Over the past two decades the Global South is witnessing unprecedented economic transformation and Asian Cities in particular have a remarkable upsurge. Coimbatore, an industrial city in Southern India with an estimated population of 2 million (in 2022) is witnessing a rapid transition in terms of infrastructure development. In this context, the present study attempts to assess the particulate matter (PM10 and PM2.5) emissions at road network construction sites and the heavy metal fractionation in the road dust/sediment samples with a core focus to quantify the bioavailable fraction of metals (Fe, Cu, Cr, Cd, Pb and Ni) and its source apportionment in the road side dust/sediment samples. About 60 composite road dust/sediment samples were collected for heavy metal fractionation analysis in the six arterial roads that undergo core developments like construction of road over bridges, additional road incorporation and street expansions. PM monitoring revealed that 24h average PM2.5 (47µg/m3) and PM10 (69µg/m3) concentrations at many construction sites exceeded 24h average recommended by WHO guidelines [PM2.5 (15µg/m3) and PM10 (45µg/m3), respectively]. The bioavailable fractions of Fe, Cu, Cr and Cd are notably higher in the roadside sediment samples at road construction sites. Health Risk assessment, such as carcinogenic risks (Children-4.41 × 10-2, Adult-3.598 × 10-6) and non-carcinogenic risks, inferred substantial risks at high intensity construction sites with statistical analyses, including PCA and cluster analysis, indicating considerable anthropogenic influences in the heavy metal fractions.