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Safety & ComplianceConstruction

OSHA's Focus Four Hazards: Training and Prevention for Construction Sites

Addressing the four leading causes of construction fatalities: falls, struck-by, caught-in/between, and electrocution.

Mike Reynolds

Construction Practice Leader

December 18, 2025
11 min read

The Focus Four: Understanding the Data

OSHA's "Focus Four" hazards account for nearly 60% of all construction fatalities:

HazardPercentage of Deaths

Falls33.5% Struck-By11.1% Electrocution8.5% Caught-In/Between5.5%

Eliminating these four hazards would save over 500 lives annually. Beyond the moral imperative, each fatality results in average costs exceeding $1 million in direct and indirect expenses.

Falls: The Leading Killer

Common Scenarios:

  • Falls from scaffolding
  • Falls through roof openings
  • Falls from ladders
  • Falls from leading edges

Prevention Strategies:

Engineering Controls:

  • Guardrail systems (preferred)
  • Safety net systems
  • Covers for floor/roof openings
  • Scaffolding with proper decking

Administrative Controls:

  • Fall protection plans
  • Controlled access zones
  • Monitoring systems

Personal Protective Equipment:

  • Personal fall arrest systems
  • Positioning device systems
  • Proper harness inspection and fit

Key OSHA Requirements:

  • Fall protection required at 6 feet in construction
  • 100% tie-off when using fall arrest
  • Competent person must inspect systems daily
  • Training required before exposure

Struck-By Hazards

Four Types of Struck-By Hazards:

1. Struck-By Flying Objects

- Tools dropped from heights

- Debris from power tools

- Materials ejected from equipment

2. Struck-By Falling Objects

- Materials falling from scaffolds

- Collapse of stacked materials

- Crane load drops

3. Struck-By Swinging Objects

- Crane loads

- Excavator buckets

- Swinging materials

4. Struck-By Rolling Objects

- Vehicles backing up

- Pipe or material rolling

- Equipment runaway

Prevention Strategies:

Flying Objects:

  • Tool lanyards
  • Toe boards on scaffolds
  • Face shields and safety glasses
  • Barricades around cutting operations

Falling Objects:

  • Secured tools and materials
  • Debris nets
  • Hard hat requirements
  • Canopies over walkways

Swinging/Rolling Objects:

  • Tag lines on crane loads
  • Barricades and spotters
  • Equipment backup alarms
  • Chocking wheels

Electrocution

Common Causes:

  • Contact with overhead power lines
  • Contact with energized equipment
  • Improper use of extension cords
  • Lack of ground-fault protection

Prevention Strategies:

Power Line Safety:

  • Maintain minimum clearance (varies by voltage)
  • Use spotters when operating near lines
  • De-energize lines when possible
  • Install warning barriers

Tool and Equipment Safety:

  • GFCI protection on all circuits
  • Assured equipment grounding program
  • Double-insulated tools
  • Proper cord and plug inspection

Lockout/Tagout:

  • Written procedures for each system
  • Authorized employee training
  • Verification of zero energy state
  • Documentation of all lockouts

Key OSHA Requirements:

  • GFCI or assured grounding program required
  • Minimum approach distances to power lines
  • Qualified persons for electrical work
  • Training on electrical hazards

Caught-In/Between

Common Scenarios:

  • Trench collapse
  • Unguarded machinery
  • Equipment rollovers
  • Compression between objects

Prevention Strategies:

Excavation Safety:

  • Protective systems required at 5 feet
  • Competent person inspections
  • Soil classification
  • Proper sloping, shoring, or shielding

Machine Guarding:

  • Guards on all points of operation
  • Emergency stop switches
  • Lockout/tagout procedures
  • Safe distance from operating equipment

Vehicle Safety:

  • Rollover protective structures (ROPS)
  • Seatbelt use
  • Proper loading and operation
  • Ground conditions assessment

Building a Focus Four Training Program

Initial Training:

  • Hazard recognition for all four categories
  • Company-specific policies and procedures
  • Hands-on equipment familiarization
  • Documentation of completion

Ongoing Reinforcement:

  • Weekly toolbox talks rotating through Focus Four
  • Site-specific hazard reviews
  • Incident and near-miss analysis
  • Annual refresher training

Supervisor Competency:

  • Competent person training for each hazard type
  • Incident investigation skills
  • Authority to stop unsafe work
  • Accountability metrics

The Insurance Impact

Focus Four incidents dramatically affect insurance costs:

Workers' Compensation:

  • Fatalities result in death benefits ($500,000+)
  • Permanent disability claims ($200,000+)
  • Increased X-Mod for years
  • Potential for OSHA-referred cases

General Liability:

  • Third-party injury claims
  • Property damage claims
  • Completed operations exposure
  • Contractual indemnity issues

Umbrella/Excess:

  • Catastrophic claims penetrate limits
  • Difficult renewals after incidents
  • Market access restrictions

Resources for Implementation

OSHA provides free resources:

  • Focus Four training materials
  • Toolbox talk guides
  • Hazard alert bulletins
  • Consultation program (free, non-enforcement)

Core Brokers can help you develop comprehensive safety programs that address the Focus Four and reduce your insurance costs. Contact us for a site safety assessment.

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About the Author

Mike Reynolds

Construction Practice Leader

Contact Mike
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