Two people were taken to hospital for treatment after a collision between a tram and a fire truck in Sydney's CBD, NSW Ambulance says.
The collision happened on Eddy Avenue at Pitt Street about 10.40am.
A 71-year-old woman who was on board the tram sustained injuries to her ribs and chest and was transported to St Vincent's Hospital in a stable condition, a spokesperson for NSW Ambulance said.
One of the Fire and Rescue officers was taken to the Royal Prince Alfred Hospital for minor injuries.
Three others were treated at the scene, including a 62-year-old woman also travelling on the tram and a firefighter suffering from shock.
NSW Ambulance Inspector Ben Saywell said it was lucky no one was seriously injured.
"NSW Ambulance paramedics were initially called to treat five patients," he said.
"Three people were assessed by paramedics and didn't require any further treatment, while two people were taken to hospital.
"This occurred in a really busy part of the CBD with a lot of pedestrians, so we're thankful that no one was seriously injured."
The fire truck was travelling to a priority job with lights and sirens on at the time of the accident, chief inspector with Sydney police area command Gary Coffey said.
"I understand that NSW Fire and Rescue were responding to an automated alarm in Dixon Street," he said.
"Obviously it's a traumatic experience not only for the members of Fire and Rescue but also the passengers on board the light rail vehicle."
The light rail tram sustained major damage to its first carriage and was partly derailed.
Mr Coffey said it would take about six hours to remove and by 6.30pm the tram had been cleared from the tracks and taken to Randwick depot in Sydney's east.
He also said it was "quite rare" to have these types of incidents and he had never seen an emergency vehicle collide with a tram.
CCTV from the area means police have a "clear understanding" of the circumstances leading up to the crash, he said.
All roads reopened just before 7.00pm after Pitt Street was closed in both directions at Eddy Avenue, and access to Eddy Avenue from Elizabeth Street was blocked.
Buses were also back to normal after being diverted away from the intersection of Pitt Street and Eddy Avenue.
Light rail services between Central and Circular Quay on the L2 Randwick Line and L3 Kingsford Line have also resumed.
