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.

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

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 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

The subject needle valve was used primarily for manual filling to control the flow rate of hydrogen from storage banks to the 70MPa test system. The valve was installed on the exterior of the thermal chamber in ambient temperatures of -5C to +30C. The gas flowing through the valve was at conditioned temperatures of -40C to +50C. The valve was in service for approximately two years and 400 fill operations.

Failure occurred during a test under an open valve condition. When attempting to close the valve, the turning force increased and the technician was unable to completely close the valve. An upstream ball valve was closed to isolate the flow.

Incident Synopsis
During a standard testing procedure, a 3,000 psig relief valve actuated at normal line pressure, releasing gaseous H2. The gaseous H2 combined with air, resulting in an explosion which damaged the test facility.

Cause
The relief valve was improperly set to open at line pressure, and the inspection was inadequate in that it didn't identify this error. Contributing cause was poor design of the venting system, which was installed in a horizontal position, causing inadequate venting and buildup of static electricity.

A safety research laboratory experienced two similar air-actuated ball valve failures in a 6-month period while performing hydrogen release experiments. The hydrogen release system contains a number of air-actuated ball valves which are sequenced by a Programmable Logic Controller (PLC) in order to obtain the desired release parameters. During an experimental release sequence, a PLC valve command failed to open the valve even though the PLC valve position confirm signal indicated the valve had opened. On further investigation, the valve actuator and valve stem were found to be moving correctly, but the valve was not opening. The system was depressurized and purged with nitrogen, and the valve was removed for inspection. Inspection required dismantling the valve, and in both incidents a view more