A driver has been charged after a man was fatally struck by a car in Sydney’s southwest.

The 81-year-old pedestrian was walking along the footpath on Hughes St in Cabramatta about 4pm on Friday when he was hit by a MG ZS which had left the road.

WATCH THE VIDEO ABOVE: Pedestrian killed in Cabramatta traffic accident

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Paramedics treated the man at the scene but he could not be saved.

The driver, a 51-year-old man, was not injured and taken to hospital for mandatory testing.

The pedestrian died at the scene. Credit: 7NEWS

A street sign felled during the incident. Credit: 7NEWS

After being released the man was charged with negligent driving occasioning death.

He was granted conditional bail to appear in Liverpool Local Court in June.