Our seat belts prevented my wife from falling out of a cart when I took a turn too hard and hit the curb. She ended up with a bruise instead of a broken head.
With so many accident reports mentioning people thrown from their carts I would never consider not having belts in my cart. A car or another cart hitting you produces a lot of force that will propel you out of any opening. My cousin's wife died when her bike hit a grate and she went head first over the handlebars and hit gear head on the ground without a helmet. It does not take much to do a lot of damage.
I never used to use car seat belts back when it was optional until I saw a young girl halfway through her windshield. It was a gruesome sight that resulted in me never riding in a car with my seat belt.
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