Attached is the second in a series of Focus Four Toolbox Talks (TBTs). April TBTs pertain to struck-by hazards.  In addition, please find the stakeholder campaign letter, sample toolbox trainer tips, sample toolbox sign-in sheet and various OSHA publications for your use.  OSHA, our state plans, consultation projects, and construction industry partners request that you share all campaign materials with your industry stakeholders, partners, and alliance members.  As noted below the Focus Four Hazards account for the vast majority of fatalities and serious injuries in the construction industry.

Help us spread the word and save a life! 

Please note that the Focus Four campaign is a four-month endeavor and additional toolbox talks will be sent out to stakeholders pertaining to fall and caught-in/between hazards.  The schedule for the campaign is below:

March – Electrical Hazards

April – Struck-by Hazards

May – Fall Hazards

June – Caught-in/Between

If you would like more information pertaining to the campaign, please feel free to contact me or our designated Focus Four email address, [email protected].

Other toolbox talks can be found at: (English & Spanish) (varied topics)

Other attachments include

Struck By (changing bales): Fatal Facts (OSHA 3616 – 2012) (English: PDF)

Work Zone Traffic Safety Fact Sheet (2005) (English: PDF)

Work Zone Traffic Safety QuickCard™

(OSHA 3284 – 2007) (English: PDF) & (Spanish: PDF)

Thank you in advance for your support and participation.

Focus Four Campaign
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 Region Three’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 for employers to provide to their workers. These toolbox talks will be available during the campaign for employers to use at their own discretion.


Construction’s “Fatal Four”

Out of 4764* worker fatalities in all industries in calendar year 2020, 1,008 or 21% were in construction―that is, one in five worker deaths last year were in construction. The leading causes of worker deaths on construction sites were falls, followed by struck-by, electrocution, and caught-in/between. These “Fatal Four” hazards were responsible for more than half (57%) of the construction worker deaths in 2020*, according to BLS reports.

·         Falls – 368 out of 1,008 total deaths in construction in CY 2020 (~37%)

·         Struck by Object – 83 (8%)

·         Electrocutions – 53 (5%)

·         Caught-in/between – 70 (~7%) This category includes construction workers killed when caught-in or compressed by equipment or objects, and struck, caught, or crushed in collapsing structure, equipment, or material.

Eliminating these four hazards would save 574 lives each year.

We ask that you assist us in promoting this campaign with your construction contacts and encourage your leadership to participate in these efforts to prevent future injuries and fatalities. To receive these toolbox talks, you can contact our Area Offices, Consultation Projects, or send us an email request at [email protected].

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 [email protected].  We thank you for your part in bringing awareness to these preventable incidents.

Download links for Focus Four Toolbox Talks: