This report presents findings on serious injury, due to land transport accidents in 2007-08. There is a focus on road vehicle traffic crashes which accounted for nearly two-thirds of all serious injury. Land transport accidents accounted for 0.7% of all hospitalisations and 10.9% of all hospitalisations due to injury in Australia during 2007-08. For traffic (on-road) accidents, 48.5% of those seriously injured were car occupants, 23.1% were motorcyclists and 14.8% were pedal cyclists.