Mass Casualty Incident (MCI) Preparedness and Plan Review Checklist
This comprehensive mass casualty incident (mci) preparedness and plan review checklist ensures regulatory compliance with FEMA NIMS, FICEMS, State EMS Office, The Joint Commission, ASPR. Annual mass casualty incident plan review and tabletop evaluation for EMS agencies and hospitals covering triage protocols, resource surge, mutual aid activation, hospital notification, and incident command per NIMS/ICS, SALT triage methodology, and hospital HICS standards. MCIs overwhelm routine emergency respo
- Industry: Emergency Services
- Frequency: Per Shift / Daily
- Estimated Time: 50 minutes
- Role: Station Captain / Shift Commander / EMS Lead
- Total Items: 18
- Compliance: FEMA NIMS, FICEMS, State EMS Office, The Joint Commission, ASPR
Triage Protocols and Training
Verify triage per SALT methodology and state EMS protocol.
- Have all field personnel been trained in SALT or approved state triage methodology per agency protocol?
- Are MCI triage tags (SMART tags or equivalent) stocked at required quantity per state guidance?
- Has triage protocol drill been conducted within past year with feedback reviewed?
- Is JumpSTART or pediatric triage protocol included for incidents involving children?
- Is black tag (expectant) protocol documented and understood by all responders?
Resource Surge and Mutual Aid
Verify surge capability per NIMS principles.
- Are mutual aid agreements current with neighboring EMS agencies and fire departments?
- Is activation contact for regional EMS coordinator or state EMS office current in agency plan?
- Can additional ambulances be requested via mutual aid within 30-60 minutes for major MCI?
- Are air medical coordination procedures established for high-acuity patient transport from scene?
- Is MCI supply cache (mass casualty bandaging, IV supplies, airway equipment) maintained and inventoried?
Hospital and Trauma Center Coordination
Verify hospital notification per regional trauma system.
- Are current hospital charge nurse and administrator contact numbers in agency MCI plan?
- Is patient tracking system in place preventing sending all critical patients to same facility?
- Is hospital diversion or capacity notification protocol established with all receiving facilities?
- Do hospitals have documented surge capacity plans and have coordinated with EMS on activation triggers?
Incident Command System Implementation
Verify ICS proficiency for MCI.
- Are ICS position assignments designated for MCI (EMS Branch, Treatment, Transportation, Staging) per NIMS?
- Can unified command post be established within first 10 minutes of MCI activation?
- Have all agency officers completed ICS-300 or higher for MCI command competency?
- Has multi-agency MCI tabletop exercise been conducted within past 12 months with after-action improvements tracked?
Related Emergency Services Checklists
- Emergency Communication Interoperability and Radio System Checklist
- Critical Infrastructure Protection and Security Assessment Checklist
- Law Enforcement Use of Force Policy Compliance Review Checklist
- Fire Investigation Scene Safety and Documentation Checklist
Why Use This Mass Casualty Incident (MCI) Preparedness and Plan Review Checklist?
This mass casualty incident (mci) preparedness and plan review checklist helps emergency services teams maintain compliance and operational excellence. Designed for station captain / shift commander / ems lead professionals, this checklist covers 18 critical inspection points across 4 sections. Recommended frequency: per shift / daily.
Ensures compliance with FEMA NIMS, FICEMS, State EMS Office, The Joint Commission, ASPR. Regulatory-aligned for audit readiness and inspection documentation.
Frequently Asked Questions
What does the Mass Casualty Incident (MCI) Preparedness and Plan Review Checklist cover?
This checklist covers 18 inspection items across 4 sections: Triage Protocols and Training, Resource Surge and Mutual Aid, Hospital and Trauma Center Coordination, Incident Command System Implementation. It is designed for emergency services operations and compliance.
How often should this checklist be completed?
This checklist should be completed per shift / daily. Each completion takes approximately 50 minutes.
Who should use this Mass Casualty Incident (MCI) Preparedness and Plan Review Checklist?
This checklist is designed for Station Captain / Shift Commander / EMS Lead professionals in the emergency services industry. It can be used for self-assessments, team audits, and regulatory compliance documentation.
Can I download this checklist as a PDF?
Yes, this checklist is available as a free PDF download. You can also use it digitally in the POPProbe mobile app for real-time data capture, photo documentation, and automatic reporting.