A comparative study between belted rollover occupants who did and did not receive head injuries from roof contact was conducted using the National Accident Sampling System (NASS) database. The main objective was to determine if headroom reduction increases the risk of head injury. Headroom was determined for 155 belted occupants involved in rollover crashes of vehicles which were then weighted to make them representative of national estimates. Results showed that headroom was reduced more in those crashes where the occupant had head injuries than in cases where there were no head injuries. It was concluded that the risk of head injury increased with reduced headroom. Furthermore, it was observed that when the initial headroom was higher, the incidence of head injury was reduced.