This report presents information on hospitalisations in Australia due to unintentional serious injury involving a train or tram for the 5-year period from 2009–10 to 2013–14. Over this 5-year period, there were 812 cases of serious injury involving a train (178 due to a level crossing collision), an average of 162 per year. Over the same period, there were 397 cases of serious injury involving a tram.