Mona Vale Road was closed by a serious collision that saw four people hospitalised and one arrested.

Shortly after 3.30pm this afternoon (Monday, 09 October), emergency services responded to multiple Triple Zero (000) calls for a serious head-on collision involving a garbage truck and two cars at Mona Vale Road, Ingleside, near Kimbriki Road.

Four injured at black spot

NSW Police, NSW Ambulance, Fire and Rescue NSW Narrabeen Station, and NSW Rural Fire Service crews from Terrey Hills and Ingleside, responded to reports of a multi-vehicle collision with people injured and trapped in damaged cars.

Officers from Northern Beaches Police Area Command arriving on scene found that a URM (United Resource Management) garbage truck had crashed into a Peugeot hatchback before colliding with a Mazda hatchback that was driven by a Learner Driver.

Four injured at black spot

The collision blocked traffic in both directions, causing delays for emergency services vehicles trying to reach the incident scene. Traffic quickly banked back to Powderworks Road in the east and McCarrs Creek Road to the west.

The first NSW Ambulance vehicle from Avalon Station arrived on scene just before 3.45pm, reporting the condition of the two vehicles and calling for additional resources, including the specialist rescue firefighters from Narrabeen Station.

FRNSW Narrabeen Heavy Rescue

The CareFlight Rescue Helicopter was tasked from Westmead, landing at nearby Terrey Hills Oval at Beltana Avenue, just before 4.00pm. Paramedics found five occupants in the three vehicles, two in each of the cars, and the driver of the garbage truck.


The 76-year-old male driver of the Peugeot was seriously injured and trapped in his car due to the damage caused by the collision. Also in the car but not trapped and with only minor injuries, was a 67-year-old female passenger, who was in a state of emotional distress.

Using specialised rescue equipment, firefighters cut the man free so he could be treated by the CareFlight specialist trauma team for his injures. He had sustained suspected spinal and internal injuries as well as a broken leg. The couple was taken to Royal North Shore Hospital, with the man in a serious but stable condition, accompanied by the CareFlight medical team.

NSW Ambulance

The second damaged car was a Mazda hatchback driven by a 17-year-old male Learner Driver, who was accompanied by a 55-year-old female passenger, understood to be his mother. The boy escaped with minor injuries to his back, but the woman was seriously hurt and remained trapped in the vehicle.

They were treated by a second crew of NSW Ambulance paramedics, including NSW Ambulance Inspector Alex Lim. With the assistance of specialist rescue firefighters, the woman was carefully removed from the damaged Mazda and treated for suspected internal injuries. Both were taken to Royal North Shore Hospital, with the woman in a serious but stable condition.

NSW Police Crash Investigation unit at Dee Why Police Station

The 42-year-old driver of the garbage truck was not hurt in the collision, declining to be assessed by paramedics. After speaking with NSW Police at the scene, he was arrested and taken to Manly Police Station where he is tonight assisting with inquiries.

A NSW Police spokesperson confirmed that a crime scene was established at the scene of the collision at Mona Vale Road, and the NSW Police Crash Investigation Unit (CIU) had commenced an investigation into the circumstances surrounding the incident. Officers from CIU arrived at the scene just before 5.45pm.

The spokesperson asked that anyone with dash cam footage or information about the incident contact Crime Stoppers on 1800 333 000.

Head-on collision at Mona Vale Road, Ingleside

Mona Vale Road remained closed until 9.45pm, causing heavy traffic on alternative routes. The section of road where the collision occurred, between McCarrs Creek Road, Terrey Hills, and Powderworks Road, Ingleside, has become a black spot for serious incidents.

Mona Vale Road

The notorious section of road, known as Mona Vale Road West, was due to be upgraded following completion of works on the section under construction, known as Mona Vale Road East. The continuation had been fully funded, but work was halted and the funds withdrawn in the 2023-24 NSW Budget.

A spokesperson for NSW Roads Minister John Graham denied the road upgrade had been cancelled, but conceded it had been ‘deferred’, throwing the future of the Mona Vale Road upgrade into doubt.

Images: Ingleside Rural Fire Brigade, Margaret G Woods, Channel Nine, Northern Beaches Advocate, Terrey Hills Rural Fire Brigade

Hold up!

There is an updated version of this article with more up to date information.

Crime Stoppers 1800 333 000

NSW Police are seeking public assistance in relation to this matter. If you have any information that may assist them with their inquiries, please contact Crime Stoppers on 1800 333 000.


CareFlight is an aeromedical charity with a mission to save lives, speed recovery and serve the community. They are funded by the generosity of the community and local businesses. If you can support their life-saving work, please donate now.

Help save Lizard Rock


Help save Lizard Rock

Find out more about how to add your voice to protect 50ha of bush at Lizard Rock from a proposed housing development.