The National Institute for Occupational Safety and Health added its logo to the National Fire Service Seat Belt Pledge 100% compliant certificate. NIOSH Acting Director Dr. Christine Branche endorsed the campaign.

"Motor vehicle-related crashes are the second-leading cause of death for firefighters, and reducing this toll on our nation's firefighters is a priority for NIOSH," Branche said in a statement. "Wearing seat belts is an essential component of efforts to ensure the safety of firefighters in fire apparatus and vehicles."

Other supporters of the campaign include the U.S. Fire Administration, the International Association of Fire Chiefs, the National Volunteer Fire Council, the National Fire Protection Association and the National Fallen Firefighters Foundation.