Severity
Near-Miss
Was Hydrogen Released?
Uncertain
Was There Ignition?
No
Incident Date
Jul 25, 1996
Setting
Equipment
- Safety Systems
- Measurement / Sensing Device
Damage and Injuries
Probable Cause
Contributing Factors
When Incident Was Discovered
Lessons Learned
Work pre-planning is essential whenever maintenance or work activities may have an adverse impact on everyday operations. When there are changes to the operational status of any critical system, especially a safety critical system, those changes must be communicated to affected personnel. Standard operating procedures (SOPs) must be fully implemented, and the implementation should be verified during facility and organizational assessments.
Additional information on planning for maintenance and start-up and inspection of equipment is available in the Hydrogen Safety Best Practices Manual.