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Module 6: Securing the Rider

Free Driver Training · Module 6 of 12

Securing the Rider

The tie-downs hold the chair. The lap and shoulder belt hold the person. In a crash or a hard stop, a rider who is not belted can move forward and out of the chair even when the chair itself has not moved. This module covers where the belts go, how they should fit, and what to do when fit is difficult. Reading time: about 7 minutes.

After this lesson you will be able to:

  • Place a lap belt and a shoulder belt correctly on a rider.
  • Tell a crash-rated occupant restraint from a postural or positioning belt.
  • Handle common fit problems and a rider who does not want to wear the belts.

The two parts of the restraint

The lap (pelvic) belt sits low across the front of the pelvis, on the hip bones and not on the soft abdomen. It should be snug and flat. The shoulder belt runs diagonally across the chest and over the collarbone, away from the neck, and must not be routed behind the rider or under the arm. Together they keep the pelvis and the upper body in the seat.

Diagram of a seated rider showing the shoulder belt across the chest and the lap belt low across the hips
Where the belts go. The shoulder belt crosses the chest and collarbone, and the lap belt sits low across the hips.

Safety warningA lap belt that rides up onto the abdomen can cause serious internal injuries in a crash. If the belt will not stay low, stop and adjust before you drive.

Step by step

  1. Place the lap belt low across the pelvis, then make sure it is flat and not twisted.
  2. Fasten the shoulder belt so it crosses the chest and shoulder, away from the neck.
  3. Remove slack until the belts are snug against the body, as the manufacturer directs.
  4. Check that no belt passes over an armrest, wheel, tray or other part of the chair that could change its path.
  5. Press the buckle release to confirm it latches, and tell the rider how to ask for help if they need it.
Person seated in a wheelchair inside a van, secured for transport
A rider secured in a van. The chair is held by tie-downs, and the rider wears a lap and shoulder belt.

Where the lap belt anchors depends on the system: some anchor to the vehicle floor, others to the wheelchair frame or to the rear tie-downs. Follow the instructions for your system and chair. Do not move a lap belt to a different anchor than the manufacturer approves.

Not all belts are restraints

Many wheelchairs have their own postural or positioning belt. It helps the rider sit well, but it is not designed or tested as a crash restraint. It does not replace the vehicle's lap and shoulder belt. Use the vehicle restraint as well, and make sure the two do not interfere with each other.

Question answeredCan a postural belt be the only belt? No. A positioning belt supports posture. It is not tested as a crash-rated occupant restraint.

Fit problems and what to do

Situation What to do
Large or small rider Use belt extensions or adjusters that the manufacturer approves. Never tie belts together or add a non-rated belt.
Feeding tube, catheter or other medical device Route the belt around the device and not over it, following the rider's care instructions. Ask the caregiver.
Rider with spasticity, tremor or high muscle tone Re-check the belts after the rider settles. Ask the caregiver for the best position.
Pressure sores or sensitive areas Do not omit the belt. Ask the caregiver about padding or placement that does not move the belt off the pelvis.
Chair has a headrest or tray Make sure neither moves the shoulder belt off the chest, and that a tray is removed or stowed before travel.
Rider says the belt hurts Re-adjust. Do not remove the belt without a plan.

When a rider does not want the belts

Explain what the belts do and ask what the concern is. Many objections are about comfort or dignity and can be solved by adjusting fit or explaining. Public transit rules mean a transit provider generally cannot require a wheelchair user to wear belts unless it requires belts for every passenger, so know your employer's policy. Whatever the policy, always offer the belts, record a refusal, and never drive with a belt that cannot be used safely.

What the manufacturer saysBelt routing, anchor points, extension options and weight limits for your exact restraint are in its instructions. This module is general guidance. Where it differs, follow the manufacturer.

Key takeaways

  • Lap belt low on the pelvis. Shoulder belt over the chest and collarbone, away from the neck.
  • Snug, flat, untwisted, and clear of armrests and wheels.
  • A postural belt is for posture only and never replaces the vehicle restraint.
  • Offer the belts every time. Know your employer's policy and record any refusal.

Knowledge check

Choose your answer. You will see right away whether it is correct.

1. Where should the lap belt sit?

The answer is B. A lap belt that rides up onto the abdomen can cause serious internal injuries in a crash.

2. Where should the shoulder belt cross the body?

The answer is A. It must not be routed behind the rider or under the arm.

3. Can a wheelchair's positioning belt replace the vehicle lap and shoulder belt?

The answer is B. A positioning belt supports posture and is not tested as a crash restraint.

4. What should you do if a rider declines the belts?

The answer is B. Always offer the belts, record a refusal, and never drive with a belt that cannot be used safely.

Equipment mentionedLap and shoulder belts, and postural and gait belts. Not sure which fits your vehicle? Call 800.884.6456 or email info@wheelchairstrap.com. Our Wheelchair Securement Glossary explains any term in this module.

Module 6 sources: FTA ADA Circular 4710.1, Use of Seat Belts and Shoulder Harnesses · 49 CFR 38.23 (eCFR)

This training is general educational guidance from WheelchairStrap.com. It does not replace the instructions of your equipment manufacturers, your employer's policies, or applicable laws and regulations. Completing it is not an official certification. Your progress is saved only on the device and browser you use. WheelchairStrap.com, 1015 N I-35E, Suite 218, Carrollton, TX 75019 · 800.884.6456 · info@wheelchairstrap.com