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

Overview: A pipe end containing fuel oil corroded at the outlet of a heat exchanger on the outlet side of a desulfurization reactor. The corroded pipe end leaked hydrogen gas, which exploded, causing oil to leak from the heat exchanger. The leaking oil developed into an oil fire, and the damage spread. The causes of the pipe end corrosion include the following:

There was a high concentration of corrosive substances in the process injection water.
The concentration of corrosive substances increased due to re-molding the heat exchangers.
The shape of the pipe cap was dead end piping.

Incident: During normal operations at a fuel oil refinery, a pipe end in a desulfurization unit developed a hydrogen leak, which led to an explosion. The pipe end was located on view more


The catalyst in a dehydrogenation reactor, which was usually operated under a hydrogen atmosphere, was changed while the reactor was isolated from the peripheral equipment by closing a 20-inch remotely controlled valve. The hydrogen pressure in the peripheral equipment was set at 20 KPaG, and the reactor was opened to the atmosphere. Anticipating some hydrogen leakage, suction from the piping was accomplished with a vacuum device and, nitrogen sealing was performed. When the piping connections were restored after changing the catalyst, flames spouted from the flange clearance and two workers were burned. One cause of the fire was poor management of the catalyst replacement process.

Incident Synopsis

A catalyst exchange was carried out in a dehydrogenation 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

An offgas system mishap involved two explosions occurring within an interval of about 3 ½ hours. The first offgas explosion was reportedly caused by a welding operation on an air line adjacent to a hydrogen sensor line containing off gas. The welding arc initiated a detonation within the offgas piping. The detonation was contained by the piping system but blew out the water seal at the base of the vent stack.The second hydrogen explosion in this incident occurred in the stack base area. Hydrogen accumulated in the enclosed base area after the water seal had been blown in the first explosion. The stack base metal door was blown off its hinges from the second explosion, and the reinforced concrete stack was also damaged. A plant employee walking by the stack at the time of the explosion 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