The New England has the highest incidents of farm injury in the state.
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Since July 1, 2015, paramedics have responded to 152 incidents involving cows and 106 involving bulls.
The highest total recorded was in the New England zone – with 53 incidents.
It was followed by the Hunter zone, with 38, Murrumbidgee, 36, and Northern Rivers with 30 incidents.
“Farms can be dangerous places that have a dynamic level of risk and a few safety precautions will help minimise injuries and loss of livelihood and worse, life,” NSW Ambulance Superintendent Steve Flanagan said.
Superintendent Flanagan, who is based in New England region, said farmers should ensure escape routes are clear and accessible when working with livestock to avoid being trapped or crushed.
Tractors, farm machinery and quad bikes are the leading cause of farm injury death, according to Farmsafe Australia.
Paramedics attended 319 incidents involving quad bikes and 115 involving tractors.
The highest recorded for quad bikes was again in the New England zone with 50 incidents.
The Hunter followed with 46, Central and Far West, 44, and the Central West with 38.
Thirty-two deaths have been recorded so far this year with nine for quad bikes and four for tractors.
With almost 700 injuries attended by NSW Ambulance on farms in the past two years, paramedics are urging farmers to take safety precautions when around livestock and vehicles, as part of National Farm Safety Week.
“If you’re not adequately trained to be around the animals ... you shouldn’t be,” Superintendent Flanagan said.