Introduction: Many obstacles are encountered daily by individuals with physical disabilities. To minimize the impact of these obstacles, the design and state of pedestrian infrastructure are important issues. Training and the use of documentation are essential in the application of accessible design practices, but we know little about their use. Objective: Identify the practices and the knowledge base of Quebec’s municipalities regarding offered training and the use of documentation for the design of accessible pedestrian infrastructure. Methodology: A cross-sectional study was performed. A WEB survey on practices and knowledge regarding access to pedestrian infrastructure for Quebec’s municipalities was developed. Results: Of the 507 municipalities that were contacted, 184 completed the survey (36.3 %). Few participants mentioned that their municipality offered training activities regarding accessibility (n=25/149, 16.8 %). Some of them knew tools for the design of accessible pedestrian infrastructure (n=81/175, 46.3 %), but fewer municipalities with fewer than 15 000 inhabitants (n=43/129, 33.3 %) (versus 15 000 inhabitants or more), and much less use them. Conclusion: This study shows that few resources are used by municipalities’ representatives to ensure the design and to identify target interventions that are possible to improve the practices and knowledge regarding accessible pedestrian infrastructure for individuals with physical disabilities.