105 CMR 170.415
Certificate of Inspection Required
(A) No person shall operate, maintain, or otherwise use any aircraft, boat, motor vehicle, or any
other means of transportation as an EMS vehicle without a valid certificate of inspection. This
applies to temporary replacement or additional ambulances or EFR vehicles an EMS service
plans to deploy.
(B) Exception. Uncertified vehicles may be used to render emergency medical transportation
in the case of a major catastrophe when the number of certified ambulances capable of
emergency dispatch in the locality of the catastrophe is insufficient to render the required
emergency medical transportation services, pursuant to a statewide mass casualty incident plan.