A coroner has recommended improving level crossing infrastructure and emergency services procedures in light of the 2007 Kerang train disaster.
Eleven people died and 23 were injured when a truck crashed into a V/Line passenger train on June 5, 2007, just north of the northern Victorian town.
The driver of the truck, Christiaan Scholl, was acquitted of all criminal charges by a Supreme Court jury in 2009.
The inquest into the deaths began in 2011 and heard from witnesses including the train driver, conductors, police, witnesses, paramedics, doctors and crash survivors.
Coroner Jane Hendtlass outlined 25 recommendations in her findings on Monday, including calls on transport authorities to improve infrastructure at the state's level crossings, including better warning systems for approaching motorists and prioritising crossing upgrades.
Dr Hendtlass urged authorities to consider the best technology and innovative methods of improving safety at train crossings across the state.
She also called on police, emergency services and support services to ensure they can work together more effectively should similar incidents happen again.
Dr Hendtlass also recommended V/Line trains be fitted with first aid equipment and the tools to remove seats quickly in the chance of future crashes involving trains in regional Victoria.
The 11 deaths from the Kerang crash were included in a wider inquest that investigated the deaths of 26 people at level crossings.