Scour, the loss of material around bridge foundations due to hydraulic action, is the main cause of bridge failures in the United Kingdom and in many other parts of the world. Various techniques have been used to monitor bridge scour, ranging from scuba divers using crude depth measuring instrumentation to high-tech sonar and radar-based systems. In contrast to most other techniques, vibration-based scour monitoring uses accelerometers to provide real-time monitoring whilst also being robust and relatively simple to install. This is an indirect technique that aims to measure changes in the dynamic response of the structure due to the effects of scour, rather than attempting to measure scour directly. To date, research on vibration-based scour monitoring has been limited to laboratory-based experiments and numerical simulations, both of which have indicated that the natural frequencies of bridges should indeed be sensitive to scour. Due to pre-existing scouring, and planned repair work, Baildon Bridge in Shipley, Yorkshire provided a rare opportunity to validate vibration-based scour monitoring in both a scoured and a repaired state. A sensor system was deployed with 10 Epson low-noise, high-sensitivity accelerometers to measure the ambient vibration of the bridge before, during, and after the repair. This paper describes the installation of the accelerometer-based system, the numerical modelling of the bridge and the model updating carried out with the initial findings. Initial operational modal analysis has found two consistent vibration modes of the bridge that were scour sensitive according to the updated numerical model. But the variability of the measured frequencies, compared to the expected scour induced change in frequency, indicates a potential challenge for monitoring scour of small span bridges with vibration-based methods.