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 deficiency was discovered in the application of a hydrogen sensor in the Rotary Mode Core Sampling (RMCS) portable exhauster. The sensor is installed in the flow stream of the exhauster designed to be used with a RMCS truck for core sampling of watch list tanks, and is part of the flammable gas detector system. During the previous week, a quarterly calibration of the sensor, per maintenance procedure, was attempted by Characterization Project Operations (CPO) technicians. Ambient temperatures during the sensor calibration were approximately 20 to 30 degrees F. Inconsistencies in calibration results and the failure of the sensor to meet the response-time calibration requirement lead to the conclusion that the unit could not reliably perform its safety function at low ambient view more

Several workers sustained minor injuries and millions of dollars worth of equipment was damaged by an explosion after a shaft blew out of a check valve. The valve failure rapidly released a large vapor cloud of hydrogen and hydrocarbon gases which subsequently ignited.Certain types of check and butterfly valves can undergo shaft-disk separation and fail catastrophically or "blow-out," causing toxic and/or flammable gas releases, fires, and vapor cloud explosions. Such failures can occur even when the valves are operated within their design limits of pressure and temperature. Most modern valve designs incorporate features that reduce or eliminate the possibility of shaft blow-out. However, older design check and butterfly valves, especially those with external appendages such view more

The valve stem for a funnel valve to a solution neutralization tank was found to be separated from the body of the valve. This valve is used for purging hydrogen gas from the vessel. The functional classification of this valve is safety-significant. The "as-found" condition of the affected valve prevented the valve from performing its intended design function.

The affected valve is a one-half inch polyvinyl chloride (PVC) ball valve. The valve has an extension shaft coupled to the valve body, and the valve handle is coupled to the extension shaft, allowing the valve to be operated outside the process panel cover. The valve stem is cross-drilled and the extension shaft is pinned through the stem.

With this occurrence, engineering evaluated the one-half inch PVC view more

During inspection of a hydrogen make-up compressor, it was discovered that a 1/4” stainless steel screw and nut that mounted a temperature gauge to a stainless steel pipe was resting against the side of a schedule 160 high-pressure hydrogen pipe. Constant vibration of the process equipment had caused the bolt to rub a hole in the high-pressure suction piping, resulting in the release of make-up hydrogen. The pipe was out of sight, and the problem was identified by an employee who heard the whistling sound of escaping hydrogen. The compressor was taken offline and depressurized.

Summary

A hydrogen generation plant experienced a fire and significant damage due to a concussive combustion event that started in a high-pressure hydrogen feed pipe.

System Description

A certain hydrogen plant is designed to continuously produce hydrogen at a purity of 99.75% and at a rate of 510 m3 per day. Hydrogen is produced in two banks of cells filled with a strong solution of caustic soda. Current is passed through the cells to produce hydrogen and oxygen. The oxygen is vented directly to the atmosphere, while the hydrogen is piped to the gasholder. The gasholder is a low-pressure storage vessel capable of storing 28 m3 of gas. It is constructed in two parts. The bottom section is a large round tank. The upper section is an inverted tank or bell that is view more

Description of Circumstances
An incident occurred in late 2001, while a boiling water reactor (BWR) unit was operating at rated power. The utility was performing a periodic surveillance of the high-pressure coolant-injection (HPCI) system. Immediately after the test began, the HPCI system automatically isolated and the reactor building fire detectors actuated. The unit was then manually shut down. An examination of the residual heat removal (RHR) system revealed that a pipe elbow had ruptured near the high point in the RHR branch steam supply line leading to one of the two RHR heat exchangers (steam condensing mode line) in the reactor building. Fragments from the piping rupture caused some damage to equipment in the general area, but no significant damage to any safety-related view more

A power plant reported a hydrogen leak inside an auxiliary building. The given plant was in cold shutdown at the time of the event. The discovery of this problem was as a result of an unassociated event involving the activation of a chlorine monitor in the control building. When additional samples indicated no chlorine gas, the shift supervisor ordered further investigation into other plant areas. Because there was no installed detection equipment, portable survey instruments were used to determine gaseous mixtures. Hydrogen was detected in the auxiliary building at 20 to 30 percent of the lower flammability limit (LFL) for hydrogen. A level of about 30 percent of LFL corresponds to about 1.2 percent hydrogen by volume.

When hydrogen was discovered in the auxiliary building, the view more

A hydrogen explosion occurred in an Uninterruptible Power Source (UPS) battery room. The explosion blew a 400 ft2 hole in the roof, collapsed numerous walls and ceilings throughout the building, and significantly damaged a large portion of the 50,000 ft2 building. Fortunately, the computer/data center was vacant at the time and there were no injuries.

The facility was formerly a large computer/data center with a battery room and emergency generators. The company vacated the building and moved out the computer equipment; however the battery back-up system was left behind. The ventilation for the battery room appeared to be tied into a hydrogen monitoring system. The hydrogen sensor was in alarm upon emergency responders arriving at the scene (post-explosion). 911 callers view more

A person working in a hydrogen lab unknowingly closed the wrong hydrogen valve and proceeded to loosen a fitting in one of the hydrogen gas lines. The pressure in the 1/4"-diameter hydrogen line was approximately 110 psig. Hydrogen escaped from the loosened fitting and the pressure release resulted in the tubing completely detaching and falling to the floor. The person noted seeing a white stream around the hydrogen jet leak. The person noted a color change and noise change as the leak ignited (this happened in a matter seconds and he did not have a chance to react). The person left the lab and pushed the emergency stop button. Someone else pulled the fire alarm. Both of these actions were designed to close the main hydrogen solenoid (shutoff) valve. The local emergency response view more

A liquid hydrogen neutron moderator developed a leak between the canister that contains liquid hydrogen and the insulating vacuum jacket.

The moderator assembly consists of an exterior metal vacuum jacket with an interior metal transfer line and canister that contain liquid hydrogen. The moderator canister is constructed of aluminum and is approximately five inches wide, five inches high, and two inches deep. The liquid hydrogen supply lines to the moderator canister are constructed of stainless steel. The operating temperature of the moderator varies from -420 degrees Fahrenheit to a possible 300 degrees Fahrenheit. Mechanical operators discovered a leak following a cleaning operation on the moderator. The cleaning operation was performed to remove impurities that could freeze view more