Report a Pedestrian Safety Hazard

This is where you can notify us of any road safety issues or hazards that you believe are a particular danger to pedestrians. Click on the first box to begin your report. Please provide accurate and detailed information as this will allow us to investigate the report quickly and work towards improving safety for all road users.

* indicates a required field

Your Details :
*First name
*Surname
*Phone Number
*E-mail Address
*Postal Address

Problem Location: Please be specific
*Nearest house/shop/rural address number
*Street name
*Town/Suburb/Locality
Nearest cross street or other identifying landmark
Distance from nearest cross street or other identifying landmark
GPS
Direction of travel:

*Council Area:


1. Pathway Surface and condition: Please tick the relevant issue or tick more than one if appropriate	Rough or uneven surface – bumps and depressions Gravel or other loose material Repaired patches Water seepage or ponding Steep ramp Damaged kerb ramp No kerb ramp Holes on nature strip (where there is no formed pathway) Uneven cobble stones or pavers Cracks in concrete pathway Raised pavement. Unsealed patches Other
2. Objects on or near the pathway: Please tick the relevant issue or tick more than one if appropriate	Overhanging tree branches Tree roots Trees obstructing walk way in nature strip where no formal path exists Obstructions from water/fire/phone/gas services or equipment Damaged fire/water/gas/phone services equipment Damaged concrete from tree roots Loose decking on timber bridge Warning barriers unsafe or obstructing Landscaping Handrail Ramp Steps Sandwich boards Bollards Garbage bins Bench Seating Tables and Chairs in pathways of travel Grates on drainage pit Shop goods Kerb Blisters Pedestrian Refuge Other
3. Signs on or near Pathway: Please tick the relevant issue or tick more than one if appropriate	Street/directional sign missing/damaged Overhanging sign Lack of appropriate warning sign Roadside vegetation obscuring signs or sight distance Other
4. Behaviour of others on the Pathway: Please tick the relevant issue or tick more than one if appropriate	Skateboarders Pushbike riders Outdoor dining patrons Queuing for buses Motorised wheelchairs Other

*Briefly describe the problem
*Time of Problem
*Weather
*How has this hazard impacted on you?
Attach photo or image here
*Are you Human?