A truck and train collided on Breakwater Rd at the entrance of Napier Port yesterday afternoon.
A police spokesperson said authorities were called at 3.18pm.
St John Ambulance received the call at 3.20pm and attended the accident at 3.23pm.
A St John spokesperson confirmed one patient had been taken to Hawke's Bay Hospital Emergency Department with serious injuries.
A tow truck was called to remove the vehicle.