Federal Specification for the Star-of-Life Ambulance

**KKK-A-1822F**

**GENERAL SERVICES ADMINISTRATION**

**Federal Supply Service**

**July 1, 2007 - GSA Automotive**

U.S. General Services Administration

This document supersedes KKK-A-1822E, dated June 1, 2002

**This specification may be downloaded at no cost from the Internet at:
WWW.GSA.GOV/AUTOMOTIVE**

**Comments, information, and questions should be sent to:**

**Director, Vehicle Engineering and Commodity Management Division,
(FFAE)**

**Office of Vehicle Acquisition and Leasing Services**

**General Services Administration**

**Washington, DC 20406**

**Telephone: 703.605.2277**

**Table of Contents**

**1. SCOPE AND CLASSIFICATION\...\...X**

**2. APPLICABLE DOCUMENTS\...\...\...\...\...\...\...\...\...\....X**

**3.
REQUIREMENTS\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....X**

**4. QUALITY ASSURANCE PROVISIONS\...\...\...\.....X**

**5. PREPARATION FOR DELIVERY\...\...\...\...\...\...\...\...X**

**6.
NOTES\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....X**

**Figure 1:**

Certification/Payload
Signage\...\...\...\...\...\...\...\...\...\...\....XX

**Figure 2:**

Star of Life Symbol\...\...\...\...\...\...\...\...\...XX

**Figure 3:**

12 Volt Electrical System\...\...\...\...\...XX

**Figure 4:**

125 Volt AC Electrical
System\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...XX

**Figure 5:**

Portable Electrical Battery Charging
Circuit\...\...\...\...\...\...\...\...\...\...\....XX

**ALPHABETICAL
INDEX\...\...\...\...\...\...\...\...\...\...\...\...\.....XX**

**1. Scope, Purpose, and Classification**

**1.1 SCOPE.**

This specification identifies the minimum requirements for new
automotive Emergency Medical Services (EMS) ambulances (except military
field ambulances) built on OEM chassis that are prepared by the OEM for
use as an ambulance.

The ambulances are front or rear wheel driven (4x2) and minimally
warranted as specified in Section 6.

Refurbishing and remounted vehicles are not covered by this standard.
This standard applies to new vehicles only.

By definition an ambulance is a vehicle used for emergency medical care
and patient transport. This specification is for the construction of
ambulances, not for vehicles intended for use as fire apparatus.
National and international standards exist for automotive fire
apparatus. These standards can be obtained from organizations such as
the National Fire Protection Association (NFPA).

Section 3 of this specification contains:

-   Optional configurations

-   A worksheet to assist the purchaser in developing their procurement
    requirements

**1.1.1 DEFINITION OF AMBULANCE.**

The ambulance is defined as a vehicle used for emergency medical care
that provides:

-   A driver's compartment

-   A patient compartment to accommodate an emergency medical services
    provider and one patient located on the primary cot so positioned
    that the primary patient can be given intensive life-support during
    transit

-   Equipment and supplies for emergency care at the scene as well as
    during transport

-   Safety, comfort, and avoidance of aggravation of the patient's
    injury or illness

-   Two-way radio communication

-   Audible and Visual Traffic warning devices

**1.1.2 PURPOSE.**

The purpose of this document is to describe ambulances that are
authorized to display the "Star of Life" symbol. It establishes minimum
specifications, test parameters, and essential criteria for ambulance
design, performance, equipment, appearance, and to provide a practical
degree of standardization. The object is to provide ambulances that are
nationally recognized, properly constructed, easily maintained, and,
when professionally staffed and provisioned, will function reliably in
pre-hospital or other mobile emergency medical service.

**1.1.3 "STAR OF LIFE" CERTIFICATION.**

The ambulance manufacturer/contractor shall furnish to a purchaser an
authenticated certification and label stating that the ambulance and
equipment comply with this specification and applicable change notices
in effect on the date the ambulance is manufactured. Ambulance
manufacturers making this certification are permitted to use the "Star
of Life" symbol to identify an ambulance as compliant with the Federal
specifications for ambulances. Use of the symbol must be in accordance
with the purpose and use criteria set forth in published guidelines
(Document Number DOT HS 808 721, Rev. June 1995) by the National Highway
Traffic Safety Administration, an operating administration of the U.S.
Department of Transportation.

**1.2 CLASSIFICATION.**

**1.2.1 AMBULANCE TYPES.**

The authorized "Star of Life" ambulances shall be of the types listed in
3.1

**2 Applicable Documents**

**2.1** The following Standards and Regulations form a part of this
specification, to the extent specified or required by law. Unless a
specific issue of a Standard or Regulation is identified, the issue in
effect, on the date the ambulance is contracted for, shall apply.

**FEDERAL SPECIFICATIONS:**

RR-C-901/3 - Cylinders, Compressed Gas: With Valve or Plug and Cap;
ICC3aa.

**FEDERAL STANDARDS:**

Federal Standard No. 297 - Rust proofing of Automotive Vehicles

**MILITARY STANDARDS:**

MIL-STD-461 Interface Standard - Requirements for the Control of

Electromagnetic Interference Characteristics of Subsystems and
Equipment.

MIL-STD-1223 Non-tactical Wheeled Vehicles, Painting, Identification
Marking, and Data Plate Standards.

**LAWS AND REGULATIONS:**

29 CFR 1910.1030: Blood borne Pathogens

21 CFR 820: Quality System Regulation

40 CFR 86: Control of Air Pollution from New Motor Vehicles and New
Motor Vehicle Engines.

47 CFR, PART 90: Public Safety Radio Services (FCC)

49 CFR 393: Federal Motor Carrier Safety Regulations (FMCSR)

49 CFR 571: Federal Motor Vehicle Safety Standards (FMVSS)

**2.2 OTHER PUBLICATIONS.**

The following documents form a part of this specification to the extent
specified. Unless a specific issue is identified, the issue in effect,
on the date the ambulance is contracted for, shall apply.

**THE TIRE AND RIM ASSOCIATION, INC., YEARBOOK:**

**NATIONAL FIRE PROTECTION ASSOCIATION**

70 -- National Electric Code

1901 -- Standard for Automotive Fire Apparatus

**SOCIETY OF AUTOMOTIVE ENGINEERS (SAE), INC., STANDARDS, AND
RECOMMENDED PRACTICES:**

J163 - Low Tension Wiring and Cable Terminals and Splice Clips.

J537 - Storage Batteries.

J541 - Voltage Drop for Starting Motor Circuits.

J553 - Circuit Breakers.

J561 - Electrical Terminals, Eyelet, and Spade Type.

J575 - Tests for Motor Vehicle Lighting Devices & Components.

J576 - Plastic Materials, For Use In Optical Parts Such As Lenses and
Reflectors of

Motor Vehicle Lighting Devices.

J578 - Color Specification for Electric Signal Lighting Devices.

J595 - Flashing Warning Lamps for Authorized Emergency, Maintenance, and
Service Vehicles.

J638 - Test Procedure and Ratings for Hot Water Heaters for Motor
Vehicles.

J639 - Safety Practices for Mechanical Vapor Compression Refrigeration
Equipment or Systems Used To Cool Passenger Compartment of Motor
Vehicles.

J689 - Approach, Departure, and Ramp Break over Angles.

J682 - Rear Wheel Splash and Stone Throw Protection.

J683 - Tire Chain Clearance.

J858 - Electrical Terminals, Blade Type.

J928 - Electrical Terminals, Pin, and Receptacle Type.

J994 - Backup Alarms, Performance Test and Application.

J1054 -Warning Lamp, Alternating Flashers.

J1127 -Battery Cable.

J1128 -Low Tension Primary Cable.

J1292 -Automobile, Truck, Truck-Tractor, Trailer, and Motor Coach
Wiring.

J1349 -Engine Power Test Code, Spark Ignition and Diesel.

J1318 -Strobe Warning Lights.

J2498 - Minimum Performance of the Warning Light System Used on
Emergency Vehicles

**NATIONAL TRUCK EQUIPMENT ASSOCIATION / AMD:**

AMD Standard 001 - Static Load For Ambulance Body Structure Test.

AMD Standard 002 - Body Door Retention Components Test.

AMD Standard 003 - Oxygen Tank Retention System Test (Main and Portable
Bottles).

AMD Standard 004 - Litter Retention System Test.

AMD Standard 005 - Ambulance 12-Volt DC Electrical Systems Test.

AMD Standard 006 - Sound Level Test Code.

AMD Standard 007 - Carbon Monoxide Levels For Patient Compartment
Interiors.

AMD Standard 008 - Ambulance Patient Compartment Grab Rail (Load Test).

AMD Standard 009 - Alternating Current (AC) Electrical Systems.

AMD Standard 010 - Water Spray Test For Ambulances

AMD Standard 011 - Ambulance Equipment Temperature Test

AMD Standard 012 -- Ambient Temperature Tests (Heating and Air
Conditioning)

AMD Standard 013 - Weight Distribution Test

AMD Standard 014 - Cooling System Test

AMD Standard 015 - Ambulance Main Oxygen System Test

AMD Standard 016 -- Interior Lighting Test

AMD Standard 017 -- Road Test

AMD Standard 018 -- Rear Step and Bumper

AMD Standard 019 -- Measuring Guidelines Cabinets and Compartments

AMD Standard 020 -- Floor Distributed Load Test

AMD Standard 021 -- Aspirator System, Primary Patient

AMD Standard 022 -- Cold Engine Start Test

AMD Standard 023 -- Siren Performance

AMD Standard 024 -- Scene Light Performance

AMD Standard 025 -- Occupant Net System Test

AMD Standard 026 - Occupant Clearance Zone

## 

**AMERICAN COLLEGE OF EMERGENCY PHYSICIANS (ACEP):**

Guidelines for Ambulance Equipment

**AMERICAN SOCIETY FOR TESTING AND MATERIALS (ASTM)**

**STANDARDS:**

F 920 Standard Specification for Minimum Performance and Safety
Requirements for Resuscitators Intended for Use with Humans.

F 960 Standard Specification for Medical and Surgical Suction and
Drainage Systems

D 4956 Standard Specification for Retroreflective Sheeting for Traffic
Control

D6210 Standard Specification for Fully-Formulated Glycol Base Engine
Coolant for Heavy-Duty Engines

B117-03 Standard Practice for Operating Salt Spray (Fog) Apparatus

IPC-610D Acceptability of Electronic Assemblies

**NATIONAL EMSC (Emergency Medical Services for Children) RESOURCE
ALLIANCE:**

--COMMITTEE ON AMBULANCE EQUIPMENT AND SUPPLIES,

Guidelines for pediatric equipment and supplies for Basic and Advanced
life support ambulances

**AUTOMOTIVE MANUFACTURERS EQUIPMENT COMPLIANCE AGENCY**

**(AMECA):**

Approval of Motor Vehicle Safety Equipment (emergency lights and sirens)

For assistance in obtaining the referenced documents, contact the
Department of Commerce, National Technical Information Service (NTIS)

**2.3 ORDER OF PRECEDENCE.**

In the event of a conflict between the text of this specification and
the references cited, the text of this specification shall take
precedence.

**3 Requirements**

**3.1 GENERAL VEHICULAR DESIGN, TYPES, AND FLOOR PLAN.**

**3.1.1 DESIGN.**

The ambulance and the allied equipment furnished under this
specification shall be the manufacturer's current model year commercial
vehicle of the Type and Configuration specified. The ambulance shall be
complete with the operating accessories, as specified. The design of the
vehicle and the specified equipment shall permit accessibility for
servicing, replacement, and adjustment of component parts and
accessories with minimum disturbance to other components and systems.
The term "heavy-duty", as used to describe an item, shall mean in excess
of the standard quantity, quality, or capacity and represents the best,
most durable, strongest, etc., part, component, system, etc., that is
commercially available on the OEM chassis.

**3.1.2 TYPE I AMBULANCE (10,001 to 14,000 GVWR)**

Type I vehicle shall be a conventional chassis furnished with a 2-door
enclosed cab.

**3.1.2.1 TYPE I - AD (Additional Duty) AMBULANCE (14,001 GVWR or
More)**

Type I-AD (other user specified configurations such as for critical
patient or neonatal transport) shall be a Cab-Chassis with integrated
modular ambulance body, increased GVWR, storage, and payload.

**3.1.3 TYPE II AMBULANCE (9201 -- 10,000 GVWR)**

Type II ambulance shall be a long wheelbase Van, with Integral Cab-Body

**3.1.4 TYPE III AMBULANCE (10,001 to 14,000 GVWR)**

Type III shall be a Cutaway Van with integrated modular ambulance body.

**3.1.4.1 TYPE III- AD (Additional Duty) AMBULANCE (14,001 GVWR or
More)**

Type III-AD (includes other user specified configurations such as for
critical patient or neonatal transport) shall be a Cutaway Van with
integrated modular body, and increased GVWR, storage, and payload.

**3.1.5 CONFIGURATION OF PATIENT COMPARTMENT.**

Primary cot shall be loaded to position the patient's head forward in
the ambulance. The Primary cot shall be mounted to provide maximum
access from attendant seating.

**3.2 VEHICLE, AMBULANCE COMPONENTS, EQUIPMENT, AND ACCESSORIES.**

The emergency medical care vehicles; including chassis, ambulance body,
equipment, devices, medical accessories, and electronic equipment shall
be standard commercial products, tested and certified to meet or exceed
the requirements of this specification. The ambulance shall comply with
all Federal Motor Vehicle Safety Standards (FMVSS) and other Federal and
state regulations applicable or specified for the year of manufacture.
The chassis, components, and optional items shall be as represented in
the chassis manufacturer's current technical data. The ambulance body,
equipment, and accessories shall be as represented in their respective
manufacturer's current technical data. Data shall be limited to
specifications and technical materials identical to that furnished to
the authorized company representatives and shall be furnished to the
engineering/technical offices of the procuring activity and the
contractor's offices prior to acceptance of the ambulance. The
contractor shall provide total standardization and interchangeability
between similar vehicles, equipment, items, and accessories specified
for all ambulance units under each contract.

**3.2.1 MEDICAL DEVICES**

All medical devices furnished must be marketed in compliance with FDA
regulatory requirements.

**3.3 RECOVERED MATERIALS.**

All equipment, material, and articles required under this specification
are to be new or fabricated from new materials produced from recovered
materials. The term "recovered materials" means materials that have been
collected or recovered from solid waste and reprocessed to become a
source of raw materials, as opposed to virgin raw materials. None of the
above shall be interpreted to mean that the use of used or rebuilt
products is allowed.

**3.4 VEHICLE OPERATION, PERFORMANCE, AND PHYSICAL CHARACTERISTICS.**

**3.4.1 OPERATION AND PERFORMANCE.**

All requirements in section 3.4 shall me met with the ambulance loaded
per AMD Standard 017.. The vehicle shall be capable of operating safely
and efficiently under environmental conditions outlined.

**3.4.2 TEMPERATURE CONDITIONS.**

The ambulance and equipment shall be operable in ambient temperature
ranging from 0^o^F to 110^o^F.

**3.4.3 NOISE AND SOUND LEVEL LIMITS, EXTERIOR.**

Unless more stringent sound levels are regulated by the states and
municipalities where the ambulance will be based, the exterior noise
level produced by the vehicle, except siren, shall not exceed Federal
regulations.

**3.4.4 VEHICLE PERFORMANCE.**

The ambulance shall provide a smooth, stable ride. When available from
the chassis manufacturer automatic vehicle stability control shall be
furnished. The ambulance to be certified shall be tested under
conditions in and meet the requirements of AMD Standard 017.

**3.4.5 BRAKES.**

The ambulance braking system as delivered to the user shall comply with
performance values required by Federal Motor Vehicle Safety Standards
(FMVSS), and shall include ABS and meet the requirements of AMD standard
017

**3.4.6 SPEED.**

The vehicles shall be capable of a sustained speed of not less than 65
mph over dry, hard surfaced, level roads, at sea level, and passing
speeds of 70 mph when tested under normal ambient conditions and meet
the requirements of AMD Standard 017.

**3.4.7 ACCELERATION.**

Vehicle shall have a minimum average acceleration, at sea level, of 0-55
mph within 25 seconds. Test shall be performed under normal ambient
conditions and meet the requirements of AMD Standard 017.

**3.4.8 GRADEABILITY.**

At full GVWR, the vehicle shall be capable of meeting the performance
requirements of AMD 017. The determination shall be made by actual test
or chassis manufacturer's certified computer prediction.

**3.4.8.1 GRADE ABILITY AT SPEED.**

Minimum grade ability at speed shall be 55 mph on a 3% (1.72 degrees)
grade and meet the requirements of AMD Standard 017.

**3.4.8.2 MINIMUM LOW SPEED GRADEABILITY.**

The minimum low speed grade ability of 5 mph on a 35% (19.3 degrees)
grade is required for 4x2 vehicles and 45% (24.2 degrees) grade for 4x4
vehicles and meet the requirements of AMD Standard 017.

.

**3.4.9 FUEL RANGE**

The ambulance shall be capable of being driven for at least 250 miles
without refueling and meet the requirements of AMD Standard 017.

**3.4.10 FORDING**

The vehicle shall be capable of three fordings, without water entering
patient and equipment compartments while being driven through a minimum
of 8 in. of water, at speeds of 5 mph, for a distance of at least 100
feet and meet the requirements of AMD Standard 017.

**3.4.11 VEHICLE PHYSICAL DIMENSIONAL REQUIREMENTS**

**3.4.11.1 LENGTH.**

Overall length of the ambulance (OAL) shall be specified by the
purchaser, including bumpers, rear step and bumper guards.

**3.4.11.2 WIDTH.**

The overall (OA) width of ambulance bodies having dual rear wheels shall
be a maximum of 96 in., excluding mirrors, lights, and other safety
appurtenances.

The ambulance body sides, on a chassis with dual rear wheels, shall be
symmetrical and within +/- 2.5 in. of the overall width of the tires
(outside sidewalls). The 2.5 inch allowance is not cumulative; it
applies individually to each side. Tires shall not extend beyond the
fenders.

**3.4.11.3 HEIGHT.**

The purchaser shall specify the overall height of the ambulance when
loaded per AMD Standard 017. This includes roof-mounted equipment, but
excludes two-way radio antenna(s).

**3.4.11.4 RESERVED**

**3.4.11.5 ANGLE OF APPROACH, RAMP BREAKOVER AND DEPARTURE.**

With the exception of the chassis manufacturer's furnished and installed
components, the ambulance loaded per AMD Standard 017, shall provide not
less than the following clearance, measured in accordance with SAE J689

Approach angle 20 degrees

Ramp breakover 10 degrees

Departure angle 10 degrees

**3.4.11.6 TURNING RADIUS.**

Turning radius shall not be greater than chassis OEM standard.

**3.4.11.7 FLOOR HEIGHT.**

The finished floor (loading) height shall be a maximum of 34 in. The
height of the floor shall be measured with the vehicle loaded per AMD
Standard 017

**3.5 VEHICLE WEIGHT RATINGS AND PAYLOAD.**

**3.5.1 CURB WEIGHT.**

Non-permanently mounted equipment is considered to be part of the
payload, not the curb weight.

**3.5.2 PAYLOAD ALLOWANCE.**

Each ambulance's payload allowance shall be determined and displayed in
accordance with the weight/payload certification form (sticker). Sticker
shall be located in a conspicuous location in the ambulance. Payload
shall be over and above the specified curb weight of the ambulance and
include all occupants, specified options, miscellaneous medical
equipment, and communications equipment that are appropriately
distributed within the ambulance. **The ambulance shall not be operated
in an overloaded condition.**

The required minimum payload per vehicle without optional equipment
shall be as follows:

1.  Single, rear wheeled, van ambulances (Type II). ---1500 lbs.

2.  Dual, rear wheeled, modular ambulances (Type I or III). ---1750 lbs.

3.  Additional Duty Modular Ambulances (Type I AD or III AD) ---2,250
    lbs

**Additional weight added, resulting from specified options, will reduce
the required minimum payload per vehicle.**

The payload shall be evenly distributed throughout the vehicle and shall
consist of the following:

1.  Driver and EMSP at 150 lbs. each.

2.  One patient at 150 lbs.

3.  Main and portable oxygen bottles.

4.  Stretchers, cots, and patient handling equipment.

5.  Portable, removable, medical devices.

6.  Durable and disposable medical items.

7.  Optional vehicle equipment and any other non-permanently mounted
    optional items or equipment not supplied as a base vehicle
    requirement.

8.  Portable Communications equipment.

9.  Additional occupants at 150 lbs. each.

**FIGURE 1**

**Payload Signage**

**Certification Signage**

-   The labels shall be mounted on the body (module) interior in a
    conspicuous location.

-   The labels shown here are suggested formats.

-   Deviations in dimensions are acceptable.

-   All text must be included.

**3.5.3 GROSS VEHICLE WEIGHT RATING (GVWR).**

The combination of the vehicle's curb weight and payload weight shall
not exceed the ambulance gross vehicle weight rating (GVWR). The final
stage manufacturer's rating label shall show the GVWR and each gross
axle weight rating (GAWR) of the vehicle.

**3.5.4 WEIGHT DISTRIBUTION.**

To provide for maximum safety, purchasers and manufacturers shall locate
vehicle-mounted components, equipment, and supplies to provide a vehicle
that is laterally balanced and within the GVWR and each GAWR. The right
and left wheel(s) of each axle of a completed ambulance shall be weighed
to determine horizontal and lateral weight distribution. The weight
distribution of a properly loaded ambulance on a level surface shall
permit conformance to the FMVSS braking requirements in accordance with
the statements provided by the chassis manufacturer. All specifications
and requirements for weight distribution and center of gravity of the
chassis manufacturer shall take precedence over the requirements
contained in this section where the manufacturer's requirements are more
restrictive.

-   The weight between the right and left side of a given axle, when on
    a level surface, shall be within 5 percent when tested in accordance
    with AMD Standard 013.

-   When loaded to the GVWR and within the GAWR for each axle, the front
    to rear weight distribution shall have not less than 20% of the
    total weight on the front axle, and not less than 50% nor more than
    80% on the rear axle and shall be tested in accordance with AMD
    standard 013.

-   The ambulance manufacturer shall locate the center of gravity (CG)
    of the ambulance/ambulance body to determine and assure the
    purchaser that the CG of the completed ambulance does not exceed any
    maximum horizontal and/or vertical limits set by the chassis
    manufacturer.

To meet the above weight distribution requirements, consideration shall
be given by the purchaser and manufacturer to locate equipment and
components to permit inherently proper lateral balance, front/rear axle
loading, and center of gravity position.

**3.5.5 RATINGS.**

Vehicle and component ratings shall be the chassis manufacturer's
published ratings and shall not be raised above the chassis
manufacturer's rating.

**3.5.6 CAB TO AXLE (CA), TYPE I AND III VEHICLES.**

Cab to axle (CA) dimension of the vehicle chassis shall permit a minimum
of 50 percent of the outside body length (including cab extensions)
forward of the rear axle centerline, in addition to any cab to body
clearance. Bodies designed with wheel openings shall have the rear
wheels centered, with in +- 2" of those openings.

**3.6 CHASSIS, POWER UNIT, AND COMPONENTS.**

**3.6.1 CHASSIS-FRAME.**

The chassis shall include the chassis manufacturer's ambulance
preparation package when available. The chassis-frame and components
shall be constructed to withstand the strains of on-off road service and
any special service and equipment requirements specified. All chassis
(including cab) components shall be as represented in the chassis
manufacturer's technical data.

**3.6.2 VEHICLE LUBRICATION.**

The chassis components, devices, accessories, and added equipment
requiring lubrication shall be fully equipped with lubrication fittings,
as provided by the chassis or equipment manufacturer.

**3.6.3 POWER UNIT, ENGINES.**

**3.6.3.1 POWER UNIT.**

The power unit shall meet or exceed the required vehicle performance
specified at not more than the engine manufacturer's recommended
operating engine speed. The chassis manufacturer's diesel engine and
power train shall be provided. The chassis manufacturer's block heater
shall also be furnished.

**3.6.3.2 ENGINE LOW TEMPERATURE STARTING.**

The engine shall start satisfactorily without the aid of engine block
preheating devices (except glow plugs) or combustion air preheater at 0°
F. Verification test shall be performed per AMD 022.

**3.6.4 POWER UNIT COMPONENTS.**

**3.6.4.1 OIL FILTER.**

The oil filter shall be the chassis manufacturer's standard for the
engine offered.

**3.6.4.2 AIR FILTER.**

The air filter shall be the chassis manufacturer's standard for the
engine offered.

**3.6.4.3 AIR POLLUTION CONTROL**

Vehicles destined for the 50 states, the District of Columbia, Puerto
Rico, the Virgin Islands, Guam and American Samoa shall comply with the
Environmental Protection Agency (EPA) regulations governing Control of
Air Pollution from New Motor Vehicles and New Motor Vehicle Engines in
effect on date of manufacture of the engine.

**3.6.4.4 FUEL SYSTEM.**

The fuel system shall conform to all applicable FMVSS, FMCSR, CARB, and
EPA requirements.  The OEM fuel system components shall be installed,
connected, and routed in accordance with all chassis manufacturer's
guidelines. The fuel capacity shall be sufficient to allow the vehicle
to be driven for at least 250 miles without refueling. This requirement
shall be verified per the requirements of AMD 017.  If additional fuel
system components must be added to the chassis to meet the minimum fuel
range specified in AMD 017, the modified fuel system and all added
components must meet all applicable FMVSS, FMCSR, CARB  and EPA
requirements. A permanent label at the fuel filler opening shall be
furnished specifying the type of fuel required.

**3.6.4.5 COOLING SYSTEM.**

A coolant overflow recovery tank and compensating system shall be
furnished. The cooling system shall be protected with an OEM solution of
extended life antifreeze/coolant. Coolant to be

the chassis manufactures recommended type and mixture. The contractor
shall provide the OEM maximum size cooling system for the engine
provided. The cooling system design shall maintain the engine at safe
operating temperatures at all drivable altitudes and grades encountered
during on and off road vehicle use and shall be tested in accordance
with AMD Standard 014.

**3.6.4.6 EXHAUST SYSTEM.**

The exhaust shall discharge at the vertical side(s) of the ambulance at
a maximum distance of 1 in. beyond the side of the module and be angled
/positioned to project the exhaust away from the door(s) to minimize
fumes and contaminants entering the interior. On modular vehicles, the
tailpipe outlet shall not terminate within 12 in. of the vertical axis
of the fuel tank filler opening(s) when located on the same side.
Modifications or extensions made to the OEM exhaust system shall meet or
exceed chassis manufacturer's requirements in terms of backpressure,
components, design, and workmanship.

**3.6.5 DRIVE TRAIN.**

**3.6.5.1 DRIVE TRAIN COMPONENTS.**

The drive train and component's torque capacity shall meet or exceed the
maximum torque developed in the lowest gear ratio by the engine.

**3.6.5.2 AUTOMATIC TRANSMISSION.**

The chassis manufacturer's automatic transmission shall be provided. The
transmission shall provide not less than four speeds forward and one
reverse and shall be equipped with the chassis manufacturer's heaviest
duty oil cooler.

**3.6.5.5 DRIVELINE.**

The driveline (driveshaft, U-joints, etc.) shall be balanced and
supported to perform throughout the design speed range without whipping
or vibrating.

**3.6.5.7 BRAKE SYSTEMS, SERVICE AND PARKING.**

Chassis manufacturer's heaviest duty, power assisted brakes, linings,
and parking brake shall be furnished on the chassis model offered. ABS
brakes shall be furnished.

**3.6.5.8 SPECIAL TRACTION (REAR END) DIFFERENTIAL.**

All ambulances shall have a positive traction, limited slip differential
or automatic, locking type differential.

**3.6.5.10 SUSPENSION**

Vehicle shall be equipped with laterally matched sets (front and rear)
of spring, torsion, or air suspension system components. Components
shall have a rated capacity in excess of the load imposed on each
member. Only corrections permitted by the chassis manufacturer to
compensate for lean due to normal spring tolerance variations are
permitted. Correction of lean due to imbalance is not permitted. Vehicle
shall be balanced per AMD 013.

**3.6.5.11 SPRING STOPS.**

The chassis manufacturer's standard spring bumpers and axle stops shall
be furnished. The stops/bumpers shall prevent the wheel and axles from
striking the engine, oil pan, fenders, and body under all conditions of
operation.

**3.6.5.9 SHOCK ABSORBERS.**

Shock absorbers, double-acting type, heaviest duty available from
chassis manufacturer for model offered, shall be furnished on the front
and rear axles.

**3.6.6 STEERING.**

The OEM chassis manufacturer's standard, power assisted steering shall
be furnished.

**3.6.7 WHEELS.**

Types I, I AD, III & III AD ambulances shall be equipped with dual rear
wheels and single front wheels. Type II ambulances shall be equipped
with single, front and rear wheels. Wheels shall conform to the
recommendations of the Tire and Rim Association, Inc., and shall be
identical in type, size, and load rating for all wheels on the
ambulance.

**3.6.8 TIRES.**

Tires shall be as furnished by the chassis manufacturer and shall be OEM
tubeless, steel belted radials.

**3.6.9 RESERVED.**

**3.6.10 RESERVED**

**3.6.11 TIRE CHAINS AND CLEARANCE**

Tire chain clearance on the furnished body shall be provided for all
driving wheels per SAE J683. Sufficient chain clearance shall be
provided to permit off road operation with the ambulance loaded to the
maximum payload.

**3.6.12 WHEEL TIRE BALANCING**

Wheel/tire, hubs, and brake drum assemblies of the vehicle shall be
dynamically balanced to a minimum of 70 mph.

**3.6.13 RESERVED**

**3.6.14 HUBCAPS**

When available from the chassis manufacturer (OEM) standard hubcaps or
wheel covers shall be furnished on type II ambulances.

**3.7 ELECTRICAL SYSTEM AND COMPONENTS.**

**3.7.1 ELECTRICAL SYSTEM (REFERENCE FIGURE 3)**

The ambulance electrical system shall be equipped with, but not limited
to, the following:

1.  Dual, chassis manufacturer's batteries

2.  Generating, starting, lighting, visual and audible warning systems

3.  Specified electronics equipment and devices (including master
    consoles located in the cab and patient compartment)

4.  Other specified accessory wiring.

5.  All electrical system components and wiring shall be readily
    accessible through access panels.

6.  All switches, indicators, and controls shall be located and
    installed in a manner that facilitates easy removal and servicing.

7.  All exterior housings of lamps, switches, electronic devices,
    connectors, and fixtures shall be corrosion resistant and
    weatherproofed.

8.  Electrical fixtures attached to the sides of the ambulance below the
    75 in. level shall be near flush mounted and not protrude more than
    2 in., except for such items as spotlights and ventilators.

9.  All electrical devices and equipment installed, including the
    electromagnetic coils of high current solenoids, and relays etc,
    which produce RFI, shall include filters, suppressers, or shielding
    to prevent electromagnetic radiation and the resultant interference
    to radios and other electronic equipment.

10. Vehicles shall be immune from interference caused by radio
    transmissions.

**3.7.1.1 WARNING INDICATORS.**

The electrical system shall incorporate a warning light panel located in
the driver's compartment. It shall provide indicator lights for:

1.  Open patient compartment entry doors

2.  Open cab entry doors (when available from the OEM)

3.  Open equipment compartment door(s)

4.  Extended devices (flood lights, etc)

The "Door/Equipment Open" indicator in the driver's compartment can be
either a warning incandescent light with at least 0.2 square inches of
lighted surface, an electronic text message visible in all ambient
lighting conditions, or LED's with equal intensity as an incandescent
light source.

Electronic displays that are visible in all ambient light, that projects
narrative information may be used in lieu of discrete, colored,
indicator/ warning lights provided the projected message is at least as
visible as the basic required warning light.

**3.7.2 WIRING INSTALLATION.**

1.  The ambulance body and accessory electrical equipment shall be
    served by circuit(s) separate and distinct from vehicle chassis
    circuits.

2.  All wiring provided by the ambulance manufacturer shall be copper.

3.  All wiring shall have type SXL or GXL high temperature cross-linked
    polyethylene, or better, insulation.

4.  The use of multi conductor or ribbon cables are permitted provided
    they are not exposed to under hood or under vehicle
    temperatures/conditions.

5.  The wiring shall be permanently color coded or marked the entire
    length of the wire.

6.  Wiring shall be routed in conduit or high temperature looms with a
    rating of 300° F.

7.  When cables are supplied by a component manufacturer to interconnect
    system components, these cables need not be continuously color
    coded/identified. They shall be coded/identified at the termination
    or interconnection points.

8.  All added wiring shall be located in accessible, enclosed, protected
    locations and kept at least 6 in. away from exhaust system
    components.

9.  Electrical wiring and components shall not terminate in the oxygen
    storage compartment except for the oxygen controlled solenoid,
    compartment light, and switch plunger or trigger device.

10. Wiring necessarily passing through an oxygen compartment shall be
    protected from damage.

11. All conduits, looms, and wiring shall be secured to the body or
    frame with insulated metal cable straps.

12. All apertures on the vehicle shall be properly grommeted for passing
    wiring.

13. All items used for protecting or securing the wiring shall be
    appropriate for the specific application and be standard automotive,
    aircraft, marine, or electronic hardware.

14. Cable ties shall not be used to support harnesses, but may be used
    for bundling purposes.

15. Electrical panels that are accessible to accidental contact shall
    have a protective cover, shield, etc. to prevent shorts that can
    result in injury, fire, or damage to the electrical system.

**3.7.2.1 WIRING CRITERIA.**

1.  All wiring (including grounds), devices, switches, outlets, etc.,
    except circuit breakers, shall be rated to carry at least 125
    percent of the maximum ampere load.

2.  A service loop of wire or harness shall be provided at all
    electrical components, terminals, and connection points.

3.  All splices and terminals provided shall comply with SAE J163, J561,
    or J928 as applicable.

4.  All wiring between the cab/chassis and module in Type I and III
    ambulances shall be connected to a terminal strip(s), block(s), or
    multi-pin connector(s) near the point of entry to the patient
    module.

5.  All terminals shall be permanently numbered or coded.

6.  Terminal strip(s) block(s), or multi-pin connector(s) shall be
    readily accessible for checking and service.

7.  All exterior wiring to lights or any other component shall utilize
    sealed connectors or splices.

8.  The ambulance electrical system shall incorporate a master circuit
    breaker panel with circuit breakers or other electronic,
    non-disposable, current protection devices, in each circuit, which
    comply with SAE J553 Type I, or Type III (if circuit breaker is
    readily accessible for resetting by the driver or EMSP).

9.  When multiconductor cables/ribbon cables are used for low current
    (self limiting) circuits, additional fuses/circuit breakers are not
    required.

10. One extra 15-ampere circuit breaker shall be provided for future
    use.

11. For high current circuits, where SAE Type I breakers are not
    commercially produced, protection for these circuits may be provided
    with other types of circuit breakers.

12. All circuit breakers shall be securely mounted, easily removable,
    and readily accessible for inspection and service.

13. All electrical and electronic components, switches, connectors,
    circuit breakers, lamps, and indicators, including the vehicle
    batteries, shall be marked with an easily read identification code
    number and/or letter.

**3.7.2.2 PRINTED CIRCUITS.**

When printed circuits are utilized, they shall conform to IPC A-610D
standards, \"Acceptability of Electronic Assemblies.\" Printed circuit
assemblies provided must qualify under Classification 1.4.1 as class 3
for \" Life Support or other Critical Assemblies.\" Printed circuit
board connections and components shall conform to all other
specification requirements.

**3.7.3 GROUNDING.**

Dedicated grounds for all appliances, circuits, etc. shall be furnished.
The use of appliance mounting screws/hardware shall not be used for
grounding purposes unless specifically designed for such use by the
appliance manufacturer.

**3.7.3.1 RF GROUNDING**.

To provide RF grounding and minimize potential interference with chassis
manufacturer's computers, the module and chassis cab shall be connected
to the chassis frame with a separate dedicated minimum 3/4\", braided
ground strap with soldered ends that are secured to cleaned metal
surfaces on the body and frame with lock washers. To prevent corrosion,
both ends of the attached ground strap shall then be sealed with either
rust proofing compounds or non-hardening battery terminal sealer.
Regular stranded copper wire, while providing a DC ground, does not
provide RF grounding and does not meet this requirement

**3.7.4 WINDSHIELD WIPERS AND WASHERS.**

Vehicle shall be equipped with dual, electric, multi-speed, and OEM
intermittent windshield wipers.

**3.7.5 HORNS.**

The chassis manufacturer's dual electric horns shall be furnished.

**3.7.6 ELECTRICAL GENERATING SYSTEM (REFERENCE FIGURE 3)**

The ambulance shall, when available from the chassis manufacturer, be
equipped with standard or optional generating system designed for
ambulance applications, and shall be nominally rated at 14 volts, with a
minimum under hood temperature of 200° F. As a minimum, the generating
system shall be capable of supplying at its regulated voltage, at 200°
F, the continuous electrical load, which consists of the following
electrical equipment and systems:

1.  Engine/transmission control system

2.  Headlights (low beam)

3.  All FMVSS 108 lights

4.  Windshield wipers (low speed)

5.  Cab air conditioning (at coldest setting with highest blower speed)

6.  Radio in receiving mode (or equal load, if not equipped)

7.  Patient module dome lighting (in the high intensity setting)

8.  Patient module air conditioning (at coldest setting with highest
    blower speed)

9.  Emergency warning lighting system (in the daytime "primary" mode)

10. 20 amp medical load or equal.

The generating system shall supply the maximum electrical load, at the
regulated voltage, at 200° F under hood temperature, and with an engine
speed not exceeding of the furnished engine manufacturer's high idle
setting in order to maintain battery charge at the regulated voltage.
The throttle control device shall control the engine RPM necessary to
maintain the heating and air conditioning systems, at full operating
capacity, and to maintain the generating system's required output when
the vehicle is stationary and the parking brake is set. The 12-volt
electrical system shall incorporate a voltmeter and low voltage warning
device which is functionally connected as shown in Figure 3. The final
stage manufacturer/contractor shall test each ambulance prior to
delivery and provide, to the purchaser, a written certification
indicating the amount of generating capacity remaining, at the regulated
voltage, at 200° F, after supplying the total electrical load as
manufactured (including the purchaser options). Testing shall be in
accordance with "AMD Standard 005, Ambulance Electrical System."

**3.7.6.1 ENGINE HIGH-IDLE SPEED CONTROL, AUTOMATIC.**

An engine high-idle speed control shall be furnished on all vehicles,
which automatically increases the engine speed (RPM) to the engine
manufacturer's recommended setting to sustain the ambulance's total
continuous electrical load at the regulated voltage, and provide maximum
heating/air conditioning output. The device shall be preset so that,
when activated, it will operate the engine at the appropriate RPM. The
device shall operate only when switched to the "ON" position and the
transmission is in "NEUTRAL", "PARK" and the parking brake is applied
(when required by the chassis manufacturer). For transmissions without a
"PARK" position, the device shall only function with the transmission in
"NEUTRAL" and with the parking brake applied. The device shall disengage
when the operator depresses the service brake pedal or the transmission
is placed in gear, and automatically re-engages when the service brake
is released or when the transmission is placed in neutral or park. The
chassis manufacturer when available shall furnish the device.

**3.7.6.3 VOLTMETER and VOLTAGE MONITOR.**

A voltmeter illuminated for nighttime operation shall be furnished. The
electrical system shall be monitored by a system that provides an
audible and visual warning in case of the low voltage to persons in the
ambulance of an impending electrical system failure caused by the
excessive discharge of the batteries. The charge status of the battery
shall be determined by direct measurement of the battery voltage. The
alarm shall sound if the system voltage at the battery drops below 11.8
V for 12 V nominal systems for more than 120 seconds.

**3.7.7 BATTERY SYSTEM.**

Two batteries (or additional batteries as required by the chassis
manufacturer) for ambulance use shall be furnished. The batteries shall
be equivalent to the chassis OEM batteries. Batteries shall be located
in a ventilated area, sealed off from occupant compartments, and shall
be readily accessible for servicing and removal. When batteries are
mounted in the engine compartment, they shall be provided with a heat
shield as a safeguard against high under hood temperatures when
relocating batteries; the chassis manufacturer shall approve the method
of relocation.

**3.7.7.1** A 12 volt DC automatic charger/conditioner shall be
provided.\
\
   1. The charger/conditioner shall be connected to the 12 volt DC
battery\
   system as shown in Figure 3.\
   2. The charger/conditioner shall be capable of supplying a minimum of
10\
   amperes charging current.\
   3. The charger/conditioner shall be permanently mounted, in the
vehicle,\
   in a properly ventilated, accessible location and wired to the 125
volt\
   AC utility power and Figure 4.\
   4. The battery conditioner shall monitor the battery state of charge\
   and, as necessary, automatically charge or maintain the batteries\
   without gassing, depleting fluid level, overheating, or
overcharging.\
   5. A permanently mounted decal or engraved plate shall be furnished
in a\
   conspicuous location in the cab stating:\
\
 

**3.7.7.2 PORTABLE EQUIPMENT CHARGING CIRCUIT.**

A circuit shall be furnished (Figure 5) for charging all portable
battery powered devices, i.e. suction units, hand lights,
defibrillators, portable radios, etc. This circuit shall prevent
discharge of chassis batteries by only permitting the charging of
portable devices when the vehicle is either running or the optional
battery conditioner is connected to shore power. Circuit breaker
protection shall be provided and shall have a minimum of 10 amp
capacity. An additional tagged, identified lead shall be furnished in
both the cab and module for connection of additional (future) portable
equipment that requires recharging.

**3.7.7.3 INTERNAL 12 VOLT DC POWER (REFERENCE FIGURE 3)**

Two automotive "Power Point" type connectors shall be furnished, in the
patient compartment. Each connector shall be rated for 12 volt DC, 20
ampere capacity, and be on a separately protected circuit. This circuit
shall also include a (low voltage drop) "Schottky" diode to isolate
medical equipment batteries from any electrical loads that the remainder
of the ambulance electrical system may impose. The "Schottky" diode
shall be heat-sink mounted, have an inverse voltage rating of at least
45 volts and also be rated to carry the maximum short circuit current,
until the circuit breaker opens. The diode shall be physically located
in an accessible location and be electrically connected between the
circuit breaker and the "action wall" mounted connectors.

**3.7.7.4 MASTER MODULE DISCONNECT SWITCH OR DEVICE**

An illuminated "Module Disconnect" switch shall control all electrical
loads added by the ambulance manufacturer, or an illuminated switch
controlled solenoid as shown in Figure 3.This switch (see Figure 3)
shall be located in the driver's compartment, be legibly marked,
illuminated when "ON", and rated to carry at least 125 percent of the
circuit's maximum current. The module disconnect switch or device shall
be different in feel from other switches, or be physically isolated from
them.

**3.7.8 125 VOLT AC UTILITY POWER (REFERENCE FIGURE 4)**

The ambulance shall be furnished with a 2-wire plus ground 125 volt AC
wiring system that is separate and distinct from the vehicle's DC wiring
system(s). The AC electrical system, including wiring and associated
equipment, shall comply with AMD Standard 009. Listing shall be by a
nationally recognized testing laboratory, recognized by OSHA under
Appendix A to 29 CFR 1910.7. The AC system is to be utilized while the
vehicle is stationary for powering maintenance devices, medical
equipment and battery chargers. The AC system shall not be utilized for
operational ambulance interior lighting, such as dome and cot lights.

**3.7.8.1 UTILITY POWER CONNECTOR.**

A 125-volt AC flanged inlet conforming to NEMA 5-15, with spring loaded
cover assembly suitable for wet locations, shall be installed on the
driver's side of the ambulance body in close proximity to driver's door.
The connection shall be permanently labeled with the following:

**THIS CONNECTION IS FOR 125-VOLT AC, 60 Hz, 15-AMPERE SUPPLY**

This receptacle shall energize the vehicle's internal AC circuit from an
external power source (utility power). The purchaser's stationary
utility power circuit supplying the ambulance's 125-volt AC power should
incorporate ground fault protection. A proper mating, weatherproof, 15
ampere connector body conforming to NEMA 5-15 shall also be furnished
without cable and tagged specifying the size, type of wire necessary,
and the polarity of the future hookup.

**3.7.8.2 ELECTRICAL 125 VOLT AC RECEPTACLES.**

The patient compartment shall be furnished with two (2) 125-volt AC
duplex receptacles conforming to NEMA 5-15. Receptacles shall be near
flush, vertically mounted. All interior outlets shall be installed in
accordance with Section210-7 (Receptacles and Cord Conductors) of the
NEC. One outlet shall be located on the primary patient action wall and
the other shall be located in the right front cabinet/storage area. Both
outlets shall be at least 12 in from any oxygen outlet. An indicator
shall be located within each 125 volt AC receptacle as a line monitor
indicating a live (hot) circuit. The receptacles shall be labeled with
the following: "125-VOLT AC."

3.7.8.3 125-VOLT AC NOMINAL SYSTEMS.

1)  The electrical equipment and material indicated for connection to a
    wiring system rated 125 volts, nominal, 2-wire with ground shall
    incorporate a minimum 15 ampere circuit breaker which can be used as
    a master AC disconnect switch

2)  The AC wiring shall utilize stranded wire, Type SO or Type SEO cord
    with a WA suffix, rated at 600V and 194ºF., covered with a minimum
    300° F flame retardant wire loom, or approved wire in conduit

3)  All products shall be used only in the manner for which they were
    tested and found suitable.

4)  Other sources of AC power shall be wired in full conformity with the
    requirements of this standard.

5)  Grounding shall be in accordance with section 250-6 \[Portable and
    Vehicle Mounted Generators\] of the National Electrical Code (NEC).

6)  All 125-volt AC receptacle outlets of the ambulance shall have
    ground fault circuit interrupter protection.

7)  Where rigid metal conduit or intermediate metal conduit is
    terminated at an enclosure with a lock nut and bushing connection;
    two lock nuts shall be provided, one inside and one outside of the
    enclosure. All cut ends of conduit shall be reamed or otherwise
    finished to remove rough edges.

8)  Boxes are required for all inlets and/or outlets.

9)  Non-metallic boxes shall be acceptable only with non-metallic
    conduit.

10) Boxes shall be mounted in accordance with Article 370 \[OUTLET,
    DEVICE, PULL AND JUNCTION BOXES, CONDUIT BODIES AND FITTINGS\] of
    the NEC.

11) No bend shall have a radius of less than five times the cable or
    conduit diameter, whichever is greater.

12) Tubing, conduit and loom shall be supported with clamps at the
    outlet boxes, distribution panel boards and splice boxes on
    appliances. Supports shall be provided every 24".

13) Where subject to physical damage, exposed type SO cable will be
    protected by guard strips, raceways or other means.

14) The branch circuit over current devices shall be rated:

    i.  Not more than the circuit conductors and

    ii. Not more than 150% of the rating of a single appliance rated
        13.3 amperes or more and supplied by an individual branch
        circuit, or according to the appliance manufacturer, but

    iii. Not more than the over current protection size marked on
         motor-operated appliances

3.7.8.4 DISTRIBUTION BOX.

1)  The distribution box shall be of the dead-front type and shall be
    installed in a readily accessible location.

2)  The distribution panel board shall have a grounding bus with
    sufficient terminals for all chassis grounding and separate neutral
    grounding conductors or other approved grounding means.

3)  The grounded circuit conductor (neutral) shall be insulated from the
    equipment grounding conductors and from equipment enclosures and
    other grounded parts. The grounded (neutral) circuit terminals in
    the distribution panel board and in appliances shall be insulated
    from the equipment enclosure.

**3.7.8.5 INTERIOR EQUIPMENT GROUNDING.**

1)  In the electrical system, all exposed metal parts, enclosures,
    frames, fixtures, canopies, etc., shall be effectively bonded to the
    grounding terminals or enclosure of the distribution panel board.

2)  Only bare wires, green colored or green wires with yellow stripes
    shall be used for equipment grounding conductors.

3)  Grounding of electrical equipment shall be provided as follows:

    a.  Connection of metal raceway, i.e., conduit or electrical
        metallic tubing.

    b.  A connection between the one or more equipment grounding
        conductor and a metal box by means of a grounding screw (which
        shall be used for no other purpose) or a listed grounding
        device.

    c.  The equipment grounding conductor shall be permitted to be
        secured under a screw threaded into the fixture canopy other
        than a mounting screw or cover screw or attached to a listed
        grounding means (plate) in a non-metallic outlet box for fixture
        mounting (grounding means shall also be permitted for fixture
        attachment screws).

    d.  A connection between the one or more equipment grounding
        conductors brought into a non-metallic outlet box shall be so
        arranged that a connection can be made to any fitting or device
        in that box which requires grounding.

    e.  Where more than one equipment grounding conductor or branch
        circuit enters a box, all such conductors shall be in good
        electrical contact with each other and the arrangement shall be
        such that the disconnection or removal of a receptacle, fixture,
        or other device fed from the box will not interfere with or
        interrupt the grounding continuity.

    f.  Cord-connected appliances shall be grounded by means of an
        approved cord with equipment grounding conductor and grounding
        attachment plug.

**3.7.8.6 BONDING OF NON-CURRENT-CARRYING METAL PARTS.**

1)  All exposed non-current carrying metal parts that may become
    energized shall be effectively bonded to the grounding terminal or
    enclosure of the distribution panel board.

2)  A bonding conductor shall be connected between the distribution
    panel board and an accessible terminal on the chassis. Aluminum or
    coppered aluminum conductors SHALL NOT be used. Any ambulance that
    employs a unitized metal chassis-frame construction to which the
    distribution panel is securely fastened with a bolt and nut shall be
    considered to be bonded.

3)  Grounding terminals may be of the solderless type and listed as
    pressure terminal connectors recognized for the wire size used. The
    bonding conductor shall be copper strand and equal in amperage
    capacity to the main supply cables.

4)  The ambulance body and exterior covering shall be considered bonded
    where:

    a.  The metal panels overlap one another and are securely attached
        to the metal frame parts by metal fasteners or welding and

    b.  The lower panel of the metal exterior covering is secured by
        metal fasteners at each cross member of the chassis, or the
        lower panel is bonded to the chassis by a metal strap.

    c.  Metal circulating air ducts shall be bonded.

    d.  The compressed gas pipes shall be considered bonded if they are
        bonded to the chassis.

3.7.8.7 APPLIANCE ACCESSIBILITY AND FASTENING.

All electrical appliances shall be accessible for inspection, service,
repair, and replacement without removal of permanent construction.
Appliances shall be fastened in accordance with the manufacturer's
directions.

**3.7.9 DRIVER COMPARTMENT CONTROLS.**

In addition to the left-hand drive controls and switches, the final
stage ambulance manufacturer shall provide and locate, within easy
normal reach of the driver, the specified controls, and instruments.

**3.7.10 PATIENT COMPARTMENT CONTROLS.**

The patient compartment controls, switches, and instruments shall be
panel mounted and located within normal reach of the seated EMSP

**3.7.11 MARKING OF SWITCHES, INDICATORS, AND CONTROL DEVICES**

All switches, indicators, and control devices supplied by the end
product manufacturer of the ambulance shall be clearly visible to the
ambulance personnel. They shall be perceptively and permanently
identified with at least 12 point letters for the noun or function, and
8 point letters for the remainder of the legend. The identifications
shall be contrasting colors etched or engraved in plastic or metal, or
printed and laminated in see through plastic, and grouped according to
function, and mounted in illuminated or backlit panel(s) or the console.

**3.7.12 ELECTROMAGNETIC RADIATION AND SUPPRESSION**

In addition to OEM chassis, all added electrically operated or
electrical generating devices, including alternators, air conditioning,
warning light systems, electromagnetic coils of high current solenoids
and relays, and medical equipment, shall be electromagnetic radiation
suppressed, filtered, or shielded to prevent interference to radios and
telemetry equipment aboard the vehicle and the surrounding area and
shall not exceed Mil-Std 461 limits. Type certification for these
devices is acceptable.

**3.8 LIGHTING, EXTERIOR AND INTERIOR.**

**3.8.1 AMBULANCE EXTERIOR LIGHTING.**

The basic exterior ambulance lighting shall include daytime running
lights when available from the chassis manufacturer, amber colored front
and rear directional signals and hazard warning lights (except on Type
II ambulances, if amber lenses are not available from OEM). The lower
front and rear side marker lights shall flash in conjunction with the
directional signals. Backup lights/loading light(s), clearance lamps
(when applicable), ambulance emergency lights, floodlights, and
spotlight(s), shall be furnished as specified. The ambulance
manufacturer shall furnish light assemblies that are manufactured with
weather resistant materials that are installed in a manner that will not
cause electrolysis of light housings or vehicle body.

**3.8.2 AMBULANCE EMERGENCY LIGHTING.**

A strobe, halogen, HID, LED, or any other source of light for the
emergency lighting system shall provide the ambulance with 360 degrees
of conspicuity for safety during its missions. The system shall display
highly perceptible and attention getting signals that function in a
modal system, and convey the message in the "PRIMARY MODE" - "Clear the
Right-of-Way" and in the "SECONDARY MODE" - "Hazard, Vehicle Stopped on
Right-of-Way." The ambulance standard warning light system shall not
impose a continuous average electrical load exceeding 40 amperes at 14.2
volts.

Warning light systems shall not impair the effectiveness of the
ambulance's exterior lighting with conformity to the requirements of
FMVSS No. 108.

**3.8.2.1 EMERGENCY LIGHTING SYSTEM CONFIGURATION.**

The ambulance standard emergency warning light system shall contain
twelve fixed red lights, one fixed clear light and one fixed amber or
SAE "selective yellow" light(s).These lights shall function in a dual
mode system as shown in Table I below and meet the physical and
photometric requirements. The upper body warning lights shall be mounted
at the extreme upper corner areas of the ambulance body, below the
horizontal roofline. The single clear light shall be centered between
the two front facing, red, upper corner lights or in a dedicated housing
mounted forward of the body on the cab roof. If due to limited body
dimensions and physical size of the outboard forward facing lights, the
lights may also be mounted in dedicated housings on the cab roof. Doors
or other ancillary equipment shall not obstruct the standard warning
lights. The amber light shall be symmetrically located between the two
rear facing red lights. The red "grille" lights shall be located at
least 30 in. above the ground and below the bottom edge of the
windshield and be laterally separated by at least 18 in., measured from
centerline to centerline of each lamp. The lateral facing intersection
lights shall be mounted as close as possible to the front upper edge of
each front fender and may be angled forward a maximum of 30 degrees. All
warning lights furnished shall be mounted to project their highest
intensity beams on the horizontal plane.

Alternate approved lighting systems are NFPA 1901 compliant or SAE J2498
compliant.

![](media/image1.png){width="5.996527777777778in"
height="7.940972222222222in"}

**3.8.2.2 PHOTOMETRIC, CHROMATICITY, AND PHYSICAL REQUIREMENTS.**

Each emergency light shall flash 75 to 125 times per minute. The
chromaticity values of the lights shall conform to SAE J578, for their
respective color, except for the red lights, which may conform to the
following expanded boundary limits of: y =0.34; y = 0.32; x = 0.62. All
warning lights shall project a beam spread of at least 5 degrees up and
5 degrees down and at least 45 degrees left and right of H-V. Each light
shall produce flash energy, (Cd-s) per flash, measured from the H-V to
all the extreme test point coordinates and shall be tested at all 5
degree increments. At no point shall the Cd-s values drop to less than
the minimum values as shown in the table above when tested at 14.2
volts. Flash energy shall be determined in accordance with the SAE J845
method for determining the flash energy of a light. Testing shall be
conducted on the device(s) as manufactured including use of the actual
light source and all other related system components.

**3.8.2.3 SWITCHING ARRANGEMENTS.**

The emergency light switches shall be wired and arranged to provide the
warning light signal modes and combinations as specified. All emergency
light switches shall be labeled and each Primary/Secondary mode switch
shall have indicator light to show the driver which mode is activated.

**3.8.2.4 HARDWARE CONSTRUCTION AND INSTALLATION.**

The emergency lighting system shall be comprised of components and
devices that comply with the general requirements and tests of SAE
J575g, J576d, J578, and J551, as applicable for the unit. Warning lights
shall be firmly fastened to reinforced body surfaces in accordance with
the lighting manufacturer's requirements and recommendations and include
aiming wedges to compensate for sloped body surfaces, grill, hood and
fender angles or mold release angles on roof caps. The ambulance
manufacturer shall aim the lights to assure that all lighting
performance requirements herein are met. The lights shall be aimed
either mechanically or optically on the horizontal axis with a tolerance
of +0 degrees to -3 degrees. All switches, connectors, and wiring shall
be rated to carry a minimum of 125 percent of their maximum ampere load.
When halogen or other long duty cycle light source is used, the duty
cycle of any device shall not exceed 50 percent. When strobe lights are
furnished, all high voltage leads and connections shall be insulated and
enclosed, or weatherproof connectors, with the proper voltage rating
shall be used.

**3.8.2.5 TESTS, WARNING LIGHT SYSTEM.**

The lighting manufacturers shall furnish and certify or the ambulance
manufacturer shall measure and record the total average current load of
the standard emergency warning light system on the vehicle as
manufactured at the regulated voltage of 14.2 Volts, when operated in
the mode which draws maximum current. This load current test shall be
conducted per AMD Std. 005. The warning light system and related
components and devices shall be tested and approved by an Automotive
Manufacturers Equipment Compliance Agency (AMECA) accredited laboratory
independent from the lighting device manufacturer's own labs and listed
with the AMECA for compliance with the requirements in this
specification.

**3.8.3 FLOOD AND LOADING LIGHT (EXTERIOR).**

Flood and loading lights shall be not less than 75 in. above the ground
and unobstructed by open doors. Floodlights shall be located on the
sides, and a patient loading light on the rear of the ambulance. They
shall be firmly fastened to reinforced body surfaces, below the
roofline. These floodlights shall be mounted on fixed body surfaces.
Floodlight switches shall be located on the cab console and control each
side independently. Loading light(s) shall automatically be activated
when rear doors are opened. Load lights must meet AMD Standard 024 Scene
Light Performance.

**3.8.5 AMBULANCE INTERIOR LIGHTING.**

The basic interior ambulance lighting configuration shall be designed to
minimize electrical loads and include: A driver's compartment dome
light; instrument panel lights; master switch panel; and console
light(s). Lighting shall be designed and located so that no glare is
reflected into the driver's eyes or his line of vision, from switch
control panels or other areas that are illuminated while the vehicle is
in motion. The EMSP's control panel shall be separately illuminated. All
lights shall have lampshells and housings grounded.

**3.8.5.1 PATIENT COMPARTMENT ILLUMINATION.**

Normal white illumination (dome and EMSP's switch panel lighting) in the
patient compartment shall meet AMD Standard 016. Blue light(s) or lenses
shall not be used. Patient compartment lights shall not be powered by
the vehicle's AC system if so equipped. The patient compartment dome
lighting (in the dim setting) and exterior corresponding loading lamp(s)
shall be automatically activated when the side entry or rear entry
patient compartment doors are opened and shall meet AMD Standard 016.
All interior dome lighting, including "checkout" lights, shall be near
flush mounted and not protrude more than 1.5 in. Dome lighting shall not
consume more than 25 amps in the bright setting and shall have two
separately protected and controlled circuits. Switches, electronic
controls, or fireproofed rheostats may be used to control lighting.

**3.9 CAB-BODY DRIVER COMPARTMENT AND EQUIPMENT.**

**3.9.1 DRIVER'S COMPARTMENT, CAB-BODY STRUCTURE.**

All cab compartments shall be of sufficient size to accommodate a driver
and passenger, with space to perform driving and control activities. The
cab shall be organized and designed with the specified and required
equipment and accessories for ease of operation and safety. There shall
be a console convenient to driver in the drivers cab. The console shall
contain all added switches for operation of said ambulance.

**3.9.2 CAB-BODY PROVISIONS.**

An OEM 2 door cab shall be furnished that is suitable for the subsequent
mounting of various ambulance equipment and bodies.

Driver's cab section shall provide

a.  forward hinged doors

b.  Opening side windows

c.  Door stops.

d.  External key operated door locks with two sets of keys.

e.  Trim or closed panels and headliner (washable vinyl upholstery, or
    flooring type materials)

f.  Floor covering (OEM's heat, noise and appearance trim packages)

g.  Panel mounted instruments

n All exposed interior surfaces shall be painted.

h.  Armrests, mounted on each side door.

i.  Key operated ignition/starter switch.

j.  Fuel gauge(s).

k.  Oil pressure gauge.

l.  Engine temperature gauge.

m.  Speedometer with odometer.

n.  Environmental controls (heater-defroster/air conditioner, etc.).

o.  Type II Seatbelts and shoulder harness for driver and passenger.

p.  Cab lighting and controls.

q.  Tinted windshield.

r.  Dual electric horn(s).

**3.9.3 CAB COMPARTMENT DRIVER AND PASSENGER SEAT.**

The driver's compartment shall be OEM two individual bucket-type seats
(driver and passenger). The seats shall be frame constructed with
cushioned springs or foam rubber, padded and upholstered to provide
riding comfort. The seats shall be covered with fire-retardant,
washable, nonabsorbent material. Driver's seat shall have the OEM's
full, unobstructed seat track travel range of longitudinal adjustment,
and a minimum of 30 percent of the range of inclination, but not less
than the angle furnished on the chassis manufacturer's standard
non-reclining high back seat.

**3.9.4 CONTROLS AND OPERATING MECHANISM.**

All controls and operating mechanisms shall be located for left-hand
drive. Lever controls, equipment, items, and devices shall be installed,
located, and stowed for the convenience of the purpose intended and
shall not interfere with the ambulance personnel or patient's ingress or
egress of respective compartments.

**3.9.5 OUTSIDE REARVIEW MIRRORS.**

Dual rearview OEM mirrors having a combination flat/convex mirror
system, shall be furnished. The mirrors shall be the largest available
from the OEM. Unless the mirror assembly is manufactured as an integral
assembly, all four mirror head faces shall be independently adjustable.
Hardware and mirror heads shall have a corrosion resistant exterior
finish.

**3.9.6 BUMPERS AND STEPS.**

Chassis manufacturer's standard chrome bumper shall be furnished in the
front of the chassis. The rear of the ambulance shall be furnished with
a sturdy, full-width, rear bumper, with step secured to the vehicle's
chassis-frame. The rear bumper and step shall be tested to AMD Standard
018. The bumper-step shall be designed to prevent the accumulation of
mud, ice, or snow and made of anti-skid open grating metal. These steps
shall not be located or exposed to the interior of the ambulance when
the door(s) are closed. All necessary steps shall be at least the width
of the door opening for which they are provided. The step's tread shall
have a minimum depth of 5 in. and a maximum depth of 10 in. If the step
protrudes more than 7 in. from the rear of the vehicle, a fold up step
shall be furnished

**3.9.7 BODY PROTECTION.**

**3.9.7.1 FENDERS.**

Fenders and wheel housings shall be provided to cover all tires.

**3.9.7.3 MUD FLAPS.**

Mud flaps, at least as wide as the tire(s), shall be provided behind the
front and rear wheels and shall be reinforced at the point of attachment
to the vehicle. Mud flaps may be incorporated into the running boards.

**3.9.7.6 FUEL FILL SPLASH PLATES.**

The painted surface of the ambulance body shall be protected from
discoloration due to spilled fuel during refueling. Protection shall be
provided by a drain in the fuel fill housing(s) or by splash plate(s)
under the fuel fill opening.

**3.9.8 ENGINE HOOD.**

Engine hood and cowl shall be fitted to prevent precipitation, heat,
odors, and noise from entering the interior of the cab and body. Cab
compartment engine covers, on Types II and III ambulances, shall be
removable for easy access to engine and components.

**3.9.9 CAB CONNECTING BELLOWS FOR TYPE I VEHICLE.**

A flexible, weather-tight bellows, fabricated from EPDM, Hypalon, sheet
or molded rubber, or other durable materials that meet the temperature
requirements herein and resist ozone, sunlight, oil, fungus, and will
not crack, rot or deteriorate, shall be provided between the Type I cab
and the modular body. Bellows shall be designed for proper fit and
finish and be able to absorb lateral, vertical, and torsional
displacement due to body/cab movement. Window in the cab or body shall
be of the sliding type, shall be aligned, and connect with the modular
body window opening and shall conform to requirements of the partition.

**3.10 AMBULANCE BODY AND PATIENT AREA.**

**3.10.1 BODY ACCOMMODATIONS.**

The ambulance body and patient compartment shall be sufficient in size
to transport occupants and all specified stretchers, cots, and litters.
There shall be space around the patients to permit a medical services
provider to administer life support treatment to at least one patient
during transit.

**3.10.2 CAB/PATIENT COMPARTMENT ACCESS WINDOW.**

The ambulance and body bulkheads shall have an aligned window opening of
at least 150 square in., for visual checking and voice communications
between the cab and the patient's compartment for non-walk through
vehicles. The window shall be latchable from the cab side and shall be
an adjustable, transparent, shatterproof panel.

**3.10.3 EMERGENCY MEDICAL SERVICES PROVIDER (EMSP) SEATING.**

The EMSP shall be provided with a seat conforming to all applicable
FMVSS Standards, and be equipped with a safety belt and a padded back
and a padded headrest. The seat shall be not less than 15 in. deep by 18
in. wide and a minimum distance of 43" from the top of the padded seat
to any overhead obstruction. The EMSP seat shall be located to allow for
the care of the patient. The space under the seat may be designed as a
storage compartment or utilized for other equipment. Headroom clearance
to be evaluated according to AMD Standard 026.

**3.10.4 PATIENT COMPARTMENT INTERIOR DIMENSIONAL PARAMETERS.**

The patient compartment shall provide a minimum of 325 cubic feet of
space, less 35 cubic feet for cabinets, while complying with the
following:

a.  Length measured from the partition to the inside edge of the rear
    loading doors at the floor, shall be at least 122 in. This length in
    the compartment shall provide at least 25 in. of unobstructed space
    at the head of the primary patient, measured from the face of the
    backrest of the EMSP seat to the nearest edge of the cot. A minimum
    of 10 in. shall be provided, from the end of the mattress to the
    rear loading doors, to permit clearance for traction or long board
    splints.

b.  The width of the compartment shall provide a minimum of 12" of clear
    aisle walkway between cot and base of the seat.

c.  Height the patient compartment shall provide at least 60 in. height,
    over the primary patient area, measured from floor to ceiling
    panels.

**3.10.5 BODY, GENERAL CONSTRUCTION.**

For modular construction, the body shall be all welded aluminum or,
other lightweight, inherently corrosion resistant materials of equal, or
greater, strength. The exterior of the body shall be finished smooth
with symmetrically radius corners and edges, and shall include doors and
windows specified herein. Ambulance body, as a unit, shall be designed
and built to provide impact and patient compartment penetration
resistance and shall be of sufficient strength to support the entire
weight of the fully loaded vehicle on its top or side, if overturned,
without separation of joints or permanently deforming roof bow or
reinforcements, body posts, doors, stringers, floor, inner linings,
outer panels, rub-rails, and other reinforcements. Wood, or wood
products, shall not be used for structural framing. As evidence that the
ambulance body meets the above criteria, the manufacturers body
(fabricated, modified, or converted), excluding the conventional cab,
shall furnish for each body model (Type) a certification that the
ambulance body meets Static Load Test for Ambulance Body Structure, AMD
Standard No. 001, certification floor structure meets Floor Distributed
Load Test, AMD Standard 020 and a certification that the ambulance body
meets Carbon Monoxide Levels for Ambulance Compartment Interiors, AMD
Standard No. 007. Additionally, the roof structure, liner, and outer
skin or cap shall be designed and constructed to prevent separation.

Any absorbent material such as carpeting, fabric, or inside/outside
plastic type carpeting, etc. That resists cleaning and decontamination
shall not be used.

**3.10.6 AMBULANCE BODY STRUCTURE.**

All parts of the ambulance body and attachments shall be fastened with
rust-resistant fasteners in a manner that will preclude loosening.
Cabinets, benches, partitions, oxygen cylinder holders, guide rails, and
cot holders shall be attached to metal tapping plates and/or framing
welded to the body structure. These components shall be fastened by
welding, bolting, or self-tapping (threading) machine screws, on a
minimum of 18 in. centers. Sheet metal, self-tapping wood/metal screws,
nails, staples, etc. shall not be used in assembling the ambulance
structure, except for self-threading sheet metal screws used for light
trim panels and for retention of wood or composite sub-flooring.
Ambulance bodies with an extended roof shall have the roof structural
members permanently fastened to structural members of the body. Drip
rail(s) shall be provided around the entire modular body and have drain
points at each corner. Drip rails shall also be furnished over each
entry and compartment door. The body, roof, and panel joints shall be
watertight. All openings between the chassis-body and occupant carrying
compartments shall be sealed to prevent intrusion of water, dust, and
exhaust gases.

**3.10.7 BODY MOUNTING.**

On modular ambulance bodies, to reduce stress on body and frame,
minimize height above the frame, and isolate the patient compartment
from noise and vibration, full floating, automotive style, rubber body
mounts shall be furnished. A minimum four body mounts per frame rail not
to exceed the mechanical properties of the body mounts and fasteners
shall be furnished. Fasteners shall be a minimum of Grade 8.

**3.10.8 DOORS.**

Two patient compartment door openings shall be provided.

1)  There shall be a door opening on the right forward side and at the
    rear of the body for loading a patient on a cot.

    a.  The side opening shall have a single forward hinged door for
        modular bodies,

    b.  Double hinged doors for Type II, shall be furnished.

    c.  Door(s) shall provide a minimum right side clear opening of 30
        in. wide and of 63 in. high for modular bodies

    d.  The chassis manufacturer's standard opening for Type II
        vehicles.

2)  There shall be a door opening at the rear of the body for loading a
    patient on a cot

    a.  Rear loading door(s) shall cover a clear opening of not less
        than 46 in. in height for modular bodies

    b.  Minimum width of 44 in. for modular bodies

    c.  The chassis manufacturer's standard rear door width opening for
        Type II vehicles.

3)  All ambulance body doors shall be equipped with not less than 250
    square in. of safety glass area per door.

4)  Each door shall have effective compression or overlapping seals to
    prevent leakage of exhaust fumes, dust, water, and air

5)  Patient compartment doors, on modular bodies, shall be flush or near
    flush style

    a.  Shall be full box type construction

    b.  Have removable inner panel.

    c.  Inner panel shall be finished with a durable, washable type
        material

    d.  Shall include trim moldings around all unfinished, exposed
        edges.

6)  A reflective device in any color meeting the reflector or
    conspicuity systems requirements of FMVSS 108

    a.  Have at least 60 square inches of total reflective area

    b.  Shall be installed at the base or around the interior perimeter
        of all patient compartment entry doors.

    c.  The reflectors shall be so positioned as to provide maximum
        visibility when the doors are in the fully open position.

**3.10.8.3 PROTECTION OF PATIENTS AND CREW.**

Upholstered padding/cushions shall be provided at the upper interior
areas of the doorframes. Similar padding/cushions shall also be
furnished at other areas that may be capable of causing injury.

**3.10.9 DOOR LATCHES, HINGES, AND HARDWARE.**

1)  Door latches, hinges, and hardware furnished by chassis and
    ambulance manufacturers shall comply with FMVSS 206.

2)  When doors are open, the hinges, latches, and door-checks shall not
    protrude into the access area.

3)  All doors shall have hardware or devices to prevent inadvertent
    closing.

4)  To facilitate entry and exit from the vehicle, a minimum 6 in.,
    tubular or semi-oval, minimum 3/4\" wide (diameter), grab handle
    shall be provided on the inside of each door or the adjacent body
    structure (in addition to a door operating handle).

5)  Door shall be equipped hold opens or stops, to prevent damage to
    body sides.

6)  One external operated lock, with key per door opening, shall be
    provided.

7)  All patient compartment door locks shall be identically keyed.

8)  Hardware shall be weather resistant.

9)  Ambulance body, side and rear door hardware, installed by the
    ambulance body manufacturer, shall be tested to ensure installation
    meets or exceeds the requirements of AMD Standard 002.

**3.10.10 FLOOR**

1)  The floor shall be flat, except when the area near the rear entrance
    door is sloped for a lower entering height.

2)  With the exception of cot related hardware, shall be unencumbered in
    the door(s) access and work area.

3)  Floor will be shall tested to AMD Standard 020.

4)  Metal floors shall be reinforced to eliminate "oil canning".

5)  Floors shall be insulated against outside heat and cold.

6)  The sub floor of the modular body patient compartment shall be water
    resistant.

7)  When plywood is utilized, it shall be water resistant

    a.  Not less than 1/2 in. thick, 5 ply minimum.

    b.  Shall be supported by body framework.

8)  Under the sub floor of the modular body shall be an aluminum heat
    shield/splash pan, minimum 0.050\", sealed with silicone or other
    non-hardening sealant evenly distributed around its perimeter.

9)  The sub floor of the Type II patient compartment shall be not less
    than 1/2 in. thick density, marine or exterior grade plywood.

10) Fiberglass, aluminum, or other non-hydroscopic composites, with at
    least the equivalent strength of plywood may be used as the sub
    floor.

11) Particleboard or equivalent type materials are not acceptable.

12) Voids or pockets, where water or moisture can become trapped to
    cause rotting and unsanitary conditions, are not acceptable.

13) Voids and pockets shall be filled with sealer or caulking compound.

14) Flooring shall extend the full length and width of the patient
    compartment or body (including space under the cabinets, unless
    otherwise insulated) or prevented by exterior compartment bodies or
    wheel wells that extend above floor level.

**3.10.11 FLOOR COVERINGS AND COLOR**

Floor covering shall be easily cleaned, sanitized, and harmonize with
the interior color and décor of the patient compartment. The floor
covering shall be seamless, one piece, no wax type, solid linoleum,
vinyl, or poured epoxy or acrylic not less than 1/16 in. thick and
permanently applied to the sub floor. The floor material shall cover the
entire length and width of the compartment's working area. The covering
of joints (corners, etc.), where the sidewalls and covering meet, shall
be sealed and bordered with corrosion resistant cove molding or the
covering shall extend at least 3 in. up the sidewalls.

**3.10.12 STEP WELL (SIDE DOOR)**

Steps shall be provided in the door openings. Step well shall be the
enclosed two-step type. Height of the bottom step shall not exceed 22
in. Interior lighting shall light step wells and all step surfaces shall
be constructed with anti-slip material.

**3.10.13 WHEELHOUSINGS**

Wheel housings of modular bodies shall include metal or plastic splash
shields between the body wheel housing and the wheels extending over the
top of the tires to the bottom of the body side skirting. Wheelhouse
openings shall allow for tire chain usage and easy tire removal and
service. Chassis manufacturer's standard wheel housings will be
acceptable.

**3.10.15 BULKHEAD/ PARTITION FOR TYPE II, III, and III AD VEHICLES**

A full height and width partition or bulkhead (with or without
compartments), with a walkthrough opening with a door shall be placed
between the driver and patient's compartment. This partition shall be
located directly behind the driver and companion seats when in the
rearmost position. The partition shall be secured on the sides, ceiling,
and floor by welding or bolting to tapping plates.

**3.10.15.1 DOOR / WALKTHROUGH FOR TYPE II, III, and III AD VEHICLES**

The door opening shall be at least 17 in. wide and 46 in. high and shall
provide an aisle between the compartments. The door shall have at least
a 150 square in., transparent, shatterproof viewing panel in the center
section at the driver's eye level. The door shall be secured with a
driver's side self-latching device in the open and closed positions.

**3.10.16 INSULATION**

The entire body, sides, ends, and roof of the patient's compartment
shall be completely insulated to enhance the performance of the
environmental systems and prevent external noise from entering the
vehicle interior. The insulation shall be a non-settling type,
vermin-proof, mildew-proof, fire retardant, non-toxic, and
non-hygroscopic. If fiberglass insulation is used, it shall not be
exposed to water, e.g. door panels.

**3.10.17 INTERIOR SURFACES**

The interior of the body shall be free of all sharp projections. All
hangers or supports for equipment and devices shall be mounted as flush
as possible with the surrounding surface. Interior body lining and
cabinetry materials, excluding the cab compartment, shall be selected to
minimize dead weight.

The finish of the entire patient compartment, including interiors of
storage cabinets, shall be:

1.  impervious to soap, water and disinfectants

2.  mildew resistant

3.  fire resistant

4.  easily cleaned/disinfected (carpeting, cloth, and fabrics are not
    acceptable)

**3.11 STORAGE COMPARTMENTS.**

Storage compartments shall be furnished for all items required by this
specification and/or specified by the purchaser and include storage for,
but not be limited to; backboards, portable cots/litters, stair chairs,
and any other specified patient handling devices. Any absorbent material
such as carpeting, fabric, or inside/outside plastic type carpeting,
etc. that resists cleaning and decontamination shall not be used in any
storage or patient compartment.

**3.11.1 INTERIOR STOWAGE ACCOMMODATIONS.**

The interior of the patient compartment shall provide a minimum volume
of 35 cubic feet of enclosed stowage cabinetry, compartment space, and
shelf space which shall be conveniently located for medical supplies,
devices, and installed systems as applicable for the service intended.
Enclosed compartments and spaces shall be located at, in, or on the
partition, sidewalls, overhead, seating areas, and doors. Compartment(s)
under the floor, with opening panel(s) inside the patient compartment,
shall not be acceptable. When furnished, top opening squad bench lids
shall be fitted with an automatic hold open device and a quick release
slam type latching device when closed.

**3.11.1.1 LOCATION OF MEDICAL EQUIPMENT AND SUPPLIES.**

Supplies, devices, tools, etc., shall be stored in enclosed compartments
and drawers designed to accommodate the respective items. All medical
devices and equipment shall be stowed or properly fastened in/on the
action area or in cabinets to prevent items from becoming projectiles in
the patient compartment that can cause injury while the vehicle is in
motion.

**3.11.1.3 WASTE AND SHARPS DISPOSAL.**

The following shall be furnished: A trash receptacle compartment, with
closure over opening, for general waste shall be furnished with a
plastic/rubber trash can and disposable plastic liners, with 12 spare
liners. The trash compartment shall be accessible to the EMSP seat. A
sharps receptacle compartment/storage or a commercially available
container mounted in a convenient area shall be furnished for retention
of a sharps container that meets OSHA requirements.

**3.11.2 EXTERIOR STORAGE ACCOMMODATIONS.**

.Ambulances with exterior storage compartments shall be weather
resistance and tested to AMD 010. Exterior compartment doors and
hardware shall be flush or near flush style construction. All doors
shall have spring or gas tube type, hold open devices that permit one
hand closure. Hardware (hinges, locks, latches, etc.) shall be rust
resistant. All exterior compartments shall have latches with locks and
shall be keyed alike. All exterior compartments shall be automatically
lighted when opened.

**3.11.3 STORAGE COMPARTMENTS AND CABINETS DESIGN.**

Storage cabinets, drawers, and kits shall be easily opened but shall not
come open in transit. For rapid identification of contents, medical
supply cabinets above the litter patient shall have shatterproof,
transparent or lightly tinted, sliding doors.

1)  Doors shall be provided with near flush grip, or low profile
    handles.

2)  Storage compartments shall be divided into sections.

    a.  Drawers shall be marine style slide or tilt.

    b.  All shelves shall be removable.

3)  Sliding doors for cabinets designed to carry lightweight items such
    as dressings, bandages, etc. shall be furnished

    a.  Shall automatically latch or be fitted with friction holding
        devices when in a closed position.

4)  Doors shall have positively locked latches that are bolted to the
    door and the door frame structure and are designed to remain closed
    during transports.

    a.  Use of sheet metal or wood screws is not acceptable.

5)  All cabinets shall be firmly anchored (bolted or welded) to tapping
    plates of the body structure.

6)  Tops of the cabinets and shelves shall be surrounded by a lip of not
    less than 1/2\" in height covered in a soft, pliable molding.

7)  Storage for the main oxygen cylinder shall be accessible for
    replacement from an outside position.

8)  The oxygen compartment shall be provided with at least a 9 sq. in.
    of open vent to dissipate/vent leaking oxygen to the outside of the
    ambulance.

9)  Oxygen cylinder compartment shall not be utilized for storage of any
    other equipment.

10) Oxygen cylinder(s) shall be mounted with a restraining device(s), as
    required to meet the tests of AMD Standard 003, Oxygen Tank
    Retention System.

**3.11.4 PATIENT COMPARTMENT SEATING**

All seats in the patient compartment shall conform to applicable FMVSS
Standards, will be padded and have the largest practical padded back and
headrests. Padding material shall be rubber or polyester urethane foam
of a medium to firm density, with a minimum finished thickness (padding
and upholstery) of 2.5 in. for seat pads, and 2 in. for head and
backrests. All padding and upholstery shall be fire retardant. The
upholstery shall be non-absorbent, washable and impervious to
disinfectants. Non-OEM seats shall have 40 oz. (minimum) reinforced
vinyl upholstery. To facilitate cleaning and disinfecting, all seats
furnished and installed by the ambulance manufacturer shall be cleanable
to OSHA standards, and all exposed surfaces shall be free of vent
devices that would permit the entrapment of biological contaminates.

All seating positions in the patient compartment shall be provided with
a vertical overhead clearance measurement of 43" as described in AMD
Standard 026.

**3.11.4.1 PATIENT SEATING**

For modular bodies, the seats shall provide seating space for two
persons and shall not be less than 15" deep by 18" wide (per seating
position), and the seat backs shall be a minimum of 18" wide by 18"
tall.

**3.11.6 SEAT SAFETY BELTS AND ANCHORAGES**

All designated seating positions in the patient compartment shall be
equipped with safety restraint systems appropriate for each type of
seating configuration.

**3.11.7 LITTER FASTENERS AND ANCHORAGES.**

A crash stable cot fastener assembly with quick release latch shall be
furnished. The installed cot fastener device(s) for wheeled cots shall
be tested to comply with AMD Standard 004, Litter Retention System.
Additional cot related hardware is permitted, provided the patient
compartment exit/entry is not encumbered with the cot in place. The
furnished devices shall have a bright colored finish, if the device
presents a tripping hazard in the entry/exit area when the cot is
removed.

**ALL COTS AND INFANT TRANSPORTERS SHOULD ONLY BE USED WITH THE
PERSCRIBED FASTENER ASSEMBY AS PRESCRIBED BY THE COT MANUFACTURER.
FASTENER AND COT INSTALLED AND CERTIFIED TO AMD STANDARD 004. THIS IS A
TYPE CERTIFICATION.**

[]{.mark}

**3.11.9 IV HOLDER FOR INTRAVENOUS FLUID CONTAINERS**

One ceiling mounted "hook" style device specifically designed for
holding IV containers shall be provided, including Velcro type straps to
adequately secure an IV bag/bottle. The device shall not protrude more
than 1 in., and shall be located adjacent to, or on the cabinetry near
the head of the primary patient. Swing down IV hangers with rigid
support arms that can cause injury shall not be specified or furnished.

**3.12 OXYGEN, MAIN SUPPLY AND INSTALLATION**

The ambulance shall have a piped medical oxygen system capable of
storing and supplying a minimum of 3,000 liters of medical oxygen. The
installed medical oxygen piping and outlet system shall be leak tested
in accordance with AMD Standard 015. After the successful completion of
tests, the system shall be capped then tagged with date and signature of
person and firm performing the tests per AMD standard 015.

The main oxygen supply shall be from a single compressed gas cylinder
that the consignee will provide and install at the time the vehicle is
placed in service. A cylinder changing wrench shall be furnished,
chained, and clipped within the oxygen cylinder compartment.

The cylinder controls shall be accessible from the inside the vehicle. A
device shall be visible from the EMSP's seat that indicates cylinder
pressure. The use of remote high pressure lines and gauges are not
allowed. The oxygen cylinder shall be accessible for changing from the
exterior of the body.

The purchaser shall specify the type of quick disconnect, to be used.
The contractor shall install all other components and accessories
required for the piped oxygen system which shall include as a minimum:

-   A pressure regulator

-   Low pressure, electrically conductive, hose approved for medical
    oxygen

-   Oxygen piping concealed and not exposed to the elements, securely
    supported to prevent damage, and be readily accessible for
    inspection and replacement.

-   Oxygen piped to a self-sealing duplex oxygen outlet station for the
    primary patient with a minimum flow rate of 100 LPM at the outlet.

-   The duplex oxygen outlet shall be located within 35\" from the
    center of the patient's head when in the supine position with the
    cot located in the position closest to the action wall.

-   Outlets shall be adequately marked and identified and not interfere
    with the suction outlet

**3.12.2 OXYGEN PRESSURE REGULATOR**.

The medical, oxygen pressure reducing, and regulating valve with inlet
filter at the cylinder shall have line relief valve set at 200 psi
maximum, and a gauge or digital monitor with a minimum range of 0 to
2,500 psi with the gauge or display scale graduated in not more than 100
PSI increments. The regulator shall be easy to connect and preset, with
a locking adjustment, at 50 +/- 5 psi line pressure, permitting a
minimum 100 LPM flow rate at a bottle pressure of 150 psi.

**3.12.3 SUCTION ASPIRATOR, PRIMARY PATIENT.**

An electrically powered suction aspirator system shall be furnished with
an illuminated switch and a panel mounted, labeled, quick disconnect
inlet device on the EMSP panel. The electric type aspirator system shall
be connected per Figure 3 and tested in accordance to AMD Standard 021.
The suction pump shall be located in an area that is accessible but
sound and vibration insulated from the patient compartment.

1)  The pump shall be vented to the vehicle's exterior.

2)  A vacuum control and a shut-off valve, or combination thereof, shall
    be provided to adjust vacuum levels.

3)  A vacuum indicator gauge of 3" +/-0.5\" in diameter, with numerical
    markers at least every 100 mm Hg and a total range of 0 to 760 mm
    Hg, shall be provided.

4)  The collection bottle or bag shall be non-breakable and transparent
    with a minimum 1,000 ml capacity.

5)  The minimum inside diameter for the suction tubing connectors shall
    be at least 1/4 in. The end user shall provide any suctioning
    catheters desired.

**3.13 ENVIRONMENTAL: CLIMATIC AND NOISE PARAMETERS.**

**3.13.1 ENVIRONMENTAL SYSTEMS.**

All ambulances will be equipped with a complete HVAC system(s) to supply
and maintain clean air conditions and specified level of inside
temperature in both driver and patient compartments. The various systems
for heating, ventilating, and air conditioning may be separate or a
combination system, which will permit independent control of the
environment within the driver's cab and patient compartment. All
ambulances will be equipped with heating, ventilating, and air
conditioning systems that can be made to collectively operate using
re-circulated air and outside ambient air and will be capable of
maintaining interior temperature of 68° F to 78° F. The ambulance must
conform to the testing requirements as specified by AMD Std. 012. The
air systems will be high volume capacity with low velocity delivery for
minimum draft circulation. Environmental system components will be
readily accessible for servicing at the installed location(s).
Connecting hoses for heating and the air conditioning system will be
supported by rubber-insulated metal clamping devices at least every 18
in.

**3.13.3 HEATING CRITERIA.**

The heating system(s) will have sufficient capacity to simultaneously
raise the temperature in each compartment, to a minimum dry bulb
temperature of 68° F, within 30 minutes. The testing must conform to the
type testing requirements as specified by AMD Std. 012. Heater(s) will,
to the maximum extent possible, be connected to the chassis
manufacturer's furnished interconnection points.

**3.13.4 AIR CONDITIONING CRITERIA.**

The air conditioning system(s) will have sufficient capacity to
simultaneously lower the temperature in each compartment to a maximum
dry bulb temperature of 78° F, within 30 minutes. The testing must
conform to the type testing requirements as specified by AMD Std. 012.
When available, chassis manufacturers' interconnection points will be
utilized.

**3.13.5 VENTILATION CRITERIA.**

Ventilation system(s) of the driver and patient compartments will
provide a complete change of ambient air within both compartments at
least every two minutes with the vehicle stationary. Ventilation will be
separately controlled within the cab and patient compartments. Fresh air
intakes will be located towards the front of the vehicle and exhaust
vents will be located on the upper rear of the vehicle. Exhaust vents
may be located on the rear lower half of the module/body, provided the
vent/device incorporates a reverse flow damper to prevent back draft and
intrusion of vehicle engine exhaust, dust, dirt, or road spray. The
patient compartment will be ventilated by the air delivery system of the
environmental equipment (heater-air conditioner) or by separate
system(s), such as power intake, exhaust ventilator(s).

**3.13.6 ENVIRONMENTAL CONTROLS.**

Adjustable, manual or thermostatically operative controls will permit
heating and/or air conditioning and ventilation in either compartment
without affecting the other compartment. Switches and controls will be
located in "action area" panel and/or remote panel and identified for
function and operating position. Blower or fan system will have at least
three speeds (excluding "OFF"). Separate non-corroding brass, bronze,
stainless steel, plastic or other inherently corrosion proof shutoff
valves, for the patient compartment hot water heating system, will be
provided. The use of vacuum or electrically operated shutoff valves is
acceptable provided it will meet the above criteria and the valve
provides inherent sealing when vacuum is removed. This sealing will
prevent engine cooling system pressure and water pump pressure from
causing any leakage when vacuum is removed. Air systems will have
adjustable louvers to direct the flow of air.

**3.13.7 PATIENT COMPARTMENT SOUND LEVEL CRITERIA**

The patient compartment decibel level will not exceed 80 dB and will be
certified to conform to the type testing requirements in accordance with
AMD STANDARD 006.

**3.14 COMMUNICATIONS.**

**3.14.1 COMMUNICATION EQUIPMENT.**

Any two way radio equipment shall be installed by a licensed installer
approved by the radio manufacturer. Communications equipment will meet
the applicable FCC rules and required state and local area EMS radio
communication protocols.

**3.14.2 RADIO (MOBILE) PROVISIONS.**

All ambulances will be provided with sufficient ventilated space for a
two-way radio (including convenience features), antenna openings, ground
plane, terminal wiring for 12V power and ground.

**3.14.3 ANTENNA CABLE, AND ACCESS.**

The contractor shall provide each ambulance with a ground plane, and
coaxial lead-in wire from the ventilated radio storage area/compartment
to the centerline of the patient compartment roof. An antenna wiring
access/port shall be provided in the patient's compartment directly
under the coaxial leads. The port shall provide a least a 16 square inch
clear access. All nonmetallic roofs will be equipped with at least a 40"
x 40" metal ground plane molded into the roof. The ground plane then
shall be properly grounded to the chassis ground. The antenna cable
(lead-in) shall be provided and clearly labeled with RG/58U or equal
cable. Approximately 18" of extra cable shall be provided at the roof
and approximately 36" at/in the radio area/compartment.

**3.14.6 SIREN - PUBLIC ADDRESS SYSTEM.**

A combination electronic siren with integral public address system
including radio interface capability shall be provided. A "Horn/Siren"
switch shall be provided on the driver's console. When on shall activate
or change the siren tone when the horn button is pushed. The
"Horn/Siren" switch shall be illuminated (in siren mode). Dual speakers
shall be installed, outside the vehicle, in the bumper/hood area.
Speakers shall not protrude beyond the face of the bumper or bumper
guards. System shall meet AMD Standard 023 for siren system.

**3.15 ADDITIONAL SYSTEMS, EQUIPMENT, ACCESSORIES, AND SUPPLIES.**

**3.15.1 ADDITIONAL AND OPTIONAL EQUIPMENT.**

This standard provides the minimum technical requirements that new
ambulances are required to meet. Some purchasers will require features
in excess of these minimum requirements to complete their mission(s).
Completing the worksheet in this section will assist purchasers in
determining the optimum type, configuration and optional equipment
required.

Purchasers may wish to consider some of the following criteria before
completing the worksheet:

1.  Operating environments such as inner city, rural areas, length of
    responses

2.  Size of ambulance crew

3.  State or Local jurisdiction required medical equipment

4.  Vehicle size and weight limitations in the response area

5.  Expected service life of the Ambulance

6.  Additional non EMS equipment that must be carried on the Ambulance

7.  Future equipment requirements

8.  Additional state or local requirements

9.  Export requirements

In no event shall the specified or furnished optional item(s) reduce the
quality and intent of the ambulance but shall enhance its design and
purpose. The materials, devices, items, and fabrication, if not
specifically described, shall be not less in quality, strength,
performance, and service than those normally provided by the most
reputable manufacturers.

**3.15.2 STANDARD MANDATORY MISCELLANEOUS EQUIPMENT.**

Each ambulance shall be equipped with, but not limited to the following:

1.  Fire extinguishers: Two, (ABC dry chemical or carbon dioxide)
    minimum 5 lb. unit, in a quick-release bracket, one mounted in the
    driver/cab compartment or in the body reachable from outside the
    vehicle and one in the patient compartment. When located in either
    the driver or patient compartments, the mounting bracket shall be a
    stable design.

2.  "No Smoking Oxygen Equipped" and "Fasten Seat Belts" signs:
    Conspicuously placed in the cab and patient compartment.

3.  Overhead grab rail, minimum 60 in. long, maximum 4 in. depth, on the
    ceiling over the primary patient. Grab rail shall be stainless
    steel, aluminum, or other corrosion resistant material, and have
    padded or curved up ends, and rounded corners. Mounting brackets
    shall be chromed, stainless steel, polished cast aluminum or other
    corrosion resistant materials. The grab rail shall be tested in
    accordance with AMD Std. 008.

4.  Backup alert alarm, (audible warning device) activated when the
    vehicle is shifted into reverse. Device shall be rated (SAE) for 97
    dba at 4 feet.

**3.15.3 CONFIGURATION WORKSHEET**

**Reference Section 3.0 REQUIREMENTS**

This ambulance is to be a:

  BLS

  ALS

  Walkthrough

  Infrequent Transport

1\. Specify the maximum number of seated positions on the ambulance if
more than 5 for modular bodies, or more than 3 for Type II units
(Standard seating is 2 in the cab, 2 on the side and 1 in the EMSP seat
for modular bodies and 2 in the cab and 1 in the EMSP seat for Type II
units):

2\. Describe the usage duty cycle that the ambulance will be subjected
to:

3\. If design approval drawings and/or a copy of the manufacturer's work
order are required to validate the design criteria in 3.1, the type and
quantity must be detailed here.

4\. If different than 3.4.2, state the minimum and/or maximum operating
temperatures in degrees F.\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

5\. If different than 3.4.4, state the required performance
requirements:

6\. If different than 3.4.6, state the required min/max road speed
required:

7\. If different than 3.4.8, state the required
gradeability:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

8\. If different than 3.4.9, state the required fuel
range:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

9\. Per 3.4.11.1, state the maximum overall length in
inches:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

10\. If different than 3.4.11.2, state the maximum overall width in
inches:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

11\. Per 3.4.11.3, state the maximum overall height in
inches:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

12\. If different than 3.4.11.5, state the required
angles:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

It is essential that the ambulance not be operated in an overloaded or
unbalanced condition. The following information must be made available
to properly design the interior and exterior compartmentalization of the
ambulance per section 3.5. Attach:

1.  A list of medical & rescue equipment to be supplied by the
    contractor with the ambulance stating the item, quantity, where it
    is to be mounted or carried, the weight of each item, and its
    dimensions (L × W × D).

2.  A list of medical & rescue equipment to be supplied by the purchaser
    to be carried on the ambulance stating the item, quantity, where it
    is to be mounted or carried, contractor\'s responsibility for
    mounting, the weight of each item, and its dimensions (L × W × D).

3.  A list of medical & rescue equipment that might be carried on the
    ambulance in the future stating the item, quantity, the desired
    mounting location or compartment where it is likely to be carried,
    the weight of each item, and its dimensions (L × W × D).

4.  A list of permanently mounted equipment required on the ambulance
    showing the item, quantity, weight of each, and dimensions (L × W ×
    H), who is to furnish the equipment as well as the location where it
    is to be carried.

13\. Per 3.5.2, the average weight of an occupant is calculated at 150
lbs. per NHTSA. If your average occupant weight is greater, specify
here:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

14\. If a specific manufacturer's chassis is required in section 3.6,
list the manufacturer here:

15\. If all wheel drive (AWD) or all wheel drive conversion (AWDC) is
required specify here. (it should be noted that AWD and AWDC will reduce
the available payload and will increase the floor loading height. In
some cases the floor loading height may be increased beyond the 34"
maximum recommended by the cot manufacturers)

16\. A diesel engine is furnished as standard per 3.6.3. If other than a
diesel engine is to be used, specify here. If a specific engine type is
required, specify here:

17\. The OEM standard exhaust location and piping configuration is
required per 3.6.4.6. If an alternate location of type of piping
termination is required, specify here:

18\. An automatic transmission is furnished as standard per 3.6.5.2. If
a specific transmission type is required, specify here:

19\. The OEM standard braking system is required per 3.6.5.7. If an
optional type braking system is required (air brakes, retarder, exhaust
brake, etc.), specify here:

20\. The OEM standard tires are furnished per section 3.6.8. If an
optional type tire is required, specify here. If a spare tire is
required, specify mounting location here:

21\. If automatic or manual tire chains are to be furnished to operate
in the space required by 3.6.11, specify here:

22\. If different than 3.7.5, specify the type of horn (air horn, etc.)
required:

23\. Specify any electrical loads beyond those defined in 3.7.6 that are
to be part of the minimum continuous electrical load. If a load
management system is required, specify the sequence of control
(shutdown):

24\. The OEM standard batteries are furnished per section 3.7.7. If an
optional type battery is required, specify here. If a specific mounting
location is required, specify here:

25\. Specify any portable equipment charging provisions required in
excess of those required by 3.7.7.2:

26\. If different than 3.7.7.3, specify the number and type of power
points required:

27\. Specify any AC utility power requirements that are in excess of
those required in 3.7.8:

28\. If an on board AC power system is required to operate with the
system described in 3.7.8, the following must be specified:

Wattage of power source:

Voltage of power source:

Purity of power source:

(allowable total harmonic distortion, voltage variation, power factor,
frequency variation, etc)

Type of power source (shall be listed by a nationally recognized testing
laboratory UL, CSA, etc):

  Portable Generator

  Hydraulically Driven Generator

  Direct Drive Generator

  Auxiliary Engine Driven Generator

  Belt Driven Generator or Alternator

  Derived From Ambulance Low Voltage Power Supply System (Inverter)

  Other:

Make, model, or other details of power source:

Panelboard location:

**AC Powered Receptacle Information**

  --------------- -------------------- ----------------------------------
  **Quantity**    **NEMA Conf**        **Location**

                                       

                                       

                                       

                                       

                                       

                                       
  --------------- -------------------- ----------------------------------

**AC Powered Lighting Information**

  ----------------- ----------------- ------------------ -----------------
  **Style/Make**    **Location**      **Wattage/Bulb**   **Type Mounting**

                                                         

                                                         

                                                         

                                                         

                                                         
  ----------------- ----------------- ------------------ -----------------

An automatic transfer switch shall be furnished which turns off this
onboard AC supply (interlock) and disconnects its output, when the AC
utility power is applied. Transfer equipment, if not integral with the
listed power source, shall be installed to ensure that the current
carrying conductors from the on board 125-volt AC power source and from
the 125-volt AC utility power source are not connected to ambulance
electrical circuit at the same time. Generators shall comply with
Article 445, "Generators," of NFPA 70, *National Electrical Code*.

The following shall be wired so that they can be energized only from the
utility power, and not the onboard AC supply:

1.  DC battery conditioner

2.  Engine block heater

29\. If different than 3.7.8.1, specify the location for the utility
power connector:

30\. If known, specify the equipment that is to be powered by the
receptacles specified in 3.7.8.2:

31\. If different than 3.7.10, specify the location(s) for the patient
compartment controls:

32\. If a specific manufacturer's DOT lighting system is required in
section 3.8.1, list the manufacturer here. State if a specific lighting
system is required (such as all LED, etc.):

33\. If a specific manufacturer's emergency lighting system is required
in section 3.8.2, list the manufacturer and type (i.e.: strobe, LED,
halogen) here. State if an alternate approved lighting system is
required (such as NFPA 1901 compliant or SAE J2498 compliant). State if
there are specific state or local jurisdiction requirements (such as
California steady burning red, etc):

34\. Specify any work lighting required beyond those defined in 3.8.3:

35\. Specify any interior lighting required beyond that defined in 3.8.5
(map light, high intensity cot light, etc.):

36\. The manufacturer's standard cab console will be provided per 3.9.1.
If an optional type console is required (specific switch locations,
specific size, etc.) specify here:

37\. The OEM largest mirror system is required per 3.9.5. If an optional
type mirror system is required (power, heated, etc) specify here:

38\. If different than 3.10.4, state the required increase to the
patient compartment interior length, width and height in
inches:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

39\. An aluminum modular body is required per 3.10.5. If an optional
type body material is required specify here:

40\. Hinged doors are required per 3.10.8. If an optional type door
system is required (sliding, etc) specify here:

41\. If a specific manufacturer's latch, locking system, grab handle
system, etc. is required in section 3.10.9, list the manufacturer and
type here:

42\. The floor is designed to carry a cot load of 400 pounds per
3.10.10. If a heavier load is to be applied to the floor (Bariatrics,
etc) specify here:

43\. If a specific manufacturer's flooring is required in section
3.10.11, list the manufacturer and flooring type here:

44\. Windows are required per 3.10.14. If an optional window and/or tint
is required specify here:

45\. All exterior compartments must be lighted per 3.11.2. If additional
compartment lighting is required, specify here:

46\. Removable shelving is required per 3.11.3. If optional type
shelving is required (adjustable, quick loading, etc) specify here:

47\. Patient compartment seating is required per 3.11.4. If an optional
type seating is required (captain's chair, integral child safety seat,
etc) specify here:

48\. A cot fastener assembly is required per 3.11.7. Specify the type of
cot to be fastened by manufacturer and model number. If a cot is to be
furnished by the contractor, specify the manufacturer and model number
of the cot to be furnished:

49\. A medical oxygen system is required per 3.12. Specify the type of
outlets (DISS, NCG, Chemtron, Ohmeda, Puritan Bennett, etc) to be
furnished. Specify the type and size of oxygen cylinder that will be
furnished by the end user. If additional oxygen equipment is to be
furnished by the contractor, specify the manufacturer and model number
to be furnished. If additional oxygen storage (more than 3000 liters) is
required, specify here:

50\. The patient compartment interior sound levels are not to exceed 80
dB per 3.13.7. If lower sound levels are required specify here:

51\. If electronic communication between the patient compartment and the
cab is required (silent intercom, voice intercom, headsets integrated
with the radio system, etc) are required specify here:

52\. Provisions for mobile radio equipment are defined in 3.14.2.
Complete the following:

Is the manufacturer to provide the radio?  Yes  No

Is the manufacturer to install the radio?  Yes  No

 Make and model:

Power requirements for radio:

 Mounting location for radio:

 Mounting location for control(s) and speaker(s):

53\. Are there provisions required for computer equipment or other
electronics? If so, list here:

54\. If a specific manufacturer's siren and/or control system is
required in section 3.14.6, list the manufacturer here:

55\. Specify any additional backup assist systems required beyond those
defined in 3.15.2.4:

56\. The ambulance will be painted and marked per 3.16. State if an
alternate approved painting and/or marking system is required (such as
NFPA compliant and/or specific state or local jurisdiction
requirements). A graphic design meeting the reflectivity requirements of
3.16.4 shall be permitted to replace the required striping material if
the design covers at least the same perimeter length and total area of
coverage in square inches required by 3.16:

57\. Each ambulance comes with an instruction manual and handbook of
construction per 3.20. These documents are designed to insure that the
operator of the ambulance can properly operate and perform required
operator level maintenance specific to the ambulance purchased. If
additional operational instruction and/or maintenance instruction is
required, those requirements should be detailed here. If actual service
and parts manuals are required, those requirements should be detailed
here. With a few exceptions, the manual and handbook of instruction will
be in electronic form. If other media is required (all paper, etc.)
specify here:

**Reference Section 4.0 QUALITY ASSURANCE PROVISIONS**

The type of inspection (source and/or destination) needs to be specified
as well as where and when is the acceptance inspection is to occur?

Section 4.3.4 requires 3^rd^ party testing. If an alternate form of
3^rd^ party validation of the testing is required, specify here:

**Reference Section 5.0 PREPERATION FOR DELIVERY**

If a different mode of delivery or preparation for delivery than is
specified in section 5.0 the requirements should be detailed here along
with the delivery address for the ambulance.

**Reference Section 6.0 NOTES**

If an extended warranty (beyond what is required in 6.4.3) on the entire
vehicle or specific components is required, indicate which component(s)
and the length and scope of the warranty:

**3.15.4 DEFINED OPTIONS**

The following Option Code detailed requirements are offered for selected
Ambulance options.

**3.15.4.1 Code "SL" SPOTLIGHT**

A hand held spotlight shall be provided with a minimum 100,000 CP lamp,
corrosion proof housing with momentary switch, and minimum 8 ft.
heavy-duty coiled cord. It shall be hard wired to the vehicle 12-volt DC
system (for anti-theft reasons) and stowed in a holder in a
compartment/area, accessible to the driver and passenger.

**3.15.4.2 CODE "HPL" PADDLE HANDLE DOOR LATCHES**

When code HPL is specified, a large automotive paddle style door handle
shall be furnished for the patient entry and exterior compartment doors.
The handle shall be chrome or bright metal finished and shall have a
black outer trim gasket. Each handle shall be easily gripped with a
gloved hand. The patient entry doors and exterior compartment doors
shall be keyed alike.

**3.15.4.3 CODE "K40" SERVICE BEFORE OVERSEAS**

When option K40 is specified, vehicles scheduled for overseas delivery
shall be shipped to the ambulance manufacturer's service center closest
to the port of shipment. The service center shall ensure that the
following services are performed:

> 1\. A 3000 mile chassis service
>
> 2\. The OEM and Conversion equipment functions on the predelivery
> check list shall be successfully completed
>
> 3\. All open warranty items discovered as a part of this service shall
> be resolved
>
> 4\. The dealer shall deliver the vehicle to the port of shipment when
> the required services have been completed.

**3.15.4.4 CODE "PLV' POWER LOCKS ON BODY**

When code PLV is specified, the side and rear patient entry doors as
well as the front exterior ALS access door shall be equipped with
electrically activated locks. These locks shall be interconnected to the
chassis OEM electric locks so that patient compartment and ALS access
areas may be secured anytime the chassis is locked. There shall further
be a momentary activation switch located to the rear of the side wall
adjacent to the rear patient entry doors. Switch shall be labeled Door
Locks. Additionally there will be a rubber covered, weatherproof
"stealth" switch that will unlock both the cab entry doors as well as
the patient compartment entry doors. Switch shall be located in the
front grille area.

**3.15.4.5 CODE "PSM & PSME" PARTS AND SERVICE MANUALS**

When PSM or PSME is specified, the contractor shall furnish all parts
lists and service publications for the vehicle and all equipment
furnished.

When PSM is specified, the publications furnished shall be printed
documents.

When PSME is specified, the publications shall be electronic (CD or
web-based)

NOTE: The publications may be shipped separately from the vehicle. The
publications may be shipped to the consignee mailing address as shown on
the MVDO.

**3.15.4.6 CODE "SROV" Reverse Obstacle Sensor**

When code SROV is specified, the vehicle shall be furnished with a
sensor system that is installed on the rear of the body or rear bumper
of the vehicle and detects the proximity of objects and transmits an
audible signal to the driver. A switch shall be furnished that allows
the driver to turn this device on/off.

**3.15.4.8 CODES "AWD & K02" OEM All Wheel Drive**

When Option AWD is specified, the OEM 4X4 chassis shall be furnished per
specification. When Option K02A is additionally specified, the chassis
shall have OEM automatic electric "shift on the fly" system.

**3.15.4.9 CODE "K11" REAR AIR RIDE SUSPENSION**

When Option K11 is specified, chassis manufacturers furnished or
approved rear air suspension, with electrically operated dump valve,
shall be furnished. The air ride suspension system shall incorporate an
interlock system that prevents the vehicle from moving while the system
is in the \"dumped\" configuration.

**3.15.4.10 CODE "K37" ADDITIONAL 12 VOLT POWER LEAD**

When K37 is specified, an additional lead shall be furnished to a
specified location. All leads shall be tagged.

**3.15.4.11 CODE "K32" ADDITIONAL ANTENNA & POWER LEAD**

When Option K32 is specified, an additional antenna and an additional
power lead shall be furnished to a specified location. All leads shall
be tagged.

**3.15.4.12 CODE "K27" TEMPERATURE CONTROLLED DRUG COMPARTMENT**

When K27 is specified, a temperature controlled drug compartment shall
be furnished to maintain temperatures 77 degrees F +or-- 20 degrees F.
with the vehicle exposed to the ambient temperatures in 3.4.2. The
electrical power for the cooling/heating shall be from the power output
in Figure 3 and Figure 4.

**3.15.4.13 CODE "K49" AC/12 Volt Heat & AC Comb**

When code K49 is specified, the climate control system in the patient
compartment shall be capable of operating from either AC power supplied
by a 30 amp shoreline input or the 12 volt D.C. power supplied by the
OEM chassis. The AC portion of the system shall include a Kussmaul 30
Amp Auto-Eject shoreline input outlet located on the street side of the
vehicle and adjacent to the standard shoreline outlet. The 125 volt
input shall activate an additional air conditioning compressor and
condenser as well as an AC to 12 volt converter that will power the air
conditioner blower motors inside the patient compartment. The AC portion
of the system shall be connected to the interior heat/cool thermostat
located in the action area. An AC auxiliary heater shall be installed
underneath the attendant's seat.

**3.15.4.14 CODE "K28" CAST ALUMINUM EMERGENCY LIGHT HOUSINGS**

When code K28 is specified, all exterior emergency and flood lights
shall be flush mounted in cast, polished, aluminum housings and recessed
to the maximum extent possible.

**3.15.4.15 CODE "FTH" FRONT TOW HOOKS**

When code FTH is specified, the chassis manufacturer's front recovery
hooks shall be frame mounted on the front of the vehicle. The chassis
manufacturer's front recovery hooks shall be provided on all 4X4
vehicles.

**3.15.4.16 CODE "PT" POWER TAKEOFF OPENING**

When code PT is specified, the designated transmission or transfer case
shall be provided with a usable PTO opening. When a PTO unit is provided
on a vehicle, a caution plate or decal reading, "Do not operate vehicle
at highway speeds with PTO engaged," shall be installed in the cab,
readily visible to the driver. Controls to operate the power takeoff
shall be located in the truck cab accessible to the seated driver. The
PTO unit shall have a rated capacity to operate the provided equipment

**3.15.4.17 CODE "PWL" POWER WINDOWS AND LOCKS**

When code PWL is specified, the OEM power windows and power locks option
shall be provided.

**3.15.4.18 CODES "RA, RAD & RACD"**

When code RA is specified, the OEM AM/FM radio with integrated clock
shall be provided.

When code RAD is specified, the OEM AM/FM/clock radio with integrated
compact disc player shall be provided.

When code RACD is specified, the OEM AM/FM/clock radio with integrated
compact disc and cassette player shall be provided.

**3.15.4.19 CODE "RKE" REMOTE KEYLESS ENTRY**

When code RKE is specified, the OEM optional remote keyless entry system
shall be furnished.

**3.15.4.20 CODES "T5", AND "T6", FIVE, AND SIX SPEED MANUAL
TRANSMISSION**

When code T5, or T6 is specified, a five, or six speed manual
transmission, respectively, shall be furnished. The transmission shall
be furnished with a PTO opening(s) in accordance with SAE J704, unless
an exception is noted under the code.

**3.15.4.21 CODE "AWDC" FOUR WHEEL DRIVE (4x4) CONVERSION**

**(From OEM Pass Through Approved Dealers Only)**

When code AWDC is specified, an OEM pass through four wheel drive
conversion shall be furnished. The conversion (4x4) shall be a
professionally engineered conversion from a two wheel drive (4x2) to a
four wheel drive (4x4) meeting or exceeding all applicable requirements
herein. All workmanship, welding, mechanical fit, grade and quality of
components and materials used in conversion(s) shall be equal to or
greater than the chassis manufacturer's production of other vehicles in
the same weight class that are available as factory assembled 4x4 units.
Conversion components shall not interfere with other body, chassis, or
mechanical parts through the complete range of suspension and wheel
angle travel and allow proper alignment of axles. The tracking and
wheelbase of the front/rear axles shall be identical on both sides of
the vehicle. When available, the chassis manufacturer's original
equipment components for 4x4 units shall be furnished, including but not
limited to: spring hangers, shackles, drive axle, integral
transmission/transfer case, universal joints, steering linkage,
stabilizer bars, radius and torque rods, transfer case shift linkage,
brake calipers, pads, rotors, shock absorbers, and springs. The chassis
manufacturer's guidelines/requirements for 4x4 conversions shall be
followed. The conversion shall, at a minimum, maintain the payload as
required for the Standard Item number furnished. The furnished axle
ratings, as a minimum, shall provide the original or greater GAWR and
GVWR. The design of the 4x4 conversion shall not raise the vehicle's
center of gravity over that of the original vehicle, and chassis height
shall not be raised more than 5 in. The transfer case selector shall
have a readily visible shift diagram and a position indicator. A yellow,
dash mounted 4 wheel drive warning light shall be provided in close
proximity to permanent warning decal or metal plate advising conditions
under which 4 wheel drive shall not be used. A dash mounted metal plate
or permanent decal indicating the proper procedure for engaging and
disengaging the 4 wheel drive shall be provided. The ratio of the front
drive axle shall be identical +/- 1% of that furnished in the rear axle.
The front drive axle hubs shall be manually engaged. Each vehicle's rear
axle shall be furnished with chassis manufacturer's special traction
differential (option code D3) when available. The 4x4 converter shall
furnish a completed applicable FMVSS certification label as required for
an Alterer, Intermediate, or Final Stage manufacturer. In addition to
the required OEM manuals, the vehicle shall be provided with operation,
maintenance, and 4x4 system specifications information.

The 4x4 converter shall provide to the purchaser a full parts and labor
warranty covering all added 4x4 parts and materials, including
workmanship and design. The warranty shall also cover all OEM components
affected or modified by the conversion process. This warranty shall be
at least equivalent, in mileage and time, to the chassis manufacturer's
original warranty, including any extended warranties required or
furnished.

**3.15.4.22 CODE "RBV" RUNNING BOARD**

When code RBV is specified, OEM running boards (Code RB) or vocational
body contractor running boards shall be furnished. The vocational body
contractor running boards shall be securely mounted to the frame of the
vehicle to prevent flexing when used by vehicle occupants during entry
and exit.

**3.15.4.23 CODE "LEDV" BODY EXTERIOR DOT LIGHTING, LED**

When code LEDV is specified, the exterior DOT lighting furnished, other
than the backup lamp(s), shall be LED. The lighting system shall include
sealed wiring harness with return ground wiring. LED lights shall be
installed with tamper resistant hardware.

The LED lights shall have a 5 year warranty as a minimum.

**3.15.4.24 CODE "SRP" RUSTPROOFING per FED-STD 297E**

When code SRP is specified, the vehicle shall be rust proofed in
accordance with FED-STD 297E

**3.15.4.25 CODE "CPT" PAINT-CUSTOM COLOR**

This option must be specified when ordering paint colors other than the
standard white. The required color(s) must be stated.

**3.15.4.26 CODE "UCT" UNDERCOATING**

When code UCT is specified, the vehicle shall be undercoated be
undercoated for sound deadening, corrosion, and stone damage protection.
A commercial, sandless, undercoating or other materials providing
equivalent protection, shall be applied to the underbody and under
chassis sheet metal surfaces to a thickness of 1/16 to 1/8 in., except
to the drive shafts, drain holes, lubrication points,
engine/transmission oil pans, fuel tanks, heavy castings, suspension
components, heat shields, heat diffusing devices, catalytic converters,
and areas 12 in. or less from the exhaust system(s) as well as other
areas specifically excluded by the chassis manufacturer. These areas
shall be kept free of coating material. Chassis frame, underside of
engine compartment hood, and underbody surfaces in excess of 1/8 in.
thickness, or that is inaccessible without removing vehicle fuel tank(s)
or other major components shall not require undercoating

**3.15.4.27 CODE "K01" ALS CONFIGURATION**

When K01 is specified, the ALS configuration shall be furnished. It
Includes:

a\. Locked drug compartment.

b\. High intensity cot light.

c\. Two (2) Extra IV hangers

d\. CPR Side Seat w/ occupant restraint device

**3.15.4.28 CODE "K12" AUXILIARY AIR CONDITIONING CONDENSER**

When K12 is specified, an auxiliary condenser shall be provided which
will allow for maximum system performance, based on the air conditioning
and ambulance manufacturer's recommendations. If the condenser is
located above the cab, it shall not block the emergency lights. All
added refrigeration lines and fittings shall be mechanical fittings
compatible with OEM components furnished by the chassis manufacturer.

**3.15.4.29 CODE "SP" SKID PLATES**

When code SP is specified, OEM protective plates, or shields, shall be
provided when available. The skid plate(s) shall provide protection for
at least the transfer case. The skid plates shall be demountable for
service of the components they protect. Sufficient openings shall be
provided to enable draining of transmission and servicing the underside
of the engine.

**3.15.4.30 CODE "WR" INCREASED GVWR**

When code WR Is specified, the GVWR shall be increased by the OEM to the
maximum level available

3.15.4.31 CODE "K46" Furnish "H" O^2^ Cylinder in lieu of "M" Cylinder

When code K46 is specified, an "H" O^2^ Cylinder shall be furnished in
lieu of an "M" Cylinder

**3.15.4.32 CODE "DVE2" FURNISH EXTRA INTERIOR HEIGHT**

When code DVE2 is specified, the patient compartment interior height
shall be increased to a minimum of 72 Inches.

**3.15.4.33 CODE "K15C" REFLECTIVE CHEVRON**

A minimum of 50% of the rear vertical surfaces of the apparatus shall be
equipped with 4 inch alternating yellow and red chevron reflective
striping sloping downward at an angle of 45° from the center of the
vehicle

**3.16 PREPARATION FOR PAINTING, COLOR, AND MARKINGS.**

**3.16.1 PREPARATION FOR PAINTING.**

Ambulance body and all attached equipment exterior surfaces, except
polished metal parts, shall be thoroughly cleaned, treated, and coated
with a firm primer and preservative with rust inhibiting properties, and
painted in the finish color as specified . Ferrous metal interior
surfaces shall be painted or, when not exposed for painting, shall be
treated or coated to resist corrosion. Chassis and chassis frame
components shall be preserved and finished in accordance to industry's
standard practice.

**3.16.2 COLOR, PAINT, AND FINISH.**

The exterior color of the ambulance shall be gloss white in combination
with a solid uninterrupted orange stripe and blue lettering and emblems.
The stripe should be as close to parallel as possible with the road but
a stripe transition angle is acceptable to connect the module beltline
stripe with the chassis stripe. The exterior finish on painted metal
modular bodies and metal roofs on Type II ambulances shall be an acrylic
composition urethane or polyurethane paint. The final stage
manufacturer's painted components shall have a paint film not less than
1.8 mils thick and a minimum total thickness of 2.6 mils including
primers. The orange stripe shall not be less than 6 in. wide, nor more
than 14 in. wide and shall encircle the entire ambulance body at the
belt line below the bottom edge of cab windows but may exclude the front
of the hood panel. The orange stripe shall be reflective tape. This
single, solid band (except when interrupted by windows, locks, etc.),
when viewed horizontally, shall appear as a stripe near parallel to the
road. The interior finish shall be the manufacturer's standard light
color harmonizing with the color of upholstery. After application of the
final film of paint, the surfaces shall be smooth and uniform.

**3.16.2.1 COLOR STANDARDS AND TOLERANCES.**

The exterior surface including the wheels shall be manufacturer's
standard gloss white.

**3.16.3 SALT SPRAY RESISTANCE.**

Treated exterior sheet metal of the ambulance body (except OEM Type II
van) shall be capable of withstanding 250 hours of salt spray tested in
accordance with ASTM B 117-03. The specimen used for the salt spray test
shall be run through all steps of the cleaning and treating process,
including priming. The primed specimen shall be scored from corner to
corner using a sharp knife. After the test, the specimen panels shall
exhibit no failure and not more than 1/8 in. rust or blister creepage
from the scored lines.

**3.16.4 REFLECTIVE EMBLEMS AND MARKINGS.**

The material for the emblems and markings shall be applied using
reflective material that has a coefficient of retroreflection measured
in accordance with ASTM E 810 of 100 for White and 10 for Blue using - 4
degree entrance angle and a 0.2 degree observation angle. The reflective
color used shall be blue (color a) and white (color i) when applicable.
The orange and blue markings shall be as specified Orange and Blue in
American National Standard Z535.1, Safety Color Code. They shall comply
with the tolerances expressed in terms of Munsell hue, value
(lightness), and chroma (saturation). The emblems and markings shall be
of the type, size, color, and location as follows:

**A. Front markings**

1\. The word "AMBULANCE", mirror imaged, shall be in block, blue, die
cut style letters, not less than 4 in. high, centered above the grille,
on the orange or white background. The placement of the word ambulance
on the curved surface of the hood or on a flat plastic type bugscreen is
permitted.

2\. A "Star of Life" in 3 in., blue, die cut style, with a white border;
conforming to Figure 2 (size A) shall be located both to the right and
left of the word "AMBULANCE."

**B. Side and rear markings**

1\. The word "AMBULANCE" shall be in block, blue, die cut style letters
of not less than 6 in. in height, centered, with a white border,
alongside or under the "Star of Life" on each side and rear of the
vehicle body.

2\. A "Star of Life", not less than 16 in., in blue, die cut style, with
a white border, conforming to Figure 4 (size C), on the right and left
side panels. A "Star of Life" emblem, size B, shall be provided on each
rear door.

**C. Top markings**

A "Star of Life", of not less than 32 in. (size D) in blue, die cut
style, conforming to Figure 4 (may be without the white Staff of
Aesculapius), shall be provided on the ambulance rooftop.

**3.19 MARKINGS, DATA PLATES, WARRANTY NOTICE, ETC.**

Final stage manufacturer's caution plates and identification plates
shall be conspicuously installed for all equipment, etc., furnished
requiring such notices. The ambulance/vehicle manufacturer's "Star of
Life" certification shall be provided on a placard or label permanently
affixed and easily visible.

Other than the manufacturer's trademark(s) names, no other
identification than that specified shall be shown on exterior of the
vehicle.

**3.20 MANUALS, AND HANDBOOK OF INSTRUCTION.**

The contractor shall furnish with each ambulance one copy of a handbook
of instruction in electronic media. This handbook shall contain all
information and safety precautions to insure that the operator of the
ambulance can properly operate and perform required operator level
maintenance specific to the ambulance purchased. As a minimum, this
handbook of instruction shall contain.

1.  Table of contents

2.  Copy of contractor's invoice showing date of delivery and conditions
    of sale

3.  Manufacturer's "Star of Life" certification of compliance statement

4.  Copy of Ambulance manufacturer's predelivery Inspection/test form
    signed by manufacturer's inspector

5.  Copy of manufacturer's final (as built) work order.

6.  Shipping papers.

7.  List of ambulance manufacturer's service points

8.  Final stage manufacturer's components and equipment information
    (hardware, fixture, etc.) including manufacturer's part numbers
    specific to the ambulanced purchased

9.  Complete wiring diagrams and schematics for wiring added to the OEM
    chassis by the ambulance manufacturer

10. Chassis manufacturer's operator manual (may be in printed form if
    electronic form is not available from chassis manufacturer)

11. Equipment manufacturer's operator manual(s) for any equipment
    furnished with, or as a part of the ambulance (may be in printed
    form if electronic form is not available from chassis manufacturer)

12. All warranty information

If complete parts and service manuals are required for the ambulance,
option PSM or PSME must be ordered.

**3.21 PREDELIVERY INSPECTION AND SERVICING.**

The contractor prior to the acceptance and inspection of the
ambulance(s) shall service and inspect each vehicle in accordance with
the chassis manufacturer's approved predelivery form, and the ambulance
manufacturer's predelivery (test, inspection, and road test) form. A
signed copy of these forms (check sheets) shall be furnished with the
vehicle. Servicing shall comply with ambient temperatures and conditions
applicable with the route of transport to the consignee's ultimate
destination. Servicing shall include all tank(s) full of fuel; checking
to determine satisfactory and complete operation of all mechanical and
electrical features, equipment and system; elimination of rattles,
noises, and squeaks; cleaning the interior and exterior. Thus the
vehicle shall be delivered ready to use.

**3.23 WORKMANSHIP.**

A.  Vehicles shall be free from defects that may impair their
    serviceability or detract from appearance.

B.  All bodies, systems, equipment, and interfaces with the chassis
    shall be done in accordance with the OEM Body Builders Book.

C.  Defective components shall not be furnished. Parts, equipment, and
    assemblies that have been repaired or modified to overcome
    deficiencies shall not be furnished without the approval of the
    purchaser. Component parts and units shall be manufactured to
    definite standard dimensions with proper fits, clearances, and
    uniformity. General appearance of the vehicle shall not show any
    evidence of poor workmanship.

D.  The following shall be reason for rejection:

    1.  Rough, sharp, or unfinished edges, burrs, seams, corners, and
        joints.

    2.  Grit, seeds, orange peel, fish eyes, streaks, running, sagging,
        wrinkles, pin holes, craters in paint, failure to meet minimum
        thickness requirements and non uniformity of specified color.

    3.  Body panels or components that are uneven, unsealed, or contain
        cracks and dents.

    4.  Misalignment of body fasteners, glass, viewing panels, light
        housings, other items with large or uneven gaps, spacing, etc.,
        such as door, body panels, and hinged panels.

    5.  Improperly fabricated and routed wiring or harness.

    6.  Improperly supported or secured hoses, wires, wiring harnesses,
        mechanical controls, etc.

    7.  Interference of chassis components, body parts, doors, etc.

    8.  Leaks of any gas, vacuum, or fluid lines (air conditioning,
        coolant, oil, etc.).

    9.  Noise, panel vibrations, etc.

    10. Inappropriate or incorrect use of hardware, fasteners,
        components, or methods of construction.

    11. Incomplete or improper welding, riveting, or bolting.

    12. Lack of uniformity and symmetry where applicable.

**4. QUALITY ASSURANCE PROVISIONS.**

**4.1 RESPONSIBILITY FOR INSPECTION AND TESTS.**

The contractor is responsible for the performance of all inspections and
test requirements specified. The contractor may use their own or any
other facilities suitable for the predelivery and acceptance inspections
unless disapproved by the purchaser. The purchaser reserves the right to
perform any of the inspections and tests set forth in the specification
where such inspections are deemed necessary to assure supplies and
service conform to the specification and contract. The contractor shall
provide the purchaser's inspection representatives with the
manufacturers readily available instruments and all such assistance as
they may find necessary.

**4.1.1 PURCHASER VERIFICATION.**

Quality assurance operations performed by the contractor will be subject
to purchaser verification at unscheduled intervals. Verification will
consist of observation of the operations to determine that practices,
methods, and procedures of the contractor's inspection are being
properly applied. Failure of the contractor to promptly correct observed
deficiencies shall be cause for suspension of acceptance of the
ambulance(s) until conformance to specification criteria has been
demonstrated.

**4.2.1 QUALITY CONFORMANCE INSPECTION.**

Quality conformance inspection applies to all ambulance(s) offered for
acceptance under the contract. Quality conformance inspection shall
consist of:

1.  Workmanship inspection

2.  Operational checks

3.  Examination ambulance handbook

4.  AMD tests 001-026

**4.2.2 OPERATION CHECKS.**

Operational checks of the ambulance shall cover all controls, electrical
systems, and devices, doors, windows, cabinets, accessories, in and
outside the ambulance. Ambulance shall be driven at highway speeds,
turns made at minimum radii, brakes tested for dependability, checked
for rattles and squeaks. All controls and mechanisms shall function and
operate as intended at the time of delivery.

**4.2.3 INSPECTION FAILURE OF AMBULANCE (S).**

Failure of a production ambulance to have the certifications required or
successfully complete the examinations and tests shall be cause for
non-acceptance of any of the contract quantity, until deficiencies and
evidence of the corrective action preclude recurrence of similar
deficiencies. Failure of the ambulance to successfully complete
inspection shall not constitute an excusable delay in meeting scheduled
deliveries.

**4.3 "STAR OF LIFE" CERTIFICATION REQUIREMENTS**

**4.3.1 QUALIFYING PROVISIONS.**

The manufacturer/contractor is obligated to certify to the Government/
purchasers that the ambulance bearing the "Star of Life," its
components, and equipment meet or exceed all the requirements and tests
set forth in this specification. The certification and "Star of Life"
label (Figure 1), verify that the ambulance conforms to this
specification on the date of manufacture. Compliance for a "Star of
Life" label is defined as certification backed by confirmed
verifications of inspections and tests. The verifications shall be in
possession of the issuer and presented if and when challenged. For the
benefit of purchaser's procuring activity evaluation and review, prior
to or with each proposed bid (solicitation), the bidder/contractor shall
provide and forward representative material of their "Star of Life"
ambulance(s). This material shall include: a letter certified by a
company officer, stating that the delivered ambulance(s) shall comply
with paragraphs 4.3.2 thru 4.3.6. Failure to provide certification, at
the time the vehicle is presented for inspection, will deem the vehicle
unacceptable and shall constitute grounds for termination in accordance
with the terms of the contract. Also included shall be: general
specification data, exterior and interior pictures, dimensional
drawings/data, etc., and other information as requested.

**4.3.2 DOCUMENTATION OF "STAR OF LIFE" CERTIFICATION.**

The ambulance manufacturer shall compile complete certified
documentation of verifications for all the tests required under 4.4
conforming to 4.3.4 and 4.3.6 for each Type of ambulance intended to be
marketed to the Emergency Medical Care industry as a "Star of Life"
ambulance.

**4.3.4 CRITERIA OF CERTIFICATIONS.**

The testing and inspection(s) required for certification shall be
performed by a nationally recognized independent testing facility The
individual certifications will remain valid so long as they are
applicable to the ambulance model, component(s) and equipment offered as
tested under this specification, and are furnished without alterations,
for five years, then shall be recertified. Certifications that appear on
the ambulance need not be re-submitted (i.e., Department of
Transportation (DOT); Environmental Protection Agency (EPA), etc.).
Certification(s) will be acceptable in lieu of actual verification test
during inspections providing supporting verifying data complying with
4.3.6 is on file for examination. Certification from chassis
manufacturer and individual equipment manufacturers are acceptable
providing they are not part of a system(s) or altered and in accordance
with 4.3.5. Type certifications of individual components and equipment
products are acceptable. Design changes during the 5 year certification
period must be tested at the time of production release.

**4.3.5 CERTIFICATION LETTER FORMAT.**

Certification letters submitted for the ambulance model, components, and
equipment being certified shall contain the following information on
contractor's letterhead stationery in electronic format (pdf files):

1.  To whom certifying

2.  Date

3.  Units or items,

4.  Manufacturer and address,

5.  Date product tested,

6.  Model number and specification data,

7.  Applicable specification references and test requirement,

8.  Summary of the test report

9.  A certifying statement w/ official signature.

**4.3.6 CERTIFICATION VERIFICATION DATA REPORTS.**

The testing facility for each certification shall supply supportive
verification data and information on letterhead stationery in electronic
format (pdf files):

1.  For whom tested,

2.  Report date,

3.  Name of sample product or device,

4.  Manufacturer's address,

5.  Serial and model number(s),

6.  Specification referral and amendment number(s), and test
    requirement(s),

7.  Test facilities used and location,

8.  Test equipment used,

9.  Test procedure,

10. Test results,

11. Verifying test data,

12. Photographs,

13. Test conclusion(s)

14. Witness(es), and authorized signature

**4.4 TESTS.**

**4.4.1 TEST CRITERIA.**

The ambulance shall be prepared for operation in accordance with chassis
manufacturer's recommendations, and AMD Standards 001-026. The ambulance
shall successfully complete all parts of the quality conformance
inspection.

**5. Preparation for Delivery**

**5.1 PREPARATION.**

The ambulance(s) shall be preserved and packaged for mobile delivery in
accordance with the contractor's standard commercial practice, insuring
carrier acceptance and safe delivery to destination in compliance with
regulations applicable to the mode of transportation.

**5.2 GOVERNMENT/PURCHASER RESPONSIBILITY**

The contractor shall deliver the vehicle to the consignee delivery
address designated on the motor vehicle delivery/purchase order.

The Government/Purchaser is responsible for:

1\. Notifying the contractor of the delayed delivery date and the
in-transit mileage accumulation as applicable.

2\. In the presence of the delivering driver, immediately inspecting the
vehicle for damage, abuse, loss or theft that may have occurred during
transit. Any such findings should be accurately described on the
delivery receipt the driver presents for signature. If the vehicle(s)
are covered with snow, Ice or dirt so as to prevent a complete
inspection at the time of delivery, this is to be noted on the delivery
receipt. The driver is required to acknowledge any notification on the
delivery receipt by signature.

3\. Notifying the contractor of any damages or shortages found within 24
hours.

4\. Obtaining local safety and emission testing that may be required.

5\. Obtaining the title and license plates that may be required.

6\. Retuning the warranty registration card(s) to the contractor. The
contractor's warranty does not go in effect until the ambulance is
registered with the contractor by the Government/Purchaser.

**6. Notes**

**6.1 INTENDED USE OF SPECIFICATION.**

The intended use of this specification is to define and procure
certified "Star of Life" ambulances for use by the Federal Government.
The use of this specification by State and local Governments is
permitted.

Since the use of this specification is voluntary for State Governments,
each State Department of Health will generally determine if their state
wishes to use this specification.

**6.1.1 FEDERAL SPECIFICATION COVERAGE.**

This Federal specification covers only the ambulances approved to
display the "Star of Life" symbols for use by the Federal, State and
local Governments of the United States.

**6.1.2 PRECAUTIONS AND OBSERVATIONS.**

Purchasers should read the entire document before requisitioning an
ambulance, in order to be knowledgeable of just what equipment is
standard, and which options need to be exercised. Due to the variety of
ambulance equipment or features, some options may be incompatible with
the model desired (reference chassis and ambulance manufacturer's data
books).

**6.1.3 DEFINITION OF GOVERNMENT-PURCHASER**

Government or purchaser as used in the context of this document means
the Federal, State, or local Government.

**6.4 WARRANTY.**

**6.4.1 WARRANTY COVERAGE.**

The contractor shall warrant the ambulance and furnished equipment
against parts failure or malfunction due to design, construction, or
installation errors, defective workmanship, and missing or incorrect
parts for a minimum period of 12 months or 12,000 miles (which ever
occurs first) for domestic use, and 15 months or 12,000 miles (which
ever occurs first) for foreign use from date of acceptance\*, exclusive
of any authorized accumulated driveway mileage.

However, if the contractor received from any supplier or subcontractor
additional warranty on the whole or any component of the ambulance, in
the form of time and/or mileage, including any prorate arrangements, or
the contractor generally extends to their commercial customers a greater
or extended warranty coverage, the Government/purchaser shall receive
corresponding warranty benefits.

\*The warranty begins when the Government/purchaser accepts the
ambulance from the contractor FOB point of destination.

**6.4.1.1 DOMESTIC USE**

When vehicles are used within the 50 States of the United States, the
District of Columbia, the Commonwealth of Puerto Rico, American Samoa,
Guam, the Commonwealth of the Northern Mariana Islands, the Trust
Territory of the Pacific islands, and the Virgin Islands, the warranty
shall include furnishing, without cost to the Government (FOB
contractor's nearest dealer or branch to vehicle's location or station),
new parts and assemblies to replace any that failed or malfunctioned
within the warranty period. In addition, when the Government elects to
have the work performed at the contractor's plant, branch, or dealer, or
with the contractor's approval (i) to correct the vehicle itself or (ii)
to have the vehicle corrected by a commercial garage facility, the cost
of the labor involved in the replacement of the failed or malfunctioned
parts or assemblies shall be borne by the contractor.

**6.4.1.2 FOREIGN USE**

When vehicles are used outside the 50 States of the United States, the
District of Columbia, the Commonwealth of Puerto Rico, American Samoa,
Guam, the Commonwealth of the Northern Mariana Islands, the Trust
Territory of the Pacific islands and the Virgin Islands, the warranty
shall include the furnishing of new parts or assemblies to replace any
returned to the contractor by the Government which failed or
malfunctioned within the warranty period. The replacement parts or
assemblies shall be delivered by the contractor to the port of
embarkation in the United States designated by the Government. The
contractor shall not be required to bear the cost of the labor involved
in correcting defects in vehicles operated in foreign countries.

**6.4.4 WARRANTY EXCLUSIONS**

The following items are considered normal maintenance and repair for
which the contractor need not assume liability for reimbursing the
Government/purchaser regardless of the ambulance age or mileage:

1.  Abuse, negligence, or un-approved alteration of original parts;

2.  Damage from accidents;

3.  Standard brake and clutch adjustments;

4.  General tightening, headlamp adjustments;

5.  Wheel alignment or tire balancing;

6.  Tires, batteries, medical supplies and equipment, and radio(s) (if
    warranted by their manufacturers;

7.  Miscellaneous expense such as fuel, towing, telephone, travel,
    lodging, or loss of personal property.

**6.5 REPAIR PARTS AND SERVICE**

As continuous operation of the ambulance described by this specification
is of utmost importance for the successful bidder to be in a position to
render prompt service and to furnish replacement parts. Accordingly,
bidders shall indicate the extent of their ability to render prompt
service by furnishing a list of branch offices or agencies where
complete stocks of repair parts are maintained and can be secured within
a reasonable time after ordering by part number from the manufacturer's
part book and at such discount as may be quoted from year to year by the
manufacturer of the ambulance purchased under this specification.

**6.6 STATEMENT OF ORIGIN OR BILL OF SALE.**

A manufacturer's Statement of Origin or Bill of Sale showing the
applicable purchase order number is required for each ambulance procured
under this specification. Such documents shall be forwarded to the
consignee's mailing address.

**6.9 CHANGES AND AMENDMENTS.**

When a using agency or purchaser considers that this specification
requires revision, a written request for change or additions to the
document supported by adequate justification should be filed on the
General Services Administration, Automotive Center, Engineering Division
(FFAE)'s electronic comment collector. The agency will be informed of
action taken. New and revised information regarding this specification
may be issued from time to time under an amendment to the Federal
Specification. These amendments are identified by the same number and
title as the document. Amendments should be retained until such time as
the entire document is revised.

**Military Coordination Activity:**

Army - TACOM

Air Force - 84-99

Navy - YD-MC

Army - AT-EL-CR-ER-MD

**Custodian & Preparing Activity:**

GSA-FAS-FFAE

**Activities: Civil Agency Activities:**

USDA - APHIS

Interior - BIA

State Department - AID

DOT - NHTSA-EMS

DOE

HHS-EMS-IHS

VA-OSS

DC Government

**Non-Federal Activities:**

Ambulance Manufacturers Division, National Truck Equipment Association
(AMD/NTEA);

American Ambulance Association (AAA)

National Association of State EMS Officials

International Association of Fire Chiefs, EMS Section

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