A man's been seriously injured after falling from a truck at Shoal Bay this morning.
It appears the 56 year old was unloading an excavator in Rigney Street, when the accident happened at around 8:10am.
A NSW Ambulance spokesperson says he fell from the top of a semi-trailer onto his head and was left unconscious.
He's been airlifted to John Hunter Hospital in a serious condition.
Port Stephens-Hunter Police and SafeWork NSW are investigating.