Operational technology (OT) incident response fails when organizations apply IT assumptions to environments governed by safety, uptime, and physical process constraints. As OT systems become more connected to enterprise IT, cloud services, and third parties, incidents expose gaps in ownership, visibility, and decision‑making. Many CISOs inherit incident response plans that exist on paper but break down in practice due to fragmented governance, limited asset context, and unclear escalation paths. This report shows security leaders how to design and operationalize coordinated, executable OT incident response and strengthen operational resilience when incidents occur.