State of California inspection #2 1084 Department oflndustrial Relations . Inspection Dates: 08/12/2015e 12/10/2015 .f Division of Occupational Safety and Health Issuance Date: 12/10/2015 High Hazard Unit - North CSHO ID: Y1691 1515 Clay Street, Suite 1303 Optional Report 003?1 6 Oakland, CA 94612 Phone: (510) 622?3009 Fax: [510) 622-3025 Citation and Notification of Penalty Company Name: Blue Apron, Inc. Establishment DBA: and its successors Inspection Site: 3151 Regatta Blvd. B60 Richmond, CA 94804 Citation 1 Item 1 Type of Violation: Regulatory BCCR 461 The permit shall be posted under glass in a conspicuous place on or near the air tank or in a weatherproof container secured to the unit, and shall be available at all times to any qualified inspector. Prior to and during the course of the inspection, including, but not limited to August 14, 2015, the employer did not ensure that the lngersoll Rand air compressor SN: 5024282 located near the employee security checkain had a permit posted under glass in a conspicuous place on or near the air tank. Corrected During Inspection Date By Which Violation Must be Abated: Corrected During Inspection Proposed Penalty: $425.00 See pages 1 through 5 of this Citation and Notification of Penalty for information on employer and employee rights and responsibilities. Citation and Notification of Penalty Page 6 of 18 V2 Rev 2/2015 State of California Inspection 1084. 2 Department of industrial Relations . . - - Inspection Dates: 08/12/2015.: 2/10/2015 Division of Occupational Safety and Health Issuance Date: 12/10/2015 High Hazard Unit - North CSHO ID: Y1691 1515 Clay Street, Suite 1303 Optional Report 003?1 6 Oakland, CA 94612 . Phone: [510) 622?3009 Fax: (510) 622?3025 Citation and Notification of Penalty Company Name: Blue Apron, lnc. Establishment DBA: and its successors Inspection Site: 3151 Regatta Blvd. B60 Richmond, CA 94804 Citation 1 Item 2 Type of Violation: Regulatory 8CCR 3203(b)(1): (1) Records of scheduled and periodic inspections required by subsection to identify unsafe conditions and work practices, including person(s) conducting the inspection, the Unsafe conditions and work practices that have been identified and action taken to correct the identified unsafe conditions and work practices. These records shall be maintained for at least one (1) year. Prior to and during the course of the inspection, including, but not limited to August 14, 2015, the employer did not ensure that records of scheduled and periodic inspections to identify unsafe conditions and work practices, including person(s) conducting the inspection, the unsafe conditions and work practices that'have been identified and action taken to correct the identified unsafe conditions and work practices were conducted and maintained for at least one year. Date By Which Violation Must be Abatea: January 09, 2016 Proposed Penalty: $425.00 See pages i through 5 of this Citation and Notification of Penalty for information on employer and employee rights and responsibilities. Citation and Notification of Penalty Page 7 of 18 V2 Rev 2f2015 State of California Departmentot industrial Relations Division of Occupational Safety and Health High Hazard Unit - North i5i 5 Clay Street, Suite 1303 Oakland, CA 94?l2 Phone: {5i0} 622?3009 Fax: {510) 622?3025 Citation and Notification of Penalty Company Name: Blue Apron, lnc. Establishment DBA: and its successors Inspection Site: 3151 Regatta Blvd. 860 Richmond, CA 94804 Inspection Inspection Dates: Issuance Date: CSHO ID: Optional Report l084. 08/ 2120] 5.- 2/ 10/20.] 5 l2/lO/2015 Yl 69l Citation ltem 3 Type of Violation: General 8CCR Installation and use. Listed or labeled equipment shall be installed and used in accordance with any instructions included in the listing or labeling. Prior to and during the course of the inspection, including, but not limited to August 14,2015, the employer did not ensure that listed or labeled equipment, such as surge protectors and flexible extension cords located in the Packaging area connected to the SMHMatic Case Sealing machine, were installed and used in accordance with any instructions used in the listing or labeling. Date By Which Violation Must be Abated: Proposed Penalty: January 09, 2016 $210.00 See pages 1 through 5 of this Citation and Noti?cation of Penalty for information an employer and employee rights and responsibilities. Citation and Notification of Penalty Page 8 of 18 V2 Rev 2,0015 State of California inspection 1084 3 Department of Industrial Relations . . . . Jnspection Dates: 2/10/2015 . Division of Occupational Satety and Health Issuance Date: 12/10/2015 High Hazard Unit - North CSHO ID: Y1691 1515 Clay Street. Suite 1303 Optional Report#: 003?1 6 Oakland, CA 94612 Phone: (510) 622-3009 Fax: (510) 622-3025 Citation and Notification of Penalty Company Name: Blue Apron, lnc. Establishment DBA: - and its successors inspection Site: 3151 Regatta Blvd. 860 Richmond, CA 94804 Citation 1 item 4 Type of Violation: General 8CCR 2500.10la): Flexible cords and cables shall be connected to devices and fittings so that strain relief is provided which will prevent pull from being directly transmitted to joints or terminal screws. Prior to and during the course of the inspection, including, but not limited to August 14, 2015, the employer did not ensure that the flexible cord connected to the tan in the Shipping area was provided with strain relief to protect pull from being directly transmitted to joints and terminal screws. Date By Which Violation Must be Abated: - January 09, 2015 Proposed Penalty: $210.00 See pages 1 through 5 of this Citation and Notification of Penalty for information an employer and employee rights and responsibilities. Citation and Notification of Penalty Page 9 ot18 V2 Rev 2/2015 State of California Inspection 1084 Department of industrial Relations. . .. lnspectionDates: 08/12/2015? 2/10/2015 . Division of Occupational Safety and Health Issuance Date: 12/10/2015 High Hazard Unit - North CSHO ID: Y1691 1515 Clay Street, Suite 1303 Optional Report 003-16 Oakland. CA 94612 Phone: [510) 622-3009 Fax: (510) 622?3025 Citation and Notification of Penalty Company Name: Blue Apron. Inc. Establishment DBA: and its successors inspection Site: 3151 Regatta Blvd. B60 Richmond, CA 94804 Citation 1 Item 5 Type of Violation: General 8CCR 2500.25: Flexible cords shall be repaired or replaced it the outer sheath is damaged such that any conductor insulation or conductor is exposed. Repair of the outer sheath shall only be permitted if the conductors are not damaged and the completed repair retains the insulation, outer sheath properties, and usage characteristics of the cord being repaired. Prior to and during the course of the inspection, including, but not limited to August 14, 2015, the employer did not ensure that the yellow flexible extension cord located in the Packing area connected to the 3M?Matic Sealing machine #1 was repaired or replaced when the outer sheath was damaged such that the conductor insulation was exposed. Date By Which Violation Must be Abated: . January 09, 2016 Proposed Penalty: $210.00 See pages 1 through 5 of this Citation and Notification of Penalty for information on employer and employee rights and responsibilities. Citation and Notification of Penalty Page 10 of 18 V2 Rev 212015 State of California Inspection 1084 Department of Industrial Relations . . inspection Dates: 08/12/2015 2/10/2015 Division of Occupational Safety and Health Issuance Date: 12/10/2015 High Hazard Unit North CSHO ID: Y1 691 1515 Clay Street, Suite 1303 Optional Report 003?1 6 Oakland, CA 94612 Phone: (510) 622-3009 Fax: (510) 622-3025 Citation and Notification of Penalty Company Name: Blue Apron, Inc. Establishment DBA: and its successors Inspection Site: 3151 Regatta Blvd. B60 Richmond, CA 94804 Citation 1 Item 6 Type of Violation: General BCCR 321 01a): Buildings. Guardrails shall be provided on all open sides of unenclosed elevated work locaTions, such as: roof openings, open and glazed sides of landings, balconies or porches, platforms, runways, ramps, or working levels more Than 30 inches above The floor, ground, or other working areas of a building as defined in Section 3207 of The General Industry Safety Orders. Where overhead clearance prohibits installation of a 42?inch guardrail, a lower rail or rails shall be installed. The rolling shall be provided with a Toeboard where The platform, runway, or ramp is 6 feet or more above places where employees normally work or pass and The lack of a Toeboard could creaTe a hazard from falling Tools, material, or equipment Prior To and during The course of The inspection, including, but noT limiTed ToAugusT 14, 2015, The employer did noT ensure ThaT The landing and The working platform located in The following areas were equipped with guardrails on all open sides. 1. Packing Room emergency exit platform- 54" To concrete ground Date By Which Violation Must be Abated: January 09., 2016 Proposed Penalty: $795.00 See pages 1 Through 5 of This Citation and Notification of Penalty for information an employer and employee rights and responsibilities. Citation and Notification of Penalty Page ii of 18 V2 Rev 2/2015 State of California Inspection 1084. Department at lndustrial Relations Inspection Dates: 08/12/2015 .- 2/10/2015 Division of Occupational Safety and Health Issuance Date: 12/10/2015 High Hazard Unit - North CSHO ID: Y1691 1515 Clay Street, Suite 1303 Optional Report 003?1 6 Oakland, CA 94612 Phone: (510) 622-3009 Fax: (510) 622?3025 Citation and Notification of Penalty Company Name: Blue Apron, Inc. Establishment DBA: and its successors Inspection Site: 3151 Regatta Blvd. B60 Richmond, CA 94804 Citation 1 Item 7 Type of Violation: General BCCR 5164(a]: Substances which, when mixed, react violently, or evolve toxic vapors or gases, or which in combination become hazardous by reason of toxicity, oxidizing power, flammability. explosibility, or other properties, shall be evaluated for compatibility before storing. Incompatible substances shall be separated from each other in storage by distance, or by partitions, dikes, berms, secondary containment or otherwise, so as to preclude accidental contact between them. Prior to and during the course of the inspection, including, but not limited to August 14, 2015, the employer did not ensure that substances which, when mixed, react violently, evolve toxic gases, and which in combination become hazardous by reason of flammability or other properties, were evaluated tor compatibility prior to storing. Date By Which Violation Must be Abated: January 09, 2016 Proposed Penalty: $210.00 See pages 1 through 5 at this Citation and Notification of Penalty for information on employer and employee rights and responsibilities. Citation and Notification of Penalty Page 12 of 18 V2 Rev 2/2015 State of California Inspection #2 1084 Department of Industrial Relations. . . Inspection Dates: 08/0/2015: 2/l0/2015 Division of Occupational Safety and Health Issuance Date: l2/lO/20l 5 High Hazard Unit North CSHO ID: Yl 69l l5l5 Clay Street, Suite l303 Optional Report 003?] 6 Oakland, CA 94612 Phone: (510) 622-3009 Fax: (5l0l 622-3025 Citation and Notification of Penalty Company Name: Blue Apron, Inc. Establishment DBA: and its successors Inspection Site: Si 51 Regatta Blvd. B60 Richmond, CA C24804 Citation i Item 8 Type of Violation: General BCCR 5194lgll8): (8) The employer shall maintain copies of the required material safety data sheets for each hazardous substance in the workplace, and shall ensure that they are readily accessible during each work shift to employees when they are in their work areals). (Electronic access, microfiche, and other alternatives to maintaining paper copies of the material safety data sheets are permitted as long as no barriers to immediate employee access in each workplace are created by such options.) Prior to and during the course of the inspection, including, but not limited to August 14, 2015, the employer did not ensure that copies of the required material safety data sheets for each hazardous substance in the workplace were readily accessible during each work shift to employees when they are in their work areas. - Date By Which Violation Must be Abated: January?'09, 2071's Proposed Penalty: - $210.00 See pages 1 through 5 of this Citation and Notification of Penalty for information an employer and employee rights and responsibilities. Citation and Notification of Penalty Page 13 of 18 \42 Rev 2/20l5 State of California Inspection 1084. Department of Industrial Relations s. . Inspection Dates: 08/12/2015 2/10/2015 Division of Occupational Safety and Health Issuance Date: 12/10/2015 High Hazard Unit - North CSHO ID: Y1691 1515 Clay Street. Suite 1303 Optional Report 003?1 6 Oakland, CA 94612 Phone: (510] 622-3009 Fax: [510) 622-3025 Citation and Notification of Penalty Company Name: Blue Apron, Inc. Establishment DBA: and its successors Inspection Site: 3151 Regatta Blvd. 860 RichmondCA 94804 Citation 2 Item 1 Type of Violation: Serious 8CCR 5185(n): Facilities for quick drenching or flushing of the eyes and body shall be provided in accordance with Section 5162 unless the storage batteries are: equipped with explosion resistant or flame arrestor type vents; or (2) located in a compartment or other location such as to preclude employee exposure. Prior to and during the course of the inspection, including but not limited to August 12. 2015. the employer did not ensure facilities for quick drenching of the eyes and body was provided in the Receiving area where a Crown RC3000 SN: 1A289366 stand~up lift truck is charged. Date By Which Violation Must be Abated: December 17, 2015 Proposed Penalty: $9000.00 r? Clement Hsieh Complia eOff' er/District Manager See pages 1 through 5 of this Citation and Notification of Penalty for information on employer and employee rights and responsibilities. Citation and Noti?cation of Penalty Page 14 of 18 V2 Rev 2X2015 State of California Department of Industrial Relations . Division of Occupational Safety and Health High Hazard Unit - North 1515 Clay Street. Suite 1303 Oakland, CA 94612 Phone: (510} 622-3009 Fax: (510) 622-3025 I NOTICE OF PROPOSED PENALTIES Company Name: Blue Apron, Inc. Establishment DBA: and its successors Inspection Site: 3151 Regatta Blvd. B60, Richmond, CA 94804 Mailing Address: 3151 Regatta Blvd. Bldg'C60, Richmond, CA 94804 Issuance Date: 12/10/2015 Reporting ID: 0950661 CSHO ID: Y1691 Summary of Penalties for Inspection Number 1084143 Citation 1 Item 1, Regulatory $425.00 Citation 1 Item 2, Regulatory $425.00 Citation 1 Item 3, General - $210.00 Citation 1 Item 4, General $210.00 Citation 1 Item 5, General $210.00 Citation 1 Item 6, General $795.00 Citation I Item 7, General $210.00 Citation 1 Item 8, General $210.00 Citation 2 Item 1. Serious $9000.00 TOTAL PROPOSED PENALTIES: 511695.00 Penalties are due within 15 working days of receipt of this notification unless contested. If you are appealing any item of this citation, remittance is still due on all items that are not appealed. Enclosed for your use is a Penalty Remittance Form. It you are paying electronically: Please have this form on?hand when you are ready to make your payment. The company name, reporting ID and Citation numberls) will be required to ensure that the payment is accurately posted to your account. Please go to to access the secure payment processing site. Additionally, you must also mail the Penalty Remittance Form to the address below. If you are paying by check: Mail this Notice of Proposed Penalties, the Penalty Remittance Form. along with a copy at the Citation and Notification of Penalty to: - DEPARTMENT OF INDUSTRIAL RELATIONS CASHIER, ACCOUNTING OFFICE P. 0. BOX 420603 SAN FRANCISCO, CA 94142-0603 See pages 1 through 5 of this Citation and Notification of Penalty for information an employer and employee rights and responsibilities. Citation and Notification of Penalty Page 15 at 18 V2 Rev 2/2015 does noT agree To any condiTTons or endorsemen IJUT on any check or money order for-.less Than The full amounT due, and will cash The check or moneyoraeras if_T_hes_e_ resTricTions,? condiTTons or endorsemenTs do noT exisT. See pages Through 5 of This CiToTTon and NoTiTicaTion of PenalTy for TnformaTion on empToyer and employee righTs and responsibilTTies. CiTaTion and NoTT?caTion of PenaiTy Page 16 of 18 V2 Rev 2/2015 DEPARTMENT OF INDUSTRIAL RELATIONS DIVISION OF OCCUPATIONAL SAFETY AND HEALTH Accounting Office - Cashiering Unit PO. Box 420603 San Francisco, CA 94142?0603 Phone (415) 703?4291 or (415) 703-4308 Fax (415) 703?3037 Please moi.l or fax this form back to the above address to properly credit your payment. PENALTY REMITTANCE FORM CIVIL PENALTYINFO INSPECTION NO.: 1084143 REPORTING ID: 0950661 ESTABLISHMENT NAME: Blue Apron, Inc. 454001835 CONTACT PERSON: Samantha Bruck PHONE NO.: (888) 278?4349 I I FAX NO.: I UNKNOWN SITE ADDRESS: 3151 Regatta Blvd. 880, Richmond, CA 94804 MAILING ADDRESS: 3151 Regatta Blvd. Bidg C60, Richmond, CA 94804 CITATION INFORMATION: Penalties are due within 15 working days of receipt Of this notification unless contested. If you are appealing any item of this Citation, remittance is still due on all items that are not appealed. PAYMENT INSTRUCTIONS: - Put a next to the CitationIs) that you are paying. I Write the amount paid in the column. 0 Please indicate the AMOUNT SUMMARY OF PENALTIES PAID AMOUNT PAID Citation 1 Item 1, Regulatory Citation 1 Item 2, Regulatory Citation 1 Item 3, General Citation 1 Item 4, General Citation 1 Item 5, General Citation 1 Item 6, General Citation 1 Item 7, General Citation 1 Item 8, General Citation 2 Item 1, Serious TOTAL AMOUNT PAID TYPE OF PAYMENT ENCLOSED Fill in the Check, e?Checls reference, or money order information below: CHECK ENCLOSED IN THE AMOUNT OF: See pages I Through 5 of this Citation and Notification of Penalty tor information an employer and employee rights and responsibilities, Citation and Notification of Penalty Page I7 of IS V2 Rev REFERENCE PAID IN THE AMOUNT OF: MONEY ENCLOSED INT-HE AMOUNT or: Please make check or money order payable to Department of Industrial Relations - and mail to the Cashier, Accounting Office, at the above address. Reference the Inspection Number on the "memo" portion of your check or money order. Note: For your convenience, the Department of Industrial Relations accepts electronic payments at PaymentOption.html. Again, please mail or fax this form to the above address or fax number to ensure payments are properly credited. See pages 1 through 5 of this Citation and Notification of Penalty for information on employer and employee rights and responsibilities. Citation and Notification of Penalty Page 18 of i8 V2 Rey 2/20i 5