Facility management confirmed that a hydrogen gas cylinder did not comply with the limiting condition for operation (LCO) for flammable gas control systems in the lab's safety requirements. Earlier erroneous calculations had shown that a release of the entire contents of the cylinder into the hood could not reach the lower flammability limit (LFL).

The facility manager determined that the LCO was applicable and immediately entered the action statement in the safety system, which required immediate termination of normal operations in the affected wing of the building. Because normal operations had already been terminated in the wing for HVAC maintenance, further efforts to terminate normal operations were not necessary. The hydrogen cylinder was removed from the hood, thus view more

A hydrogen cylinder was initially located in an adjacent laboratory, with tubing going through the wall into the laboratory in use. When the cylinder was moved to the laboratory in use, a required leak check was not performed. Unfortunately, a leak had developed that was sufficient to cause an accumulation of hydrogen to a level above the Lower Flammability Limit. The hydrogen ignited when a computer power plug was pulled from an outlet. The exact configuration of the leak location and the outlet plug is unknown.