This report presents information on cases of serious injury resulting in hospitalisation due to transport accidents involving a train for the five year period 2004-05 to 2008-09. Over the 5-year period, 868 persons were seriously injured in Australia due to transport accidents involving a train, an average of 174 per year. Over the 5-year period, 248 persons were seriously injured in Australia due to a level crossing accident, an average of 50 per year.