


Bus safety sheets
A visual awareness tool for bus operators and passengers
Improving bus passive safety through seat belt compliance

Road traffic crashes kill approximately 1.35 million people globally each year, with a further 20–50 million sustaining injuries. Seatbelts are the single most effective vehicle feature for reducing occupant death and injury. Wearing a seatbelt reduces the probability of being killed by 40–50% for drivers and front-seat passengers, and by approximately 25% for passengers in rear seats. (WHO Global Status Report on Road Safety; PMC meta-analysis 2023)
One of the most dangerous outcomes in any crash - particularly for buses, which are prone to rollovers - is occupant ejection. An unrestrained passenger is not merely at risk themselves; they become a projectile that endangers everyone else on board.
75% of vehicle occupants ejected from a vehicle in a crash die as a result. Among occupants killed in crashes, 44% of unrestrained passengers were ejected, compared to only 5% of those wearing a seatbelt. (NHTSA / PMC)
A peer-reviewed study published in PMC examined seatbelt availability, functionality, and actual use among passengers on 35 large intercity buses in Ghana, observing 1,184 passengers and interviewing a separate group of 633. Ghana is representative of the wider challenge across sub-Saharan Africa: high bus use, high crash fatality rates, and low belt compliance despite belts being present. Only 21.6% of bus passengers were observed wearing seatbelts, even though 92.6% of the seatbelts on those buses were fully functional.
The Ghana study identified a powerful and low-cost intervention: the driver's voice. On buses where the driver verbally reminded passengers to wear their seatbelts before departure, compliance rose dramatically. On buses where the driver gave a verbal reminder to buckle up, 57.8% of passengers wore their seatbelt, compared to just 15.3% on buses where no reminder was given. A single sentence from the driver nearly quadrupled compliance. (Okyere P, et al. 2022)
Key facts on bus safety
40–50%
Reduction in fatality risk for drivers and front-seat passengers wearing a seatbelt
25%
Reduction in fatality risk for rear-seat bus passengers when belted
75%
Of occupants ejected from a vehicle in a crash die as a result
57.8%
Compliance when driver verbally reminded passengers to buckle up
15.3%
Compliance when no reminder is issued to use seat belt
Resources
How to use
1. Select the right sheet
Passenger version for bus interiors; driver version for cabs and briefing areas.
2. Print and display
Print A4 in colour, laminate for durability, fix where occupants see it before every trip.
3. Pair with a safety briefing
Use as a visual aid during pre-departure announcements or driver induction training.