What is Lessons Learned?

What is H2LL?

This database is supported by the U.S. Department of Energy. The safety event records have been contributed by a variety of global sources, including industrial, government and academic facilities.

H2LL is a database-driven website intended to facilitate the sharing of lessons learned and other relevant information gained from actual experiences using and working with hydrogen. The database also serves as a voluntary reporting tool for capturing records of events involving either hydrogen or hydrogen-related technologies.

The focus of the database is on characterization of hydrogen-related incidents and near-misses, and ensuing lessons learned from those events. All identifying information, including names of companies or organizations, locations, and the like, is removed to ensure confidentiality and to encourage the unconstrained future reporting of events as they occur.

The intended audience for this website is anyone who is involved in any aspect of hydrogen use. The existing safety event records are mainly focused on laboratory settings that offer valuable insights into the safe use of hydrogen in energy applications and R&D. It is hoped that users will come to this website both to learn valuable lessons from the experiences of others as well as to share information from their own experiences. Improved safety awareness benefits all.

Development of the database has been primarily supported by the U.S. Department of Energy. While every effort is made to verify the accuracy of information contained herein, no guarantee is expressed or implied with respect to the completeness, causal attribution, or suggested remedial measures for avoiding future events of a similar nature. The contents of this database are presented for informational purposes only. Design of any energy system should always be developed in close consultation with safety experts familiar with the particulars of the specific application.

We encourage you to browse through the safety event records on the website and send us your comments and suggestions. We will continue to add new records as they become available.

How does H2LL work?

If you have an incident you would like to include in the H2LL database, please click the "Submit an Incident" button at the top of the page. You will be asked for a wide range of information on your incident. Please enter as much of the information as possible. In order to protect your and your employer's identities, information that may distinguish an incident (your contact information, your company's name, the location of the incident, etc.) will not be displayed in the incident reports on H2LL.

Lessons Learned Corner

Visit the Lessons Learned Corner Archives.

Key themes from the H2Incidents database will be presented in the Lessons Learned Corner. Safety event records will be highlighted to illustrate the relevant lessons learned. Please let us know what you think and what themes you would like to see highlighted in this safety knowledge corner. You can find all the previous topics in the archives.

A fire occurred in a hydrogen storage facility. The fire was reported by an employee who saw the fire start after he had aligned valves at the hydrogen storage facility in preparation for putting the hydrogen injection system into service. The employee escaped injury because he was wearing fire-retardant protective clothing and was able to quickly scale a 7-foot-high fence enclosing the hydrogen area. The local fire brigade was dispatched and offsite fire fighting assistance was requested. Upon reaching the scene, the local fire department reported seeing a large hydrogen-fueled fire in the vicinity of the hydrogen tube trailer unit. The heat of the fire potentially endangered the nearby hydrogen storage tanks. The onsite fire department, with offsite fire fighting support, fought the view more

A hydrogenation experiment was being performed under 60 atm hydrogen, inside a high-pressure reactor cell. The experiment was conducted inside a fume hood and left overnight. The hood caught fire during the night, resulting in fire damage to the fixture, hood, and exhaust duct, as well as water damage to much of the building. Based on the local fire department investigation, the fire started from faulty electrical wiring that was used to provide power for reactor cell heating. The electrical fire ignited solvent that was in a dispensing bottle inside the hood, which subsequently overheated the reactor cell, rupturing the seals. The rupture released hydrogen from the cell and attached supply tank, further fueling the fire. Nobody was injured in the incident, and damages were limited. It view more

Summary
A faulty modification to a multiple-gas piping manifold allowed mixing of hydrogen and oxygen that resulted in a storage tube explosion. Several employees suffered severe burn injuries from the incident.

Incident Synopsis
An employee, without authorization, fabricated and installed an adapter to connect a hydrogen tube trailer manifold to an oxygen tube trailer manifold at a facility for filling compressed-gas cylinders for a variety of gases, including hydrogen, oxygen, nitrogen, and helium. A subsequent improper purging procedure allowed oxygen gas to flow into a partially filled hydrogen tube on a hydrogen tube trailer. An ignition occurred in the manifold piping system and a combustion front traveled into the hydrogen tube where, after traveling about a view more

Hydrogen was released near the ground when the vent line from a 13,000-gallon liquid hydrogen storage vessel suffered damage from unusually high winds. The toppled vent line did not shear or tear, but sustained a kink that restricted hydrogen flow and created a back pressure on the vessel relief system.

Repair efforts were hampered by the potential for cold hydrogen gas, a flammability hazard, in the work area. Shut off or redirection of the hydrogen was not possible, and variable breezes made set up of safe zones uncertain. A protocol had not been prepared for this scenario.

 

A refinery hydrocracker effluent pipe section ruptured and released a mixture of gases, including hydrogen, which instantly ignited on contact with the air, causing an explosion and a fire. Excessive high temperature, likely in excess of 1400°F (760°C), initiated in one of the reactor beds spread to adjacent beds and raised the temperature and pressure of the effluent piping to the point where it failed. An operator who was checking a field temperature panel at the base of the reactor and trying to diagnose the high-temperature problem was killed. A total of 46 other plant personnel were injured and 13 of these were taken to local hospitals, treated, and released. There were no reported injuries to the public.

Property damage included an 18-inch (46-centimeter) long tear in the view more

Forty-six hydrogen cylinders were accidentally charged with air instead of additional hydrogen during recharging operations at a synthetic liquid fuels laboratory. Cylinders were manifolded in batches of 10 or 12 to the utility compressor outside the laboratory. In normal operations, partly used cylinders containing hydrogen at a pressure of 800-900 psi were recharged to a pressure of 2000-2100 psi. Since the contaminated cylinders contained a highly explosive mixture of about 40% hydrogen and 60% air, it was decided to release the compressed gas to the atmosphere outside the building after grounding the cylinders. Two of the cylinders were successfully discharged, but an explosion occurred while the third cylinder was being discharged. Two chemical engineers were killed by the blast, view more

A distillate dewaxing unit at an oil refinery was undergoing hot hydrogen regeneration of the catalyst when an explosion occurred. Catalyst regeneration is a periodically performed procedure, in which the normal liquid hydrocarbon feed is stopped and a hydrogen-rich gas mixture is fed through the catalyst bed for which the normal operating temperature is raised from 700F to 800F. During the catalyst regeneration process the reactor pressure is increased from normal operating levels just below 600 psig to about 640 psig. A pipe failure occurred as a sudden and complete rupture of the 10-inch diameter line at the exit of one of the two reactors. Security video revealed that the release rapidly exapnded and the hot gas mixture ignited shortly after rupture. A shock wave from the resulting view more

A petroleum refinery experienced a catastrophic rupture at one bank of three heat exchangers in a catalytic reformer/naphtha hydrotreater unit because of high temperature hydrogen attack (HTHA). Hydrogen and naphtha at more than 500F were released from the ruptured heat exchanger and ignited, causing an explosion and an intense fire burned for more than three hours.

The rupture fatally injured seven employees working in the immediate vicinity of heat exchanger at the time of the incident. The workers were in the final stages of a start-up activity to put a parallel bank of three heat exchangers back in service following cleaning. Such start-up activities had resulted in frequent leaks and occasional fires in the past and should have been considered as hazardous and nonroutine. view more

The incident occurred in the catalytic hydrotreatment plant of an oil refinery. The plant, which began operations in September 1997, has a capacity of 1650 tons/day of light fuel oil and 1450 tons/day of heavy fuel oil. The plant was designed to desulfurize the light and heavy fuel oil fractions produced in the refinery by treating them with high-pressure hydrogen over a catalyst to remove sulfur (producing hydrogen sulfide as a byproduct). The plant has two heating/reaction/fractionating sections to treat the two fuel oil fractions, but a single gas purification and compression section for the recycled hydrogen gas.

The heavy fuel oil reactor feedstock from the vacuum distillation plant is sent to the heavy fuel oil treatment section through three pipelines equipped with flow view more

Overview: A hydrogen leak and explosion occurred due to the installation of an incorrectly sized gasket at the suction line of a hydrogen compressor in a refinery hydrodesulfurization plant. The incorrectly sized gasket was mounted during the startup of the plant in 2001 and had never being inspected nor replaced.

Incident synopsis: The operating conditions were stable when the operator received an alarm indicating pressure loss in the circuit. He immediately instructed his field personnel to inspect the area. The hydrogen leak was confined inside the compressor room because the walls and roof were not provided with ventilation devices. An explosion occurred, causing two fatalities and the destruction of the compressor room and some of the surrounding area.