CHECK OUT OUR MOST RELEVANT INCIDENT LISTINGS! 

Disclaimer: The Lessons Learned Database includes the incidents that were voluntarily submitted. The database is not a comprehensive source for all incidents that have occurred.

Small Electrical Fire Resulting from Improper Equipment Configuration

Procedures will be revised to include specific information about hydrogen sensors and alarm controls. Caution will be added about sparks and flames in the fuel cell operation area. Workers will be cautioned that shunt resistors may reach high…

Deviation from Work Plan Results in Cutting Pipe Prior to Second Explosive Gas Test

Management should ensure that a complete and thorough review of the previous work activities identified in the work package is performed at the pre-job briefing for the planned work. Work activities should be discontinued if any confusion exists…

Unplanned Interruption of Hydrogen Gas Service

Diligence needs to be practiced when performing assigned work tasks. To guard against complacency, it is necessary to emphasize adherence to established procedures, including appropriate reviews of preventive maintenance instructions (PMI) and…

Saltwell Pump May Have Been Operated While the Standard Hydrogen Monitoring System was Not in Operational Mode

The lessons learned in this situation center around basic conduct of operations principles. Policies and procedures related to operations performance, safety performance, and management oversight were in place. They were not employed…

Hydrogen Cryostat Dismantling Incident

Standard procedures must be followed at all times. The importance of doing so should be frequently reinforced through safety communications to all staff.

Improper Fill Speed at Fuel Dispenser

Disable the fueling process if the operator does not follow the proper sequence of steps in the fueling procedure. Improve the fueling procedure to make it inherently impossible for the sequence to be done improperly with the same result.

Release from Cylinder when Removing Cap

A tool is provided for removing the cylinder cap that cannot contact the valve.

Key:

  • = No Ignition
  • = Explosion
  • = Fire
Hydrogen Incident Summaries by Equipment and Primary Cause/Issue
Equipment / Cause Equipment Design or Selection Component Failure Operational Error Installation or Maintenance Inadequate Gas or Flame Detection Emergency Shutdown Response Other or Unknown
Hydrogen Gas Metal Cylinder or Regulator   3/31/2012
4/30/1995
2/6/2013		 4/26/2010 12/31/1969     3/17/1999
11/1/2001
12/23/2003
Piping/Valves 4/4/2002
2/2/2008
5/11/1999		 4/20/1987
11/4/1997
12/31/1969
8/19/1986
7/27/1991
12/19/2004
2/6/2008
10/3/2008
4/5/2006
5/1/2007
9/19/2007
10/31/1980		 2/7/2009 1/24/1999
2/24/2006
6/8/1998
12/31/1969
2/7/2009

9/1/1992
10/31/1980

 10/3/2008  
Tubing/Fittings/Hose   9/23/1999
8/2/2004
8/6/2008
9/19/2007		 1/1/1982 9/30/2004
10/7/2005		   10/7/2005  
Compressor   10/5/2009
6/10/2007
8/21/2008
1/15/2019		     10/5/2009 8/21/2008  
Liquid Hydrogen Tank or Delivery Truck 4/27/1989 12/19/2004
1/19/2009		 8/6/2004 12/31/1969   1/1/1974 12/17/2004
Pressure Relief Device 7/25/2013
5/4/2012		 1/15/2002
1/08/2007		 12/31/1969        
Instrument 1/15/2019 3/17/1999
12/31/1969
2/6/2013		     11/13/73    
Hydrogen Generation Equipment 7/27/1999     10/23/2001      
Vehicle or Lift Truck   7/21/2011         2/8/2011
12/9/2010
Fuel Dispenser   8/2/2004
5/1/2007
6/11/2007
9/19/2007		   2/24/2006
1/22/2009		      
Fuel Cell Stack            

5/3/2004
12/9/2010
2/8/2011
Hydrogen Cooled Generator       12/31/1969
2/7/2009		      
Other (floor drain, lab
anaerobic chamber,
heated glassware,
test chamber,
gaseous hydrogen
composite cylinder,
delivery truck)		   11/14/1994
7/21/2011		 7/27/1999
6/28/2010
8/21/2008		 12/31/1969
3/22/2018		     6/10/2019
  • = No Ignition
  • = Explosion
  • = Fire