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 water treatment plant used an electrolytic process to generate sodium hypochlorite (NaOCl) from sodium chloride (NaCl). The strategy of using liquid sodium hypochlorite for disinfecting water instead of gaseous chlorine (CL2) is popular because the liquid is generally safer and falls under fewer OSHA and EPA standards. The further idea of generating the liquid sodium hypochlorite on an as-needed basis and in limited quantities also has certain obvious safety advantages.

One of the disadvantages of the electrolytic process is that hydrogen gas is also created as a byproduct. The hydrogen is supposed to be vented, by design, to the atmosphere before the liquid sodium hypochlorite passes into a holding tank.

For various reasons, in this instance it is believed that the view more

Summary
A hydrogen explosion occurred at a plant, damaging a wall adjacent to the hydrogen storage assembly. The investigation revealed that the explosion was the consequence of deficiencies in components integral to the hydrogen storage assembly, and that this assembly belonged to a supplier contracted to provide hydrogen to the plant. The analysis revealed that had the supplier properly installed and maintained this equipment, this incident would have been prevented. By receiving assurance, on an ongoing basis, that the supplier was properly maintaining this equipment, the company could have also reduced the chance of occurrence of this incident.

Background
A hydrogen supplier was awarded a contract in 1990 to supply the plant with hydrogen as well as to provide view more

Incident Synopsis
During a standard testing procedure, a 3,000 psig relief valve actuated at normal line pressure, releasing gaseous H2. The gaseous H2 combined with air, resulting in an explosion which damaged the test facility.

Cause
The relief valve was improperly set to open at line pressure, and the inspection was inadequate in that it didn't identify this error. Contributing cause was poor design of the venting system, which was installed in a horizontal position, causing inadequate venting and buildup of static electricity.

A rupture disc blew on a 20,000-gallon liquid hydrogen tank, causing the vent stack to exhaust cold gaseous hydrogen. Emergency responders were called to the scene. To stabilize the tank, the remaining hydrogen was removed from the tank except for a small volume in the heel of the tank that could not be removed manually. The tank vacuum was lost. Firemen sprayed the tank with water and directed a stream onto the fire exiting the vent stack. The water was channeled directly into the open vent stack, and the exiting residual hydrogen gas (between -423 F and -402 F) caused the water in the vent stack to freeze. The water freezing caused the vent stack to be sealed off, disabling the only exit for the cold hydrogen gas. After a time, the residual hydrogen gas in the tank warmed up, causing view more

Hydrogen was released near the ground when the vent line from a 13,000-gallon liquid hydrogen storage vessel suffered damage from unusually high winds. The toppled vent line did not shear or tear, but sustained a kink that restricted hydrogen flow and created a back pressure on the vessel relief system.

Repair efforts were hampered by the potential for cold hydrogen gas, a flammability hazard, in the work area. Shut off or redirection of the hydrogen was not possible, and variable breezes made set up of safe zones uncertain. A protocol had not been prepared for this scenario.

 

An explosion occurred at a chemical plant in an analysis room containing various analyzer instruments, including a gas chromatograph supplied with hydrogen. A contract operator was performing work to install a new vent line to a benzene analyzer that was part of a group of CO2 analyzers, but separate and unrelated to the gas chromatograph. During the process of this work, a plant supervisor accompanying the contract operator doing the work had an indication of flammable gas present on a portable detector. This was in conflict with the fixed gas detector in the analysis room that was indicating that no flammable gas was present. As a precaution, the plant supervisor immediately cut off the hydrogen supply and, along with the contract operator, began the normal task of determining if view more

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