Recently, one of the major environmental issues is the pollution of soil with Antimony (Sb), which is ecologically detrimental and potentially carcinogenic to humans. In developing countries such as Iran, Sb concentrations in soils have not yet been accurately determined. Therefore, the purpose of this study was to examine the levels of Sb and the other HMs (Pb, Cd, As, Ni, Hg and Cr) in the surface soils of Bojnourd, Iran, as well as their distribution and potential risks to the environment and human health. A total of 37 soil samples (0–20 cm) were taken from different sampling stations: 900 × 900 m regular grid for traffic areas (TA), residential areas (RA) and suburb areas (SA). The contamination factor (CF) and geo-accumulation index (Igeo) are two indices that were used to reflect the potential ecological risk from HMs. Geographic information system (GIS), Spearman correlation matrix and health risk indexes were utilized to investigate the source and potential hazard of HMs. The results showed that the average concentration of HMs in TA was highly enriched compared to other areas. Most soil samples were identified to have low levels of Sb and Ni pollution, while having moderate to high levels of Pb, Cr, As, Hg and Cd pollution, as determined by the pollution indices (Igeo and CF). Geostatistical analysis and GIS mapping of the spatial distribution of HM concentrations showed that there have been similar patterns of spatial distribution for Cd, Cr, Ni and Sb and their hot spots were in the southeast, west and center of the city. Neither the hazard quotient (HQ) nor the hazard index (HI) of the examined HMs indicated any non-carcinogenic risk to adults or children. However, carcinogenic risk assessment revealed that cancer risk was raised from Cr and Cd contents for children, while these elements showed an acceptable risk for adults. Furthermore, children’s carcinogenic and non-carcinogenic values were greater than adults’, indicating more potential health hazards associated with these HMs. Therefore, assessing the risk posed by HM pollution in urban surface soil is vital and urgent for children. A more detailed investigation is also required to identify the spatial distribution of soil pollution in areas recognized as enriched in Sb. A proper assessment of the environmental risk and the corresponding risk to humans from HM in a study area can be critical to developing an appropriate remediation method.