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OSHA Focus Four Hazards
The OSHA Focus Four Hazards course provides comprehensive training on the four leading causes of workplace injuries: falls, electrocutions, struck-by incidents, and caught-in/between hazards. It equips workers and supervisors with the knowledge to identify these risks, follow OSHA safety standards.

What is the OSHA Focus Four Hazards?
The OSHA Focus Four Hazards course from the American Institute of Safety Professionals covers all four categories of hazards that cause the vast majority of construction fatalities in a single comprehensive programme: falls from elevation, struck-by incidents, caught-in/between events, and electrocution. Together, these four hazard categories account for approximately 60 percent of all construction worker deaths every year. OSHA developed the Focus Four framework specifically because eliminating these four hazard categories would save more construction lives than any other intervention. This combined course provides construction workers, supervisors, safety officers, and project managers with the hazard recognition, OSHA standard knowledge, and prevention competency for all four categories in one integrated programme.
The combined Focus Four course is the most efficient way to build construction hazard awareness across the entire fatal-four spectrum. While the American Institute of Safety Professionals also offers individual deep-dive courses for each hazard category (separate Fall Hazards, Struck-By, Caught-In/Between, and Electrocution courses), this combined programme covers all four in balanced depth, making it ideal for site orientations, general construction safety training, annual refresher training, and any situation where broad Focus Four awareness is more appropriate than single-hazard specialisation.
The curriculum is structured in four modules: Module 1 covers fall hazards (OSHA 29 CFR 1926 Subpart M fall protection: 6-foot trigger, guardrails, safety nets, PFAS, harness inspection, anchorage, rescue planning). Module 2 covers struck-by hazards (the four subcategories: falling objects, flying objects, swinging loads, rolling vehicles/equipment, with overhead protection, crane awareness, and traffic management). Module 3 covers caught-in/between hazards (excavation cave-in per Subpart P, soil classification, trench protective systems, machinery entanglement, vehicle compression, demolition collapse). Module 4 covers electrocution hazards (overhead power lines per Subpart K, underground utilities, GFCI requirements, temporary wiring, damaged tools, and emergency response). Each module includes OSHA regulatory requirements, hazard recognition techniques, prevention controls, and real-world fatality case studies.
All training is delivered 100 percent online through Microsoft Teams and the American Institute of Safety Professionals Learning Management System (LMS). Upon successful completion, graduates receive an American Institute of Safety Professionals certificate, professional wallet card, and official transcript, all employer-verifiable at amiosp.com/student-verifications.
Who should take this course?
- Construction workers at any experience level who need comprehensive Focus Four hazard awareness
- Supervisors and foremen responsible for managing all four hazard categories on their work crews
- Safety officers conducting site-wide Focus Four training for project orientations or annual refreshers
- Project managers and superintendents who need to understand the hazards their workers face across all four categories
- GC and subcontractor employees receiving site orientation training on multi-employer projects
- Any construction professional who has not completed individual Focus Four courses and wants all four in one programme
What will you study?
Core Modules
- 01Introduction to OSHA Focus Four Hazards and Their Impact on Construction Safety
- 02Fall Hazards
- 03Struck-By Hazards
- 04Caught-in/Between Hazards
- 05Electrocution Hazards
- 06Hazard Assessment, Risk Control Strategies, and Safe Work Practices
- 07Emergency Response Plans and Incident Management
- 08Promoting a Culture of Safety, Compliance, and Supervisory Oversight
Optional / Specialized Modules
- 01Advanced Risk Assessment for Fall, Struck-By, Caught-in/Between, and Electrocution Hazards
- 02Case Studies in Effective Hazard Prevention on Construction Sites
- 03Behavioral Safety and Leadership Strategies for Hazard Compliance
- 04Integrating OSHA Focus Four Practices into Safety Management Systems
How will you be assessed?
Candidates can take this exam through an assigned portal from the American Institute of Safety Professionals. A passing score is 70% or higher, and exam results are provided right after by email to the address provided. The exam is open-book, allowing candidates to validate their answers. Any candidates who do not pass have 1 month after their exam to go through the training materials and can take the exam 3 additional times.




