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.

While research staff were working in a lab, a staff member opened the primary valve to a 0.2" (1500 psi) hydrogen gas line connected to a manifold supplying instruments in the lab. Upon opening the valve, the hydrogen gas line failed at a fitting on the switching manifold, releasing a small amount of hydrogen gas. The staff member closed the valve immediately, then inspected the gas line and found the front ferrule (of the compression-style fitting) to be missing. There were no injuries or damage to equipment.

In the follow-on discussion with research staff, it was learned that approximately one month earlier, a similar condition (front ferrule missing from a fitting) was found while performing a modification to a similar manifold. Following a critique, management expressed 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

Overview

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

Summary
A faulty modification to a multiple-gas piping manifold allowed mixing of hydrogen and oxygen that resulted in a storage tube explosion. Several employees suffered severe burn injuries from the incident.

Incident Synopsis
An employee, without authorization, fabricated and installed an adapter to connect a hydrogen tube trailer manifold to an oxygen tube trailer manifold at a facility for filling compressed-gas cylinders for a variety of gases, including hydrogen, oxygen, nitrogen, and helium. A subsequent improper purging procedure allowed oxygen gas to flow into a partially filled hydrogen tube on a hydrogen tube trailer. An ignition occurred in the manifold piping system and a combustion front traveled into the hydrogen tube where, after traveling about a view more

A steel tube with inner diameter of 6 mm and 10 m length was filled with radiolysis gas (stoichiometric H2-O2 mixture) at 70 bar for boiling water reactor simulations. Via a pneumatic valve, a venting line with similar cross-section and 2 m length, filled with atmospheric air, was connected.

For venting the tube, the valve was opened (fast) and an explosion occurred.

Explanation: Due to diffusion ignition in the leading shock, a flame flashed back into the pre-mixed reservoir and induced a detonation there. The tube system and involved measurement technique was destroyed. For safety reasons, the whole installation was set up in a protective container so that no person or other equipment was threatened.

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

A single-stage regulator "failed" while flowing hydrogen gas from a standard 200 cu.ft. gas bottle. The regulator had functioned properly prior to the event through several on-off cycles. During the event, a solenoid valve was opened to allow hydrogen to flow, when a rather loud noise was noted and gas began flowing out of the pressure relief valve on the side of the regulator. It was noted that the low-pressure gauge on the regulator was "pegged" at the high side (>200 psi). The valve on the bottle was shut off, and hydrogen flow was immediately stopped. Hydrogen flowing out of the relief valve did not ignite. With the bottle shut off, the regulator was removed and replaced with another regulator of the same type, and activities continued.

The failed 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

Only 25 minutes after the normal work shift ended, an explosion occurred at a hydrogen storage and use facility that had been in a non-operational mode for several months while undergoing modifications for future tests. No one was in the facility at the time of the explosion. The event was viewed about 30 seconds after the explosion by two engineers in a blockhouse 1000 feet away. Authorities were notified and calls were placed to other personnel needed to secure the area. About 8 minutes later, the engineers moved to a vantage point about 450 feet from the facility. There they viewed heat waves rising from a central location on the test pad, heard popping sounds similar to gaseous hydrogen (GH2) venting on a burn pond, and suspected that a hydrogen fire was in process. They returned view more

In the fall of 2007, the operations team began a procedure (a written procedure was being followed) to sample the liquid hydrogen (LH2) storage vessels ("tanks"), and associated transfer system. This procedure was being performed to determine the conditions within the system, and if necessary, to purge the system of any excess gaseous hydrogen (GH2) in preparation for reactivation of the system. The system had not been used since 2003.

The LH2 storage system contains two (2) spherical pressure vessels of 225,000 gallons in volume, with a maximum working pressure (MAWP) of 50 psig. Eight-inch transfer piping connects them to the usage point. Operations began with activation of the burnstack for the LH2 storage area. Pneumatic gaseous nitrogen (GN2) systems in the view more