The Sturt Highway is closed at Forest Hill after a major accident at the Elizabeth Avenue intersection.
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Police, NSW Fire and Rescue and NSW Ambulance personnel are at the scene.
A male, believed to be aged in his mid-60s, has suffered a serious head injury.
Initial reports indicate emergency services were responding to an incident involving a truck and a pedestrian.
Traffic is being diverted through Forest Hill, along Elizabeth Avenue, Inglewood Road and Bakers Lane to rejoin the Sturt Highway at Gumly.
More to come.