To address the growing problem of congestion caused by incidents, especially truck-involved incidents, this study was undertaken to identify truck accident countermeasures which have been used nationwide. Desired conditions surrounding implemented countermeasures in this study included urban freeway volumes of 95,000 vehicles per day or higher, a significant number of trucks in the traffic stream (typically 5% or more), and countermeasures involving road design. The study omitted countermeasures directly related to the vehicle and the driver. This project included the following steps: literature search, telephone survey, and field visits to selected sites. The information collected by this project is intended to assist agencies in identifying, selecting, and implementing truck accident countermeasures. Information was gathered on the following truck accident countermeasures: lane restrictions, separate truck roadways, urban inspection stations, ramp treatments, major incident response and clearance, and truck bans/diversion and time restrictions.