10319-D01-00) OSV Mobile Medical Unit 102Wx53L Complete

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The information contained in this booklet is the property of OSV. The contents are confidential. They may not be used, either partially or wholly, for any purpose inconsistent with the purpose for which it was produced. The contents may not be reproduced or disclosed without written permission of Oshkosh Specialty Vehicles.

Operator and Service Manual

Mobile Medical Unit (MMU) 13-3 H x 8-6 W x 53-0 L USA

2009 Oshkosh Specialty Vehicles, All Rights Reserved.

This manual contains confidential information of Oshkosh Specialty Vehicles.

You may not copy it or any part of it without the written permission of Oshkosh Specialty Vehicles.

This manual may be used only by you, and only for the purposes for which it was intended. You may not disclose this manual or the confidential information it contains outside of your company.

If you wish to copy any part of this manual, or to use it other than as described above, you must contact Oshkosh Specialty Vehicles seeking permission to do so.

North America

Corporate Headquarters Oshkosh Specialty Vehicles 2150 E. Dolton Road. Calumet City, IL 60409 USA (001) 708.596.5066

Europe

Oshkosh Specialty Vehicles, Ltd. Unit 17, Nelson Way Tuscum Trading Estate, Camberley, Surrey GU15 3DH United Kingdom (44) 01276.64490 Buys Ballotstraat 6 3261 LA Oud-Beijerland, Holland +31 (0) 186-614322 Fax. +31 (0) 186-619367 E-mail: [email protected]

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List of Revisions & Warnings

Revisions 00 New Release July 2009

Notice In accordance with our policy of product development, Oshkosh Specialty Vehicles reserves the right to make changes in the equipment, design, specifications, and materials of the product described herein. If there are any inconsistencies between this manual and the mobile unit that inhibit serviceability, please contact Oshkosh Specialty Vehicles for assistance.

This manual is one of two (2) information documents provided in the mobile unit. The documentation package consists of:

Volume I Site Guide, Operators Manual, and associated drawings

Volume II Vendor Information

These volumes should be kept in the mobile unit at all times.

Any problems or questions related to the components or systems covered in this manual may be directed to:

Oshkosh Specialty Vehicles 2150 E. Dolton Road. Calumet City, IL 60409 USA (001) 800.839.0630 (24 hour service) (001) 708.596.2480 (fax) http://www.oshkoshsv.com/

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Warnings & Safety Alert Conventions The following terms define the various precautions and notices used in this manual:

NOTE: Whenever information exists that requires additional emphasis beyond the standard textual information, the term NOTE is used.

Whenever information exists that requires special attention to procedures to ensure proper operation of the equipment or to prevent its possible failure, the term IMPORTANT is used.

Whenever potential damage to equipment exists, requiring correct procedures / practices for prevention, the term CAUTION is used.

Whenever potential personal injury or death situations exit, requiring correct procedures / practices for prevention, the term WARNING is used.

Whenever immediate hazards exist that could result in personal injury or death that cannot be eliminated by design safeguards, the term DANGER is used.

This safety alert symbol indicates important safety messages in the manual. When you see this symbol, carefully read the message the follows and be alert to the possibility of personal injury or death.

Electrical, mechanical, pneumatic, and hydraulic safety devices have been installed on this vehicle to help protect against personal injury and / or damage to equipment. Under no circumstances should any attempt be made to disconnect or in any way render any of these devices inoperative. If a malfunction of any safety device is discovered to exist, DO NOT operate the vehicle, but immediately notify appropriate maintenance personnel.

Oshkosh Specialty vehicles shall have no liability with respect to: . . . . . REPAIRS IMPROPERLY PERFORMED OR REPLACEMENTS IMPROPERLY INSTALLED (or) USE OF REPLACEMENT PARTS OR ACCESSORIES NOT CONFORMING TO Oshkosh SPECIALTY VEHICLES SPECIFICATIONS, WHICH ADVERSELY AFFECT PERFORMANCE OR DURABILITY (or) ALTERATIONS OR MODIFICATIONS NOT RECOMMENDED OR APPROVED IN WRITING BY Oshkosh SPECIALTY VEHICLES (or) FOR EQUIPMENT DAMAGE OR PERSONAL INJURY OR DEATH AS A RESULT OF RENDERING ANY SAFETY DEVICE INOPERABLE.

Certain inherent risks are associated with heavy trailers due to the nature of their use. Personnel working in the area of these trailers are subject to certain hazards that cannot be met by mechanical means but only by the exercise of intelligence, care, and common sense. It is therefore essential for the owner of this equipment to have personnel involved in the use and operation of these trailers who are competent, careful, physically and mentally qualified, and trained in the safe operation of this equipment.

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Table of Contents List of Revisions & Warnings .............................................................................. 3

Revisions .........................................................................................................................................3 Notice ..............................................................................................................................................3 Warnings & Safety Alert Conventions .............................................................................................4

Section 1: Introduction ...................................................................................... 11 Section 2: Safety Guidelines ............................................................................. 13

2.1 Operators General Safety Precautions ..................................................................................14 2.2 Electrical Safety.......................................................................................................................14 2.3 Transportation Safety ..............................................................................................................15

Section 3: Safety Systems................................................................................. 17 3.1 Emergency Lighting.................................................................................................................17 3.2 Fire Suppression (manual) ......................................................................................................18 3.3 Marker Lights...........................................................................................................................18 3.4 Warning Lights.........................................................................................................................18

Section 4: Mobile Unit Overview ....................................................................... 19 4.1 Air Ride Control Switch ...........................................................................................................19 4.2 Automatic Transfer Switch (ATS) ............................................................................................20 4.3 Batteries Overall ......................................................................................................................21 4.4 Canopy ....................................................................................................................................22 4.5 Exterior Overall........................................................................................................................23 4.6 Generator Power Connections ................................................................................................24 4.7 Glad-hand Connections...........................................................................................................24 4.8 Levels ......................................................................................................................................25 4.9 Primary Care Area...................................................................................................................26 4.10 Operating Room Area ...........................................................................................................28 4.11 Mobile Unit Controls ..............................................................................................................29 4.12 Stabilizing Legs, Rear ...........................................................................................................30 4.14 Stabilizing Leg Control Panel ................................................................................................31 4.15 Stair Assemblies....................................................................................................................32 4.16 Fresh Water Tank..................................................................................................................33 4.17 Waste Water Tanks...............................................................................................................34

Section 5: Mobile Unit Setup Procedure........................................................... 37 5.1 Park the Mobile Unit ................................................................................................................37 5.2 Lower the Landing / Stabilizing Legs ......................................................................................37 5.3 Disconnect the Tractor ............................................................................................................38 5.4 Lower the Rear Stabilizing Legs..............................................................................................38 5.5 Disconnect the Tractor Air and Electrical Lines ......................................................................38 5.6 Connect to Shore Power (if available).....................................................................................39 5.7 Extend the Left Slide-out .........................................................................................................40 5.8 Extend the Right Rear Slide-out..............................................................................................41 5.9 Extend the Right Front Slide-out .............................................................................................41 5.10 Rear Canopy Deployment .....................................................................................................42 5.11 Hydraulic Platform Lift Deployment.......................................................................................42 5.12 Remove Restraining Hardware and Position Equipment for Use. ........................................43

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5.13 Install the Stair and Ramp Assemblies .................................................................................44 5.14 Check the Generator Fuel Source. .......................................................................................45 5.15 Check the Fresh Water Level. ..............................................................................................45 5.16 Close and Lock all Underbody Compartment Doors. ...........................................................45 5.17 Raise Marquee Boards & Deploy External Equipment. ........................................................45

Section 6: Mobile Unit Transport Procedure.................................................... 47 6.1 Remove External Equipment ..................................................................................................47 6.2 Secure all Equipment..............................................................................................................48

6.2.1 Operating Room Area ......................................................................................................48 6.2.2 Lower Primary Care Area.................................................................................................49

6.3 Remove and Store the Stair and Ramp Assemblies ..............................................................49 6.4 Canopy Retraction ..................................................................................................................49 6.5 Return the Platform lift to the Transport Position....................................................................50 6.6 Retract the Right Rear Slide-out .............................................................................................50 6.7 Retract the Right Front Slide-out ............................................................................................51 6.8 Retract the Left Slide-out ........................................................................................................51 6.9 Disconnect from Shore Power (if connected) .........................................................................51 6.10 Connect the Tractor Air and Electrical Lines ........................................................................52 6.11 Raise the Rear Stabilizing Legs............................................................................................52 6.12 Connect the Tractor to the Mobile Unit .................................................................................52 6.13 Retract the Front Stabilizing Legs.........................................................................................52 6.14 Verify that the Mobile Unit is ready for Transport .................................................................53

Section 7: Electrical System.............................................................................. 55 7.1 Electrical Panels 208/120V AC ...............................................................................................56

7.1.1 Main Distribution Panel # 1 ..............................................................................................56 7.1.2 Tent Systems Distribution Panel # 2 ................................................................................57 7.1.3 Critical Panel ....................................................................................................................58 7.1.4 Oxygen Concentrator Power Panel..................................................................................59

7.2 Facility Power Connection ......................................................................................................60 7.3 Shore Power Cable .................................................................................................................61 7.4 Tractor Mounted Generator Power Cable...............................................................................61 7.5 Phase Power Monitor 208V AC ..............................................................................................64 7.6 Tractor Mounted Generator ....................................................................................................65

Section 8: HVAC System ................................................................................... 69 8.1 Introduction .............................................................................................................................69 8.2 System Specifications.............................................................................................................69 8.3 System Descriptions ...............................................................................................................69 8.4 Air Conditioning Unit #1 ..........................................................................................................70

8.4.1 Unit Specifications............................................................................................................70 8.4.2 Air distribution...................................................................................................................70 8.4.3 Air Return .........................................................................................................................70 8.4.4 Air Filtering .......................................................................................................................70 8.4.5 Air Controller.....................................................................................................................70

8.5 Air Conditioning Unit #2 ..........................................................................................................71 8.5.1 Unit Specifications............................................................................................................71 8.5.2 Air distribution...................................................................................................................71 8.5.3 Air Return .........................................................................................................................71 8.5.4 Air Filtering .......................................................................................................................71 8.5.5 Air Controller.....................................................................................................................71

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8.6 Air Conditioning Filter Differential Pressure Sensors..............................................................72 Section 9: Platform Lift ...................................................................................... 73

9.1 Safety Features .......................................................................................................................75 9.1.1 Transport Pins ..................................................................................................................75 9.1.2 Lift Controls.......................................................................................................................76 9.1.3 Handrails...........................................................................................................................76 9.1.4 Lift Up Indicator Light........................................................................................................76 9.1.5 Remote Control Pendent ..................................................................................................76 9.1.6 Transport Warning Light ...................................................................................................77 9.1.7 Transport Warning Strobe Light .......................................................................................77 9.1.8 Lift Transport Restraining Cable.......................................................................................77

9.2 Hydraulic System.....................................................................................................................77 9.2.1 Operation ..........................................................................................................................77

9.3 Platform lift Operation..............................................................................................................78 9.3.1 Deploying the Platform lift for use with the Mobile Unit ....................................................78 9.3.2 Storing the Platform lift for Transport of the Mobile Unit ..................................................79

Section 10: Stabilizing Legs .............................................................................. 81 10.1 Landing Legs.........................................................................................................................81 10.2 Rear Stabilizing Legs ............................................................................................................82 10.3 Rear Air Suspension System Controls..................................................................................83 10.4 Stabilizing Leg Controls.........................................................................................................84

Section 11: Lighting System.............................................................................. 85 11.1 Emergency Lighting...............................................................................................................85 11.2 Exterior Lighting.....................................................................................................................86

11.2.1 Underbody Compartment Lighting..................................................................................86 11.2.2 Entry Door Lighting .........................................................................................................86 11.2.3 Marker & Running Lights ................................................................................................87

11.3 Interior Lighting......................................................................................................................87 11.3.1 Lower Primary Care Area ...............................................................................................87 11.3.2 Operating Room Area.....................................................................................................88

11.4 Warning Lights.......................................................................................................................89 11.4.1 Power Warning Light ......................................................................................................89 11.4.2 Transport Warning Light .................................................................................................90 11.4.3 Suspension Transport Warning Light .............................................................................90

Section 12: General Maintenance ..................................................................... 91 12.1 Daily Maintenance.................................................................................................................91 12.2 Weekly Maintenance .............................................................................................................91 12.3 Monthly Maintenance ............................................................................................................92 12.4 Quarterly Maintenance ..........................................................................................................92

Section 13: Specific Maintenance ..................................................................... 93 13.1 Electrical System...................................................................................................................93 13.2 HVAC System........................................................................................................................94 13.3 Stabilizing Legs .....................................................................................................................94

Appendix A: Mobile Unit Checklist ................................................................... 95 Mobile Unit Setup Checklist ..........................................................................................................96

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Mobile Unit Transport Checklist ....................................................................................................98 Appendix B: Troubleshooting ......................................................................... 101

Hydraulic Platform Lift is inoperable........................................................................................101 AC Power Indicator Light is off....................................................................................................101 Transport Warning Light is on .................................................................................................101 Suspension Transport Indicator Light is illuminated................................................................102 Temperature is out of specifications........................................................................................103

Appendix C: HVAC Set Points......................................................................... 105 Thermostat Settings ....................................................................................................................105

Appendix D: Circuit Malfunction Checklist .................................................... 107 Category 1...................................................................................................................................107 Category 2...................................................................................................................................107

Appendix E: Lockout/Tagout Procedures ...................................................... 109 Specific Energy Control Procedures ...........................................................................................109

Machine or Equipment for this Procedure:..............................................................................109 Control of Hazardous Energy:.....................................................................................................109 Affected Personnel to notify when the Specialty Vehicles Trailer is to be Locked Out: .............109 Shut down specifications for the Specialty Vehicle Trailers:.......................................................109 Methods to dissipate energy: ......................................................................................................110 Method of Verifying the Isolation of the Machine or Equipment: ................................................110

Appendix F: Quarterly Maintenance Checklist .............................................. 111 Appendix G: Manual Slide-out Operation....................................................... 115

Extending the Slide-outs .............................................................................................................116 Retracting the Slide-outs.............................................................................................................117

Appendix H: Schematics and Drawings......................................................... 119

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List of Figures Figure 1: Mobile Medical Unit (MMU) ...............................................................................................11 Figure 2: Emergency Lighting, Operating Room ..............................................................................17 Figure 3: Fire Extinguisher................................................................................................................18 Figure 4: Air Ride Control Switch......................................................................................................19 Figure 5: Automatic Transfer Switch (ATS) ......................................................................................20 Figure 6: Battery Compartment Overall ............................................................................................21 Figure 7: Canopy...............................................................................................................................22 Figure 8: Exterior Overall ..................................................................................................................23 Figure 9: Generator Cam-lock Connectors .......................................................................................24 Figure 10: Glad Hand Connections...................................................................................................24 Figure 11: Level ................................................................................................................................25 Figure 12: Lower Primary Care Area ................................................................................................27 Figure 13: Operating Room Area Overall .........................................................................................28 Figure 14: Mobile Unit Controls ........................................................................................................29 Figure 15: Rear Stabilizing Legs.......................................................................................................30 Figure 16: Front Stabilizing Legs ......................................................................................................30 Figure 17: Stabilizing Leg Control Panel...........................................................................................31 Figure 18: Stair Assemblies ..............................................................................................................32 Figure 19: Fresh Water System ........................................................................................................33 Figure 20: Gray Waste Water Tank ..................................................................................................34 Figure 21: Waste Water Tank Drain Valve .......................................................................................35 Figure 22: Landing & Stabilizing Leg Control Panel .........................................................................37 Figure 23: Shore Power Cable to Trailer Cam-lock Connectors ......................................................39 Figure 24: Slide-out Remote Control Pendant and Receptacles......................................................40 Figure 25: Slide-out Support Legs ....................................................................................................41 Figure 26: O.R. Door Ramp ..............................................................................................................43 Figure 27: Rear Entry Door Control Switch.......................................................................................43 Figure 28: Stairs, Platforms, & Ramps..............................................................................................44 Figure 29: O.R. Tables Stowed for Transport...................................................................................48 Figure 30: 208/120V Main Distribution Panel # 1 .............................................................................56 Figure 31: 208/120V Tent Systems Distribution Panel # 2 ...............................................................57 Figure 32: 208/120V Critical Panel ...................................................................................................58 Figure 33: 208 Oxygen Concentrator Power Panel ..........................................................................59 Figure 34: Shore Power Connectors.................................................................................................62 Figure 35: Generator Power Connectors ..........................................................................................62 Figure 36: Tent Systems Power Connectors ....................................................................................63 Figure 37: 208V AC Phase Power Monitor .......................................................................................64 Figure 38: Generator.........................................................................................................................67 Figure 39: Differential Pressure Gauge ............................................................................................72 Figure 40: Platform Lift Deployed .....................................................................................................73 Figure 41: Platform Lift Stored for Transport ....................................................................................74 Figure 42: Platform Retaining Cradles..............................................................................................75 Figure 43: Remote Control Pendent .................................................................................................76 Figure 44: Canopy Stiff Rod Installation and Removal .....................................................................78 Figure 45: Front Stabilizing Leg Assembly .......................................................................................81 Figure 46: Rear Stabilizing Leg Assembly ........................................................................................82 Figure 47: Air Suspension Controls ..................................................................................................83 Figure 48: Stabilizing Leg Controls ...................................................................................................84 Figure 49: Emergency Lighting (Typical) ..........................................................................................85 Figure 50: Compartment Light ..........................................................................................................86 Figure 51: Entry Door Lighting ..........................................................................................................86

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Figure 52: Primary Care Area Lighting .............................................................................................87 Figure 53: Operating Room Area Lighting........................................................................................88 Figure 54: Warning Light Assembly..................................................................................................89 Figure 55: Slide-out Hydraulic Power Unit......................................................................................115 Figure 56: Slide-out Control Valves................................................................................................115 Figure 57: Slide-out Extend Control Valves Actuated ....................................................................116 Figure 58: Power Unit with Manual Pump Handle in place ............................................................117 Figure 59: Slide-out Retract Control Valves Actuation ...................................................................118

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Section 1: Introduction

This manual is intended to instruct and assist personnel already qualified in the proper installation of the mobile unit. This manual is not intended to enable persons unfamiliar with the mobile unit to perform the setup and transport procedures.

This manual contains the basic information needed to setup, transport, and service the mobile unit. This mobile unit was designed to operate within certain limitations and specifications. When performing the setup or transport procedures for the mobile unit, follow the proper logical steps that have been outlined in this manual. The drawings in this manual are representative of this product. In accordance with our program of continued product development designs and specifications are subject to change without notice.

Figure 1: Mobile Medical Unit (MMU)

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As part of Oshkosh Specialty Vehicles on-going program to improve its products and service, (and their effectiveness in enhancing safety, reliability, performance, productivity, and the useful service life of the equipment) Oshkosh Specialty Vehicles reserves the right to implement product changes and disseminate changes in design and service information without notice or recourse.

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Section 2: Safety Guidelines

Electrical, mechanical, pneumatic, and hydraulic safety devices have been installed on this vehicle to help protect against personal injury and / or damage to equipment. Under no circumstances should any attempt be made to disconnect or in any way render any of these devices inoperative. If a malfunction of any safety device is discovered to exist, DO NOT operate the vehicle, but immediately notify appropriate maintenance personnel.

Use and follow the appropriate Lockout/Tagout procedures as required by OSHA Standard 1910.147 when performing maintenance or servicing any electrical, hydraulic or pneumatic systems. See Appendix E for Lockout/Tagout procedures.

It is the operators responsibility to verify that the shore power receptacle is of the same type and voltage as the connection that is supplied by Oshkosh Specialty Vehicles. Failure to do this can result in injury or death to the operator of the mobile unit as well as irreparable damage to the mobile unit.

Make sure that all electrical parts are serviced only by a certified electrician or qualified personnel. Dangerous voltages are present which could result in injury or death.

Always make sure that eyes are protected while servicing the unit. Wear safety goggles when prying, drilling, grinding, or working with batteries. Wear safety goggles over regular prescription glasses unless the lenses are made of hardened glass and can serve as safety goggles.

Be certain to disconnect the power before working on any of the electrical systems.

When servicing the unit be certain that a first aid kit and fire extinguisher are within reach at all times.

This safety section contains important information in regards to general safety guidelines that should be followed. Before attempting to service the mobile unit, read this safety section as well as all other safety sections found in applicable manufacturers manuals in the component literature binder.

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2.1 Operators General Safety Precautions Your safety and the safety of other persons in the area of this vehicle are the result of your correct operation of this vehicle. Know the location, positions, and functions of all the controls. Know the meaning of the various Warning, Caution, Strobe, and Annunciator lights and their associated audible warning sounds.

Read this manual completely and make sure you understand the contents. Make sure you understand, for example, the characteristics of speed, stability, brakes, and steering, etc. of this vehicle. If you have any questions, contact Oshkosh Specialty Vehicles, (800) 839-0630. Always keep a copy of this manual with the vehicle.

The safety information in the manual does not replace any other rules or laws for safety that are used in your area, Know the local rules or laws for safety. Make sure that your vehicle has the correct equipment to operate according to these rules or laws.

All safety hazards that can possibly arise cannot be foreseen and noted in this manual. You must always use common sense and apply the general as well as the specific safety precautions.

Make sure the work area is well ventilated. Disconnect the electrical power to prevent the possibility of electrical shock when servicing

all electrical equipment.

Follow all manufacturers directions and request material data sheets where applicable. Always keep tools clean and free of grease. Do not stand on chairs inside of the mobile unit under any circumstances. Follow all safety precautions found in the documentation package that is included with the

mobile unit.

2.2 Electrical Safety

Use and follow the appropriate Lockout/Tagout procedures as required by OSHA Standard 1910.147 when performing maintenance or servicing any electrical, hydraulic or pneumatic systems. See Appendix E for Lockout/Tagout procedures.

Before connecting or disconnecting from shore power, it is imperative that the shore power connections be moved to the OFF position. Failure to do this can result in injury or death to the operator of the mobile unit.


Always inspect the power cables, connectors, and fasteners prior to usage. If during inspection, it is suspected that either internal or external damage has occurred, have a certified electrician inspect and repair the damage before using.

When working with the electrical system for the mobile unit. Follow the warnings and cautions listed above.

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2.3 Transportation Safety Walk around the unit to make certain that all doors are closed and locked.

If any of the warning lights are illuminated, do not move the mobile unit.

Before moving the mobile unit, verify that all marker and running lights are working properly.

Consult with the local motor vehicle authority to determine if there are any travel restrictions or routes.

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Section 3: Safety Systems

This safety section contains important information about the safety systems that have been built into the mobile unit to protect all personnel and equipment. Before attempting to service the mobile unit, read this safety section as well as all other safety sections found in applicable manufacturers manuals in the component literature binder.

3.1 Emergency Lighting In the event that the main AC power fails, three dual beam emergency lights are provided in the Mobile Medical Unit. Two are in the Lower Primary Care area at the rear door and at the door leading into the Operating Room. The third light is located in the Operating Room. These lights will automatically illuminate when the main AC power is lost. The emergency lighting system is wired into a 120V AC electrical system that allows the lights internal circuitry to keep their batteries at 100% charge. The emergency lights will illuminate the exit doors last for approximately 90 minutes.

Figure 2: Emergency Lighting, Operating Room

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3.2 Fire Suppression (manual) Three fire extinguishers are supplied with the mobile unit. Instructions for operation are clearly printed on the canister of the fire extinguisher. The fire extinguisher meets the following standards.

Figure 3: Fire Extinguisher

It is a class A/B/C 1211 hand held unit. It has a charged weight of 10 lbs. It is U.L. listed. It meets D.O.T. requirements. It is in accordance with N.F.P.A. Standard No. 10, Portable Fire Extinguisher.

3.3 Marker Lights Extra LED type marker and side turn signal lights are installed on the trailer body to assist the driver with maneuvering the mobile unit.

3.4 Warning Lights Please Refer to Section 11: Lighting System for additional information in regards to these systems.

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Section 4: Mobile Unit Overview

The components of the mobile unit have been divided into alphabetical order followed by a brief description of the areas within the unit. With each component a picture, if possible, and description will be found to better illustrate the components of the mobile unit. Additional components of the mobile unit can be found within the remaining chapters. See Appendix H for Schematics and Drawings.

4.1 Air Ride Control Switch

The air ride control Switch must be in the normal ride position before the mobile unit can be transported. If the air ride control switch is not in the normal ride position, irreparable damage may occur to the mobile unit.

The air ride control switch adjusts the rear air suspension bags. When the mobile unit is being transported, the air ride control switch must be in the normal ride position.

Figure 4: Air Ride Control Switch

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4.2 Automatic Transfer Switch (ATS) The ATS monitors the incoming power to the MMU. In the event that Facility Power Source or shore power faults, the ATS will automatically disconnect the shore power, start the onboard generator and switch to the onboard generator for power. The shore power must be connected to the unit at the cam-lock connectors as shown in Figure 9: Generator Cam-lock Connectors The onboard generator is hard wired directly to the ATS..

Figure 5: Automatic Transfer Switch (ATS)

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4.3 Batteries Overall The left front underbody compartment houses the Landing Leg Controls. The second left side lower compartment from the front houses the 12V DC Battery charger and the low voltage distribution panel. The 12V DC batteries that support the Hydraulic system are located between the left side first and second lower compartments.

Batteries (Typical)

Figure 6: Battery Compartment Overall

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4.4 Canopy This retractable canopy is positioned above the platform lift to provide shelter from the elements. The handle used to deploy the unit is stowed to the inside wall on the left side of the rear doors during transit, as shown below.

Figure 7: Canopy

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4.5 Exterior Overall In these illustrations the storage and maintenance access doors, entry doors, platform lift, stairs and ramps, and the air conditioner housings can be seen.

Left Side View

Right Side View

CANOPY

Front & Rear View

Figure 8: Exterior Overall

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4.6 Generator Power Connections The Generator Power Connectors are the electrical power connection point between the tractor generator and the mobile unit. All connections must be made in order for the ATS to function properly when connected to shore power. The Generator Power Cam-lock Connectors are located at the front left side of the trailer as show below.

Figure 9: Generator Cam-lock Connectors

4.7 Glad-hand Connections The glad hands are the connection point between the tractor and the mobile unit. All connections must be made before moving the mobile unit. Failure to make all connections can result in damage to the mobile unit.

Figure 10: Glad Hand Connections

Emergency Airline: Backup airline in the event that the main airline fails.

Service Airline: The main airline for the mobile unit.

Standard Electrical Connector Connects the tractor electrical controls to the trailer

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4.8 Levels The Level allows the mobile unit to be leveled both front to back and side to side. It is imperative that the unit be leveled prior to use.

Figure 11: Level

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4.9 Primary Care Area The Primary Care Area consists of two nurses stations, six separate exam areas, one ENT exam area, and four Post Anesthesia Recovery areas.

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Figure 12: Lower Primary Care Area

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4.10 Operating Room Area The Operationg Room Area is located in the front section of the trailer. The Operating Room Area is Equipped with Storage space, Med Gas connections, O.R. Lighting, and Critical Power Panel.

Figure 13: Operating Room Area Overall

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4.11 Mobile Unit Controls Located on the walls and panels inside of the mobile unit are the various controls that are used for operating such items as, the interior and exterior lights, emergency stop buttons, and emergency equipment.

Figure 14: Mobile Unit Controls

Interior Light Switches: ON / OFF light switch for interior lights.

Exterior Light Switches: ON / OFF light switch for the exterior lights.

Thermostat Used to control the temperature inside the unit.

Fire Alarm Manual Switch

Used to manually trip the Fire Alarm to notify occupants to exit the unit.

Entertainment System Used for playing music in the patient area

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4.12 Stabilizing Legs, Rear The rear stabilizing stands are extended underneath the rear of the mobile unit when the system is in use. These legs help to level the mobile unit and decrease vibration.

Left Side Right Side

Figure 15: Rear Stabilizing Legs

4.13 Stabilizing Legs, Front Landing The Front Landing / Stabilizing legs and auxiliary support legs can be found at front of the mobile unit. They are used in order to level the unit prior to use.

Figure 16: Front Stabilizing Legs

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4.14 Stabilizing Leg Control Panel The Front Landing / Stabilizing legs and Rear Stabilizing legs are controlled by a hydraulic system. The control panel is located in the left forward underbody compartment.

Figure 17: Stabilizing Leg Control Panel

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4.15 Stair Assemblies The stairs allow access to the interior of the mobile unit through the door in the left & right side slide-outs and at the rear of the left slide-out (as shown).

Rear Entry Stair and Ramp Assembly

CANOPY

Front & Side Entry Stair and Ramp Assemblies Figure 18: Stair Assemblies

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4.16 Fresh Water Tank The 250 gallon fresh water storage tank for the MMU is located in the center of the lower compartments and accessible from the right side lower compartment.

The photo at the right shows the Fresh Water Tank. The Cold Water manifold, and the water pump & accumulator are accessible from the right side of the trailer.

The fresh water tank must be refilled daily. The Gray water waste tank and Black water waste tank must also be drained daily. If the Gray water or Black water waste tanks are full, the fresh water pump power is interrupted.

The photo below shows the Hot Water Heater. Located under the scrub sink and hand wash sink.

Fresh Water Tank

Instant ON Hot Water Heater

Figure 19: Fresh Water System

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4.17 Waste Water Tanks The 45 gallon Black waste water tank collects all of the waste water from the Vernicare and O.R. Scrub Sink. It is located in the center of the rear underbody compartment just in front of the forward rear axle. The drain connection is located inside the right rear underbody compartment door in front of the rear axles. The Black waste water tank should be drained into a suitable sewer system drain each time the fresh water tank is refilled.

The 250 gallon Gray waste water tank is located forward of the Fresh water tank and is also mounted on the trailer centerline. The Gray water tank should also be drained daily.

The fresh water tank should be refilled daily. The waste tanks must also be drained daily. If either of the waste tanks is full, the fresh water pump power is interrupted.

NOTE: ALWAYS drain the Black Waste Water Tank first. Then drain the Gray Waste Water Tank. Flush the Vernicare a couple of times with fresh water only and flush each sink with fresh water and drain each tank again. This procedure will help to flush all sediment from the Waste Water Tanks out of the drain lines and hose connection. Repeat as necessary.

Figure 20: Gray Waste Water Tank

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Black Waste Water Drain Valve Gray Waste Water Drain Valve

Pull to open valve and drain Black Waste Water. Push in fully to close valve.

Pull to open valve and drain Gray Waste Water. Push in fully to close valve.

Figure 21: Waste Water Tank Drain Valve

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Section 5: Mobile Unit Setup Procedure

The stabilizing legs and rear suspension are not to be used to raise the mobile unit off the ground. The legs are meant only to level the unit and place it in a parked position. If the legs are used in an attempt to raise the mobile unit from the ground, serious damage may occur to the mobile unit.

A checklist can be found in Appendix A that may be used as a guideline for the following procedure.

5.1 Park the Mobile Unit Site the Mobile Medical Unit on a paved level surface per the site-planning guide for final setup clearance of slide outs, staff entry stairs, rear platform, etc. See the Site Planning Guide for clearance requirements for set-up.

5.2 Lower the Landing / Stabilizing Legs 1. After the mobile unit has been parked on the paved surface per the site-planning guide, the

landing / stabilizing legs must be lowered to stabilize the mobile unit before it can be used. Refer to Figure 22: Landing & Stabilizing Leg Control Panel for the following procedure. Now move to front right lower compartment where stabilizing leg /auto-leveling control panel is located.

Figure 22: Landing & Stabilizing Leg Control Panel

2. Extend front legs of trailer so tractor can be disconnect prior to leveling trailer.

3. Move the Key switch to the PUMP ON position as shown in Figure 22: Landing & Stabilizing Leg Control Panel above.

Manual Front Landing Leg Control Panel

Air Suspension Control Switch

Autolevel Control Panel

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4. Press the two rocker switches simultaneously toward TRAILER UP on the trailer up / trailer down control box.

5. Extend the legs far until the front of the unit has been raised high enough to clear the fifth wheel.

6. Release the rocker switches.

5.3 Disconnect the Tractor 1. After the landing legs have been lowered, the tractor must be removed from the mobile

unit. Refer to Figure 22: Landing & Stabilizing Leg Control Panel for the following procedure.

2. Verify that the mobile unit has been raised high enough to clear the fifth wheel.

3. Leave the air and electrical lines attached and disconnect the tractor from the mobile unit.

5.4 Lower the Rear Stabilizing Legs


1. After the tractor has pulled from the mobile unit, the front landing legs can now be lowered into position. Refer to Figure 22: Landing & Stabilizing Leg Control Panel and Figure 15: Rear Stabilizing Legs for the following procedure.

2. Using the Manual Control Rocker Switch, adjust the Landing Legs to level the trailer. Refer to Figure 11: Level for Level Location.

3. On the Autolevel Control Panel and press the HYD button to turn "ON" the Autolevel System. Press the Autolevel button. The Autolevel system will automatically lower the rear stabilizing legs and level the trailer from front to rear and right to left. Time to auto-level mobile unit can very from (30 sec 2 min) based on sighting conditions.

5.5 Disconnect the Tractor Air and Electrical Lines

Failure to completely exhaust the suspension before uncoupling the air lines may result in damage to the suspension of the mobile unit.

After the mobile unit has been auto-leveled, the tractor air and electrical lines can safely be removed. Refer to Figure 10: Glad Hand Connections.

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5.6 Connect to Shore Power (if available) Refer to Figure 37: 208V AC Phase Power Monitor for the following procedures.

Before connecting or disconnecting from shore power, it is imperative that the shore power connections be moved to the OFF position. Failure to do this can result in injury or death to the operator of the mobile unit.


Always inspect the power cable, connectors, and fasteners prior to usage. If during inspection, it is suspected that either internal or external damage has occurred, have a certified electrician inspect and repair the damage before using.

Figure 23: Shore Power Cable to Trailer Cam-lock Connectors

1. Verify that the shore power disconnect is in the OFF position.

2. Open the left front underbody compartment door and remove the power cable from the underbody compartments of the mobile unit.

3. Unscrew and remove the floor cable access plate.

4. Insert the Oshkosh Specialty Vehicles supplied connectors into the shore power receptacles.

5. Insert the Oshkosh Specialty Vehicles supplied connectors up through the compartment floor access hole and into the underbody trailer receptacles.

6. Move the shore power disconnect to the ON position.

NOTE: The Phase Power Monitor checks the incoming power to ensure that it has the correct phase rotation (ABC) and that all three phases are present. If all three phases are present and in the correct rotation, the 208V AC Light, on the monitor, will illuminate.

7. If any phase is not present or if the phase rotation is not correct, the 208V AC Fault Light will illuminate, and a piezo-electric horn will sound. Disconnect shore power immediately and investigate to determine the cause of the fault. See paragraph 7.2.

NOTE: If shore power is not available, the power may be switched to the 100KVA generator on the rear of the tractor.

8. Close the underbody compartment doors.

NOTE: If Shore Power is not available, start the onboard generator. When it comes up to speed and stabilizes, it will automatically provide power to the unit.

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5.7 Extend the Left Slide-out After the trailer has been leveled, the slide-outs for the mobile unit can now be extended. See Figure 24: Slide-out Remote Control Pendant below. The 25 foot Slide-out Control Pendant is located in the left right or front lower compartment and is used to extend and retract both left and right slide-outs.

Figure 24: Slide-out Remote Control Pendant and Receptacles

1. Verify that the underbody compartment doors are closed and that no obstacles are in the path of the slide-outs.

2. Retrieve the slide-out remote control pendant from the left or right front lower compartment and plug it into the receptacle on the left side wall just forward of the slide-out.

3. Using the Slide-out Control Pendent, Press and hold the OPEN push button switch to completely extend the left side slide-out.

4. Once slide-out has deployed and floors have lowered, release the OPEN button.

5. At each outside corner of the slide-out is a retractable support leg that must be lowered to help support the slide-out. The actuation rocker switch for the retractable support leg is located under the slide-out outside corner. See Figure 25: Slide-out Support Legs for reference.

6. Press the switch to partially lower the support leg far enough to access the leg extension locking pin. Pull the pin and lower the leg extension completely and reinsert the pin to hold it in place. Press the rocker switch again to completely lower the leg until it touches the ground. Continue to hold the rocker switch to lower the leg until the torque clutch releases. (A ratcheting sound will be heard.) Release the rocker switch.

7. Using the same procedure as stated above, lower the slide-out support leg at the other outside corner of the slide-out.

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5.8 Extend the Right Rear Slide-out 1. Verify that the underbody compartment doors are closed and that no obstacles are in the

path of the slide-outs.

2. Retrieve the slide-out remote control pendant from the left or right front lower compartment and plug it into the receptacle on the right side wall just forward of the slide-out.

3. Using the Slide-out Control Pendent, Press and hold the OPEN push button switch to completely extend the right rear slide-out.


5. At each outside corner of the slide-out is a retractable support leg that must be lowered to help support the slide-out. The actuation rocker switch for the retractable support leg is located under the slide-out outside corner. See Figure 25: Slide-out Support Legs for reference.

6. Press the switch to partially lower the support leg far enough to access the leg extension locking pin. Pull the pin and lower the leg extension completely and reinsert the pin to hold it in place. Press the rocker switch again to completely lower the leg until it touches the ground. Continue to hold the rocker switch to lower the leg until the torque clutch releases. (A ratcheting sound will be heard.) Release the rocker switch.

7. Using the same procedure as stated above, lower the slide-out support leg at the other outside corner of the slide-out.

Right Rear Slide-out Rear Support Leg Right Rear Slide-out Front Support Leg

Figure 25: Slide-out Support Legs

5.9 Extend the Right Front Slide-out 1. Verify that the underbody compartment doors are closed and that no obstacles are in the

path of the slide-outs.

2. Remove the slide-out remote control pendant from the right rear slide-out remote control receptacle and plug it into the receptacle on the right side wall just to the rear of the right front slide-out.

3. Using the Slide-out Control Pendent, Press and hold the OPEN push button switch to completely extend the left side slide-out.


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5.10 Rear Canopy Deployment 1. Deploy the Canopy. Please follow the instructions below and refer to Figure 7: Canopy.

2. Unlock and Release the compression latches at each lower corner of the rear canopy.

3. Unpin the canopy stiff rods and allow them to hang free.

NOTE: The stiff rods will be pinned in their deployed position after the lift is deployed for use.

4. Lift the canopy and the gas spring shocks will assist to raise it to almost full open.

5.11 Hydraulic Platform Lift Deployment 1. After the stair assembly has been installed, the hydraulic platform lift can be deployed for

use. Please refer to Section 9: Platform Lift for the following procedure.

2. Open the left front underbody compartment door and remove the lift pendent, and place it to the side for now.

3. Close the underbody compartment door.

4. Insert the connector from the lift control pendent into the receptacle that is located at the rear and on the left side of the platform lift.

5. Remove the Lift Transport Restraining cable.

6. Remove the transport pins from each side of the lift.

7. Raise the lift high enough to clear the cradles, using the remote.

8. Carefully pull down the platform until it is parallel with the ground. A torsion bar is located within the hydraulic platform lift hardware that will enable one person to move the lift into operating position.

9. Lower the platform to the ground, using the lift control pendent.

10. The Lift can now be raised to assist with additional steps.

11. After the Platform Lift is deployed, it can be used, as a platform, to reach the canopy stiff rods and place them into position and pin them in place in their respective pockets. See Figure 44: Canopy Stiff Rod Installation and Removal for reference.

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5.12 Remove Restraining Hardware and Position Equipment for Use. 1. Re-enter mobile and begin interior setup.

2. Unwrap the drop in floor sections and set them in place. Two in the O.R. Room area, after ramp is deployed, and six in the Lower Primary Care Area.

3. Remove the prop rod that holds the ramp in place for transport. Install the rod is its storage fasteners and lower the ramp into position for use. See Figure 26: O.R. Door Ramp below for reference.

Ramp stored for transport Prop Rod stored for use Ramp in place for use

Figure 26: O.R. Door Ramp

4. Unlock and reposition the O.R. beds.

5. Remove monitor covers and straps.

6. Unlock cabinets.

7. Unlock and turn on power to rear entry doors. Place the rear door control switch, located inside above the doors, in the AUTOMATIC position. See Figure 27: Rear Entry Door Control Switch below for reference.

Figure 27: Rear Entry Door Control Switch

8. Load in all other required equipment from the Auxiliary Trailer to finish the interior set up.

9. Power-up all interior equipment to verify operation.

10. Unit is ready for operation.

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5.13 Install the Stair and Ramp Assemblies 1. Attach the stairs and ramps directly to the left, right, and rear sides of the mobile unit at the

doors and at the front side of the left slide-out. The stairs and ramps can be setup easier with two or more people. See the illustrations in Figure 28: Stairs, Platforms, & Ramps below for reference.

2. Remove the all stair assemblies from the Auxiliary trailer.

3. Install the clip of the stair or ramp assembly into the channel located underneath the door or at the platform lift.

4. Adjust the height of the stair or platform/ramp legs as necessary to in order to level and secure the stairs and platforms.

5. Install the handrails into their operating positions and secure it in place with the hardware provided.

8' PLATFORMW/ RAILS

20' RAMPW/ RAILS ( TWO10 SECTIONS)

FREE STANDING STAIRS

20' RAMPW/ RAILS ( TWO10 SECTIONS)

PLATFORMLIFT

AMBER

REDRED

REDRED

ABS

L1 L2 L3

N EUT GRD

ABS

L1 L2 L3

N EUT GRD

Figure 28: Stairs, Platforms, & Ramps

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5.14 Check the Generator Fuel Source. Check the Tractor fuel level. Refuel, if required.

5.15 Check the Fresh Water Level. Check the fresh water level. Refill, if required.

5.16 Close and Lock all Underbody Compartment Doors. Close and lock all underbody compartment doors for security.

5.17 Raise Marquee Boards & Deploy External Equipment. 1. Unload the Marquee Board support braces from the rear lower compartment and raise the

Marquee Boards.

2. Deploy all external equipment; Satellite Dish, Cameras, Lights, etc. as required.

3. Prepare the unit for raising the tent.

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Section 6: Mobile Unit Transport Procedure

If the mobile unit is moved without the rear air suspension functioning properly, irreparable damage can occur to the mobile unit.


Before transporting the mobile unit, check to verify all warning lights as well as all exterior marker lights are working correctly.

A checklist can be found in Appendix A that may be used as a guideline for the following procedure.

6.1 Remove External Equipment 1. Remove the tent connections to the trailer.

2. Remove or stow all external equipment; Satellite Dish, Cameras, Lights, etc. as required to transport the trailer.

3. Remove the Marquee Board support braces and lower the boards. Secure the boards in place on the roof using the ratchets straps provided.

4. Stow the Marquee Board support braces in the rear lower compartment.

5. Drain the Black and Gray waste water tanks and flush with fresh water. See for reference

6. Drain the fresh water tank. See Figure 21: Waste Water Tank Drain Valve for reference.

7. Check the Tractor fuel level and refill if necessary.

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6.2 Secure all Equipment Enter mobile unit and begin interior scale down. Start in the O.R. Area and work to the Lower Primary Care Area.

6.2.1 Operating Room Area

1. Power-down all O.R. Area interior equipment for transport.

2. Secure the Surgical Lights for transport.

3. Secure the PAC System for transport.

4. Lock all cabinets.

5. Retract and secure all curtains.

6. Move O.R. Tables to the left side in front of the Critical Power Panel. Ensure that they do not interfere with the slide-out retraction path. Lock in place. See Figure 29: O.R. Tables Stowed for Transport for reference.

7. Remove O.R. Area floor sections to enable slide-out retraction.

8. Check clear path for slide-out retraction.

9. Shut OFF O.R. Lights.

10. Exit the O.R. Area and lock the interior door.

Figure 29: O.R. Tables Stowed for Transport

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6.2.2 Lower Primary Care Area

1. Lift the O.R. Area interior door ramp and stow it for transport. See Figure 26: O.R. Door Ramp for reference.

2. Remove the six (6) Lower Primary Care Area floor sections and stow them to allow the slide-outs to be retracted.

3. Remove or stow all equipment in the Lower Primary Care Area for transport, see vendor documentation for details.

4. Lock all cabinets.

5. Retract and tie back all patient curtains.

6. Turn OFF power to rear entry doors for transport. See Figure 27: Rear Entry Door Control Switch below for reference.

7. Turn OFF all lights.

8. Check the interior to ensure that everything is properly stowed, doors and cabinets are locked, and nothing inside will interfere with retracting the slide-outs.

9. Exit the Lower Primary Care Area via the rear glass doors and lock the doors.

6.3 Remove and Store the Stair and Ramp Assemblies 1. The stair assemblies can be taken down easier with two or more people. The instructions

are covered below.

2. Close and lock the doors.

3. Remove the stair, platform, hand rail, and ramp assemblies from the trailer.

4. Store the stairs, platforms, hand rails, and ramps in the Auxiliary Trailer.

6.4 Canopy Retraction 1. The canopy can now be lowered. Please follow the instructions below and refer to Figure

7: Canopy.

2. Unpin the stiff rods at each side of the canopy and allow them to hang free. The canopy will lower slightly as the gas spring shocks now adjust to carry the canopy weight. See Figure 44: Canopy Stiff Rod Installation and Removal for reference.

3. Ensure that the rear doors are locked and lower the Platform Lift to the ground.

NOTE: The stiff rods will be pinned in their storage position after the lift is returned to the transport position.

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6.5 Return the Platform lift to the Transport Position 1. Please refer to Section 9: Platform Lift, and follow the procedure outlined below.

2. Lower the platform lift to the ground.

3. Raise the lift to a maximum height and fold the lift upwards to a vertical position. A torsion bar is located within the platform lift hardware that will enable one person to move the lift into the transport position.

4. Lower the lift so that it rests securely in the retaining cradles. Make sure that the micro switch is actuated.

5. Insert the transport pins into their transport positions. Make sure that the micro switches are actuated.

6. Remove the remote control pendent from the socket and return it to the left front lower compartment.

7. Connect the Lift Transport Restraining Cable securely in place.

8. Open the underbody compartment door and store the remote control pendent.

9. Retrieve the 6 FT step ladder from the rear underbody compartment.

10. Set the ladder up to rotate the stiff arms into the stowed position and pin them in place.

11. Move the ladder to a position centered on the canopy and pull the canopy down to close it.

12. Latch and lock the comp

Documents

10319-D01-00) OSV Mobile Medical Unit 102Wx53L Complete