We studied the characteristics of head injuries in drivers (326 cases). There was no traumatic brain injury (TBI) found in 31.6% of the cases, and no head trauma — in 12.5% of the cases. Trauma of the soft tissues of the head without the formation of TBI was detected in 18.1% of cases, non-lethal TBI — in 19.1%, and fatal TBI — in 59.9% of cases. We characterized the injuries: their types, number and localization. A predominantly left-sided localization of head injuries, as well as anteroposterior damage asymmetry associated with phases of injury was noted. Injuries that form exclusively in the first phase with localization in the anterior parts of the head were found in most of the observations in non-lethal TBI and in cases injury to the soft tissues of the head injury without TBI. In cases of fatal TBI, the formation of injuries in both phases of the car injury was found, while the severity of the injury was mainly due to the impact on the front sections of the head.