Explosion in a Facility for Boilers Maintenance
The explosion occurred during repair work on a boiler. A technician had previously descaled the device using hydrochloric acid, after which he performed the neutralisation step with soda and drained the passivated acid. The significant scaling on the boiler required a second acid injection, followed by welding work, but this time the rest of the acid had not been drained from the boiler. Hydrogen emitted by a metal + acid reaction was the cause of this accident. An employee wound up in hospital in a coma. Labour inspection authorities noted that operating conditions were not respecting environmental protection requirements, i.e. failure to control discharge pH. They also noted the absence of written procedures.
Event Date
October 26, 2004
Record Quality Indicator
Region / Country
Event Initiating System
Classification of the Physical Effects
Nature of the Consequences
Causes
Cause Comments
Immediate cause was failure to perform an operative step This caused the formation of hydrogen from the reaction of hydrochloric acid with metals, in presence of a hot source (welding).Root cause (probably) found to be the absence of any written procedure.
Facility Information
Application Type
Application
Specific Application Supply Chain Stage
Components Involved
Workshop for maintenance of boilers, hydrochloric acid
Location Type
Location description
Unknown
Pre-event Summary
The explosion occurred during repair work on a boiler. A technician had previously descaled the device using hydrochloric acid, after which he performed the neutralization step with soda and drained the passivated acid. The significant scaling on the boiler required a second acid injection, followed by welding work, but this time the rest of the acid had not been drained from the boiler.
Lessons Learned
Lessons Learned
Unknown
Event Nature
Emergency Action
Unknown
Detonation
No
Deflagration
No
High Pressure Explosion
No
High Voltage Explosion
No
Source Category
References
References
ARIA data base
event no. 28569