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Focus Four Campaign 2025

puzzle peices of focus four are electrical, falls, caugh-in / between and struck by

The Focus Four Hazards have accounted for the vast majority of injuries and fatalities in the construction industry. In an effort to prevent future injuries and fatalities, OSHA, our state plans, consultation projects, and construction industry partners have initiated a “Focus Four Hazards” campaign from March through June in the Philadelphia Region’s jurisdiction. The goal of this campaign is to raise awareness in the recognition, evaluation, and control of these hazards through the delivery of toolbox talks, onsite visits, and hands-on educational sessions for employers and employees.

Construction's "Fatal Four"

Out of 5,283 worker fatalities in all industries in calendar year 2023, 1,075 or 20% were in construction―that is, approximately one in five worker deaths last year were in construction. The leading causes of worker deaths on construction sites were falls, followed by caught-in/between combined with struck-bys, and electrocutions. These "Fatal Four" hazards were responsible for more than half (56%) of the construction worker deaths in 2023, according to BLS reports.

  • Falls - 421 out of 1075 total deaths in construction in CY 2023 (39%)
  • Struck by Object & Caught-in/between - at least 111 (~10%)
  • Electrocutions - 66 (~ 6%)

Eliminating these Four Hazards would save a minimum of 598 lives.

We appreciate your assistance and support with this campaign. We encourage you to provide feedback which will assist us in promoting future efforts and evaluating our impact in the construction industry. All voluntary feedback may be sent to OSHA’s designated Focus 4 campaign account at OSHA-Focus4-Region3@dol.gov or mosh.consultation@maryland.gov

We thank you for your part in bringing awareness to these preventable incidents.

Please be advised that the Focus Four campaign spans four months, and schedule campaign is outlined as below:

If you would like more information pertaining to the campaign or an MOSH/OSHA representative to visit your work location, please feel free to contact designated Focus Four email address, OSHA-Focus4-Region3@dol.gov or mosh.consultation@maryland.gov

Other toolbox talks can be found at: