This study examined the relationship of the crash rate of over 12,400 licensed operators in Pennsylvania with visual performance on contrast sensitivity (6, 12, and 18 cycles/degree), static visual acuity, and horizontal visual fields. Results showed no significant correlation between poor visual performance on visual acuity, horizontal visual fields or selected contrast sensitivity tests and a high incidence of crashes. However, poor performance on a combination of tests describing the current visual standards used by the state and broad contrast sensitivity screening criteria was significantly related to increasing crash rates for 66-75 and 76 and over age groups of drivers. Implications of including contrast sensitivity testing in driver vision screening programs are discussed.