A three-year-old boy had died after he was hit by a truck in western Lake Macquarie, near Newcastle, on Friday afternoon.
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The toddler was running across Donnelly Road in Arcadia Vale at around 3.50pm when he was hit by the pantech truck, police said.
Paramedics and the Westpac Rescue Helicopter Service treated the boy before he was rushed to hospital in a critical condition by ambulance.
Shortly after arriving at John Hunter Hospital he was pronounced dead.
The truck driver was taken to the hospital for mandatory testing.
Local police have set up a crime scene on the street to investigate the accident.
A report will be prepared for the Coroner.