According to child safety group Safekids 40 children were admitted to Starship hospital from the greater Auckland area after being run over in a driveway from 2006 to 2010.
An average of four children a year were killed on driveways between 2000 and 2010, rising to five in 2011 and 2012.
The bulk of the deaths occurred in Auckland, with 41 per cent of fatalities.
Safekids has three key messages: always check where children are, supervise them playing and, if possible, separate the playing area from the driveway.
The group has compiled a description of a typical child killed or injured in a driveway accident based on New Zealand's appalling record in this area, with one of the highest rates of child driveway deaths in the OECD.
They say the child is usually close to 2 years old, a Maori or Pacific Islander, and from a household with a number of people.
In almost half of the cases one of the child's parents was the driver of the car that struck them.