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 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

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
A H2 delivery truck accident occurred on a highway. The truck was pulling a trailer containing gaseous H2. Upon entering a sharp curve, the truck and trailer started to weave and pushed to the side of the road. The truck and trailer rolled about 40 feet downhill; the trailer rolled over 1 1/2 times and the tractor once, ending in the upright position with the driver still in his seat. The truck was completely totaled, but little damage was incurred by the trailer. The trailer shell was satisfactory with normal venting through the stack. The rear cabinet doors were warped shut.

Cause

The accident occurred on a bad road, which was steep with many sharp curves. The driver was going too fast for the road conditions and the type of trailer being view more

Incident Synopsis
While attempting to replace a rupture disk in a liquid H2 vessel, H2 gas was released and ignited. In fighting the fire, liquid N2 was sprayed onto a second liquid H2 vessel located nearby. This resulted in cracking of the outer mild steel vacuum jacket. The loss of the vacuum caused a rapid increase in pressure and rupture of the burst disk of the second vessel. H2 boiled off and was burned in the fire.

Cause
The rupture disk was being replaced with a load of liquid H2 in the vessel and no separating inerting gas. The H2-air mixture was probably ignited by static discharges. Rupture of the second vessel burst disk was caused by the low-temperature exposure of the mild steel vacuum jacket.

Incident Synopsis

A hydrogen explosion occurred in an emergency battery container used to transfer fuel elements. The container had five emergency power batteries. Damage was incurred by the explosion.

Cause

The H2 concentration in the container increased because the battery charger had been left on charge. In addition, the container was placed in an un-ventilated airlock. Ignition of the H2-air mixture was believed to be caused by the relays and micro switches activated when the airlock door was opened.

Incident SynopsisDuring shipping preparation operations, out-gassed hydrogen/oxygen from a recently discharged silver/zinc battery in a hermetically sealed drum was ignited. Ignition was caused by a spark generated by the scraping of the battery against the side of the drum. An explosion occurred, blowing the lid from the drum, charring desiccant bags within the drum, and causing other damage.CauseThe cause of the incident was inadequate handling/transporting/storage techniques. The battery was placed in the drum too soon after discharge.

A fatal accident took place at an onshore processing facility for slop water from the offshore petroleum industry.

Drilling fluids, or mud, are typically oil-water emulsions consisting of base oil (continuous phase), water (dispersed phase), and emulsifying agents. Used drilling mud, or slop, is mud enriched with water and rock cuttings from drilling --- typically 60-80% water, 10-20% emulated base oil, and 10-20% rock cuttings. The used drilling fluids are collected in slop tanks on oil platforms and later shipped to onshore facilities for further processing.

On the day of the accident, two operators were trying to remove the lid from a manhole on top of a 1600-cubic meter storage tank. However, they were not able to unscrew the rusted bolts holding the lid in place, and view more

Operators in a powdered metals production facility heard a hissing noise near one of the plant furnaces and determined that it was a gas leak in the trench below the furnaces. The trench carried hydrogen, nitrogen, and cooling water runoff pipes as well as a vent pipe for the furnaces.

Maintenance personnel presumed that the leak was nonflammable nitrogen because there had recently been a nitrogen piping leak elsewhere in the plant. Using the plant's overhead crane, they removed some of the heavy trench covers. They determined that the leak was in an area that the crane could not reach, so they brought in a forklift with a chain to remove the trench covers in that area.

Eyewitnesses stated that as the first trench cover was wrenched from its position by the forklift view more

An explosion occurred in a 90-ton-per-day incinerator at a municipal refuse incineration facility. Three workers were seriously burned by high-temperature gas that spouted from the inspection door, and one of them died 10 days later. The accident happened during inspection and repair of the furnace ash chute damper. The workers injected water to remove some blockage, and the water reacted with incinerated aluminum ash to form hydrogen, which caused the explosion.

Workers noticed that the post-combustion zone was full of ash and the ash pusher was not working properly, so they tried to remove the ash from the inspection door with a shovel. They discovered a solid layer of "clinker", which is formed by solidification of molten material such as aluminum. The explosion view more

A hydrogen explosion and fire occurred in the benzene unit of a styrene plant in a large petrochemical complex. The unit was being restarted following a scheduled maintenance shutdown. The explosion followed the release of about 30 kilograms of 700-psig hydrogen gas from a burst flange into a compressor shed. Two men were killed and two others were injured. If it had not been a holiday, the death toll and injuries would probably have been much worse.

The operators were bringing the plant online and increasing the hydrogen circulation pressure. About 10-15 seconds before the explosion, they heard a pop and then a loud hiss of pressure being released within the compressor shed. Witnesses reported seeing a white flash and then a large fireball. The fires burned out in 2-3 minutes, view more