulnerable high-risk occupations in rural settings.