Event
- Event ID
- 154
- Quality
- Description
The event occurred on a hydrogen pipeline supplying a refinery. The location was at the fence to the refinery, when putting in operation a new section of the pipeline.
Operators had begun work to purge a new hydrogen 6" line into service. The required pre-work had been completed, and one operator was at the valve station preparing to slowly let hydrogen into the line, from an adjacent 8" line, which was already in service.
The second operator was at the valve station vent, to monitor purge gas flow and purity. The second operator mistakenly thought that the purge had already started and thought that there was insufficient purge flow at the vent. He decided to open the isolation valve to the pressurized 8" line at his end. By opening the valve, he caused a high-volume flow of hydrogen through the adjacent vent pipe, which ignited.
The second operator received burns to his hands and face. A company truck was destroyed, and other vehicles were damaged.- Event Initiating system
- Classification of the physical effects
- Hydrogen Release and Ignition
- Nature of the consequences
- Macro-region
- North America
- Country
- United States
- Date
- Component involved
- pipeline (generic)
- Failure mode
- erroneous release & ignition
- Initiating cause
- wrong operation
- Root CAUSE analysis
INITIATING CAUSE is the erroneous injection of hydrogen high flow into the vent pipe.
The ROOT CAUSE relates to the wrong execution of a procedure, and probably also to lack of clarity of it. Moreover, failing in recognising the hazards related to actions performed by two workers who were depending on mutual understanding, caused the lack of automatic measures preventing misunderstanding and perceptive assumptions.- Root causes
- Date entry in HIAD
- 01/06/2024
Facility
- Application
- Hydrogen transport and distribution
- Sub-application
- pipeline
- Hydrogen supply chain stage
- All components affected
pipeline, vent
- Process temperature range [C]
- ambient temperature (-50°C to +50°C)
- Process pressure range [MPa]
- medium to high pressure (10 to 50 MPa)
- Location type
- Open
- Location
- industrial area
- Operational condition
- Pre-event occurrences
The operation which brought to the incident consisted in preparing a new pipeline for its first operation.
Emergency & Consequences
- Number of fatalities
- 0
- Number of injured persons
- 1
- Currency
- US$
- Property loss (onsite)
- 110.000
- Post-event summary
An employee received burns to hands and face.
A company truck was destroyed and 10 other vehicles were damaged.- Emergency action
no evacuation. The area was declared safe after 1/2 hour
Lesson Learnt
- Lesson Learnt
In this accident, two employees at different location were supposed to execute a series of operations depending of each-others. It went wrong because of the assumption of one of the two, on the actions taken by the other.
The incident has been attributed to a failure to follow the procedure. However, this error could have been minimise by:
(1) Ensuring the availability of proper communication means.
(2) Introduce automatic safeguards, so that the one employee could not process at a next step without cling the previous step.
In-depth data
- Release type
- gas
- Involved substances (% vol)
- H2 100%
- Release temperature [°C]
- 25
- Release pressure [MPa]
- 10
- Probable IGNITION SOURCE
- Explosion type
References
- Sources categories
- PHMSA
- Reference & weblink
US Pipeline and Hazardous Materials Safety Administration PHMSA:
https://www.phmsa.dot.gov/data-and-statistics/pipeline/distribution-tra…
(accessed September 2024)Chron news
https://www.chron.com/neighborhood/article/Employee-injured-after-hydro…
(accessed May 2026)