A partial pressure sensor for an automated gas environment system (AGES) was not functioning correctly for pure hydrogen flow. While personnel were troubleshooting the problem, a burst disk ruptured resulting in a leak of hydrogen gas and actuation of a flammable gas alarm.

System troubleshooting involved the installation of a small hydrogen gas cylinder and temporary manual valve in an engineered ventilated enclosure adjacent to an instrument sample well. A burst disk associated with the temporary manual valve ruptured upon opening of the gas cylinder valve. The vented gas, exhausting through an engineered exhaust system, triggered the flammable gas detector. Personnel promptly evacuated the area in accordance with established procedures. Appropriate personnel responded to the view more

Hydrogen alarms went off in a research laboratory and the fire department was called, but no hydrogen leak was detected. The hydrogen system was leak-checked with helium and found to be leak-free except for a very small leak in the manifold area. The manifold leak was fixed, but because of its small size, it was not thought to be the likely source for the hydrogen alarm trigger. While hydrogen was removed from the system for leak-testing, the hydrogen alarm went off again, and again the fire department responded. There was no hydrogen present in the system to trigger this alarm. Other sources within the building were checked to see what may have set off the alarm, but none were found. One research area uses small amounts of hydrogen, but laboratory logs indicate that none was being view more

A hydrogen alarm sounded when hydrogen buildup occurred in an unmanned switching room containing backup lead acid batteries after the exhaust ventilation fans failed to start at the 1% hydrogen trigger level. Failure of the ventilation fans to vent the normal off-gassing hydrogen from the lead acid batteries resulted in the hydrogen concentration in the room increasing to 2%, which triggered the hydrogen alarm. The alarm was automatically sent to an alarm-monitoring company that alerted the local fire department as well as company personnel of the condition. The fire department was dispatched to the scene and, along with company personnel, provided secondary ventilation to lower the hydrogen concentration to normal conditions. Hydrogen leakage from lead acid batteries is normal, and view more

The malfunctioning of the non-return valve of the hydrogen compressor caused the pressure between the hydrogen bottle and the compressor to rise up to the maximum allowed pressure of 275 barg. As a consequence, as foreseen by the safety system, the rupture disk of the safety valve broke and the hydrogen content of the gas bottle and the pipe section involved was released on top of the building. The flame was seen for a very short period by a guard, and could have been caused by the following series of events:

Expansion of hydrogen at the end of the exhaust pipe.
Consequent mixing of hydrogen and air up to a near-stoichiometric mixture and increase of gas temperature.
Mixture ignition due to sparks from static electricity generated by gas molecule friction against view more

An instrument engineer at a hydrogen production facility was arresting the hydrogen leakage in tapping a pressure transmitter containing 131-bar hydrogen gas. The isolation valve was closed and the fittings near the pressure transmitter were loosened. The pressure dropped from 131 bar to 51 bar. The fitting was further loosened (though very little); the instrument tube slipped out of the ferrule and got pulled out of the fitting. With the sudden release of the 51-bar hydrogen, there was a loud pop (like a fire cracker) and the spark-proof tool was observed to have black spot on it. The volume of the hydrogen gas released was small, since it was in the tapping line only.

Liquid Waste Disposition Projects (LWDP) has experienced repetitive events involving Hydrogen Monitor/LFL Analyzer degradations over the last year. There have been 12 reportables in the last two years. As a result, a determination was made to issue a recurring occurrence report referencing management concern as its reporting criteria.

Engineering has recently made significant progress in further defining issues and potential corrective actions necessary to address the lower flammability limit (LFL) failures. The engineering path forward to resolution of this issue addresses potential failure contributors, among these are: Drift - This phenomenon is being closely assessed. Initial tests indicate the monitor power supply may be a significant contributor to instability resulting view more

One morning a saltwell pump was placed in operation. Operation of this equipment requires that the Standard Hydrogen Monitoring System (SHMS) cabinet be in operation. Later that morning, during the morning surveillance rounds, the Standard Hydrogen Monitoring System (SHMS) cabinet was found not to be in the operational mode.

On the previous day, the night shift saltwell operator assigned to run the saltwell pump had placed the SHMS monitor in operational mode; however, the saltwell system was not started at this time. Shift turnover was conducted and the condition of the SHMS was turned over to the appropriate saltwell operator and shift manager. During the day shift the day shift operator assigned to the complex received approval from the operations engineer to place the SHMS view more

One afternoon, a hydrogen-monitoring system alarm sounded. The system isolated the building hydrogen gas distribution system from the source and purged the distribution piping with argon. Activities were terminated and personnel were immediately evacuated.

Prior to re-entry, the hydrogen system was walked down to ensure that it was in a safe state and that the remote indicator showed no hydrogen present in the facility. Normal operations were suspended until the cause of the alarm could be determined.

The cause of the alarm was not escaping hydrogen gas, but drift in one of the eight monitoring system sensors. The sensor was recalibrated and the monitoring system determined to be functioning properly. The gas distribution system was recharged with hydrogen and verified as view more

During a facility walk-through, it was noted that a combustible gas (hydrogen) monitoring system installed in a furnace room was inoperable (the system had been unplugged). This system is used to detect and warn facility employees of an explosive or flammable environment. An explosive or flammable environment can only occur if there is a leak in the system, which would not be expected to occur during normal operations. When the system was reactivated, no leaks were indicated.

The incident had the following three causes:

A procedure describing administrative controls necessary to ensure safe operations in the area should have been developed and implemented prior to disabling the hydrogen monitoring system.
The hydrogen monitor was not hard-wired, which allowed it view more

A hydrogen monitor leak detector (HMLD) was out of service because of a failed membrane. The HMLD heater circuit and the ion pump and its associated controller were de-energized and red-tagged to ensure the system remained shut down. The ion pump and controller were later found energized. The ion pump circuit is a low-power (120-V, 1 amp) circuit and the pump operates in the micro-amp range. There was no damage to equipment from this inadvertent energization. There was also no personnel safety hazard since the tag out was not for maintenance purposes and since the system was in its normal operating configuration.

The direct cause is listed as personnel error, inattention to detail. This category most closely describes the inadvertent actuation of the controller toggle switch. view more