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.

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.

Incident Synopsis

A technician accidentally loosened critical bolts holding a fitting to the top of an H2 tank, which caused a large hydrogen leak in the dewar. The fitting contained various instruments, and upon loosening the third bolt, H2 gas exited through an opening in the seal. The Viton or neoprene O-ring was blown out of its groove and was immediately frozen, making it impossible to reseal the fitting cover. The area was evacuated, the dewar was vented and the gasket was replaced. The ullage space was not purged with helium gas during the gasket replacement, which may have been responsible for small leaks which developed during the transfer.

Cause

The fitting containing the instruments was mounted on a flange, which was in turn secured to another flange. view more

Incident Synopsis
A H2 delivery truck accident occurred on a highway. The truck was pulling a trailer containing gaseous H2. Upon entering a sharp curve, the truck and trailer started to weave and pushed to the side of the road. The truck and trailer rolled about 40 feet downhill; the trailer rolled over 1 1/2 times and the tractor once, ending in the upright position with the driver still in his seat. The truck was completely totaled, but little damage was incurred by the trailer. The trailer shell was satisfactory with normal venting through the stack. The rear cabinet doors were warped shut.

Cause

The accident occurred on a bad road, which was steep with many sharp curves. The driver was going too fast for the road conditions and the type of trailer being view more

Incident Synopsis
During transfer of liquid H2 from a commercial tank trailer to a receiving vessel, a leak developed in a bayonet fitting at the trailer/facility connection. The leak produced liquid H2 spray which enveloped the rear of the truck where the hand-operated shutoff valve was located. Emergency trained personnel, wearing protective clothing, except for proper shoes, entered the area and shut off the flow control valve. Reentry personnel suffered frost bite of their feet when shoes became frozen to the water-wetted rear deck of the truck.

Cause
A loose hose flange connection allowed leakage of cold fluid through the lubricated bayonet seal. This allowed cold fluid to contact and shrink the 'O' ring seal (made of Buna-N rubber), thus permitting view more

Incident Synopsis
While disconnecting a liquid H2 fill line from a liquid H2 trailer, liquid H2 escaped, burning a second man who was holding the hose. The man was burned on his hands and on his stomach.

Cause
The liquid H2 shut off valve was partially open, but both men assumed it was closed. Prescribed clothing was being worn.

Incident Synopsis
While a hot air dryer was being used to free a coupling in a hydrogen cryostat (an apparatus used to maintain constant low temperatures), a flash fire occurred. The H2 cryostat was being dismantled.

Causes
The temperature at the center of the cryostat was sufficiently low to liquefy air. The prescribed requirements for purging and bringing the cryostat to room temperature were circumvented. The H2 - air mixture was formed and ignition was assumed to be a spark from an open filament of the dryer.

Incident Synopsis
While attempting to replace a rupture disk in a liquid H2 vessel, H2 gas was released and ignited. In fighting the fire, liquid N2 was sprayed onto a second liquid H2 vessel located nearby. This resulted in cracking of the outer mild steel vacuum jacket. The loss of the vacuum caused a rapid increase in pressure and rupture of the burst disk of the second vessel. H2 boiled off and was burned in the fire.

Cause
The rupture disk was being replaced with a load of liquid H2 in the vessel and no separating inerting gas. The H2-air mixture was probably ignited by static discharges. Rupture of the second vessel burst disk was caused by the low-temperature exposure of the mild steel vacuum jacket.

Incident Synopsis
During pressure testing of a H2 tank for investigation of quick-release manhole cover, the tank burst at a pressure between 60-67 psig. Flow regulators indicated peak pressure of 67 psig.

Cause
The tank was over pressurized. A mistake was made in interpreting the blueprint, believing the tank was designed to withstand 150 psig, yet the actual design limit was 50.7 psig.

Incident Synopsis

A hydrogen compressor had been shut down for repairs and was being put back into service when an explosion occurred, resulting in property damage. The compressor was equipped with interchangeable intake and outlet valves.

Cause

The discharge valve was installed in the intake valve position, causing the cylinder head to blow off and release H2 to the atmosphere. The ignition source was not indicated.

Incident Synopsis
A H2 air explosion occurred near a H2 compressor, located outside. Gaseous H2 had been released from a vent stack when a relief valve was actuated. The source of ignition was not known, but considerable damage was inflicted onto the system by the ensuing fire and explosion. Following the explosion, the shut-off valves were closed and the system was vented.

Cause
Two relief valves were located in the 3,000 psig system downstream of a 5,000/3,000 regulator. The relief valves were sized to handle substantially different flows. (One was designed for another program.) The relief valve was believed to have opened when the pressure setting was being increased from 2,700 to 2,900 psig. The accuracy of the 5,000 psig gauge used to control the dome of the 5 view more