This report presents national statistics on serious non-fatal injury due to transport accidents involving a railway train in Australia during the period from 2002-03 to 2006-07. Victoria and New South Wales accounted for over 71% of hospitalisations due to transport injury involving a train, while Victoria accounted for just over half of level-crossing hospitalisations during this period.The risk of serious injury, based on kilometres travelled, is more than 10 times greater for passengers travelling by car, compared with passengers travelling by rail.