47QMCA23R0076_Attachment_25_Federal_Specifications.pdf

U.S. General Services Administration 1800 F St, NW Washington, DC 20405 www.gsa.gov

GSA Federal Supply Service

July 1, 2022

Federal Specification for the Star-of-Life Ambulance

KKK-A-1822F

Dated 1 August 2007 Amendment 1

The following changes, which form a part of FED-STD KKK-A-1822F, dated 1 August 2007, are approved by the General Services Administration, for use by all agencies.

If you have technical questions regarding this amendment, please contact John McDonald at jmcdonald@gsa.gov

John Hampson, Chief, Engineering Branch (QMDAA) Purchasing Division Office of Fleet Management Federal Acquisition Service U.S. General Services Administration

Federal Specification for the Star-of-Life Ambulance

KKK-A-1822F

Dated 1 August 2007 Amendment 1

1.1 SCOPE.

Delete paragraph 1.1 Replace it with the following paragraph:

This specification identifies the minimum requirements for new automotive Emergency Medical Services (EMS) ambulances (except military field ambulances) built on Original Equipment Manufacturer's Chassis (OEM) 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.

Refurbished and remounted ambulances are not covered by this standard.

This standard applies to new ambulances only.

By definition, an ambulance is a vehicle used for emergency medical care and patient transport. This specification is for the construction of ambulances.

Section 3 of this specification contains:

• Optional configurations.

• Guidance and a worksheet to assist the purchaser in developing their procurement requirements.

Delete paragraph 1.1.1.

Replace it with the following paragraph:

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

a) A driver’s compartment.

b) A patient compartment to accommodate an emergency medical services provider

(EMSP) and one patient located on the primary cot so positioned that the primary patient can be given life-support during transit.

c) Equipment and supplies for emergency care at the scene as well as during transport.

d) Safety, comfort, and avoidance of aggravation of the patient’s injury or illness.

e) Two-way wireless mobile communications.

f) Audible and Visual Traffic warning devices.

Dated 1 August 2007 Amendment 1

2.2 OTHER PUBLICATIONS.

Delete the following publication:

AUTOMOTIVE MANUFACTURERS EQUIPMENT COMPLIANCE AGENCY(AMECA):

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

Change all “AMD STANDARD” to “AMD STANDARDIZED TEST METHOD” and make the following changes:

Add the following:

AMD 028 - VERTICAL COMPONENT RETENTION - STATIC TEST

AMD Annex

Delete the following:

AMD 001 – AMBULANCE BODY STRUCTURE STATIC LOAD TEST

AMD 002 – BODY DOOR RETENTION COMPONENTS TEST

AMD003 - OXYGEN TANK RETENTION SYSTEM

AMD004 – LITTER RETENTION SYSTEM STATIC TEST

Make the following changes to SOCIETY OF AUTOMOTIVE ENGINEERS (SAE), INC., STANDARDS, RECOMMENDED PRACTICES, AND INFORMATION REPORTS:

Add the following:

SAE J845 Optical Warning Devices for Authorized Emergency, Maintenance, and Service Vehicles SAE J1849 (Emergency Vehicle Sirens) SAE J3026 Ambulance Patient Compartment Seating Integrity and Occupant Restraint SAE J3027 Ambulance Litter Integrity, Retention, and Patient Restraint SAE J3043 Ambulance Equipment Mounts SAE J3057 Ambulance Modular Body Evaluation-Quasi-Static Loading for Type I and

Type III Modular Ambulance Bodies SAE J3058 Ambulance Interior Storage Compartment Integrity SAE J3059 Ambulance Patient Compartment Seated Occupant Excursion Zone

Evaluation SAE J3102 Ambulance Patient Compartment Structural Integrity Test to Support SAE

J3027 Compliant Litter Systems

Dated 1 August 2007 Amendment 1

Delete the following:

SAE J541 Voltage Drop for Starting Motor Circuits SAE J689 Approach, Departure, and Ramp Break over Angles SAE J1054 Warning Lamp, Alternating Flashers SAE J1318 Strobe Warning Lights

Add the following publications:

TMC RP 186 WIRE AND CABLE REPAIR GUIDELINES

TMC RP 142 High-Speed Data Link Cable Repair Guidelines

3.1 GENERAL VEHICULAR DESIGN, TYPES, AND CONFIGURATION.

Delete paragraph 3.1.3 Replace it with the following paragraph:

3.1.3 TYPE II AMBULANCE.

Type II ambulance shall be a Van with Integral Cab-Body.

3.4.2 TEMPERATURE CONDITIONS.

Delete the following:

3.4.2.2 INTERIOR.

The interior of the ambulance patient compartment must be maintained at a minimum temperature of 50°F when the ambulance is prepared for immediate response. This requirement does not apply to ambulances that are fully operational but being held in reserve or ambulances that are not fully operational.

There is no replacement.

3.4.4 VEHICLE PERFORMANCE.

Delete paragraph 3.4.4.

Replace it with the following paragraph:

The ambulance shall provide a smooth, stable ride. When available from the OEM, electronic stability control (ESC) shall be furnished.

3.4.10.6 FLOOR HEIGHT.

Delete the existing text and replace it with the following:

The finished floor (loading) height shall be compatible with the litter fastener assembly system specified by the purchaser in 3.11.6 for the cot system(s) they intend to utilize.

3.5.1 CURB WEIGHT.

Delete the existing paragraph and replace it with the following:

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

Permanently mounted equipment (optional or standard) is considered to be part of the curb weight.

3.5.2 PAYLOAD CAPACITY.

Delete the existing paragraph and replace it with the following:

Occupant weight shall be accommodated at 175 lbs. for each designated patient and seating position.

The required minimum payload (patients, passengers, and cargo/equipment) per vehicle without optional permanently mounted equipment shall be as follows:

1. Van ambulances (Type II)—1500 lbs.

2. Modular ambulances (Type I or III)—1750 lbs.

3. Additional duty modular ambulances (Type I AD or III AD)—2,250 lbs.

Each ambulance’s payload capacity, horizontal, lateral, and vertical CG shall be determined. Horizontal and vertical shall be determined by completing an NTEA UltraMod spreadsheet or Vehicle Center of Gravity and Axle Weight Calculator (available at www.ntea.com). A copy of the Vertical, horizontal and lateral calculation shall be included in the handbook of instructions. The following shall be shown on the calculations:

1. Completed vehicle at curb weight

2. 175 pounds at the lateral, horizontal and vertical center of each patient location and at the design H-Point of each occupant position

3. The maximum remaining Cargo/Equipment capacity located at the lateral, horizontal and vertical dimensional center of the patient compartment that does not result in weights that exceed the vehicle’s weight rating capacities.

The total usable Cargo/Equipment capacity value shall be displayed on the certification and payload signage as shown below. The label shall be located in a conspicuous location in the ambulance.

Certification & Payload Signage The label shall be mounted on the body (module) interior in a conspicuous location.

• The label shown here is suggested format.

• Deviations in dimensions are acceptable.

• All text must be included.

• Exceptions, when taken, shall be documented in the handbook of instructions

• No text shall be added to this label

CERTIFIED “STAR OF LIFE” AMBULANCE

Date of Manufacture_____________________________________________________ Mfg By _______________________________________________________________ Address ______________________________________________________________ City___________________________________________ State ________Zip _______

This ambulance conforms to Federal Specification KKK-A-1822 in effect on the date the ambulance was contracted for Exceptions taken? No_____ Yes_____ If exceptions are taken, they must be listed in the handbook of instructions and identified by Section Number

Final Stage Ambulance Manufacturers ID Number______________________________

VIN __________________________________________________________________

OEM Chassis Model, Year of Manufacture ___________________________________ Vehicle Type ___________________________________________________________

NOTICE: THIS VEHICLE, AS MANUFACTURED, CONFORMS TO THE PAYLOAD

REQUIREMENTS OF THE FEDERAL AMBULANCE SPECIFICATION KKK-A-1822.

USERS SHALL NOT LOAD VEHICLES ABOVE THE GVWR, GAWRs OR EXCEED

THE TOTAL USABLE PAYLOAD OR CAPACITY LISTED BELOW.

TOTAL USABLE CARGO/EQUIPMENT CAPACITY ___________________lbs.

(Total remaining weight capacity of equipment and cargo evenly distributed in interior and exterior compartments the user may add)

Payload Calculation Form The completed form shall be included in the handbook of instructions.

• The form shown here is suggested format.

• Deviations in dimensions are acceptable.

• All text must be included.

• No additions are permitted

CUSTOMER USABLE PAYLOAD INFORMATION

Final Stage Ambulance Manufacturer's Name: ________________________________ OEM Chassis Year, Make, Model: __________________________________________

1) Ambulance Model, Type, Prod. #: ________________________________________

2) OEM GAWR – Front: _________ lbs

3) OEM GAWR – Rear: __________lbs

4) OEM GVWR: __________lbs

5) Minimum Payload Per KKK-A-1822: __________lbs

6) Curb Weight – AS BUILT – Front Axle: __________lbs

7) Curb Weight – AS BUILT – Rear Axle: __________lbs

8) Total Curb Weight – AS BUILT: __________lbs

9) Total Occupant Weight – 175 lbs. X number of designated seating positions: ____lbs

10) CUSTOMER USABLE Cargo/Equipment Capacity AS BUILT (From 3.5.2): ____lbs

3.6.3.1 POWER UNIT.

Delete paragraph 3.6.3.1 Replace it with the following paragraph:

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 OEM’s diesel engine and power train shall be provided. When available from the OEM, an engine block heater shall be furnished.

3.6.4.3 AIR POLLUTION CONTROL.

Delete paragraph 3.6.4.3 Replace it with the following paragraph:

3.6.4.3 RESERVED

3.6.5.4 BRAKE SYSTEMS, SERVICE AND PARKING.

Delete paragraph 3.6.5.4.

Replace it with the following:

3.6.5.4 RESERVED.

3.6.5.5 SPECIAL TRACTION (REAR END) DIFFERENTIAL.

Delete paragraph 3.6.5.5.

Replace it with the following paragraph:

All ambulances shall have electronic traction control (ETC) unless not furnished by the OEM. If ETC is not available from the OEM a positive traction, limited slip differential or automatic, locking type differential, shall be furnished.

3.6.5.6 SUSPENSION.

Delete paragraph 3.6.5.6.

Replace it with the following paragraph:

Vehicle shall be equipped with laterally matched sets (front and rear) of spring, torsion, hydraulic, 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 OEM to compensate for lean due to normal spring tolerance variations are permitted. Correction of lean due to imbalance is not permitted.

3.6.5.8 SHOCK ABSORBERS.

Delete paragraph 3.6.5.8.

Replace it with the following:

3.6.5.8 RESERVED.

3.6.7 WHEELS.

Delete Paragraph 3.6.7 Replace it with the following:

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.

3.7.1 ELECTRICAL SYSTEM.

Delete paragraph 3.7.1.

Replace it with the following paragraph:

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

1. Dual, OEM’s batteries.

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

3. Specified electronics equipment and devices

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 exterior sides of the ambulance below the 75" level shall be near flush mounted and not protrude more than 2", 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 wireless mobile communication transmissions.

3.7.1.1 WARNING INDICATORS.

Delete the existing paragraph and replace it with the following

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

1. Any passenger or equipment external compartment door that is not closed

2. Cab entry doors that are not closed (when available from the OEM).

3. Extended devices (flood lights, etc).

The “Door/Equipment Open” indicator in the driver’s compartment can be either an LED warning light with at least 0.2 sq. in. of lighted surface or an electronic text message visible in all ambient lighting conditions

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.

Add line item 16 as shown below:

16. Wiring shall not be secured to brake lines or fuel lines.

3.7.2.1 WIRING CRITERIA.

Add the following text:

13. All splices to OEM wiring shall be made in accordance with TMC RP 186

14. All splices to OEM data cables shall be made in accordance with TMC RP 142

3.7.2.2 PRINTED CIRCUITS.

Delete paragraph 3.7.2.2 Replace it with the following

When printed circuits are utilized for equipment that must function when required, such as life support or other critical systems, 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.

3.7.5 HORNS.

Delete paragraph 3.7.5.

Replace it with the following:

3.7.5 RESERVED

3.7.6 LOW VOLTAGE ELECTRICAL SYSTEM.

Delete paragraph 3.7.6.

Replace it with the following paragraph:

The generating system shall be rated at 14 volts, at a minimum operating temperature of 200°F.

The ambulance shall, when available from the OEM, be equipped with standard or optional generating system designed for ambulance applications.

The generating system shall be capable of supplying 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 throttle control device shall control the engine RPM necessary to maintain the heating and air conditioning systemsto 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. The FSAM 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 after supplying the total electrical load as manufactured (including the purchaser options).

3.7.6.1 ENGINE HIGH-IDLE SPEED CONTROL.

Delete the existing text and replace it with the following:

If available, the OEM engine high-idle speed control shall be furnished.

The device shall operate only when the transmission is in “PARK” or “NEUTRAL,” the parking brake is applied, and the service brake is not applied. The control shall be set to automatically increase the engine speed (RPM) up to but not exceeding the engine manufacturer’s recommended setting.

3.7.7 BATTERY SYSTEM

Delete paragraph 3.7.7

At least two OEM batteries shall be furnished

3.7.7.2 PORTABLE EQUIPMENT CHARGING CIRCUIT.

Delete paragraph 3.7.7.2.

Replace it with the following paragraph:

A circuit shall be furnished 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 Automatic Charger/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.

Delete paragraph 3.7.7.3.

Replace it with the following paragraph:

At least 2 charging ports shall be furnished in the patient compartment. Each port shall be on a separately protected circuit.

3.7.8.2 ELECTRICAL 125-VOLT AC RECEPTACLES.

Delete the existing text and replace it with the following:

The patient compartment shall be furnished with two (2) AC duplex receptacles conforming to NEMA 5-15. All interior outlets shall be installed in accordance with Article 406 (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 AC receptacle as a line monitor indicating a live (hot) circuit. The receptacles shall be labeled with the nominal voltage.

3.7.8.3 125-VOLT AC SYSTEMS.

Delete the existing text and replace it with the following:

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-.34 [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 314 [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:

a) Not more than the circuit conductors and,

b) 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,

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

3.7.11 MARKING OF SWITCHES, INDICATORS, AND CONTROL DEVICES.

Delete the existing text and replace it with the following:

All switches, indicators, and control devices supplied by the FSAM shall be visible to the EMSP. They shall be permanently identified with symbols and/or 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 grouped according to function and mounted in illuminated or backlit panel(s) or the console.

3.7.12 ELECTROMAGNETIC RADIATION AND SUPPRESSION.

Delete paragraph 3.7.12.

Replace it with the following paragraph:

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 per Ground, Navy in table V of the requirement matrix.

Type certification for these devices is acceptable.

3.8.1 AMBULANCE EXTERIOR LIGHTING.

The OEM chassis shall include permanent or programmable daytime running lights.

3.8.2 AMBULANCE EMERGENCY LIGHTING

Delete the existing text and all subsections and replace them with the following:

An optical emergency lighting system shall provide the ambulance with 360° of conspicuity for safety during its missions.

The optical warning system shall include an upper and a lower warning level of optical warning devices. The optical power requirements for each level shall be met by the warning devices in that particular level without consideration of the warning devices in the other level.

The maximum continuous electrical load for the optical warning system shall not exceed 540 watts.

The system 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.

For the purposes of defining and measuring the required optical performance, the upper and lower warning levels shall be divided into four warning zones.

The four warning zones shall be designated A, B, C, and D in a clockwise direction, with zone A to the front of the ambulance.

Optical system compliance by zone shall be provided.

Each optical warning device shall be installed and connected to the ambulance electrical system in accordance with the requirements of this specification and the requirements of the manufacturer of the device.

The optical system shall be further divided in to 8 individual zones, 4 zones on the upper level and 4 zones on the lower level.

3.8.2.2 PHOTOMETRIC, CHROMATICITY, AND PHYSICAL REQUIREMENTS.

The flash rate of any optical source shall be between 60 and 240 flashes per minute.

The optical warning light system shall have sufficient optical sources on each level and in each zone so that failure of a single optical source does not create a photometric measurement point in the zone as the failed optical source without a visible warning signal at a distance of 100 ft from the geometric center of the ambulance.

The optical energy provided by nonflashing optical sources, or the steady burning part of an optical flash characteristic, shall not be included in the calculations of the zone’s total optical power.

Permissible optical source colors or combinations of colors in each zone, within the constraints imposed by applicable laws and regulations, shall be as shown in Table 2.

Table 2 Zone Colors

Color Calling for Right-of-Way Blocking Right-of-Way

Red Any Zone Any Zone

Blue Any Zone Any Zone

Yellow Any zone except A Any Zone

White Any zone except C Not Permitted

Green Any zone Any zone

Optical energy provided by green optical sources shall not be included in the calculations of the zone’s total optical power or meeting the requirements for any required lights.

All colors shall be as specified in SAE J578, Chromaticity Requirements of Ground Vehicle Lamps and Lighting Equipment, for red, blue, yellow, green, or white.

The optical center of all upper-level optical warning devices shall be 102 in or less and lower-level optical warning devices shall be between 18 in to 48 in above level ground.

3.8.2.2.1 UPPER-LEVEL OPTICAL WARNING DEVICES.

The upper-level optical warning devices shall be mounted as high as practicable, but not over 102 in. at the optical center.

To define the clearance lines of the ambulance, the optical center of the upper-level optical warning devices shall be mounted as high and as close to the corner points of the ambulance as is practicable

3.8.2.2.2 LOWER-LEVEL OPTICAL WARNING DEVICES.

One or more lower-level optical warning devices shall be visible from the front and the side of the ambulance.

To define the front clearance lines of the vehicle, the optical center of the lower-level optical warning devices in the front of the vehicle shall be mounted on or forward of the front wheel centerline and as close to the front corner points of the ambulance as is practicable.

The optical center of the device(s) shall be between 18 in and 48 in above level ground.

For each operating mode, the combined optical power of all the optical sources shall meet or exceed the zone's total optical power requirements shown in Table 1

Table 1 Optical Power Requirements

Mode of Operation

Calling for Right-of-Way Blocking Right-of-Way

Zone Level H Total At Any H Point

At Any Point 5 Degrees Up or 5 Degrees

Down from H H Total

At Any H Point

At Any Point 5 Degrees Up or 5 Degrees

Down from H

A Upper 1,000,000 10,000 3,500 400,000 10,000 3,500

B Upper 200,000 8,000 3,500 200,000 8,000 3,500

C Upper 400,000 10,000 3,500 800,000 10,000 3,500

D Upper 200,000 8,000 3,500 200,000 8,000 3,500

A Lower 150,000 3,750 1,300 150,000 3,750 1,300

B Lower 75,000 1,875 650 75,000 1,875 650

C Lower 0 0 0 0 0 0

D Lower 75,000 1,875 650 75,000 1,875 650

Notes:

1. All values are in candela-seconds/minute.

2. H = Horizontal plane passing through the optical center.

3. The values in the H Total columns are the total of 19 data point values for each light, with data points on the boundary between zones counted in both zones.

4. No individual photometric measurement point shall be less than that shown in table 1.

3.8.2.2.3 TESTS OF OPTICAL WARNING DEVICES.

3.8.2.2.3.1 MECHANICAL AND ENVIRONMENTAL TEST.

All optical warning devices and components shall be tested in conformance with SAE J845, Optical Warning Devices for Authorized Emergency, Maintenance, and Service Vehicles

3.8.2.2.3.2 PHOTOMETRIC TEST PROCEDURES FOR OPTICAL DEVICES.

Testing shall be performed by, or on behalf of, the device manufacturer to ensure compliance with the requirements in this specification.

The results of the testing shall be used to determine compliance with this specification, and all required photometric data shall be available, upon request, from the optical warning device manufacturer.

All optical warning devices shall be tested with the test procedures of SAE J845, Optical Warning Devices for Authorized Emergency, Maintenance, and Service Vehicles

1. Optical measurements shall be made for the photometric measurement points defined in 3.8.2.2.3.3.

3.8.2.2.3.3 PHOTOMETRIC MEASUREMENT POINTS.

Measurements shall be made along the horizontal plane that passes through the optical center, beginning at the optical center and repeated at 5-degree intervals to the left and to the right of the optical center throughout the active horizontal angle of light emission of the optical source.

Measurements shall be repeated at 5 degrees up and 5 degrees down from the horizontal plane that passes through the optical center, beginning at a point on the vertical plane passing through the optical center and repeated at 5-degree intervals to the left and to the right of this vertical plane throughout the active horizontal angle of light emission of the optical source.

3.8.2.2.3.4 COMPLIANCE DOCUMENTATION.

The ambulance manufacturer shall demonstrate compliance of the optical warning system optical power requirements by one of the following methods:

1. Certification that the optical warning devices were installed within the geometric parameters specified by the manufacturer of the devices and referencing the certification by the optical warning device manufacturer that the system meets or exceeds the minimum optical power requirements for the specified zone and level.

2. Certification that a mathematical calculation based on photometric test reports for individual optical sources provided by the manufacturer of the devices and performed by the FSAM to demonstrate that the combination of individual devices as installed meets the requirements for the specified zone and level

3.8.2.3 SWITCHING ARRANGEMENTS.

At least one master optical warning system switch that energizes all the optical warning devices shall be provided.

The optical warning system shall be capable of at least two separate signaling modes during emergency operations.

One mode shall signal to drivers and pedestrians that the ambulance is responding to an emergency and is calling for the right-of-way.

One mode shall signal that the ambulance is stopped and is blocking the right-of-way.

Any optical characteristic changes made within any mode shall meet the minimum requirements of this specification.

Any method used in changing a signaling mode shall comply with requirements of this specification.

3.8.3 FLOOD AND LOADING LIGHT (EXTERIOR).

Delete the existing paragraph header and text and replace it with the following:

3.8.3 FLOOD LIGHT (EXTERIOR).

Flood light(s) shall be provided on both sides and the rear of the patient compartment.

The area illuminated by the lights shall be to a level of at least 1 footcandle at a distance of up to 10 ft from the vehicle.

They shall be:

1. Not less than 75" above the ground

2. Unobstructed by open doors

3. Firmly fastened to reinforced fixed body surfaces, below the roofline.

Floodlight switches shall be located on the cab console and control both sides and the rear independently.

The rear flood light(s) shall automatically be activated when rear doors are opened.

3.9.1 DRIVER’S COMPARTMENT, CAB-BODY STRUCTURE.

Delete paragraph 3.9.1.

Replace it with the following paragraph:

All cab compartments shall be of sufficient size to accommodate a driver and passenger, with space to perform driving and control activities. There shall be a console convenient to driver in the driver’s cab. The console shall contain all added switches for operation of the ambulance. Console systems added by the FSAM shall be SAE J3043 compliant and shall be labeled with their rated weight capacity.

3.9.2 CAB-BODY PROVISIONS.

Delete paragraph 3.9.2.

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

Driver’s cab section shall provide:

1. Forward hinged doors.

2. Opening side windows.

3. Door stops.

4. At least 0ne external door lock with two sets of keys.

5. Trim or closed panels and headliner

6. Floor covering (OEM’s heat, noise and appearance trim packages).

7. Panel mounted instruments.

8. Ignition/starter switch.

9. .

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

11. Cab lighting and controls.

3.9.3 CAB COMPARTMENT DRIVER AND PASSENGER SEAT.

Delete paragraph 3.9.3.

Replace it with the following paragraph:

The driver’s compartment shall be OEM two individual bucket-type seats (driver and passenger). 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 OEM’s standard non-reclining high back seat.

3.9.6 BUMPERS AND STEPS.

OEM’s standard bumpers shall be furnished.

When the OEM’s standard rear bumper is unavailable, the rear of the ambulance shall be furnished with a full-width, rear bumper, with step secured to the vehicle’s chassis-frame. 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" and a maximum depth of 10". If the step protrudes more than 7" from the rear of the vehicle, a fold up step shall be furnished.

The rear bumper and step shall be adequate to support a test weight of 500 lbs. The height of the rear step shall not exceed 22".

3.9.8 ENGINE HOOD.

Delete paragraph 3.9.8.

Replace it with the following:

3.9.8 RESERVED

3.10.3 EMERGENCY MEDICAL SERVICES PROVIDER (EMSP) SEATING

Delete Paragraph 3.10.3 and the heading Replace it with the following:

3.10.3 RESERVED

3.10.4 PATIENT COMPARTMENT INTERIOR DIMENSIONAL PARAMETERS.

Delete paragraph 3.10.4.

Replace it with the following paragraph:

The patient compartment shall provide a minimum of 325 cubic feet of space (275 cubic feet of space for a Type II), less volume for cabinets, while complying with the following:

a. The compartment configuration shall provide at least 25" 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" shall be provided, from the rear edge of the cot mattress to the rear loading doors, to permit clearance for traction or long board splints.

b. The compartment shall provide a minimum of 12" of clear aisle walkway between the edge of the primary patient cot and base of the nearest vertical feature measured along the floor. Each end of the walkway shall provide access to a means of egress.

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

3.10.5 BODY, GENERAL CONSTRUCTION.

Delete the existing paragraph and replace it with the following:

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 a symmetrical radius to corners and edges, and shall include doors and windows specified herein. Wood, or wood products, shall not be used for structural framing.

As evidence that the modular ambulance body meets the above criteria, the FSAM’s shall furnish a certification that the modular ambulance body meets the testing requirements of SAE J3057.

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.

3.10.8 DOORS.

Delete the existing text and replace it with the following

Two patient compartment door openings shall be provided. They shall not be on the same side of the vehicle.

1. Door 1:

There shall be a door opening for loading a patient on a backboard.

a) For modular bodies the door(s) shall provide a minimum clear opening of 30" wide and of 46" high

b) For Type II vehicles the OEM’s standard door opening shall be furnished

2. Door 2:

There shall be a door opening for loading a patient on a cot.

a) For modular bodies the door(s) shall provide a minimum clear opening of

44" wide and of 46" high

b) For Type II vehicles the OEM’s standard door opening shall be furnished

3. All ambulance body doors shall be equipped with not less than 250 sq. 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 shall be furnished in any color meeting the reflector or conspicuity systems requirements of FMVSS 108.

a) Have at least 60 sq. in. of total reflective area.

b) Shall be installed on the interior of all patient compartment entry doors.

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

7. Bottom steps at the entry/exit of doorways of the patient compartment shall be at least the width of the doorway internal frame opening.

3.10.12 STEP WELL (SIDE DOOR).

Delete the existing paragraph and replace it with the following

When a side entry door is furnished, 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".

Step wells shall be lighted, and all step surfaces shall be constructed with anti-slip material.

3.10.16 INTERIOR SURFACES.

Delete the existing text and replace it with the following:

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. resistant 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.

Delete paragraph 3.11 Replace it with the following paragraph:

Storage compartments shall be furnished for all items required by this specification and/or specified by the purchaser. Equipment may include, but not be limited to;

backboards, portable cots/litters, stair chairs, and any other specified patient handling devices. The purchaser shall define the location of all required equipment and supplies.

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.

Delete paragraph 3.11.1 Replace it with the following paragraph:

The interior of the patient compartment shall provide sufficient stowage to accommodate the storage needs of the purchaser in the form of enclosed stowage.

Compartment(s) under the floor, with opening panel(s) inside the patient compartment, shall not be acceptable.

3.11.1.2 WASTE AND SHARPS DISPOSAL.

Delete the existing paragraph and replace it with the following:

The following shall be furnished:

a. A trash receptacle compartment, with closure over opening, for general waste with a plastic/rubber trash can.

b. A sharps receptacle compartment with a commercially available sharps container that is compliant with OSHA 1910.1030

Both compartment openings shall be accessible to the EMSP seat.

Add the following paragraph:

3.11.1.3 EQUIPMENT MOUNTING DEVICES.

Installed Oxygen cylinderand cardiac monitor, and fire extinguisher mounting devices shall meet the performance requirements of SAE J3043 and withstand a vertical force per AMD 28.

3.11.3 STORAGE COMPARTMENTS AND CABINETS DESIGN.

Delete paragraph 3.11.3.

1. All interior enclosed stowage devices shall be tested to their rated weight capacity in accordance with the requirements of SAE J3058.

2. Stowage devices shall not come open in transit.

3. All interior enclosed stowage devices shall be labeled with their rated weight capacity.

4. All compressed gas cylinder(s) shall be mounted with a J3043 compliant restraining device(s).

5. Storage for the main oxygen cylinder, when furnished, shall be accessible for replacement from an outside position.

6. The oxygen compartment, when furnished, shall be provided with at least a 9 sq.

in. of open vent to dissipate/vent leaking oxygen to the outside of the ambulance.

7. The Oxygen cylinder compartment, when furnished, shall not be utilized for storage of any other equipment

3.11.4 PATIENT COMPARTMENT SEATING

Delete Paragraph 3.11.4 Replace it with the following paragraphs:

All seats in the patient compartment shall conform to all applicable FMVSS requirements and SAE J3026. The seats(s) shall be installed according to the seat manufacturer’s directions.

To facilitate cleaning and disinfecting, all seats furnished and installed by the FSAM shall be cleanable to OSHA standards, and all exposed surfaces shall be free of vent devices that would permit the entrapment of biological contaminates.

The patient compartment shall contain seating to allow for the care of the primary patient (EMERGENCY MEDICAL SERVICES PROVIDER (EMSP) seating).

3.11.4.1 SEATS.

Delete Paragraph 3.11.4.1 Replace it with the following paragraphs:

Commercially produced seats (OEM seating) will be padded and have the largest practical padded back and headrests. The upholstery shall be non-absorbent, washable and resistant to disinfectants.

Seat(s) manufactured by the FSAM shall be padded and have the largest practical padded back and headrests. The seat bottoms 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 7" tall. Cushions may be modified to accommodate occupant restraint devices.

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" for seat pads, and 2" for head and backrests. Seats shall have 40 oz. (minimum) reinforced vinyl upholstery. The upholstery shall be non-absorbent, washable, and resistant to disinfectants.

Add the following paragraph:

3.11.4.2 SEATING OVERHEAD CLEARANCE.

All seating positions in the patient compartment shall be provided with a minimum vertical overhead clearance measurement of 43 ".

3.11.6 LITTER FASTENERS AND ANCHORAGES.

Delete paragraph 3.11.6 Replace it with the following paragraph:

A complete litter fastener assembly shall be furnished. The installed litter fastener device for wheeled cots shall meet the performance requirements of SAE J3027.

The litter fastener device shall be installed according to the litter fastener manufacturer’s instructions. The ambulance floor and substructure shall be tested in accordance with the dynamic requirements of SAE J3102.

3.12 OXYGEN, MAIN SUPPLY, AND INSTALLATION.

Delete paragraph 3.12.

Replace it with the following:

When specified by the purchaser, the ambulance shall have a piped medical oxygen system. The purchaser shall specify the minimum capacity, in liters, of medical oxygen required.

The installed medical oxygen piping shall be leak tested to 80 PSI. After the successful completion of piping test, the system shall be completely assembled, and the flow rate of the outlets tested with the system pressurized at normal working pressure. The system shall be capped then tagged with date and signature of person and firm performing the tests.

The main oxygen supply shall be from a compressed gas cylinder(s) that the consignee will provide and install at the time the vehicle is placed in service.

When required, a cylinder changing wrench shall be furnished. The wrench shall be 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 purchaser shall specify the type of quick disconnect, the location and the number of outlets to be furnished.

The FSAM shall install all other components and accessories required for the piped oxygen system which shall include as a minimum:

1. A pressure regulator.

2. Low pressure, electrically conductive, hose and fittings approved for medical oxygen.

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

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

5. Outlets shall be marked and identified and not interfere with the suction outlet.

3.12.1 OXYGEN PRESSURE REGULATOR.

Delete paragraph 3.12.1.

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.

With the regulator set at 50 +/- 5 psi, a 100 LPM minimum flow rate shall be available at all oxygen outlets.

This regulator shall perform as required at an inlet pressure range from 150 psi to 2500 psi.

3.12.2 SUCTION ASPIRATOR, PRIMARY PATIENT.

Delete the existing paragraph and replace it with the following:

An electrically powered suction aspirator system shall be furnished. The vacuum control, vacuum indicator and collection bottle or bag shall be located so that the EMSP can properly operate the device from the EMSP seat.

The suction pump shall be located in an area that is accessible 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 graduated at least every 100 mm Hg and a minimum 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 suction aspirator system shall provide a minimum of 30 LPM flow .

3.13.4 VENTILATION CRITERIA.

Ventilation system(s) of the driver and patient compartments shall provide a change of ambient air within both compartments with the vehicle stationary. Ventilation shall be separately controlled within the cab and patient compartments. Fresh air intakes shall be located towards the front of the vehicle and exhaust vents shall be located on the upper portion of the module toward the 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 shall 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).

3.14 COMMUNICATIONS.

Delete paragraph 3.14.1 and replace it with the following paragraph:

3.14.1 VEHICLE DATA MANAGEMENT EQUIPMENT.

The purchaser shall specify what type of vehicle data management equipment accommodations are required. The purchaser and FSAM shall define the necessary accommodations to be provided by the FSAM necessary to support the specified equipment.

If no vehicle data management equipment provisions are required, the purchaser shall specify that no vehicle data management equipment accommodations are to be provided by the FSAM.

Delete paragraph 3.14.2 and replace it with the following paragraph:

3.14.2 RADIO (MOBILE) PROVISIONS.

The purchaser shall specify what type of radio communications equipment accommodations are required. The purchaser and FSAM shall define the necessary accommodations to be provided by the FSAM necessary to support the specified equipment.

If no radio communications equipment provisions are required, the purchaser shall specify that no radio communications equipment accommodations are to be provided by the FSAM.

Delete paragraph 3.14.3 and replace it with the following paragraph:

3.14.3 RESERVED.

3.14.4 SIREN – PUBLIC ADDRESS SYSTEM.

Delete the existing text and replace it with the following:

A combination electronic siren with integral public address system including radio interface capability shall be provided. A “Horn/Siren” switch shall be provided. When on shall activate or change the siren tone when the horn button is pushed. The speaker(s) shall be installed, outside the vehicle, in the bumper/hood area.

The siren system shall be compliant with the current edition of SAE J1849 (Emergency Vehicle Sirens).

3.15 ADDITIONAL SYSTEMS, EQUIPMENT, ACCESSORIES, AND

SUPPLIES.

Add the following text:

NOTE: SELECTION OF OPTIONS MAY REQUIRE CHANGES THAT RESULT IN

NON-COMPLIANCE WITH THE MINIMUM REQUIREMENTS FOR A STANDARD

ITEM.

THIS APPLIES TO MINIMUMS DIRECTLY IMPACTED BY THE OPTION.

3.15.1 ADDITIONAL AND OPTIONAL EQUIPMENT.

Delete the following text:

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.

3.15.2 STANDARD MANDATORY MISCELLANEOUS EQUIPMENT.

Delete paragraph 3.15.2 Item 1.

Replace it with the following:

1. RESERVED*

3.15.3 CONFIGURATION WORKSHEET.

Add the following text before Reference Section 3.0 – REQUIREMENTS:

When designing a new ambulance patient compartment interior, one of the primary design goals should be to provide a seating system that allows the worker to remain safely seated and restrained while still allowing the worker to provide efficient and effective patient care. To provide safe, efficient, and effective patient care, a worker needs to be able to reach his or her patient, equipment, and supplies while still seated and restrained.