In sudden-onset industrial disaster, responding effectively to a mass casualty incident (MCI) requires more than clinical readiness; it demands the integration of multiple regulatory frameworks and standards. In the context of an industrial disaster, the International Organization for Standardization 45001 will provide parameters for the creation of the response plan. In addition, the utilization of the Major Incident Medical Management and Support operational framework will expand the complex industrial interagency response. These should be components of the local MCI response plan, which has proven successful worldwide to enhance the capacity and capabilities in responding to complex emergencies.
From a policy analysis perspective, the complexity and far-reaching consequences of industrial sudden onset disasters underscore the importance of implementing coordination mechanisms that bring together management systems and operational benchmarks. To build essential competencies among first responders, first receivers, and industrial workers, modular simulation exercises focusing on specific risk management and MCI response components are essential.