Traffic safety conditions in the 17-county oil region of western North Dakota have changed considerably in recent years. Roads previously used for low-volume, agricultural purposes are presently utilized at high volumes to serve expanding oil interest. Traffic volume in the region has grown rapidly since the advent of hydraulic fracturing as a viable technique for extracting oil, especially with regard to the overweight and oversized vehicles needed for oil production. Three studies were conducted to understand how changing traffic conditions are perceived by local drivers. First, a survey questionnaire was sent to drivers in the region to measure perceptions of traffic safety priorities. County-level crash data were gathered for rural road crashes in North Dakota between 2004 and 2013 to examine statewide crash trends. Survey responses were linked to crash data and found that safety perceptions from drivers are valid: conditions in oil counties are actually more dangerous than elsewhere in North Dakota. Second, using Decision Theory as a theoretical lens to guide decision-making, crash data were queried to establish if driving conditions in certain parts of the oil region are more dangerous. Proximity to oil wells, city limits, and travel on major roadways were found to have an effect on overall crash severity. Third, written survey responses were qualitatively studied via emergent theme content analysis. Crash types relating to these themes were then subjected to cluster analysis using ArcGIS. Respondent zip codes were matched with crash zip codes to provide a mixed methods approach to understanding key traffic safety issues such as perceived danger, large truck danger, and law enforcement presence.