The number of children injured in nonfatal school bus accidents annually is more than double the number previously estimated. In Ohio alone, approximately 20,800 children younger than 18 were occupants of school buses that were involved in crashes in 2003 and 2004 (McGeehan 2007). Among those children, most had minor or no injuries. However, there were two skull fractures, one incident of intracranial bleeding, one broken back, one serious injury to the spleen, and 28 head injuries, including concussions (McGeehan 2007). This article offers some suggestions on how school districts can lower the risk of both accident and injury.