Severity
Incident
Leak
Yes
Ignition
Yes
Ignition Source
self-ignition

During restart of an ammonia production plant, syngas (50% hydrogen mixed with methane, ammonia, and nitrogen) leaking from a flange directly downstream of the synthesis reactor ignited. The plant had been shut down for about 90 minutes due to a technical problem. Alerted by the plant fire alarm, the operator activated the emergency shutdown, which isolated and depressurized the synthesis loop. Steam was sprayed onto the leak site to dampen the fire, which was brought under control 55 minutes later. Property damages included pipe insulation, the reactor's protective shutters, concrete fireproofing of the reactor structure, and instrumentation cables within 3 meters of the leak site. The flames did not affect the synthesis reactor itself, which was protected by a deflector. The incident was caused by inappropriate tightening torque applied to the bolts of the leaking flange, which was not adapted to the exceptional operating conditions when the incident occurred (i.e., a large temperature difference between the bolts and the flange due to the relatively short shutdown period).

Incident Date
Apr 24, 2006
Setting
Equipment
  • Piping/Fittings/Valves
  • Flange
  • Piping/Fittings/Valves
  • Bolts
Contributing Factors
Characteristics
When Incident Discovered
Lessons Learned

The incident was the result of a combination of factors leading to exceptional temperature conditions that were not taken into account in the mechanical design of the reactor. Corrective actions that were implemented by the plant management included:

redefinition of the appropriate tightening torque on flanges
improved design of the leak collector on the flange (which failed during the accident)
creation of a nitrogen injection system in the leak collector
installation of a steam-injection system to protect the bottom part of the synthesis reactor.

Key:

  • = No Ignition
  • = Explosion
  • = Fire
Hydrogen Incident Summaries by Equipment and Primary Cause/Issue
Equipment / Cause Equipment Design or Selection Component Failure Operational Error Installation or Maintenance Inadequate Gas or Flame Detection Emergency Shutdown Response Other or Unknown
Hydrogen Gas Metal Cylinder or Regulator   3/31/2012
4/30/1995
2/6/2013
4/26/2010 12/31/1969     3/17/1999
11/1/2001
12/23/2003
Piping/Valves 4/4/2002
2/2/2008
5/11/1999
4/20/1987
11/4/1997
12/31/1969
8/19/1986
7/27/1991
12/19/2004
2/6/2008
10/3/2008
4/5/2006
5/1/2007
9/19/2007
10/31/1980
2/7/2009 1/24/1999
2/24/2006
6/8/1998
12/31/1969
2/7/2009

9/1/1992
10/31/1980

10/3/2008  
Tubing/Fittings/Hose   9/23/1999
8/2/2004
8/6/2008
9/19/2007
1/1/1982 9/30/2004
10/7/2005
  10/7/2005  
Compressor   10/5/2009
6/10/2007
8/21/2008
1/15/2019
    10/5/2009 8/21/2008  
Liquid Hydrogen Tank or Delivery Truck 4/27/1989 12/19/2004
1/19/2009
8/6/2004 12/31/1969   1/1/1974 12/17/2004
Pressure Relief Device 7/25/2013
5/4/2012
1/15/2002
1/08/2007
12/31/1969        
Instrument 1/15/2019 3/17/1999
12/31/1969
2/6/2013
    11/13/73    
Hydrogen Generation Equipment 7/27/1999     10/23/2001      
Vehicle or Lift Truck   7/21/2011         2/8/2011
12/9/2010
Fuel Dispenser   8/2/2004
5/1/2007
6/11/2007
9/19/2007
  2/24/2006
1/22/2009
     
Fuel Cell Stack            

5/3/2004
12/9/2010
2/8/2011

Hydrogen Cooled Generator       12/31/1969
2/7/2009
     
Other (floor drain, lab
anaerobic chamber,
heated glassware,
test chamber,
gaseous hydrogen
composite cylinder,
delivery truck)
  11/14/1994
7/21/2011
7/27/1999
6/28/2010
8/21/2008
12/31/1969
3/22/2018
    6/10/2019
  • = No Ignition
  • = Explosion
  • = Fire