Severity
Non-Event
Was Hydrogen Released?
No
Was There Ignition?
No
Incident Date
Sep 27, 2000
Setting
Equipment
- Piping/Fittings/Valves
- Piping
Damage and Injuries
Probable Cause
Contributing Factors
When Incident Was Discovered
Lessons Learned
Management should ensure that a complete and thorough review of the previous work activities identified in the work package is performed at the pre-job briefing for the planned work. Work activities should be discontinued if any confusion exists concerning how to execute procedure steps. A process should be put in place to positively mark pipes that have been tested and retested to ensure proper identification when testing for acceptable levels of hydrogen.