When I first started working with wheelchair users as an occupational therapist ten years ago I was surprised to find out how many people didn’t know the difference between standard wheelchairs and those tested for safety during transport. This isn’t just an academic question – it’s a safety issue.
I’m writing this guide based on my ten years of professional experience and conversations with hundreds of wheelchair users but I want to be clear – I’ll stick to verified information and I’ll tell you when I’m sharing my opinion versus facts.
Let’s start with what we know for sure. There are international standards for wheelchairs used as seats in motor vehicles:
ISO 7176-19: The international standard specifically for “Wheeled mobility devices for use as seats in motor vehicles”
ANSI/RESNA WC-19: A similar standard used primarily in North America
These standards aren’t just paperwork – they’re testing protocols where wheelchairs are subjected to simulated crashes to ensure they can protect the user during transport.
According to a 2018 study in the Journal of Rehabilitation Research and Development, wheelchairs that meet these standards performed better in crash scenarios than non-certified chairs. The researchers found that properly certified wheelchairs were much less likely to fail structurally or allow excessive movement during impact tests.
From my experience fitting and assessing wheelchairs I’ve learned that crash tested chairs differ from standard chairs in several ways:
Reinforced frames to maintain structural integrity during impacts
Integrated, tested tie-down points to attach to vehicle restraint systems
Seating systems tested alongside the frame to ensure they stay in place
Clear labelling to indicate compliance with transport safety standards
In my experience these features add some weight to the chair – typically 1-3kg for manual wheelchairs – but most users find this is a reasonable trade off for the extra safety.
Let’s talk honestly about cost which is often the biggest barrier to getting a crash tested wheelchair.
Based on current market prices (as of April 2025) you can expect to pay approximately:
£1,200-£2,500 for crash tested manual wheelchairs* £3,500-£15,000+ for crash tested power wheelchairs
This is more expensive than standard models – typically 15-30% more. However there are several funding options that may help:
NHS Wheelchair Services can sometimes provide or fund transport safe chairs based on assessment of need
The Motability scheme includes several crash tested options
Charities such as Whizz-Kidz, Independence at Home and the ACT Foundation offer grants for mobility equipment
I always recommend speaking to these organisations rather than making assumptions about eligibility.
Many of my clients worry that a crash tested wheelchair will be less practical for everyday use. In my experience most people adapt quickly and notice minimal difference in day to day use.
Mark, a wheelchair user I worked with in Birmingham (who kindly agreed to be mentioned) said: “It took me about a week to get used to the slightly different weight distribution but now I don’t notice any difference in how it handles. The peace of mind when travelling is definitely worth it.”
Having a crash tested chair is just the first step. Based on best practice guidelines from the Posture and Mobility Group (a UK professional network for wheelchair professionals) here are key safety recommendations:
Position the wheelchair facing forward in the vehicle
Use wheelchair tie-down restraints AND separate occupant restraints
Ensure tie-downs are attached to the designated points on the wheelchair
Position vehicle mounted belts properly across the body (not just over the wheelchair)
Remove accessories that weren’t crash tested with the chair when possible
These recommendations align with the training we provide to transportation providers and carers.
In my years of practice I’ve come across several misconceptions about wheelchair transport safety:
Misconception: “Heavy power wheelchairs don’t need to be crash tested because their weight keeps them stable.”
Reality: Weight alone doesn’t ensure safety. Unsecured heavy chairs can actually cause more damage during sudden stops.
Misconception: “I only need a crash tested chair for highway travel.”
Reality: According to transport safety research many incidents occur during routine journeys at lower speeds.
Misconception: “Adding after market tie-down points to my existing chair makes it transport safe.”
Reality: Crash testing evaluates the entire wheelchair system under stress not just the tie-down points.
When I help clients choose a wheelchair I recommend asking:
Can you show me the certification for this specific model to ISO 7176-19?
Where are the tested tie-down points and are they marked?
Was the seating system tested with this frame?
What is the maximum user weight for transport safety?
How will using this chair in transport affect the warranty?
If you want to read more about wheelchair transport safety from the experts:
The UK Wheelchair Managers’ Forum guidelines for wheelchair provision
The Posture and Mobility Group professional resources on wheelchair assessment
RICA consumer guides on transport accessibility
Your local NHS Wheelchair Service for individual advice
Safety in transport is an important consideration for wheelchair users, and mobility wheelchairs can be a valuable option for some individuals. However, decisions should always be based on individual needs, circumstances, and informed choice rather than fear. If you're considering a wheelchair for frequent vehicle transport, you may want to discuss crash-testing standards (such as ISO 7176-19 or WC19) with your healthcare provider or a mobility specialist. They can help assess whether a crash-tested wheelchair aligns with your specific requirements and lifestyle.
What has been your experience with wheelchair transport? Have you found solutions—whether crash-tested seating, securement systems, or other adaptations—that work particularly well for you?