RT Journal Article SR Electronic T1 Pilot study to evaluate school safety zone built environment interventions JF Injury Prevention JO Inj Prev FD BMJ Publishing Group Ltd SP 243 OP 248 DO 10.1136/injuryprev-2021-044299 VO 28 IS 3 A1 Linda Rothman A1 Rebecca Ling A1 Brent E Hagel A1 Colin Macarthur A1 Alison K Macpherson A1 Ron Buliung A1 Pamela Fuselli A1 Andrew William Howard YR 2022 UL http://injuryprevention.bmj.com/content/28/3/243.abstract AB Background School safety zones were created in 2017 under the City of Toronto’s Vision Zero Road Safety Plan. This pilot study examined the effect of built environment interventions on driver speeds, active school transportation (AST) and dangerous driving.Methods Interventions were implemented at 34 schools and 45 matched controls (2017–2019). Drivers travelling over the speed limit of >30 km/hour and 85th percentile speeds were measured using pneumatic speed tubes at school frontages. Observers examined AST and dangerous driving at school arrival times. Repeated measures beta and multiple regression analyses were used to study the intervention effects.Results Most schools had posted speed limits of 40 km/hour (58%) or ≥50 km/hour (23%). A decrease in drivers travelling over the speed limit was observed at intervention schools post-intervention (from 44% to 40%; OR 0.79, 95% CI 0.66 to 0.96). Seventy-one per cent of drivers travelled >30 km/hour and the 85th percentile speed was 47 km/hour at intervention schools, with no change in either postintervention. There were no changes in speed metrics in the controls. AST increased by 5% (OR 1.22, 95% CI 0.97 to 1.54) at intervention schools. Reductions in dangerous driving were observed at all schools.Conclusions Posted speed limits were >30 km/hour at most schools and high proportions of drivers were travelling above the speed limits. There were reductions in drivers exceeding the speed limit and in dangerous driving, and modest increased AST post intervention. Bolder interventions to slow traffic are required to effectively reduce speeding around schools, which may increase safe AST.Data are available in a public, open access repository.