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Construction term · Glossary

Focus Four Hazards

OSHA's name for the four leading causes of death in construction: Falls, Struck-By, Caught-In/Between, and Electrocution. Together they account for the largest share of construction worker deaths — with falls alone the single leading cause — so OSHA concentrates its construction training and enforcement on them. Also called the “Fatal Four.”

Also known as: Fatal Four, Construction Focus Four, Top Four

Focus Four Hazards at a glance

  • The four: Falls, Struck-By, Caught-In/Between, Electrocution.
  • The four leading causes of construction death; falls are the single leading cause (BLS CFOI).
  • The focus of OSHA's construction outreach training and enforcement.
  • Each is highly preventable with well-known controls (fall protection, guarding, LOTO, GFCIs).

In plain English

The four hazards that kill the most construction workers: falls, being struck by something, getting caught/crushed, and electrocution. They are the four that kill the most, which is why OSHA drills on them the hardest.

What the source says, in summary

The four leading causes of construction fatalities are falls, struck-by object, caught-in or -between, and electrocution; together they account for the majority of construction worker deaths.
OSHA — Construction Focus FourSummarized, not quoted: read the source for its operative wording.

In context

A concept governed primarily by OSHA's construction standards, 29 CFR Part 1926 — the rules that apply on jobsites rather than the general-industry 1910 set.

29 CFR 1926

Example

An OSHA outreach trainer teaching a 10-hour construction course spends the required time on each Focus Four hazard — falls (guardrails, PFAS), struck-by (hard hats, spotters), caught-in/between (trench protection, guarding), and electrocution (GFCIs, clearances) — because those four cause most on-site deaths.

Why it matters

The Focus Four are where a construction safety program earns its keep: address falls, struck-by, caught-in/between, and electrocution well, and you've targeted the four causes that kill the most construction workers. It's also where OSHA looks first, so Focus Four gaps drive the most serious citations.

Focus Four vs. Fatal Four

They're the same list — OSHA's four leading causes of construction death. “Fatal Four” is the older/informal name; “Focus Four” is the term used for OSHA's outreach training on those hazards. Falls, struck-by, caught-in/between, and electrocution either way.

The Focus Four construction hazards

HazardTypical exampleKey control
FallsFall from a roof or scaffold edgeGuardrails / PFAS
Struck-byHit by a falling or swinging objectHard hats, spotters, exclusion zones
Caught-in/betweenTrench cave-in; caught in machineryProtective systems, guarding
ElectrocutionPower-line contactDe-energize, GFCIs, clearances

Focus Four Hazards: frequently asked questions

What are OSHA's Focus Four hazards?
Falls, struck-by, caught-in/between, and electrocution — the four leading causes of death in construction. Falls are the single leading cause (BLS Census of Fatal Occupational Injuries).
What's the difference between Focus Four and Fatal Four?
They refer to the same four hazards. “Fatal Four” is the informal name; “Focus Four” is OSHA's term for its outreach training on those leading causes of construction death.
Which Focus Four hazard causes the most deaths?
Falls — falls to a lower level are consistently the single largest share of construction fatalities, which is why fall protection is OSHA's most-cited standard.

Related terms

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Governing OSHA standards

More Construction terms

29 CFR 1910

The part of Title 29 of the Code of Federal Regulations that contains OSHA's General Industry standards — the default rulebook for most American workplaces (manufacturing, warehousing, healthcare, etc.) that aren't covered by the construction, maritime, or agriculture standards. It includes core rules like Hazard Communication (1910.1200) and the permissible exposure limits (1910.1000). Several 1910 standards are cross-referenced into construction via Part 1926.

29 CFR 1926

The part of Title 29 of the Code of Federal Regulations that contains OSHA's Construction standards — the “Safety and Health Regulations for Construction.” It governs construction, alteration, and repair work, with construction-specific rules for fall protection (Subpart M), scaffolds (Subpart L), excavations (Subpart P), electrical (Subpart K), and more. Where a task isn't addressed in 1926, some general-industry (1910) standards apply by reference.

Anchor Point

The secure attachment point a personal fall arrest system (PFAS) ties off to — the “A” in the ABC of fall arrest. Under 29 CFR 1926.502(d)(15), a non-engineered anchorage must support at least 5,000 pounds per attached worker; alternatively, it can be an engineered anchorage designed and supervised by a qualified person with a safety factor of at least two.

Atmospheric Testing

Measuring the air in a confined space (or other hazardous atmosphere) with a calibrated direct-reading instrument before and during entry. OSHA requires testing in a set order — oxygen first, then flammable gases and vapors, then potential toxic contaminants — and defines the acceptable ranges: oxygen 19.5%–23.5%, flammables below 10% of the LEL, toxics below their exposure limits.

Benching

An excavation cave-in protective system that cuts the sides into a series of horizontal steps (benches), usually with vertical or near-vertical faces between levels. It's one of OSHA's accepted protective systems under Subpart P — but it is NOT permitted in Type C (the least stable) soil.

Competent Person (Excavation)

The competent person OSHA's excavation standard (Subpart P) requires on every trenching job — someone trained in soil classification and protective systems, who can identify cave-in and other hazards AND has authority to remove workers and correct problems. They must inspect the excavation daily before work starts, throughout the shift, and after any rain or event that could increase the hazard.

Confined Space

A space that is large enough for a worker to bodily enter, has limited or restricted means of entry or exit, and is not designed for continuous occupancy. If it also contains — or could contain — a serious hazard (a hazardous atmosphere, engulfment material, an entrapping configuration, or any other recognized serious hazard), it becomes a permit-required confined space (PRCS).

Controlling Employer

Under OSHA's Multi-Employer Citation Policy (CPL 02-00-124), the controlling employer is an employer with general supervisory authority over a worksite — including the power to correct safety and health violations itself or to require others to correct them. This is typically the general contractor or construction manager. A controlling employer can be cited for a hazard at the site even if none of its own employees are exposed, because it has a duty to exercise reasonable care to prevent and detect violations by the other employers on site.

Sources & verification

Reviewed by HazComFast against eCFR, OSHA.gov, NIOSH, and the Federal Register. Last reviewed 2026-10-05. This glossary is general information, not legal advice; OSHA State-Plan states (e.g. California, Michigan) may adopt stricter requirements.

Put Focus Four Hazards into practice

Don't just read the definition — apply it. Use the free HazCom Audit Checklist (2026) to put real numbers behind Focus Four Hazards for your jobsite.

Get the Binder in Order Before the Inspector Arrives. Are You Ready?

OSHA does not give advance notice of inspections (29 CFR 1903.6). Get the binder in order before the opening conference, not during it.

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