Frontal impact damage and restrained front seat occupant injuries were investigated in a sample of 1872 frontal crashes from The Midlands of England. AIS≥2 torso injury from the seat belt alone increased in frequency with increasing overlap and was most frequent under 50 km/h. In crash severities of 35 to 52 km/h, only oblique and small overlap deformations caused thigh injury of AIS≥2 and serious head injury was most frequent with oblique deformation. The usefulness of an asymmetrical barrier, and a deformable barrier were noted. At higher crash severities AIS≥3 injuries were common with full overlap rectangular deformation but with full overlap of the front face high levels of intrusion were more frequently related to asymmetric loading of the passenger compartment.