A man, 37, from Sydney is in Orange hospital after being involved in a multiple vehicle accident on the Mitchell highway north of Molong.
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Canobolas Local Command police said three cars were waiting at a roadworks stop sign on the highway when the the last in the queue was struck from behind by a semi-trailer at 12.40pm on Wednesday.
The driver of a Ford Ranger utility, which has hit by the truck, was rushed to Orange Hospital in a critical condition.
A hospital spokesman said that on Thursday the man was in a stable condition.
Police said the truck driver, a 57-year-old man, was not injured in the crash.
Officers from the Crash Investigation Unit were expected to interview him as investigations surrounding the crash were continuing.
Police said the occupants of the other two cars involved in the collision, a Toyota Hiace and Mitsubishi Lancer, were not injured.
The crash occurred at Larras Lee, about 15km north of Molong.