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 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 interior of a small high-temperature furnace, approximately 24 inches high by 18 inches wide, became contaminated with an unknown material later identified as magnesium. The furnace was disassembled to clean the unknown material from the interior surfaces, and while attempting to clean the bottom of the furnace, the technician tapped the upper lip of the furnace with a spatula and the magnesium flashed. The technician was stepping back from the furnace when the magnesium flashed. He received minor eye irritation and his eyebrows were singed.

Later that week the same technician was attempting to clean the interior surfaces of the top of the furnace and sprayed, as directed, the interior of the top with a water-based cleaning liquid which consisted of 91% water. He stepped view more

An individual inadvertently connected a pure hydrogen gas bottle to a chamber/glove box as opposed to a 10% hydrogen (in nitrogen) bottle that should have been used. [The wrong bottle had mistakenly been delivered, and the inexperienced individual did not know the difference.] The hydrogen concentration increased within the chamber to about 9%. Since there was insufficient oxygen in the chamber to support combustion, the hydrogen did not burn, and was quickly diluted with nitrogen.

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

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

Two scientists were changing hydrogen gas cylinders in an analytical laboratory. They were in the process of removing the cylinder cap from the new cylinder when a loud hissing noise occurred and they quickly realized that the tank was leaking. After making a quick attempt to shut off the tank, which was not possible, they left the lab and notified their supervisor.

After checking that everyone was out of the lab, the supervisor paged all staff in the vicinity to immediately evacuate to the staging area. Facility management and ES&H management were notified about the situation, and they contacted the local fire department to respond to the site in case the venting gas was ignited.

The first responders arrived quickly and spoke with facility management and the site view more

A refinery hydrocracker effluent pipe section ruptured and released a mixture of gases, including hydrogen, which instantly ignited on contact with the air, causing an explosion and a fire. Excessive high temperature, likely in excess of 1400°F (760°C), initiated in one of the reactor beds spread to adjacent beds and raised the temperature and pressure of the effluent piping to the point where it failed. An operator who was checking a field temperature panel at the base of the reactor and trying to diagnose the high-temperature problem was killed. A total of 46 other plant personnel were injured and 13 of these were taken to local hospitals, treated, and released. There were no reported injuries to the public.

Property damage included an 18-inch (46-centimeter) long tear in the 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 occurred in a university biochemistry laboratory. Four persons were taken to the hospital for injuries. Three of these were treated and released shortly thereafter; the fourth was kept overnight and released the following evening. All of the exterior windows in the laboratory were blown out and there was significant damage within the laboratory. One sprinkler was activated that controlled a fire associated with a compressed hydrogen gas cylinder.

First responders from the local community and the university campus were quickly on the scene. Once the injured were attended to and the site secured, response efforts focused first on assessing potential hazards (electrical, fire, hazardous materials, etc). Campus personnel worked into the night to board up windows view more