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 large, hydrogen-cooled generator is driven by steam turbines at a power station. During maintenance shutdowns, the hydrogen cooling loop in the generator is purged with carbon dioxide. After CO2 concentrations are measured with a densitometer to verify the complete removal of hydrogen, the generator is purged with air and the maintenance is performed.

This purging procedure was used prior to the explosion. The CO2 reading was reported to be 100 percent CO2 at the top of the generator. The cooling system was then purged with air and a 1/2 inch pipe in the cooling loop was cut to install some new instrumentation. When the pipe was cut, pressurized gas was emitted at the opening. Workers assumed the gas was either carbon dioxide or air and proceeded with the new instrument view more

A violent reaction occurred while hydrolyzing metal in water. The reactive metal treatment began with a review of the chemical inventory and setup of reaction vessels. The sodium metal was cut in shavings and added one at a time to the reaction vessel. After the second addition, an argon purge was added to disperse hydrogen gas faster. After approximately 10 pieces had been treated, the glass beaker shattered, releasing the contents of the reaction vessel (1 liter) inside the hood and causing the chemist's hand to receive superficial cuts. The process was being performed under a hood with all safety equipment in place. The employee was in personal protective equipment (PPE), but did receive two cuts on his hand through the glove. The treatment of reactive metals was being view more

A facility representative observed pipe-fitters enter a containment tent around a riser with a tool bag that contained a mixture of steel and copper/beryllium tools. The top flange was loosened using a copper/beryllium socket and a steel torque wrench. When questioned, the pipe-fitters correctly stated that this was allowable for initial loosening and tightening of these bolts. A copper/beryllium ratchet was used to accomplish the bolt removal. The bonded riser was shifted to allow access for the IH technician. The standard hydrogen monitoring system (SHMS) cabinet and local sample showed no hydrogen/flammable gas was present.

While the continuous vapor sample was being taken, the pipe-fitters proceeded to put together the copper/beryllium ratchet and socket with a 10" view more

A shop supervisor determined that a second shift would be necessary to complete some priority work on the spare hydrogen mitigation pump. The work scope for the shift would be dedicated to continued fabrication of designed tubing runs, repairs to existing tubing with known leaks and pressure testing of other various tubing runs. The shift craft complement would include three pipe fitters, one welder, one QC inspector and a shift supervisor.

The shift remained under normal operations prior to the event. There had been no existing problem up until the point that craft personnel implemented some hydrostatic pressure testing on some tubing runs on the spare hydrogen mitigation pump. Work activities associated with the hydrostatic testing were to be in accordance with the Hydrostatic view more

An employee noticed an unusual smell in a fuel cell laboratory. A shunt inside experimental equipment overheated and caused insulation on conductors to burn. Flames were approximately one inch high and very localized. The employee de-energized equipment and blew out the flames. No combustible material was in the vicinity of the experiment. The fire was contained within the fuel cell and resulted in no damage to equipment.

The employee was conducting work with a fuel cell supplied by oxygen gas. The hazard control plan (HCP) associated with the work was for use with fuel cells supplied by air or hydrogen, but not for oxygen, which yields a higher current density. The technician had set up the station wiring to handle a current of 100 amps and the shunt was configured to handle a view more

Overview
During start-up operation of a high-temperature, high-pressure plant using hydrogen, hydrogen gas leaked from the flange of a heat exchanger and a fire occurred. The leakage occurred for two reasons:

Insufficient tightening torque control was carried out during hot-bolting and an unbalanced force was generated across the bolts.
A temperature rise was induced across the heat exchanger as a result of a revamping activity, during a turnaround shutdown.

Background
Hot-bolting: In equipment and piping that operate at high temperatures, as the temperatures rise, the tightening force decreases, thus re-tightening of bolts is necessary. This work is called hot-bolting. The design conditions of the evaporator where the fire occurred were 2.4 MPaG, view more

Incident Synopsis
While transferring liquid H2 from a tanker, the burst disk ruptured at 50 psi. The pressure limit for the operation was 30 psi.

Cause
The operator turned on the pressure valve and left it unattended, permitting pressure buildup past the allowed 30 psi.

Incident Synopsis

A technician accidentally loosened critical bolts holding a fitting to the top of an H2 tank, which caused a large hydrogen leak in the dewar. The fitting contained various instruments, and upon loosening the third bolt, H2 gas exited through an opening in the seal. The Viton or neoprene O-ring was blown out of its groove and was immediately frozen, making it impossible to reseal the fitting cover. The area was evacuated, the dewar was vented and the gasket was replaced. The ullage space was not purged with helium gas during the gasket replacement, which may have been responsible for small leaks which developed during the transfer.

Cause

The fitting containing the instruments was mounted on a flange, which was in turn secured to another flange. view more

Incident Synopsis
During transfer of liquid H2 from a commercial tank trailer to a receiving vessel, a leak developed in a bayonet fitting at the trailer/facility connection. The leak produced liquid H2 spray which enveloped the rear of the truck where the hand-operated shutoff valve was located. Emergency trained personnel, wearing protective clothing, except for proper shoes, entered the area and shut off the flow control valve. Reentry personnel suffered frost bite of their feet when shoes became frozen to the water-wetted rear deck of the truck.

Cause
A loose hose flange connection allowed leakage of cold fluid through the lubricated bayonet seal. This allowed cold fluid to contact and shrink the 'O' ring seal (made of Buna-N rubber), thus permitting view more

Incident Synopsis
While disconnecting a liquid H2 fill line from a liquid H2 trailer, liquid H2 escaped, burning a second man who was holding the hose. The man was burned on his hands and on his stomach.

Cause
The liquid H2 shut off valve was partially open, but both men assumed it was closed. Prescribed clothing was being worn.