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Abstract Objective: To assess Australian quad‐related deaths during the 2011–20 period in relation to introduction of the Consumer Goods (Quad Bikes) Safety Standard 2019. Methods: All Australian quad‐related deaths retrieved through the National Coronial Information System. Results: There were 155 cases, with 116 occurring on a farm and 39 in a non‐farm context. Deaths were evenly split between work (52%) and non‐work activities, however, 66% of all farm incidents involved work. Rollovers were responsible for 59% of cases and occurred largely on farms (86%), whilst working (69%). Head injury (32%) and asphyxiation (29%) were primary causes of death. Helmet use was low (

Abstract Objective: This study compares the patterns of quad‐related fatal injuries between Australia and New Zealand (NZ). Method: Fatal injuries from July 2007 to June 2012 involving a quad (quad bike or all‐terrain vehicle) were identified from coronial files. Data described the socio‐demographic, injury, vehicle and environment factors associated with incidents. Injury patterns were compared between countries. Results: A total of 101 quad‐related fatalities were identified: 69 in Australia and 32 in NZ (7.3 and 8.0 annual fatalities per 100,000 vehicles). Of these, 95 closed cases were examined in detail and factors in common included fatalities occurring mainly in males, on farms, involving a rollover and resulting in crush injuries to the head and thorax. Helmet use and alcohol/drug involvement were infrequent. Differences were observed with regard to age, season of fatal incident and the presence of a slope. Conclusions: Fatality patterns are broadly similar. The few differences could be attributed to differing agricultural commodity mix, demographics and topography. Implications: This study's findings support harmonised cross‐country injury prevention efforts primarily focused on safe design and engineering principles to reduce this injury burden.

Abstract Objective: To examine gender differences in the characteristics, treatment costs and health outcomes of farm injuries resulting in hospitalisation of New South Wales (NSW) residents. Method: A population‐based study of individuals injured on a farm and admitted to hospital using linked hospital admission and mortality records from 1 January 2010 to 30 June 2014 in NSW. Health outcomes, including injury severity, hospital length of stay (LOS), 28‐day readmission and 30‐day mortality were examined by gender. Results: A total of 6,270 hospitalisations were identified, with males having a higher proportion of work‐related injuries and injuries involving motorbikes compared to females. Females had a higher proportion of equestrian‐related injuries. There were no differences in injury severity, with around 20% serious injuries, in mean LOS or 28‐day hospital re‐admission. Treatment costs totalled $42.7 million, with males accounting for just under 80% of the total. Conclusions: There are some gender differences in the characteristics of farm injury‐related hospitalisations. Farm injury imposes modest, but nonetheless relatively considerable, financial costs on hospital services in NSW. Implications for public health: Continued efforts to ameliorate these injuries in a farm environment, which are mainly preventable, will have personal and societal benefits.

Abstract Objective : To determine the economic costs associated with all quad bike‐related fatalities in Australia, 2001 to 2010. Methods : A human capital approach to establish the economic costs of quad bike related fatalities to the Australian economy. The model included estimates on loss of earnings due to premature death and direct costs based on coronial records for ambulance, police, hospital, premature funeral, coronial and work safety authority investigation, and death compensation costs. All costs were calculated to 2010 dollars. Results : The estimated total economic cost associated with quad bike fatalities over this period was $288.1 million, with an average cost for each fatality of $2.3 million. When assessing the average cost of incidents between age cohorts, those aged 25–34 years had the lowest number of fatalities but had the highest average cost ($4.2 million). Conclusions : Quad bike fatalities have a significant economic impact on Australian society that is increasing. Implications : Given the high cost to society, interventions to address quad bike fatalities have the potential to be highly cost‐effective. Such interventions should focus on design approaches to improve the safety of quad bikes in terms of stability and protection in the event of a rollover. Additionally, relevant policy (e.g. no children under 16 years riding quads, no passengers) and intervention approaches (e.g. training and use of helmets) must also support the design modifications.