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Seat Belts

Stage 4: Transitioning older children to seat belts

Older children should use a lap-shoulder seat belt in the back seat once they outgrow a booster seat, at least to age 8 and 4’9″ tall. They have not outgrown a booster seat until the seat belt fits correctly:

1

The shoulder strap should cross the center of the chest and rest on the shoulder (not the neck).

2

The lap belt should fit low and snug on the upper thighs (not the stomach).

3

The knees should bend at the edge of the vehicle seat when sitting all the way back.

4

Feet should rest flat on the floor.

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Does your child pass the Safety Belt Fit Test?

 

Perform this test with the child sitting directly on the vehicle seat without the booster seat. If you answer “no” to any of these questions, your child is NOT ready to come out of the booster seat.

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1. When sitting all the way back in the vehicle seat, do your child’s knees bend at the edge of the seat and feet rest flat on the floor?

2 / 4

2. Does the shoulder belt cross the center of the chest and rest on the shoulder (not the neck)?

3 / 4

3. Does the lap belt fit low and snug across the hips, touching the upper thighs?

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4. Can your child stay seated like this for the entire trip?
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Seat Belt Safety Tips

Child in Seatbelt
  • Use booster seats until the safety belt fits properly, but at least to age 8 and 4’9″ tall; use lap/shoulder safety belts once children outgrow booster seats.
  • When is a child ready for a safety belt?
    • The child can sit all the way back in the vehicle seat.
    • The child can sit all the way back in the vehicle seat, with feet touching the floor.
    • The shoulder belt is crossing the center of the chest and resting at the shoulder (not the neck).
    • The lap belt fits low and snug on the upper thighs (not the stomach).
    • The child is able to stay seated like this for the whole trip.
  • Make sure your child does not tuck the shoulder belt under her arm or behind her back. This leaves the upper body unprotected, putting your child at risk of severe injury in a crash.
  • Lap and shoulder belts are necessary for optimal protection. If you have only lap belts in your car, there are some alternatives, including having shoulder belts installed in your vehicle or using a travel vest (see a list of some available vests at www.healthychildren.org/English/safety-prevention/on-the-go/pages/Car-Safety-Seats-Product-Listing.aspx).
  • Always use the back seat for children under age 13.

Printable Parent Resources

 

Child Passenger Safety Stages 1-page Flyer |  English  |  Spanish

Printable Child Passenger Safety Guide |  PDF

For installation help and more information, consider these helpful sites: To find a seat check event: https://www.nhtsa.gov/equipment/car-seats-and-booster-seats 
Stage 3: Booster Seats

Project Lead

  • Kelli England, Ph.D.
  • Professor of Pediatrics &
  • Clinical Psychologist

Contact Information

Eastern Virginia Medical School

Community Health & Research
PO Box 1980
Norfolk, Virginia 23501-1980, USA

Phone: 1-757-446-5799

E-mail: carsafetynow@evms.edu

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Materials are free for educational, nonprofit use; citation is appreciated.

 

The Car Safety Now program was supported by a series of grants from the Virginia DMV Highway Safety Office (Principal Investigator: Kelli England, Ph.D.). The contents are solely the responsibility of the authors and do not necessarily represent the official views of the U.S. Department of Transportation, Virginia DMV, or Virginia Highway Safety Office.

 

Project Lead

Kelli England, Ph.D.
Professor of Pediatrics & Clinical Psychologist

Contact Information

Eastern Virginia Medical School
Community Health & Research
PO Box 1980
Norfolk, Virginia 23510-1980, USA
Phone: 1-757-446-5799
E-mail: carsafetynow@evms.edu

The Car Safety Now program was supported by a series of grants from the Virginia DMV Highway Safety Office (Principal Investigator: Kelli England, Ph.D.). The contents are solely the responsibility of the authors and do not necessarily represent the official views of the U.S. Department of Transportation, Virginia DMV, or Virginia Highway Safety Office.

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