Trans 309.03(6)(6) The vehicle shall be rendered out of service and the provider may be assessed monetary penalties when the provider knowingly resists or obstructs the inspector while the inspector is doing any act in an official capacity and with lawful authority. For purposes of this subsection, “obstructs” includes, without limitation, knowingly giving or demonstrating false information to the inspector. Trans 309.03(7)(7) The penalty for violating sub. (5) (a) to (h) or (j) to (t) is a forfeiture of up to $50.00 per violation. The penalty for violating sub. (5) (i) is a forfeiture of up to $100.00. The penalty for violating sub. (6) is a forfeiture of up to $200.00. Trans 309.03(8)(a)(a) The ambulance service provider shall notify the inspector as soon as possible if an ambulance is involved in a motor vehicle crash which involves serious injury or death. Trans 309.03(8)(b)(b) If an ambulance is being placed back into service after being involved in a crash, the ambulance service shall notify the inspector and shall provide proof of the repairs in writing before being placed back into service. Trans 309.03(9)(a)(a) The department shall consider the age, condition, and equipment of ambulances before granting approval for their continued use. The department shall not permit the use of any ambulance for emergency medical purposes which is deemed to be unsafe or unfit for such service. Trans 309.03(9)(b)(b) In construing and enforcing the provisions of this chapter, the act, omission or failure of any officer, agent, servant or other person acting for or employed by the registered owner or the lessee of the ambulance is deemed to be the act, omission or failure of such registered owner or lessee. This paragraph does not apply to violations of ch. 346, Stats. Trans 309.03 HistoryHistory: Cr. Register, October, 1986, No. 370, eff. 11-1-86; am. (1), (3) (a) and (b) 1. intro., r. (3) (b) 1. b., renum. (3) (b) 1.c. and d. to be (3) (b) 1. b. and c., Register, April, 1994, No. 460, eff. 5-1-94; am. (1), (3) (b) 1. (intro.), a., b., 2. and (4), cr. (1m), (1r) and (5) to (7), Register, February, 1999, No. 518, eff. 4-1-99; CR 19-074: am. (title), cr. (1g), am. (3) (a), (b) 1. (intro.), a., (4), cr. (5) (j) to (t), am. (7), cr. (8), (9) Register October 2020 No. 778, eff. 11-1-20; correction in (3) (b) 1. (intro.), a., (4), (8) (b), (9) (b) made under s. 35.17, Stats., Register October 2020 No. 778; CR 22-048: am. (4) Register July 2023 No. 811, eff. 8-1-23. Trans 309.04Trans 309.04 Specialized emergency medical care vehicles. Trans 309.04(1)(1) In recognition of their highly specialized design, construction, equipment and function, mobile intensive care transport units, critical care transport units and intensive care vehicles designed and equipped for neonatology medical services, that are used only for transportation of patients between hospitals, are exempt from the vehicle equipment standards prescribed in ss. Trans 309.09 to 309.11, 309.14, 309.15 (3), 309.18 and 309.19 and subch. III. Trans 309.04(2)(2) A vehicle subject to this section may not be used as a primary response vehicle, but may be used only for mobile intensive care or neonatology medical care purposes. Trans 309.04(3)(3) A vehicle subject to this section may respond as an additional resource vehicle during times such as a disaster emergency when local resources, including mutual aid resources, are exceeded. Trans 309.04 HistoryHistory: Cr. Register, October, 1986, No. 370, eff. 11-1-86; am. (1), Register, April, 1994, No. 460, eff. 5-1-94; am. (2), cr. (3), Register, February, 1999, No. 518, eff. 4-1-99; CR 19-074: am. (1) Register October 2020 No. 778, eff. 11-1-20. Trans 309.06Trans 309.06 Sale or lease of new or used vehicles for use as ambulances. Trans 309.06(1)(1) Any person selling or leasing any new or used vehicle that is intended to be used as an ambulance shall provide the purchaser or lessee with a written notice stating that the vehicle complies with the requirements of ss. Trans 309.09 to 309.16. Trans 309.06(2)(2) An ambulance may be loaned or leased to an ambulance service provider by an ambulance manufacturer or dealer in order to avoid a hardship on that ambulance service provider and the emergency medical service needs of the community or communities it represents. The ambulance service must notify the inspector or department that they are obtaining the ambulance, the reason why, and the approximate duration as soon as possible. The loaned or leased ambulance must be temporarily replacing, for not more than 6 months, an ambulance inspected and approved by the department under this chapter. If the ambulance service needs the use of a loaned or leased ambulance for any period of time greater than 6 months, approval must be granted by the department’s inspector. The entity loaning or leasing the ambulance must ensure the ambulance complies with the requirements of ss. Trans 309.09 to 309.16. The ambulance service receiving the loaned or leased ambulance must comply with all the applicable requirements of this chapter, except for those requirements of this chapter that can be waived under the joint written agreement of the ambulance service provider receiving the loaned or leased ambulance and the department inspector. Trans 309.06 HistoryHistory: Cr. Register, October, 1986, No. 370, eff. 11-1-86; am., Register, April, 1994, No. 460, eff. 5-1-94; CR 19-074: renum. Trans 309.06 to (1), cr. (2) Register October 2020 No. 778, eff. 11-1-20; correction in (2) made under s. 35.17, Stats., Register October 2020 No. 778. Trans 309.07(1)(1) The department may grant a variance if it determines that the lack of such variance will create an undue hardship in meeting the emergency medical service needs of the community the applicant serves. Trans 309.07(2)(2) In determining whether an undue hardship may be created if a variance is not granted, the department shall consider all of the following: Trans 309.07(2)(a)(a) The kind and amount of emergency medical services available in the immediate area served by the applicant. Trans 309.07(2)(b)(b) The presence of other ambulance service providers in surrounding communities that might be available to assist in emergencies through mutual aid agreements or other similar arrangements. Trans 309.07(2)(c)(c) The number and type of emergency and nonemergency service calls made by the applicant within the 2-year period immediately preceding the date of application. Trans 309.07(2)(d)(d) Any plans developed by the applicant to upgrade the existing vehicles to established specifications. Trans 309.07(2)(e)(e) Any other information that may be relevant to the question of the need for a variance in the particular case. Trans 309.07(3)(3) Each application for a variance shall be referred by the department to the department of health services for review and recommendation. The department shall give great weight to such recommendation when deciding whether a variance should be granted. Trans 309.07(4)(4) The issuance of a variance to any person for any ambulance does not exempt that vehicle from the biennial inspection requirements imposed in this chapter. Trans 309.07(5)(5) The right to continue operation of an ambulance for which a variance has been granted or recognized under this section is not transferable to any other person or vehicle and a copy of the variance must be carried in the ambulance at all times. Trans 309.07 HistoryHistory: Cr. Register, October, 1986, No. 370, eff. 11-1-86; am. (1) and (4), Register, April, 1994, No. 460, eff. 5-1-94; r. (1) and (4), renum. (2) (a), (b) (intro.), 1. to 5., (5) and (6) to be (1) and (2) (intro.), (a) to (e), (4) and (5) and am. (2) (intro.) to (d)., (4) and (5), Register, February, 1999, No. 518, eff. 4-1-99; correction in (3) made under s. 13.92 (4) (b) 6., Stats., Register December 2010 No. 660; CR 19-074: am. (5) Register October 2020 No. 778, eff. 11-1-20. Trans 309.08(1)(1) Registration and insurance. At the time of inspection, the service provider shall open to inspection the proof of current registration and insurance on each ambulance to be inspected. The proof of registration and insurance or copies of each shall be carried in each ambulance and be available upon request of the inspector. Trans 309.08(2)(2) Drug list. Upon inspection, the service provider shall provide a copy of the current list of approved drugs from the services medical director. The list shall state the minimum amount of each drug the provider will carry on each ambulance. Trans 309.08(3)(3) Maintenance. An ambulance service provider shall maintain their ambulances as specified by the OEM. Vehicle service or maintenance records shall be maintained by the ambulance service provider for the life of the ambulance and shall be made available to the department upon inspection. Trans 309.08(4)(4) Crash register. An ambulance service provider shall keep a written or electronic register of each crash their vehicles are involved in. The register shall include the crash number issued by the investigating agency, date, location, driver name, number of injuries, number of fatalities and vehicles towed. Trans 309.08 HistoryHistory: Cr. Register, February, 1999, No. 518, eff. 4-1-99; CR 19-074: am. (1), r. and recr. (2), cr. (3), (4) Register October 2020 No. 778, eff. 11-1-20; correction in (3), (4) made under s. 35.17, Stats., Register October 2020 No. 778. Trans 309.09Trans 309.09 Patient compartment interior dimensions. Trans 309.09(1)(1) The patient compartment shall have not less than 300 cubic feet of space less 10% deviation for cabinets and shall meet the following specifications: Trans 309.09(1)(a)(a) Length. Measured from the partition to the inside edge of the rear loading doors, the patient compartment shall be not less than 116 inches in length. There shall be not less than 25 inches and not more than 30 inches of unobstructed space at the head of the primary patient, measured from the face of the backrest of the EMT’s seat to the forward edge of the primary cot. Trans 309.09(1)(b)(b) Width. 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. Trans 309.09(1)(c)(c) Height. The patient compartment shall be not less than 60 inches in height over the patient area measured from the floor to the ceiling, exclusive of cabinets or equipment and symmetrical corners and edges. Trans 309.09(2)(2) The interior of the body shall be free of all unnecessary projections. It shall be maintained in a sanitary condition. All hangers or supports for equipment and devices shall be mounted as flush as possible with the surrounding surface when not in use. Padding shall be placed at all head area obstructions which may prove dangerous to persons moving about in the patient compartment. Other exposed edges shall be beveled with not less than a 1/8 inch radius or chamfer, and a 1/2 to 1 inch radius on exposed corners. The finish of the entire patient compartment including interiors of storage cabinets shall be impervious to soap and water, disinfectants and mildew and shall be fire resistant. Any floor to wall surface joints shall be sealed with an impervious seal. Trans 309.09 HistoryHistory: Cr. Register, October, 1986, No. 370, eff. 11-1-86; am. (1) (a) and (2), Register, April, 1994, No. 460, eff. 5-1-94; corrected to restore dropped copy, Register, April, 1997, No. 496; am. (1) (c), Register, February, 1999, No. 518, eff. 4-1-99; CR 19-074: am. (1) (b) Register October 2020 No. 778, eff. 11-1-20. Trans 309.10Trans 309.10 Doors. An ambulance shall have 2 unobstructed door openings in addition to the doors for the driver cab compartment. There shall be at least one door opening on the right forward side and a single door or double doors at the rear of the patient compartment. A forward hinged single door, double doors or a sliding type door shall have a minimum right side door opening of 30 inches in width, and 54 inches in height for Types I, I-AD, III and III-AD ambulances and 42 inches in height for Type II ambulances. The opening shall provide clearance to allow access and removal of a patient strapped to a long spine board. Single or double rear loading doors shall cover a clear opening of not less than 46 inches in height and 44 inches in width for Types I, I-AD, III and III-AD ambulances, and the manufacturer’s standard for Type II ambulances. The ambulance body doors shall be equipped with not less than 250 square inches of safety glass area per door. Doors shall be designed for easy release from both the interior and exterior of the ambulance, but an accidental opening shall be prevented by an interlocking system that functions even when doors are not completely closed. Each door shall have effective compression or overlapping seals to prevent the entry of dust, water and air. Doors may contain recessed compartments to the interior for storage of supplies and devices. Trans 309.10 HistoryHistory: Cr. Register, October, 1986, No. 370, eff. 11-1-86; CR 19-074: am. Register October 2020 No. 778, eff. 11-1-20. Trans 309.11Trans 309.11 Bumpers, steps and stepwells. Chassis manufacturer’s standard bumpers shall be furnished with the exception of the rear bumpers of Types I, I-AD, III and III-AD ambulances. Types I, I-AD, III and III-AD ambulances shall have a sturdy full width rear vehicular and body bumper with step, secured to the vehicle’s chassis-frame. The rear bumper and step shall be adequate to support the test weight of 500 pounds without flexing or buckling. If the patient compartment floor is more than 18 inches above the ground on a Type II ambulance, a step shall be installed within 2 inches of an equal distance between the ground and the patient compartment floor. All bumper steps shall be designed to prevent the accumulation of mud, ice or snow and shall be made of antiskid, open grating metal. Steps may be of a folding style but may not be located within or exposed to the interior of the ambulance when the doors are closed. All steps shall extend the full width of the door opening for which they are provided and shall be not less than 5 inches nor more than 10 inches in depth. Trans 309.11 HistoryHistory: Cr. Register, October, 1986, No. 370, eff. 11-1-86; CR 19-074: am. Register October 2020 No. 778, eff. 11-1-20. Trans 309.12(1)(1) Each tire shall have not less than 1/8 inch tread depth. The depth shall be measured at 2 points not less than 15 inches apart in any major tread groove at or near the center of the tire. Trans 309.12(2)(2) Wheels, tires and brake drum assemblies shall be in balance. Trans 309.12(3)(3) Snow tires with tungsten carbide studs, which shall not project more than one-eighth inch beyond the treads surface of the tire, may be installed on an ambulance from the 15th day of November each year through the 1st day of April of the following year. Trans 309.12(5)(5) Tires shall be maintained in good working condition. Tires shall not have serious cuts, bulges, sidewall defects or exposed fabric or cords. Trans 309.12(6)(6) Radial and bias tires shall not be mounted on the same axle. Trans 309.12(7)(7) Wheels shall not have any cracks, unseated lock rings, loose, broken or missing lugs, studs or clamps, bent or cracked rims or elongated stud holes. Trans 309.12(8)(8) Tires shall not be loaded above the manufacturer’s weight limits. Trans 309.12 HistoryHistory: Cr. Register, October, 1986, No. 370, eff. 11-1-86; reprinted to restore dropped copy in (1), Register, April, 1997, No. 496; am. (1) and (2), cr. (5), Register, February, 1999, No. 518, eff. 4-1-99; CR 19-074: am. (3), (5), cr. (6) to (8) Register October 2020 No. 778, eff. 11-1-20; correction in (3) made under s. 35.17, Stats. Register October 2020 No. 778. Trans 309.13Trans 309.13 Batteries. All ambulances shall be equipped with a 2 or more battery system. All batteries should be securely attached to prevent dislocation in the event of an accident. When mounted outside of the engine compartment the battery shall be contained in a closed, drained, weather-tight and vented compartment in the body skirt, which shall retain the battery in the event of an upset or rollover. The battery compartment door or cover shall be secured by a latch. The battery cables may not be spliced. Trans 309.13 HistoryHistory: Cr. Register, October, 1986, No. 370, eff. 11-1-86; am. Register, February, 1999, No. 518, eff. 4-1-99. Trans 309.14(1)(1) Required environmental climatic equipment. All ambulances shall be equipped with a complete climate environmental system to supply and maintain clean air conditions and an inside temperature at a comfortable level in both driver and patient compartments. The various systems for heating, ventilating and air conditioning may be separate or combination systems that permit independent control of environment within each compartment. The driver and patient compartment environments may not be dependent upon one another in any way. Trans 309.14(2)(2) Interior environment climate. When an ambulance is prepared for immediate response with medications and solutions on the ambulance, the ambulance’s interior climate shall be maintained so that the medications and solutions are kept within the temperature range required by the manufacturer. Trans 309.14 HistoryHistory: Cr. Register, October, 1986, No. 370, eff. 11-1-86; CR 19-074: renum. Trans 309.14 to (1), cr. (1) (title), (2) Register October 2020 No. 778, eff. 11-1-20; correction in (2) made under s. 35.17, Stats., Register October 2020 No. 778. Trans 309.15(1)(1) General lamps. Ambulances shall be equipped with headlamps, directional signal lamps, tail lamps, stop lamps, parking lamps, sidemarker lamps, license plate lamps, backup lamps, hazard warning lamps and clearance lamps meeting the requirements of ch. 347, Stats. Trans 309.15(2)(a)1.1. Except as provided in par. (b), 2 top-corner mounted alternating flashing red lamps facing forward with a white flashing light mounted at an equal distance between them; Trans 309.15(2)(a)2.2. Except as provided in par. (c), 2 top-corner mounted alternating flashing red lights facing to the rear; Trans 309.15(2)(a)3.3. Two top-corner mounted alternating flashing red lights facing to the right side; Trans 309.15(2)(a)4.4. Two top-corner mounted alternating flashing red lights facing to the left side; and Trans 309.15(2)(a)5.5. At least 2, red or red and white, flashing or rotating warning lamps located in, on, behind or in front of the vehicle’s radiator grill. The lamps shall be designed and mounted so as to be plainly visible and understandable from a distance of 500 feet during both normal sunlight and hours of darkness. Trans 309.15(2)(b)(b) The lights required in par. (a) 1. may be replaced with a light bar with 2 or more rotating or flashing red or red and white lights which covers the same area. Trans 309.15(2)(c)(c) The lights required in par. (a) 2. may be replaced with rotating red or red and white lights revolving or flashing on a horizontal plane. Trans 309.15(2)(e)(e) Ambulance service providers may not be required to alter emergency warning lamps already installed on ambulances in service prior to November 1, 1986. Trans 309.15(2)(f)(f) The lamps shall be designed and mounted to be plainly visible and recognizable as emergency vehicle lights from a distance of 500 feet during both normal sunlight and hours of darkness. Trans 309.15(2)(g)(g) A flashing amber light may be installed to the rear top, positioned equally between the 2 top mounted corner flashing red lights, or 2 amber lights may be installed to the rear mounted to the insides of the 2 corner flashing red lights. Trans 309.15(3)(3) Floodlamps. Sealed flood lighting units shall be located at the rear and on the left and right sides of the ambulance. Floodlamps shall be integrally mounted below the roof line but not less than 75 inches above the ground and may not be obstructed by open doors. Each flood lamp shall have a minimum of 800 candlepower output. Flood lighting at the rear shall be arranged to illuminate the ground area immediately surrounding the loading doors. The switches shall be shielded and shall control each side separately. Trans 309.15(4)(4) Figure. Lighting requirements described in this section are illustrated in figure 1. Figure 1 – Emergency Lighting
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