Severity
Incident
Was Hydrogen Released?
Yes
Was There Ignition?
No
Incident Date
Dec 31, 1969
Setting
Laboratory
Equipment
  • Ventilation System
  • Glove Box/Fume Hood
Damage and Injuries
None
Probable Cause
Human Error
Contributing Factors
Inadequate Inspection
Training Issue
When Incident Was Discovered
During Operations
Lessons Learned

This incident led to several changes in procedure:

The purity of any gas bottle connected is double-checked. The practice outlined in the SOP requires confirming the content of the cylinder via the cylinder label prior to connection to the glove box. Increased attention is now paid during training of new staff members to ensure that this procedure is well understood.
The vacuum pump is kept off so that the dilute gas will mix with the hydrogen
Alarms are set at 10% hydrogen and at 300 ppm oxygen.
A new SOP has been written.

Post date
September, 2017

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