AXA RoadSafe School Index - assessment form

 
Thank you for helping us make the areas around schools safer. Please only consider the immediate area of the main school gate/entrance (considered to be 200 yards). Although not absolutely necessary, please undertake the assessment during school drop-off and pick-up times of the day. The 'School Crossing Patrol' only applies if you are assessing during these times - it is not mandatory.
1. Name of school
2. Name of road (main gate)
3. City/town
4. Type of school e.g. primary (if known)
5. Date of assessment
6. Time of assessment
7. What is the speed limit of the road outside the main gate?
8. How many of the following crossings are present?
9. Are there speed bumps present?
10. Are there railings present outside or near the main gate?
11. As far as you can tell, is the main gate used for cars as well as children?
12. Does the school have a dedicated car park for parents (not teachers)?
13. Does the school have a dedicated cycle lane?
14. What is the quality of the pavement like? (1 being outstanding; 4 being inadequate)
15. What is the quality of the 'SCHOOL' and zig-zag road markings like? (1 being outstanding; 4 being inadequate)
16. Is there different coloured tarmac (red/green) present? Please identify colour and location
17. Notes: Here, please tell us of any obstacles or other road layout issues within 200 yards of the school entrance which could be deemed as dangerous to a child arriving or leaving the school
Once again, many thanks for helping us make the areas around schools even safer for children.

Kind regards
The AXA RoadSafe Schools campaign team
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