I suspect "whole body rotation" ... but Phil isn't on site until Friday, apparently; hopefully all shall be revealed then. How about some photos, Phil?
If things are nice and quiet there, he should be able to quickly assess the situation just by putting an ear to the collimator whilst rotating it and (or) twiddling the knobs. Also by physically rotating the tube (if need be) and peering through the bottom of the collimator whilst twiddling away.
BTW Phil, you might want to check (and maybe change) the lamp whilst you're at it. If so, you'll need to carry one with you (might save another journey).
Meanwhile Ian, your sound advice reminds me of the time I single-handedly changed (removed, and swapped it with a "known good" one) an x-ray tube on a major Philips unit - without ropes, nor any other (safety) aids. Not in the UK, I hasten to add. But anyway, "don't try this at home, folks"!
Of course, I was much younger (not to mention, stronger) back then.
Phil should be OK with just the collimator, though. If removal proves to be necessary, it's just a matter of being able to "catch it" when the final screw is released! A job for two pairs of hands, you might say - but hardly any weight involved (the normal locking lever should suffice to hold the tube in position).