Hydrogen Prototype Bus Slips off Jack Stand

First Name
Andy
Last Name
Piatt

An apprentice mechanic lacerated his right forearm while quickly sliding out from under a hydrogen prototype bus when the bus slipped off a hydraulic jack. The apprentice and another mechanic had raised the bus about 1 foot from the ground to position it on jack stands when the hydraulic jack tipped over. The apprentice went to the site medical facility, where he needed five stitches to close the wound in his forearm.

Improper Line Break During Cleaning Run

First Name
Andy
Last Name
Piatt

An operator began preparations for a cleaning run, and was unaware that a maintenance task to calibrate a pressure transducer was scheduled to also take place that morning. The calibration required a break on a hydrogen line in order to install a Measuring and Test Equipment (M&TE) gage, which was used in the calibration. At the time the operator was informed of the calibration, the cleaning run procedure had been initiated but the actual cleaning had not yet begun.

Flash Fire Occurs on Construction Project

First Name
Andy
Last Name
Piatt

A subcontractor employee was using a band saw to cut a 1" metal pipe when a flash fire occurred on the third floor hydrogen fluoride area. Subcontractor employees were removing all piping associated with the Anhydrous Hydrofluoric Acid (AHF) system. These lines were being removed during plant decontamination and demolition (D&D). The subcontractor employee was attempting to cut a 90-degree elbow located at the highest elevation on the 1" line, but the lowest elevation of the overall piping run.

Concern Identified Regarding Installation and Commissioning of Compressed Gas Systems

First Name
Andy
Last Name
Piatt

While research staff were working in a lab, a staff member opened the primary valve to a 0.2" (1500 psi) hydrogen gas line connected to a manifold supplying instruments in the lab. Upon opening the valve, the hydrogen gas line failed at a fitting on the switching manifold, releasing a small amount of hydrogen gas. The staff member closed the valve immediately, then inspected the gas line and found the front ferrule (of the compression-style fitting) to be missing. There were no injuries or damage to equipment.

Discharge Valve Installation Error

First Name
Andy
Last Name
Piatt

Incident Synopsis

A hydrogen compressor had been shut down for repairs and was being put back into service when an explosion occurred, resulting in property damage. The compressor was equipped with interchangeable intake and outlet valves.

Cause

The discharge valve was installed in the intake valve position, causing the cylinder head to blow off and release H2 to the atmosphere. The ignition source was not indicated.

Inadequate Maintenance at a Soap Manufacturing Plant Causes a Hydrogen Flash Fire

First Name
Andy
Last Name
Piatt

An employee at a soap manufacturing plant died in a flash fire outside the facility's hydrogenation building. Responding personnel encountered a fire at the base of the plant's hydrogen storage towers, and they found the victim, who was burned over 90 percent of his body, some 50 feet away.

Officials determined that a pipe connection failed and that hydrogen, pressurized at 1,800 psi, ignited when it was released into the atmosphere, killing the plant operator.

Low-Pressure Vent Line Leak

First Name
Andy
Last Name
Piatt

A hose clamp failed on a low-pressure vent line from a hydrogen reactor experiment and effluent was leaked into the laboratory. Unburnt hydrogen in the effluent stream triggered the low-level hydrogen alarm. The hose clamp was resecured and other hose clamps were checked for proper tightness.

Hydrogen Makeup Gas Valve Leak in Refinery Gas Oil Hydrotreater Unit

First Name
Andy
Last Name
Piatt

A hydrogen leak occurred from a 1-inch gate valve on a makeup gas line in an oil refinery gas oil hydrotreater unit. When the leak was discovered, the gas oil hydrotreater unit shutdown procedures were immediately implemented and emergency response was requested. The refinery response team along with county response teams responded, and after approximately 1/2 hour, the gas oil hydrotreater unit was fully shut down.

Breakaway Separation During Fueling

First Name
Andy
Last Name
Piatt

During a 70-MPa fueling, the fueling hose breakaway separated. The separation occurred without any extraneous forces other than the pressure of the gas internal to the fueling hose. Upon investigation, it was determined the pull force set point was incorrectly adjusted. No further issues or actions.

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