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 large, hydrogen-cooled generator is driven by steam turbines at a power station. During maintenance shutdowns, the hydrogen cooling loop in the generator is purged with carbon dioxide. After CO2 concentrations are measured with a densitometer to verify the complete removal of hydrogen, the generator is purged with air and the maintenance is performed.

This purging procedure was used prior to the explosion. The CO2 reading was reported to be 100 percent CO2 at the top of the generator. The cooling system was then purged with air and a 1/2 inch pipe in the cooling loop was cut to install some new instrumentation. When the pipe was cut, pressurized gas was emitted at the opening. Workers assumed the gas was either carbon dioxide or air and proceeded with the new instrument view more

A pressure relief device (PRD) valve failed on a high-pressure storage tube at a hydrogen fueling station, causing the release of approximately 300 kilograms of hydrogen gas. The gas ignited at the exit of the vent pipe and burned for 2-1/2 hours until technicians were permitted by the local fire department to enter the station and stop the flow of gas. During this incident the fire department evacuated nearby businesses and an elementary school, closed adjacent streets, and ordered a high school to shelter in place.

There were no injuries and very little property damage. The corrugated roof on an adjacent canopy over a fueling dispenser was slightly singed by the escaping hydrogen flame, causing less than $300 in damage.

The station's operating systems worked as view more

A hydrogen leak at the flange of a 6-inch synthesis turbocharger valve in an ammonia production plant ignited and exploded. Hydrogen detectors and the fire alarm alerted the control room, which immediately shut down the plant, and the fire was then extinguished rapidly. There were no injuries caused by the accident, since the operator heard a wheezing sound and was able to run away just before the explosion occurred. The leaking gas was composed of 70% hydrogen at a flow rate of 15,000 cubic meters per hour. Property damages in the turbocharger included electrical cabling, melted siding, and heavily damaged pipes. The ammonia plant was shut down for more than a month.Five days before the incident, a problem with the CO2 absorber column led operators to open the vent downstream of the view more

During restart of an ammonia production plant, syngas (50% hydrogen mixed with methane, ammonia, and nitrogen) leaking from a flange directly downstream of the synthesis reactor ignited. The plant had been shut down for about 90 minutes due to a technical problem. Alerted by the plant fire alarm, the operator activated the emergency shutdown, which isolated and depressurized the synthesis loop. Steam was sprayed onto the leak site to dampen the fire, which was brought under control 55 minutes later. Property damages included pipe insulation, the reactor's protective shutters, concrete fireproofing of the reactor structure, and instrumentation cables within 3 meters of the leak site. The flames did not affect the synthesis reactor itself, which was protected by a deflector. The 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

A fire occurred in a continuous-feed autoclave system (fixed-catalyst-bed tubular reactor) when the rupture disc released, discharging hot oil, oil distillates, and hydrogen gas out a vent pipe into the autoclave cell. The flammable mixture was discharged directly into the cell because there was no system in place to catch or remotely exhaust the autoclave contents. The oil and gas ignited in a fireball that, in turn, ignited nearby combustibles (cardboard and paper), causing a sustained fire. The hydrogen gas and autoclave system were shutoff immediately. However, a lecture bottle containing hydrogen sulfide was heated by the surrounding fire and ultimately ruptured with enough force to cause facility structural damage. (Lecture bottles do not have a pressure-relief device.) 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

Unit 1 Plant power was stable at 90% following a plant startup. The Auxiliary Operator (AO) performed a pre-job brief with shift management before adding hydrogen to the main generator. While performing the addition, the AO attempted to verify open a half-inch hydrogen addition valve. The AO was unable to move the valve by hand and mistakenly assumed the valve was stuck on its closed seat. The valve is a normally open valve and the procedure step was to verify the valve was, in fact, open. The AO obtained a pipe wrench to assist in freeing the valve off of its "closed" seat. Using the pipe wrench, the valve handwheel was turned in the open direction. The AO attempted to open the valve by hand again. Unable to move the valve by hand, the pipe wrench was used to further open view more